DELSA/ELSA/WD/HEA(2003)3/ANN2 OECD HEALTH WORKING PAPERS OECD Study of Cross-National Differences in the Treatment, Costs and Outcomes of Ischaemic Heart Disease Annex 2: Charts Pierre Moise, Stéphane Jacobzone and the ARD-IHD Experts Group 3
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DELSA/ELSA/WD/HEA(2003)3/ANN2
OECD HEALTH WORKING PAPERS
OECD Study of Cross-National Differences in the Treatment, Costs and Outcomes of Ischaemic Heart
Disease
Annex 2: Charts
Pierre Moise, Stéphane Jacobzone and the ARD-IHD Experts Group
3
Unclassified DELSA/ELSA/WD/HEA(2003)3/ANN2 Organisation de Coopération et de Développement Economiques Organisation for Economic Co-operation and Development ___________________________________________________________________________________________
English - Or. English DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS COMMITTEE
OECD HEALTH WORKING PAPERS No. 3 OECD STUDY OF CROSS-NATIONAL DIFFERENCES IN THE TREATMENT, COSTS AND OUTCOMES OF ISCHAEMIC HEART DISEASE ANNEX 2: CHARTS
Pierre Moise, Stéphane Jacobzone and the ARD-IHD Experts Group
JEL Classification: I10, I18, I19.
Document complet disponible sur OLIS dans son format d'origine Complete document available on OLIS in its original format
DE
LSA
/EL
SA/W
D/H
EA
(2003)3/AN
N2
Unclassified
English - O
r. English
DELSA/ELSA/WD/HEA(2003)3/ANN2
2
DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS
HEALTH WORKING PAPERS This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language – English or French – with a summary in the other. Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France.
The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD
Applications for permission to reproduce or translate all or part of this material should be made to:
Head of Publications Service
OECD 2, rue André-Pascal
75775 Paris, CEDEX 16 France
Copyright OECD 2003
DELSA/ELSA/WD/HEA(2003)3/ANN2
3
TABLE OF CONTENTS
Chart 32. Utilisation rates for cardiac catheterisation procedures............................................................... 5 Chart 33a. Proportion of AMI patients receiving cardiac catheterisation during the initial admission ...... 6 Chart 33b. Proportion of AMI patients receiving cardiac catheterisation during the initial admission ...... 8 Chart 34. Proportion of AMI patients receiving catheterisation during the 90-day episode of care........ 10 Chart 35. Utilisation rates for PTCA procedures ...................................................................................... 12 Chart 36a. Proportion of AMI patients receiving PTCA during the initial admission.............................. 13 Chart 36b. Proportion of AMI patients receiving PTCA during the initial admission.............................. 15 Chart 37. Proportion of AMI patients receiving PTCA during the 90-day episode of care ...................... 17 Chart 38. Proportion of PTCAs using an intracoronary stent ................................................................... 19 Chart 39a. Proportion of AMI patients receiving CABG during the initial admission ............................. 20 Chart 39b. Proportion of AMI patients receiving CABG during the initial admission............................. 22 Chart 40. Proportion of AMI patients receiving CABG within 90 days of initial admission ................... 24 Chart 41. Admission rates for angina........................................................................................................ 26 Chart 42. Proportion of angina patients receiving cardiac catheterisation during the initial admission ... 28 Chart 43. Proportion of angina patients receiving catheterisation during the 90-day episode of care ...... 30 Chart 44. Proportion of angina patients receiving PTCA during the initial admission............................. 31 Chart 45. Total number of admissions in Perth based on ICD-9 411, 413 and 411 combined with 413. . 33 Chart 46. Proportion of angina patients undergoing PTCA during the 90 day episode of care. ............... 34 Chart 47. Utilisation rates for CABG procedures ..................................................................................... 35 Chart 48. Proportion of angina patients receiving CABG during the initial admission. ........................... 36 Chart 49. Proportion of angina patients receiving CABG during the 90-day episode of care .................. 38 Chart 50a. Inhospital case fatality rates..................................................................................................... 39 Chart 50b. Inhospital case fatality rates .................................................................................................... 41 Chart 51a. 30-day case fatality rates ......................................................................................................... 43 Chart 51b. 30-day case fatality rates (TECH) ........................................................................................... 44 Chart 52a. 90-day case fatality rates ......................................................................................................... 46 Chart 52b. 90-day case fatality rates (TECH) ........................................................................................... 47 Chart 53a. One year case fatality rates ...................................................................................................... 49 See Table 20 for data sources and data characteristics.............................................................................. 49 Chart 53b. One year case fatality rates (TECH)........................................................................................ 50 Chart 54. Cumulative inhospital, 90-day and one year case fatality [Men] (TECH) ................................ 52 Chart 55. Distribution of case fatalities within one year from the initial AMI admission (TECH) .......... 54 Chart 56. Readmissions for AMI one year following initial admission for AMI (TECH) ....................... 56 Chart 57. Average length of stay for AMI patients ................................................................................... 58 Chart 58. Distribution of length of stay..................................................................................................... 59 Chart 59. Average length of stay by age and sex ...................................................................................... 60 Chart 60. Unit costs for selected acute care treatments............................................................................. 62 Chart 61. Unit costs per day for selected acute care treatments................................................................ 63 Chart 62a. Utilisation rates for CABG and number of cardiac surgery units, per 100 000 inhabitants .... 64 Chart 62b. Utilisation rates for PTCA and no. of catheterisation facilities, per 100 000 inhabitants ....... 64 Chart 63a. Utilisation rates for CABG and IHD mortality, per 100 000 inhabitants ................................ 65 Chart 63b. Utilisation rates for PTCA and IHD mortality, per 100 000 inhabitants................................. 65
