Monday, June 28, 2010

U.S. health-care system: Still bad

[mEDITate-OR
reject any criticism, no matter, who makes it, or why...
or
think that everything is back, or was ever, normal.

While "Who let the Dogs out" might have been written by WHO
the World Trade Organization, who is roundly criticized bye U.S.
for not putting U.S. in a very good health care light
This is the result of a new project to try to do that more fairly.
As "They" say to U.S. - be careful what you ask for....
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U.S. health-care system: Still bad
...The Commonwealth Foundation began a new project to assemble a comparative international picture: They chose seven countries and conducted deep, ongoing polls of both patients and health-care providers. The surveys test experiences with the system, cost questions, efficiency, convenience, health outcomes and much more. The result is a comparison based not on an outsider’s methodology but on the experiences of patients and providers.
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The following chart measures per-person health-care spending. And remember, while reading it, that the U.S. is actually advantaged by this measure: Unlike other countries, we don't have universal health care, so about 50 million of us are spending less than we otherwise might:
averagespendingpercaphc.jpg
But even with all that spending, "the U.S. ranks last overall, as it did in the 2007, 2006, and 2004 editions of Mirror, Mirror. Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last on dimensions of access, patient safety, coordination, efficiency, and equity.
The issue isn't just that we don't have universal health care. Our delivery system underperforms, too. "Even when access and equity measures are not considered, the U.S. ranks behind most of the other countries on most measures. With the inclusion of primary care physician survey data in the analysis, it is apparent that the U.S. is lagging in adoption of national policies that promote primary care, quality improvement, and information technology." Here's a summary table:
healthrankings.jpg
Full report here.
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Mirror, Mirror on the Wall:
How the Performance
of the US. Health Care System
Compares Internationally - 2010 Update
http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2010/Jun/Mirror-Mirror-Update.aspx?page=all
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