Embed Size (px)
Citation preview
USA Health at a Glance
Highlights from the OECD report
Disclaimer:The following presentation is not published by the OECD and do not necessarily represent the official views of the Organisation or of the governments of its member countries
Main characteristics
• The USA society is facing specific health challenges.
• The system is expensive. • The system is uniquely financed.• The outcomes are close to OECD
average.
HEALTH OF THE AMERICANS: THE SOCIO-CULTURAL CONTEXT
American children
0
10
20
30
40
50
60
70
% of 15-years old drunk at least twice in lifetime
0
5
10
15
20
25
30
% of 15-years old smoking once a week
0
5
10
15
20
25
30
35
40
45
% of 11-15 years old practising sports
do not drink, do not smoke, and exercise.
American children
However, they are more affected by weight issues.
0
5
10
15
20
25
30
35
% of 11-15 years old overweight or obese
USA OECD Other OECD countries
Alcohol, tobacco and weight
Similarly, adults drink and smoke significantly less, but are more likely to be affected by obesity.
0
2
4
6
8
10
12
14
Alcohol consumption, liters / adult
0
5
10
15
20
25
30
35
40
45
% of adults smoking daily
0
5
10
15
20
25
30
35
40
Obesity rates, adults
COSTS OF THE HEALTH SYSTEM
The USA system is the most expensive in the OECD
0
1000
2000
3000
4000
5000
6000
7000
8000
Total health expenditureUS dollars per capita
USA OECD Other OECD countries
In 2007, the USA spent 7290 USD per capita on health
The USA system is the most expensive in the OECD
0
2
4
6
8
10
12
14
16
18
Total health expenditureAs a percentage of GDP
USA OECD Other OECD countries
That represents 16% of their GDP.
The USA system is the most expensive in the OECD
10000 20000 30000 40000 50000 60000 700000
1000
2000
3000
4000
5000
6000
7000
8000 USA
Health expenditure and GDP per capita
GDP per capita, USD
Healt
h e
xpendit
ure
per
capit
a, U
SD
If USA expenditure on health in terms of GDP were consistent with those of otherOECD countries, it would spend $3000 less by year.
FINANCING AMERICAN HEALTH CARE
The main source of health financing is private
0
10
20
30
40
50
60
70
80
90
100
Public share of health expenditure2007
USA OECD Other OECD countries
In contrast with most OECD countries where ¾ of health financing is public, in the USA, the public share is less than 50%.
The role of private health insurance
The USA is the country where the share of private health insurance is the highest.
0
5
10
15
20
25
30
35
40
Private health insuranceShare of total health expenditure, 2007
USA OECD Other OECD countries
Sources of health financing
However, it only represents a third of all health expenditure.
35.2%
12.2%
32.7%
12.7%
7.2%
Private health insurance
General government
Social insurance Out-of-pocket Other
Breakdown of USA health expenditure by source
Private Public Other
The share of out-of-pocket expenditure
0
1
2
3
4
5
6
7
Share of out-of-pocket expenditure% of final household consumption, 2007
USA OECD Other OECD countries
In the USA, the share out-of-pocket health spendings is below average.
Exposure to large out-of-pocket expenditures
30%
10%4%
52%
More than USD 1 000 No out-of-pocket cost
Out-of-pocket medical costs in the past yearpercentage of adults, 2007
United States United Kingdom
Still, many Americans have to pay over USD 1,000 per year, and few don’tpay out-of-pocket expenses at all.
Catastrophic expenditures
Catastrophic expenditures are defined as those exceeding 40% of the income of a household, after subsistence needs are met. One American household out of 200 is concerned.
0
0.5
1
1.5
2
2.5
3
3.5
Catastrophic health expenditure% of households
USA Other OECD countries
Unmet health care needs
0
10
20
30
40
50
60
Netherlands United Kingdom
Canada Germany New Zealand
Australia USA
Unmet health care needs due to cost% of population below average income
In the USA, 52% of the population below average income did not access health care when they needed to because of costs.
OUTCOMES OF THE SYSTEM
Life expectancy
45
50
55
60
65
70
75
80
85
1960 1963 1966 1969 1972 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 2005
Life expectancy at birthYears, 1960 to 2007
Range of OECD countries OECD average USA
Life expectancy in the USA is very close to OECD average.
Life expectancy as a return on health expenditure
0 1000 2000 3000 4000 5000 6000 7000 800068
70
72
74
76
78
80
82
84
USA
Life expectancy and health expenditure
Health expenditure per capita, USD
Lif
e e
xpect
ancy
, ye
ars
But compared to the cost of their health system, Americans could expect to live 5 years longer.
Premature mortality
Premature mortality, which is measured by the collective numbers of years that would have been lived if people who died before 70 had lived up to that age, is slightly above the OECD average.
1970 20060
5000
10000
15000
20000
25000
Premature mortalityPotential years of life lost per 100,000 population
USA OECD Other OECD countries
Subjective perception of health
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Percentage of people who consider themselves healthy
USA OECD average Other OECD countries
Almost 90% of the American population considers themselves healthy. This is an excellent figure compared to other OECD countries.