DELSA/ELSA/WD/HEA(2003)3/ANN2
4
Chart 63c. Number of catheterisation laboratories and IHD mortality, per 100 000 inhabitants.............. 66 Chart 63d. Number of cardiac surgery facilities and IHD mortality, per 100 000 inhabitants ................. 66 Chart 64. Utilisation of CABG as a proportion of total revascularisation procedures .............................. 67 Chart 65. One-year case fatality rates and use of revascularisations for 90-day episode of care.............. 68 Chart 66. One-year readmission rates and use of CABG for 90-day episode of care ............................... 69
DELSA/ELSA/WD/HEA(2003)3/ANN2
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Chart 32. Utilisation rates for cardiac catheterisation procedures Number per 100,000 inhabitants aged 40 and over
0
200
400
600
800
1000
1200
1990 1991 1992 1993 1994 1995 1996 1997 1998
Germany
Australia
Belgium
(1990-1998)
0
100
200
300
400
500
1990 1991 1992 1993 1994 1995 1996 1997 1998
Sweden
Hungary
Norway
Spain
Italy
Canada
Ontario
Greece
Denmark
Japan
(1990-1998)
Note: The population aged 40 and over was used as the denominator. Australia, Belgium, Germany, Greece, Italy, Japan,
Norway, Spain and Sweden were able to provide rates using the 40 and over population as a denominator. For the countries that used the entire population as the denominator, we calculated the denominator as the ratio of the entire population multiplied by the ratio of the entire population to the population 40 and over.
The two charts use different scales for the number of catheterisations per 100,000 inhabitants. Greece: only includes 17 out of a possible 24 hospitals. Japan: estimated number of procedures performed during a one month period (eg. June 1997), since 1994. Sources: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports;
OECD Health Data Base 2000 (Canada, Hungary, Switzerland and the United Kingdom); “Report on Survey of Medical Care Activities in Public Health Insurance”, Shakai Iryo Shinryo Kouibetu Chosa Houkoku (Japan); Mannebach 1998 (Germany).
DELSA/ELSA/WD/HEA(2003)3/ANN2
6
Chart 33a. Proportion of AMI patients receiving cardiac catheterisation during the initial admission As a percentage of AMI admissions (Figures using event-based data)
0
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Women)
11 9 7 52 1
0
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Men)
118 6 4
1 10
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1996
1999
JAPAN -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1996
1999
JAPAN -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
7
Chart 33a. (cont.) As a percentage of AMI admissions (Figures using event-based data)
0
10
20
30
40
50
60
70
80
90
100
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA --(Men)
0
10
20
30
40
50
60
70
80
90
100
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA -- (Women)
2 1 1 05 3 2 2 1 0<1 <1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1992
1996
1998
NORWAY -- (Men)
2 05 3 3 1 <1<1<1<1 <1<1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1992
1996
1998
NORWAY -- (Women)
2015
6
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75+
1997-98
SPAIN -- (Men)
20 18
8
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75+
1997-98
SPAIN -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40–64 65-74 75+
1990
1993
1995
SWITZERLAND -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40–64 65-74 75+
1990
1993
1995
SWITZERLAND -- (Women)
Note: In some countries the representativeness of the data may be limited to some hospitals and/or certain geographical areas. Source: The data for Belgium, Norway and Switzerland were provided by the TECH Research Network. Responses to OECD
questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources.
DELSA/ELSA/WD/HEA(2003)3/ANN2
8
Chart 33b. Proportion of AMI patients receiving cardiac catheterisation during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
129
6 41 1
1714
117
31
2319
1411
61
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
128 6
3 1
1813
96
2 1
26
2016
10
41<1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
10 95
30<1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
127 6
2 1 <10
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
19.917.6
7.8
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Men)
20.3
15.3
5.5
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
9
Chart 33b. (cont.) Proportion of AMI patients receiving cardiac catheterisation during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
1 13 34 2 24 4 3 3<1 <1<1 <1 <1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
1 3 412 3 3 1
5 4 3 10 0 <1 <10
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland and the US were provided by the TECH Research Network; .
Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country report (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
10
Chart 34. Proportion of AMI patients receiving catheterisation during the 90-day episode of care As a percentage of AMI admissions
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
117
1 00
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
95
1 <10
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
11
Chart 34. (cont.) Proportion of AMI patients receiving cardiac catheterisation within 90 days of admission As a percentage of AMI admissions
3 1 14 3 2 1
1512
9
3
19
11 11
6<1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
2 2 15 5
2
10 139
2
1512
95
<1 <10
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland and the US were provided by the TECH Research Network; .
Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
12
Chart 35. Utilisation rates for PTCA procedures Number per 100,000 inhabitants aged 40 and over
0
100
200
300
400
1990 1991 1992 1993 1994 1995 1996 1997 1998
UnitedStates
Germany
Ontario
Belgium
Australia
Norway
Canada
Denmark
(1990-1998)
0
20
40
60
80
100
120
140
1990 1991 1992 1993 1994 1995 1996 1997 1998
Switzerland
Sweden
Greece
Spain
Finland
Italy
UnitedKingdom
Hungary
(1990-1998)
Note: The population aged 40 and over was used as the denominator. Belgium, Germany, Italy, Norway, Spain and Sweden
were able to provide rates using the 40 and over population as a denominator. For the countries that used the entire population as the denominator, we calculated the denominator as the ratio of the entire population multiplied by the ratio of the entire population to the population 40 and over.
The two charts use different scales for the number of PTCA per 100,000 inhabitants. Greece: After 1996 only includes 17 out of a possible 24 hospitals. Japan: Estimated number of procedures performed during a one month period (eg., June 1997), since 1994. Sources: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports; OECD
Health Data Base 2000 (Canada, Hungary, Switzerland and the United Kingdom); “Report on Survey of Medical Care Activities in Public Health Insurance”, Shakai Iryo Shinryo Kouibetu Chosa Houkoku (Japan); Mannebach 1998 (Germany).
DELSA/ELSA/WD/HEA(2003)3/ANN2
13
Chart 36a. Proportion of AMI patients receiving PTCA during the initial admission As a percentage of AMI admissions (Figures using event-based data)
42 2 1
116 6
3 1<10
10
20
30
40
50
60
70
80
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Men)
4 3 2 0
97 7
3<1 <1
0
10
20
30
40
50
60
70
80
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Women)
4 3 2
10 8 62 2<1<1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Men)
4 2 2
96 5
2 1<1<10
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Women)
86 4 3 1 1
0
10
20
30
40
50
60
70
80
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Men)
7 5 4 2 1 10
10
20
30
40
50
60
70
80
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Women)
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84 85-90
1996
1999
JAPAN -- (Men)
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84 85-90
1996
1999
JAPAN -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
14
Chart 36a. (cont.) Proportion of AMI patients receiving PTCA during the initial admission As a percentage of AMI admissions (Figures using event-based data)
0
10
20
30
40
50
60
70
80
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA -- (Men)
0
10
20
30
40
50
60
70
80
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA -- (Women)
0 00 0 01 0<10
10
20
30
40
50
60
70
80
40-64 65-69 70-74
1990
1993
1996
NORWAY -- (Men)
0 0 0 00 0 0 0 00 0 0 0<10
10
20
30
40
50
60
70
80
85-90 40-64 65-69 70-74 75-79
1990
1993
1996
NORWAY -- (Women)
14
9
4
0
10
20
30
40
50
60
70
80
40-64 65-74 75+
1997-1998
SPAIN -- (Men)
117
2
0
10
20
30
40
50
60
70
80
40-64 65-74 75+
1997-1998
SPAIN -- (Women)
0
10
20
30
40
50
60
70
80
40–64 65-74 75+
1990
1993
1995
SWITZERLAND -- (Men)
0
10
20
30
40
50
60
70
80
40–64 65-74 75+
1990
1993
1995
SWITZERLAND -- (Women)
Note: In some countries the representativeness of the data may be limited to some hospitals and/or certain geographical areas. Source: The data for Belgium, Norway and Switzerland were provided by the TECH Research Network; Responses to OECD
questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
15
Chart 36b. Proportion of AMI patients receiving PTCA during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
30 1 0 0 0
12
5 3 30 0
16
96 5
30
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
3 41 0 0 0
13
6 51 0 0
23
15
11
42 0
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
3 2 1 1 0
5 4 3 1
85 4 3 2 1<1 <1<1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
4 3 2 1 0
5 42 1 1
10
5 4 3 1 1<1 <10
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
1 1 1 0 0 04 2 1 0 0<1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-89
1990
1994
1996
FINLAND -- (Men)
1 1 0 0 0
52 1 1<1 <1<1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-89
1990
1994
1996
FINLAND -- (Women)
11.57.9
3.8
0
10
20
30
40
50
60
70
80
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Men)
7.2 7.0
2.4
0
10
20
30
40
50
60
70
80
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
16
Chart 36b. (cont.) Proportion of AMI patients receiving PTCA during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
0 0 0 0 0 03 1 1 1 0 0
10
5 52 1 0
0
10
20
30
40
50
60
70
80
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Men)
0 0 0 0 0 03 1 1 0 0 0
75
3 20 0
0
10
20
30
40
50
60
70
80
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Women)
2 14 3 2 1
4 42 1000<1 00
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
12 1 2 1 1
6 62 1000 000
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
21
108
53 2
23
1512
96
3
26
2118
15
10
4
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
14
97
53 1
1714
118
52
20 2017
13
85
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland, Sweden and the US were provided by the TECH Research
Network; Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
17
Chart 37. Proportion of AMI patients receiving PTCA during the 90-day episode of care As a percentage of AMI admissions
3.9 4.92.0 2.4
4.9
00<1
6.7
00
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
2.1 0.62.8
0.9 1.60 0 0 0
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
84 3 2 1 0
117
53 1 0
16
9 76
3 1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
96
3 2 1 0
107 5
2 2 1
18
107
52 1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
32 1
84 3 1 1<1 <1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-89
