Health Care Sector Efficiency: Measuring and improving it Christophe André OECD, Economics Department Institute of Health Economics – Alberta, Canada Becoming the Best: Building Sustainable Health Systems High Performing Health Systems Edmonton, April 15th, 2011
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Health Care Sector Efficiency:
Measuring and improving it
Christophe André
OECD, Economics Department
Institute of Health Economics – Alberta, Canada
Becoming the Best: Building Sustainable Health Systems
High Performing Health Systems
Edmonton, April 15th, 2011
Health at a Glance and Health Data
Health Care Systems: Efficiency and Policy Settings
OECD Economic surveys: Canada, 2010
Improving Value in Health Care – Measuring quality
Value for Money in Health Spending
Obesity and the Economics of Prevention: Fit not Fat
Websites:
Health
The Economics of Health
The OECD’s work on healthSelected publications and weblinks
Life expectancy (raw and adjusted for morbidity and
disabilities), specific mortality indicators (infant,
premature and amenable mortality)
Volume of health care consumption
Quality of care (avoidable hospital admissions and
in-hospital fatality rates)
Life expectancy at birth
Source: Health at a Glance 2009, OECD Indicators.
Japan
Switzerland
Australia
Italy
Iceland
Spain
France
Sweden
Canada
Norway
New Zealand
Netherlands
Austria
Germany
Belgium
Ireland
Finland
United Kingdom
Greece
Luxembourg
Korea
Portugal
OECD
Denmark
United States
Czech Republic
Poland
Mexico
Slovak Republic
Hungary
Turkey
82.6
81.9
81.4
81.4
81.2
81.0
81.0
81.0
80.7
80.6
80.2
80.2
80.1
80.0
79.8
79.7
79.5
79.5
79.5
79.4
79.4
79.1
79.1
78.4
78.1
77.0
75.4
75.0
74.3
73.3
73.2
405060708090
2007 1960
Years
Life expectancy at 65, women
Source: Health at a Glance 2009, OECD Indicators.
Japan
France
Switzerland
Spain
Italy
Australia
Canada
Finland
Belgium
Norway
Austria
Germany
New Zealand
Sweden
Iceland
Korea
Netherlands
United States
Luxembourg
OECD
Portugal
United Kingdom
Ireland
Greece
Denmark
Poland
Czech Republic
Mexico
Hungary
Slovak Republic
Turkey
23.6
22.3
22.2
22.0
21.8
21.6
21.4
21.3
21.0
20.8
20.8
20.7
20.7
20.7
20.6
20.5
20.5
20.3
20.3
20.2
20.2
20.1
20.1
19.6
19.2
18.9
18.5
18.2
17.3
17.1
15.8
510152025
2007 1970
Years
Premature mortality, adjusted for transport accidents,
suicides and assaults
Source: OECD Health Data.
0
1000
2000
3000
4000
5000
6000Years of life lost per 100 000 population < 70, 2005
Amenable mortality
Source : Gay et al. (2011), "Mortality Amenable to Health Care in 31 OECD Countries: Estimates and Methodlogical Issues", OECD Health Working Paper, No. 55.
All causes, 2007 or latest year available
0 50 100 150 200 250
Estonia
Hungary
Slovak Republic
Poland
Mexico
Czech Republic
Portugal
United States
Chile
OECD
Slovenia
Denmark
Korea
United Kingdom
New Zealand
Ireland
Germany
Israel*
Greece
Finland
Luxembourg
Canada
Spain
Norway
Austria
Australia
Netherlands
Sweden
Japan
Italy
Iceland
France
Age-standardised rates per 100 000 population
Correlations between outcome measures(level and rank)
LE at birth LE at 65
Total Female
Life expectancy at birth, total 1.00 0.94 ** -0.93 ** 0.96 ** -0.96 **
Life expectancy at 65, female 0.89 ** 1.00 -0.77 ** 0.91 ** -0.86 **