Intro_08 - Introduction and Course Overview PAM 435 The...

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Introduction and Course Overview PAM 435 January 22, 2008
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The Iron Triangle of Health Care COST QUALITY ACCESS
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$2,235 $2,249 $2,467 $2,508 $2,825 $2,881 $3,041 $3,044 $3,120 $3,124 $3,159 $3,165 $3,966 $4,077 $6,102 Finland Japan Italy UK Sweden Denmark Netherlands Beligium Australia Austria France Canada Norway Switzerland US Source: OECD Health Data 2006; Catlin et al. (2008). One of These Things is Not Like the Others Per Capita Health Spending, 2004 (U.S. $PPP) $7,026 in 2006.
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7.4 7.8 8.0 8.4 8.9 9.1 9.2 9.3 9.6 9.9 10.1 10.1 10.4 10.8 11.6 15.2 Finland UK Japan Italy Denmark Netherlands Australia Sweden Austria Canada Norway Belgium France Germany Switzerland US Total Health Spending as a % of GDP, 2003 2006: US spent 16% of GDP on health care Source: OECD 2005 Data; Catlin et al., 2008.
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U.S. Has an Access Problem
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Life Expectancy Infant Mortality Rate at Birth (2003) Per 1,000 births (2000) US 77.5 7.2 UK 78.5 5.7 Canada 79.7 5.5 France 79.4 4.7 Germany 78.4 4.7 Japan 81.8 3.6 Source: National Center for Health Statistics; OECD. U.S. Also Lags Other Industrialized Countries on Selected Health (Quality?) Measures
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Source: Blendon et al., The Milbank Quarterly (2006). Citizens in U.S. Much Less Satisfied W/ Health Care System Than in Other Industrialized Countries 37 14 13 13 13 21 26 28 0 10 20 30 40 50 60 U.S Canada UK Spain Completely satisfied w/ system System needs to be rebuilt % of respondents, 2004-2006
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The Iron Triangle of Health Care COST QUALITY ACCESS Is the U.S. Really Inferior on All 3 Dimensions? If so, Why?
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Ironically, U.S. Citizens Rate Their Own Care Highly Source: Blendon et al., The Milbank Quarterly (2006). Rating of your overall medical care (2006): - Excellent 45% - Good 39% - Fair/Poor 16% Quality of care you receive (2005): - Excellent 29% - Good 49% - Fair/Poor 20% Satisfied with (2003): - Last visit to physician 92% - Ability to see MD whenever needed 88% - Your health insurance benefits 81%
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And We Are Not Demanding That Our Government Fix the Health Care System Source: Blendon et al., The Milbank Quarterly (2006). 0
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