1990
1994
1997
FINLAND -- (Men)
0 0
3 1 0 0 0
12
52 1<1 <1 <1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-89
1990
1994
1997
FINLAND -- (Women)
12.78.9
4.4
0
10
20
30
40
50
60
70
80
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Men)
8.1 8.2
2.8
0
10
20
30
40
50
60
70
80
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
18
Chart 37. (cont.) Proportion of AMI patients receiving PTCA within 90 days of initial admission As a percentage of AMI admissions
0 0 0 0 0 0
63 2 1 0 0
17
8 73 2 0
0
10
20
30
40
50
60
70
80
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Men)
1 0 0 0 0 0
5 4 21 0 0
13
95
30 0
0
10
20
30
40
50
60
70
80
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Women)
0 01 1
64 2 1
86
41<1 <1 <1<1
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
0 1 0 02 1 0 04 4
2 1
86
2 2
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
70
80
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland, Sweden and the US were provided by the TECH Research
Network; Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
19
Chart 38. Proportion of PTCAs using an intracoronary stent Stenting as a percentage of PTCA procedures
0
10
20
30
40
50
60
70
80
90
100
Uni
ted
Sta
tes
Spa
in
Sw
eden
Japa
n
Fin
land
Gre
ece
Can
ada
Ont
ario
Nor
way
Aus
tral
ia
1994
1996
1998
As a percentage of all PTCAs
Note: Based on aggregate data. Sweden: Based on 6 hospitals. Greece: After 1996 only includes 17 out of a possible 24 hospitals. Ontario: Based on first-time PTCA. It is estimated that currently about 90% of first-time PTCAs involve the use of stents. Australia: Stents include ICD9CM 36.06 and 36.07. ICD10 codes were used beginning second half of 1998.
Data for 1998 were not available for Japan, Spain and Sweden, therefore 1997 data were used. Data for 1996 were not available for Canada (Ontario), and the US, therefore 1997 data were used. For Canada and Greece it was not possible to distinguish PTCAs without the use of a stent from PTCAs including stents.
Sources: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports;
AIHW/NHF National Cardiac Surgery and Coronary Angioplasty Registers; AIHW National Hospital Morbidity Database (Australia); the Cardiac Care Network Registry database (Ontario); Finnish Heart Association (Finland); The First Nationwide Database for Cost Analysis of Percutaneous Transluminal Coronary Angioplasty, Dr. Masao Chino, Japanese Society of Interventional Cardiology (Japan); 2000 Heart and Stroke Statistical Update, American Heart Association (United States).
DELSA/ELSA/WD/HEA(2003)3/ANN2
20
Chart 39a. Proportion of AMI patients receiving CABG during the initial admission As a percentage of AMI admissions (Figures using event-based data)
2 21
1 0
5 5 5
3
1
0
5
10
15
20
25
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Men)
1 1 1 1 0
45 5
20
0
5
10
15
20
25
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
AUSTRALIA -- (Men)
21
0
2 2 2<1<1 <1<1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Men)
1 1 1 0
3
1 20<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Women)
1 1 1<1<1<1
0
5
10
15
20
25
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Men)
1 0<1<1<1 <10
5
10
15
20
25
40–64 65–69 70–74 75-79 80-84 85–90
1990
1993
1998
ITALY -- (Women)
0
5
10
15
20
25
40-64 65-69 70-74 75-84 85-90
1996
1998
JAPAN -- (Men)
0
5
10
15
20
25
40-64 65-69 70-74 75-84 85-90
1996
1998
JAPAN -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
21
Chart 39a. (cont.) Proportion of AMI patients receiving CABG during the initial admission As a percentage of AMI admissions (Figures using event-based data)
0
5
10
15
20
25
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA -- (Men)
0
5
10
15
20
25
55~59 60~64 65~69 70~74 75~79 80+
1990
1993
1996
1999
KOREA -- (Women)
0 0 0 0 0 00
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
NORWAY -- (Men)
0 0 0 0 00 0 0 0 0 00 0 0 0 0 00
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1992
1996
NORWAY -- (Women)
3 3
1
0
5
10
15
20
25
40-64 65-74 75+
1997-1998
SPAIN -- (Men)
32
1
0
5
10
15
20
25
40-64 65-74 75+
1997-1998
SPAIN -- (Women)
Note: In some countries the representativeness of the data may be limited to some hospitals and/or certain geographical areas. Source: The data for Belgium and Norway were provided by the TECH Research Network; Responses to OECD questionnaire
“Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
22
Chart 39b. Proportion of AMI patients receiving CABG during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
2
4
21
0 0
34
3 3
0 0
43 4
2
0 00
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
23 3
0 0 0
6
45
2
0 0
4
7
3
4
0 00
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
1 1 12
21 1 0
23
1 1 10<1<1<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
11
0 01 1 1 1
01
2 21
0<1<1 <1 <10
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
10 0 0 0
11
0 0 0
2 2 1
0 0<1 <1 <10
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
10 0 0 0
1 10 0 0
22
10 0<1 <1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
2.93.7
1.2
0
5
10
15
20
25
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Men)
2.9 2.5
0.7
0
5
10
15
20
25
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
23
Chart 39b. (cont.) Proportion of AMI patients receiving CABG during the initial admission As a percentage of AMI admissions (Figures using patient-based data)
0 0 0 0 0 00 1 10 0 0
1 1 1 10 0
0
5
10
15
20
25
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Men)
0 0 0 0 0 01 0 1 0 0 00 1 1
0 0 00
5
10
15
20
25
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Women)
0 0 01
0 00 00 0 0<1 <1 <1<1 <10
5
10
15
20
25
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
0 0 01 1
01
00 0 <1 00 00 00
5
10
15
20
25
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland, Sweden and the US were provided by the TECH Research
