Intro_09 - Introduction and Course Overview PAM 4350...

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Introduction and Course Overview PAM 4350 January 20, 2009
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The Iron Triangle of Health Care COST QUALITY ACCESS
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$2,331 $2,358 $2,532 $2,724 $2,918 $3,108 $3,094 $3,389 $3,128 $3,519 $3,374 $3,326 $4,364 $6,401 Finland Japan Italy UK Sweden Denmark Netherlands Beligium Australia Austria France Canada Norway US Source: OECD Health Data 2007; Hartman et al. (2009). One of These Things is Not Like the Others Per Capita Health Spending, 2005 (U.S. $PPP) $7,421 in 2007
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40 37 5 8 12 21 25 26 0 25 50 NETH UK CAN GER NZ AUS International Comparison * Did not get medical care because of cost of doctor’s visit, skipped medical test, treatment, or follow-up because of cost, or did not fill Rx or skipped doses because of cost. Data: 2005 and 2007 Commonwealth Fund International Health Policy Survey. 2005 2007 United States % of adults who had any of 3 access problems* in past year because of costs Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2008 4 U.S. Has an Access Problem
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Data: Two-year averages 1999–2000, updated with 2007 Current Population Survey correction, and 2005–2006 from the Census Bureau’s March 2000, 2001 and 2006, 2007 CPS. WA OR ID MT ND WY NV CA UT AZ NM KS NE MN MO WI TX IA IL IN AR LA AL SC TN NC KY FL VA OH MI WV PA NY AK MD ME VT NH MA RI CT DE DC HI CO GA MS OK NJ SD WA OR ID MT ND WY NV CA UT AZ NM KS NE MN MO WI TX IA IL IN AR LA AL SC TN NC KY FL VA OH MI WV PA NY AK ME DE DC HI CO GA MS OK NJ SD 19%–22.9% Less than 14% 14%–18.9% 23% or more 1999–2000 2005–2006 MA RI CT VT NH MD % of Adults Uninsured by State Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2008 5
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George Bush’s Diagnosis of the Access Problem: Inauguration Sendoff
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Infant Mortality Rate at Birth (2005) Per 1,000 births (2005) US 77.8 6.9 UK 79.0 5.1 Canada 80.2 5.3 France 80.3 3.6 Germany 79.0 3.9 Japan 82.1 2.8 Source: National Center for Health Statistics; OECD. U.S. Also Lags Other Industrialized Countries
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This note was uploaded on 04/25/2009 for the course PAM 4350 taught by Professor Nicholson during the Spring '08 term at Cornell University (Engineering School).

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Intro_09 - Introduction and Course Overview PAM 4350...

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