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How and Why US Health Care Differs From That in Other OECD Countries

How and Why US Health Care Differs From That in Other OECD Countries VIEWPOINT How and Why US Health Care Differs From That in Other OECD Countries resonance imaging (MRI) scans and mammograms, pro- Victor R. Fuchs, PhD portionately more specialists, more amenities (privacy and space in hospitals), and more standby capacity as evident NITED STATES HEALTH CARE, OFTEN HAILED AS “THE in a higher ratio of MRI scanners available to MRI scans per- best health care system in the world,” is also formed. The greater number of physician visits and hospi- faulted for being too costly, leaving many mil- tal days in OECD countries does not result in higher spend- Ulions of individuals uninsured, and having avoid- ing because of differences in services provided during a visit able lapses in quality. Criticism often draws on compari- or a hospital day. In general, the United States has an ex- sons with other countries of the Organization for Economic pensive mix, whereas the OECD countries have an inex- Co-operation and Development (OECD). This Viewpoint pensive one. also makes such comparisons, over a broad range of vari- The effect of these differences in mix and total expendi- ables, and reaches one inescapable conclusion—US health tures on health outcomes is uncertain. Measured by life ex- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

How and Why US Health Care Differs From That in Other OECD Countries

JAMA , Volume 309 (1) – Jan 2, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.125458
pmid
23280219
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT How and Why US Health Care Differs From That in Other OECD Countries resonance imaging (MRI) scans and mammograms, pro- Victor R. Fuchs, PhD portionately more specialists, more amenities (privacy and space in hospitals), and more standby capacity as evident NITED STATES HEALTH CARE, OFTEN HAILED AS “THE in a higher ratio of MRI scanners available to MRI scans per- best health care system in the world,” is also formed. The greater number of physician visits and hospi- faulted for being too costly, leaving many mil- tal days in OECD countries does not result in higher spend- Ulions of individuals uninsured, and having avoid- ing because of differences in services provided during a visit able lapses in quality. Criticism often draws on compari- or a hospital day. In general, the United States has an ex- sons with other countries of the Organization for Economic pensive mix, whereas the OECD countries have an inex- Co-operation and Development (OECD). This Viewpoint pensive one. also makes such comparisons, over a broad range of vari- The effect of these differences in mix and total expendi- ables, and reaches one inescapable conclusion—US health tures on health outcomes is uncertain. Measured by life ex-

Journal

JAMAAmerican Medical Association

Published: Jan 2, 2013

References