Network; Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
24
Chart 40. Proportion of AMI patients receiving CABG within 90 days of initial admission As a percentage of AMI admissions
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Men)
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1995
AUSTRALIA (Perth) -- (Women)
67
5
3
1 1
8 8 7
5
2
9 108
6
3
<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Men)
56
3
1
6 67
4
10
6
9 8
4
1<1<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
1998
CANADA (Ontario) -- (Women)
32
2
0 0
65
3
10
89
65
10<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
2 2
1 0 0
5
43
10
7 76
3
1<1 <1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
3.03.8
1.3
0
5
10
15
20
25
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) --(Men)
3.12.6
0.8
0
5
10
15
20
25
40-64 65-74 >74
1998
SPAIN (Cataluña and Pais Vasco) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
25
Chart 40. (cont.) Proportion of AMI patients receiving CABG within 90 days of initial admission As a percentage of AMI admissions
3 3
21
0 0
5 5
4
1
0
67
6
5
10<1
0
5
10
15
20
25
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Men)
3 2 2
0
5 5
4
2
0
5 56
2
0<1<1 <1 <1
0
5
10
15
20
25
40~64 65~69 70~74 75~79 80~84 85~90
1990
1993
1996
SWEDEN -- (Women)
10 0
2 22
4
2
4
2 2
<1 <1<1 <1<1
0
5
10
15
20
25
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
1 1 11
3
10
12
101
23
<1 <1
0
5
10
15
20
25
40-64 65-69 70-74 75-84
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
5
10
15
20
25
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: The data for Australia (Perth), Canada (Ontario), Finland, Sweden and the US were provided by the TECH Research Network; Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country report (Spain and UK).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
26
Chart 41. Admission rates for angina Admissions per 100,000 population aged 40 and over
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-90
1993–94
1996–97
1998–99
AUSTRALIA -- (Men)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-90
1993–94
1996–97
1998–99
AUSTRALIA -- (Women)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-90 90+
1987
1990
1993
1996
CANADA -- (Men)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-90 90+
1987
1990
1993
1996
CANADA -- (Women)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-84 85-90
1993
1996
1998
CANADA (Ontario) -- (Men)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-84 85-90
1993
1996
1998
CANADA (Ontario) -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
27
Chart 41. (cont.) Admission rates for angina Admissions per 100,000 population aged 40 and over
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- (Men)
0
500
1000
1500
2000
2500
3000
3500
4000
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- (Women)
0
500
1000
1500
2000
2500
3000
3500
4000
45-54 55-64 65-69 70-74 75-79 80-84 85+
1987
1990
1993
1996
JAPAN -- (Men)
0
500
1000
1500
2000
2500
3000
3500
4000
45-54 55-64 65-69 70-74 75-79 80-84 85+
1987
1990
1993
1996
JAPAN -- (Women)
Note: Only for Canada (Ontario) were figures based on patient-based admissions data. For Canada, non-fatal separations with
a length of stay less than 3 days were not accounted for. Data for Japan are based on admissions for September; data were multiplied by 12 to obtain an estimate of yearly figures.
Source: AIHW National Hospital Morbidity Database (Australia); Patient Surveys, Ministry of Health and Welfare (Japan);
Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports (Canada, including Ontario, Italy).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
28
Chart 42. Proportion of angina patients receiving cardiac catheterisation during the initial admission As a proportion of angina admissions (Figures using event-based data)
41
68
0
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75–84 85–90
1993–94
1996–97
1998–99
AUSTRALIA -- (Men)
10
30
4 4
0
10
20
30
40
50
60
70
80
90
100
40–64 65–69 70–74 75–84 85–90
1990
1993–94
1996–97
1998–99
AUSTRALIA -- (Women)
38
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Men
36
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Women
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Men
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Women
Note: Data for Japan are based on admissions to tertiary care teaching hospitals as part of the VHJ project. Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
29
Chart 42. (cont.) Proportion of angina patients receiving catherisation during the initial admission As a proportion of angina admissions (Figures using patient-based data)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Women
11
41
8
13
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
8 95
8
2 <1 1
8
1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
52 0 0 0
4
105
108
11 11
4 450 0
50 0
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
5 52 1 0
2 3 14
1165
2 1 0
8 10
22 00
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
DELSA/ELSA/WD/HEA(2003)3/ANN2
30
Chart 43. Proportion of angina patients receiving catheterisation during the 90-day episode of care As a proportion of angina admissions (Figures using patient-based data)
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
10
3 16
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
9
2 0 1 0
13
4 4
2530
19
13
29
34
18
11
2 0 03
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
0
10
20
30
40
50
60
70
80
90
100
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Women
6
<1 1 2
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
6 5 51 0
8
2 4
28
2117
6
2831
118
30
2 1
0
10
20
30
40
50
60
70
80
90
100
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports.
