Health Care Systems

Health Care Systems


212 pages


People in OECD countries are healthier than ever before, as shown by longer life expectancy and lower mortality for diseases such as cancer. At the same time, total spending on health care now absorbs over 9% of GDP on average in the OECD. Achieving value for money in the health care sector is an important objective in all OECD countries.

The book takes an in-depth look at health care in OECD countries today. What is the status of people’s health? How do we measure health outcomes? How do we assess the efficiency of health care systems? How are health policies and institutions linked with the performance of health care systems? The chapters explore the answers to such questions. They cover: trends in health care outcomes and spending; ways of assessing efficiency; new indicators of health care policies and institutions; and the characteristics and performance of health care systems.



Publié par
Date de parution 02 novembre 2010
Nombre de visites sur la page 108
EAN13 9789264094901
Licence : Tous droits réservés
Langue English

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Heal t h Car e Syst em s
This work is published on the responsibility of the Secretary-General of the OECD. The opinions expressed and arguments employed herein do not necessarily reflect the official views of the Organisation or of the govern ments of its member countries.
Please cite this publication as:OECD (2010),,Health Care Systems: Efficiency and Policy Settings OECD Publishing.
ISBN 978-92-64-09490-1 (PDF)
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Tabl e of Cont ent s
Title Page Copyright Page Foreword List of Tables Table of Figures Acronyms Executive summary Chapter 1 - Health care outcomes and spending Chapter 2 - Efficiency measures Chapter 3 - Health care policies and institutions – A new set of indicators Chapter 4 - Linking efficiency and policy across he alth care systems Bibliography ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
For ew or d
Household surveys show that being in good health is an important determinant of the well-being of people. Healthier people also tend to enjoy better access to the education system and to be more productive for a longer perio d of their life, thus supporting economic growth. Being in good health depends partl y on life-style choices and socioeconomic factors. But treating illnesses in an effective way is also very important in this respect and a crucial determinant of longev ity, which has risen rapidly – by four years on average in the OECD since 1990.
However, rising health care spending is already putting pressure on government budgets and the fiscal impact of the recent economi c crisis has heightened the urgency of pursuing reforms. Furthermore, population ageing and costly developments in medical technology will put considerable upward pre ssure on health care spending over the longer term.
This book provides an in-depth assessment of health care spending performance and its links with policies in OECD countries. Until now, consistent cross-country information on health care policies has been missin g, but a new and wide ranging OECD-wide data set on health care policies and institutions is now available. It allows the characterisation of health care systems and in combination with outcome indicators the identification of their strengths and weaknesse s. The book also provides efficiency estimates for health care systems. It classifies co untries into different groups of health systems and argues that there is no type of health care system that is superior to others. Big bang reforms, involving a shift from on e type of health care system to another, are thus not warranted. Rather, countries should adopt best policy practices implemented by countries sharing the same type of h ealth care system, while borrowing the most appropriate policy elements from countries with a different system. The policy environment for health care spending is of vital importance and potential efficiency gains are large in many countries. The b ook also shows that there is no trade-off between achieving more equal health outco mes within countries and raising the health status of the population. Indeed, the co untries with the lowest inequalities tend to enjoy a high average health status.
This work was conducted in close co-operation with the Health Policy Division of the Directorate for Employment, Labour and Social Affairs. In its early stages, it benefited from contributions by Olivier Chatal, Thai-Thanh Da ng, Robert Price and Arthur Sode. Susan Gascard provided excellent editorial support. As usual in our work, preliminary versions of the report were discussed by OECD government representatives. They provided many helpful comments, but the responsibil ity for the final product lies with the OECD Secretariat.
Pier-Carlo Padoan Chief Economist
Li st of Tabl es
Table 1.1 Table 1.2 Table 2.1 Table 2.2 Table 2 Table 2.A2.1 Table 2.A3.1 Table 2.A3.2 Table 3.1 Table 3.2 Table 3.A2.1 Table 3.A2.2 Table 3.A4.1 Table 4.1 Table 4.2 Table 4.3 Table 4.4 Table 4.5
Tabl e ofFI guR es
Figure 0.1 Figure 1.1 Figure 1.2 Figure 1.3 Figure 1.4 Figure 1.5 Figure 1.6 Figure 1.7 Figure 1.8 Figure 1.9 Figure 1.10 Figure 2.1 Figure 2.2 Figure 2.3 Figure 2.4 Figure 2.5 Figure 2.6 Figure 2.7 Figure 2.8 Figure 2.9 Figure 2.10 Figure 2.11 Figure 2.A1.1 Figure 2.A1.2 Figure 3.1 Figure 3.2 Figure 3.3 Figure 3.4 Figure 3.5 Figure 3.6 Figure 3.7 Figure 3.8 Figure 3.A2.1 Figure 3.A2.2 Figure 3.A2.3 Figure 3.A3.1 Figure 3.A4.1 Figure 4.1 Figure 4.2 Figure 4.3 Figure 4.4 Figure 4.5
Congestive heart failures
Out-of-pocket payment
Gross domestic product
Nitrogen oxide
Human mortality database
Life expectancy
Health care quality indicator
Approximately unbiased
Diphtheria, tetanus and pertussis
Disability adjusted life years
Generalised least squares
Acute myocardial infarction
Health adjusted life expectancy
Health maintenance organisation
Magnetic resonance imaging units
National Health Service
Index of economic, social and cultural status
Diagnosis related group
General practitioner
Disability-free life expectancy
National Institute for Health and Clinical Exce llence
Disability adjusted life expectancy
Data envelopment analysis
Chronic obstructive pulmonary diseases
Acr ouym s
Average length of stay