DELSA/ELSA/WD/HEA(2003)3/ANN2
31
Chart 44. Proportion of angina patients receiving PTCA during the initial admission As a proportion of angina admissions (Figures using event-based data)
3 2 21 0
5
2
7
2
0
5
10
15
20
25
30
35
40
45
50
40–64 65–69 70–74 75–84 85–90
1993–94
1996–97
1998–99
AUSTRALIA -- (Men)
2 2 1 1 0
31
5
1
0
5
10
15
20
25
30
35
40
45
50
40–64 65–69 70–74 75–84 85–90
1993–94
1996–97
1998–99
AUSTRALIA -- (Women)
24
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Men
13
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Women
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Men
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Women
Note: Data for Japan are based on admissions to tertiary care teaching hospitals as part of the VHJ project. Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
32
Chart 44. (cont.) Proportion of angina patients receiving PTCA during the initial admission As a proportion of angina admissions (Figures using patient-based data)
4 43 3
1
4
0
5
10
15
20
25
30
35
40
45
50
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
3 42
532 1 1
3
0
5
10
15
20
25
30
35
40
45
50
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Women
42 2
1 0
53 2
0
41
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
2 2 1 13
2 2 20
63 4
2<1 <1
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
0 0 0 0 00 03
0 0
57
30
3
0
4 465
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
0 0 0 0 00 0 0 0 0
4 53
1 0
31
31 0
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
33
Chart 45. Total number of admissions in Perth based on ICD-9 411, 413 and 411 combined with 413.
0
500
1,000
1,500
2,000
2,500
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998
Males
Females
Admissions Angina (411 & 413)
0
200
400
600
800
1,000
1,200
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998
Males
Females
Admissions for unstable angina (411)
0
200
400
600
800
1,000
1,200
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998
Males
Females
Admissions for angina (413)
Note: The straight lines on each graph represent linear trendlines based on data points from 1989 to 1994. Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
34
Chart 46. Proportion of angina patients undergoing PTCA during the 90 day episode of care. As a proportion of angina admissions (Figures using patient-based data)
5 4 43
0
5
10
15
20
25
30
35
40
45
50
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
24
234 5
0
5
10
15
20
25
30
35
40
45
50
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Women
5
13
53
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
<12
31
5
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
20 0 0 0
3
0
16
119
0
14 14
8 7
100
6
00
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
0 0 0 0 01 2 2 2
0
75
6
20
9 10
7
31
0
5
10
15
20
25
30
35
40
45
50
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
35
Chart 47. Utilisation rates for CABG procedures Number per 100,000 inhabitants aged 40 and over
0
50
100
150
200
250
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999
Australia
Belgium
Germany
Finland
Canada
Canada(Ont)
(1990-1998)
0
50
100
150
200
250
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999
Sweden
Norway
Switzerland
Hungary
Greece
Denmark
UnitedKingdom
Italy
Spain
(1990-1998)
Note: Data for the United States are not presented here since their much larger values would distort the chart display. The
levels are: 409 (1990), 416 (1991), 469 (1992), 475 (1993), 481 (1994), 538 (1995), 548 (1996), 541 (1997). The population aged 40 and over was used as the denominator. Belgium, Canada, Germany, Finland, Italy, Norway,
Spain and Sweden were able to provide rates using the 40 and over population as a denominator. For the countries that used the entire population as the denominator, we calculated the denominator as the ratio of the entire population multiplied by the ratio of the entire population to the population 40 and over.
Source: OECD Health Database 2000 (Hungary, Switzerland, the United Kingdom and the United States); Responses to OECD questionnaire “Core set of Indicators for ischaemic heart disease”.
DELSA/ELSA/WD/HEA(2003)3/ANN2
36
Chart 48. Proportion of angina patients receiving CABG during the initial admission. As a proportion of angina admissions (Figures using event-based data)
2 3 21
2 2
0
5
10
15
20
25
30
35
40–64 65–69 70–74 75–84 85–90
1993–94
1996–97
1998–99
AUSTRALIA -- (Men)
1 2 21 1 1
0
5
10
15
20
25
30
35
40–64 65–69 70–74 75–84 85–90
1993–94
1996–97
1998–99
AUSTRALIA -- (Women)
12
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Men
34 5
3
01
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Women
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Men
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84
1996
1999
JAPAN -- Women
Note: Data for Japan are based on admissions to tertiary care teaching hospitals as part of the VHJ project. Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
37
Chart 48. (cont.) Proportion of angina patients receiving CABG during the initial admission As a proportion of angina admissions (Figures using patient-based data)
43
0
5
10
15
20
25
30
35
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
12 2
43
0
5
10
15
20
25
30
35
40-64 65-74 75-84
199000
199300
199600
199800
AUSTRALIA (Perth) -- Women
2 1 1 1 02 2
1 1
34
31
0 1
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
0 01 1 11 1 1 1<1<1<1 <1 0 <1
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
10 0 0 0
2
10
3
0 01
02
01
0 1 0<1 00
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
20
2
0 00 0 0 0 012
0 00 0 0 0 0 00.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
DELSA/ELSA/WD/HEA(2003)3/ANN2
38
Chart 49. Proportion of angina patients receiving CABG during the 90-day episode of care As a proportion of angina admissions
0
5
10
15
20
25
30
35
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Men
0
5
10
15
20
25
30
35
40-64 65-74 75-84
1990
1993
1996
1998
AUSTRALIA (Perth) -- Women
1 1 1
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Men
6 6 5
20
67 7
3
6
8 8
3
0 1
0
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-89
1993
1996
1998
CANADA (Ontario) -- Women
5 5
01
0 0
11
15
86
1312
5 5
1
6
2 3
0 00
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Men
3
0
5
0 0
42
01
0
4
10 10
23
14
3 3
0 00
5
10
15
20
25
30
35
40-64 65-69 70-74 75-84 85-90
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- Women
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports.
DELSA/ELSA/WD/HEA(2003)3/ANN2
39
Chart 50a. Inhospital case fatality rates As a percentage of AMI admissions (Figures using event-based data)
0
10
20
30
40
50
60
40–64 65-69 70-74 75-79 80-84 85+
1990-91
1993–94
1996–97
AUSTRALIA -- (Men)
0
10
20
30
40
50
60
40–64 65-69 70-74 75-79 80-84 85+
1990-91
1993–94
1996–97
AUSTRALIA -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
BELGIUM -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Men
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1998
ITALY -- Women
DELSA/ELSA/WD/HEA(2003)3/ANN2
40
Chart 50a. Inhospital case fatality rates (cont.) As a percentage of AMI admissions (Figures using event-based data)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90 90+
1990
1993
1996
1998
NORWAY -- (Men)
0
10
20
30
40
50
60
65-69 70-74 75-79 80-84 85-90 90+
1990
1993
1996
1998
NORWAY -- (Women)
0
10
20
30
40
50
60
45-64 65-74 75+
1997-1998
SPAIN -- (Men)
0
10
20
30
40
50
60
45-64 65-74 75+
1997-1998
SPAIN -- (Women)
Source: The data for Belgium and the UK were provided by the TECH Research Network; Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports; see Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
41
Chart 50b. Inhospital case fatality rates As a percentage of AMI admissions (Figures using patient-based data)
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
42
Chart 50b. (cont.) Inhospital case fatality rates As a percentage of AMI admissions (Figures using patient-based data)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
0
10
20
30
40
50
60
40-64 65-69 75-79 70-74 80-84 85-90
1990
1993
1996
SWEDEN -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Women)
0
10
20
30
40
50
60
40-64 65-74 75+
1998
SWITZERLAND -- (Men)
0
10
20
30
40
50
60
40-64 65-74 75+
1998
SWITZERLAND -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Note: Admissions with a main diagnosis of AMI (ICD-10 I21-I22) for Switzerland. Source: The data for Canada (Ontario), Denmark, Finland, Sweden and the US were provided by the TECH Research Network;
Swiss Hospital Statistics, canton of Vaud, 1998 (Switzerland); otherwise responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports.
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
43
Chart 51a. 30-day case fatality rates
As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
10
20
30
40
50
60
Men Women
1990
1993
ITALY -- (For people aged 40 to 64)
Note: 28-day event for Italy. Source: MONICA - Friuli Area (Italy); responses to OECD questionnaire “Core set of indicators for ischaemic heart disease”
and ARD country reports. See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
44
Chart 51b. 30-day case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
45
Chart 51b. (cont.) 30-day case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
46
Chart 52a. 90-day case fatality rates As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
0
10
20
30
40
50
60
Men Women
1990
1993
ITALY -- For people aged 40 to 64
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports; MONICA - Friuli Area (Italy).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
47
Chart 52b. 90-day case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
48
Chart 52b. (cont.) 90-day case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-69 75-79 70-74 80-84 85-90
1990
1993
1996
SWEDEN -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Women)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
49
Chart 53a. One year case fatality rates As a percentage of AMI admissions
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Men)
0
10
20
30
40
50
60
40-64 65-74 75-84
1990
1993
1996
AUSTRALIA (Perth) -- (Women)
0
10
20
30
40
50
60
Men Women
1990
1993
ITALY -- (For people aged 40 to 64)
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Men)
72%
0
10
20
30
40
50
60
40-64 65-69 70-74 75-84 85-89
1990
1993
1996
1998
UNITED KINGDOM (Oxford) -- (Women)
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports;
MONICA - Friuli Area (Italy).
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
50
Chart 53b. One year case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Men)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Women)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Men)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK -- (Women)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
51
Chart 53b. (cont.) One year case fatality rates (TECH) As a percentage of AMI admissions
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Men)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Women)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
10
20
30
40
50
60
70
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
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Chart 54. Cumulative inhospital, 90-day and one year case fatality [Men] (TECH) As a percentage of AMI admissions (Men)
0
2
4
6
8
10
12
14
16
18
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 40 to 64 (Men, 1995)
0
5
10
15
20
25
30
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 65 to 69 (Men, 1995)
0
5
10
15
20
25
30
35
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 70 to 74 (Men, 1995)
0
5
10
15
20
25
30
35
40
45
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 75 to 79 (Men, 1995)
0
10
20
30
40
50
60
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 80 to 84 (Men, 1995)
DELSA/ELSA/WD/HEA(2003)3/ANN2
53
Chart 54. (cont.) Cumulative inhospital, 90-day and one year case fatality [Women] (TECH) As a percentage of AMI admissions (Women)
0
2
4
6
8
10
12
14
16
18
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 40 to 64 (Women, 1995)
0
5
10
15
20
25
30
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 65 to 69 (Women, 1995)
0
5
10
15
20
25
30
35
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 70 to 74 (Women, 1995)
0
5
10
15
20
25
30
35
40
45
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 75 to 79 (Women, 1995)
0
10
20
30
40
50
60
in hospital after 90 days after one year
Usa
Sweden
Finland
Denmark
Can (Ont)
Aus (Perth)
For people aged 80 to 84 (Women, 1995)
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
54
Chart 55. Distribution of case fatalities within one year from the initial AMI admission (TECH) Inhospital, 30-day, 90-day and one year case fatality
0%
20%
40%
60%
80%
100%
Usa Swe Fin Dnk Can(Ontario)
Aus(Perth)
after a year
after 90 days
after 30 days
in hospital
Males and females aged 40 to 64 (1995)
Males Females Males Females Males Females Males Females Males Females Males Females
0%
20%
40%
60%
80%
100%
Usa Sweden Finland Denmark Canada(Ontario)
Australia(Perth)
after oneyear
after 90 days
after 30 days
in hospital
For people aged 65 to 69 (1995)
Males Females Males Females Males Females Males Females Males Females Males Females
0%
20%
40%
60%
80%
100%
Usa Sweden Finland Denmark Can(Ont)
Australia(Perth)
after a year
after 90 days
after 30 days
in hospital
For people aged 70 to 74 (1995)
Males Females Males Females Males Females Males Females Males Females Males Females
DELSA/ELSA/WD/HEA(2003)3/ANN2
55
Chart 55. (cont.) Distribution of case fatalities within one year from the initial AMI admission (TECH)
0%
20%
40%
60%
80%
100%
Usa Sweden Finland Denmark Canada(Ontario)
Australia(Perth)
after a year
after 90 days
after 30 days
in hospital
For people aged 75 to 79 (1995)
Males Females Males Females Males Females Males Females Males Females Males Females
0%
20%
40%
60%
80%
100%
Usa Sweden Finland Denmark Canada(Ontario)
Australia(Perth)
after a year
after 90 days
after 30 days
in hospital
For people aged 80 to 84 (1995)
Males Females Males Females Males Females Males Females Males Females Males Females
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
56
Chart 56. Readmissions for AMI one year following initial admission for AMI (TECH) As a percentage of AMI admissions
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
AUSTRALIA (Perth) -- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
AUSTRALIA (Perth) -- (Women)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
CANADA (Ontario) -- (Women)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK-- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
DENMARK-- (Women)
DELSA/ELSA/WD/HEA(2003)3/ANN2
57
Chart 56. (cont.) Readmissions for AMI one year following initial admission for AMI (TECH) As a percentage of AMI admissions
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-89
1990
1993
1996
FINLAND -- (Women)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
SWEDEN -- (Women)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Men)
0
2
4
6
8
10
12
40-64 65-69 70-74 75-79 80-84 85-90
1990
1993
1996
UNITED STATES -- (Women)
Source: See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
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Chart 57. Average length of stay for AMI patients
0
5
10
15
20
25
1985 1987 1989 1991 1993 1995 1997 1999
Canada
Ontario (Canada)
Denmark
Finland
Germany
Greece
Italy
Switzerland
Number of days
0
5
10
15
20
25
1985 1987 1989 1991 1993 1995 1997 1999
Australia
Belgium
Hungary
Norway
Spain
Sweden
United Kingdom
United States
Number of days
Note: Data for Japan are available from 1996 onwards. They are not presented here since their much larger values would distort the chart. Those levels are: 32.7 (1996), 35.7 (1997), 33.7 (1998), 32.3 (1999). Data for Australia are for the fiscal years 1993-94 to 1998-99.
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports
(Belgium, Canada, including Ontario, Finland, Greece, Italy, Norway). OECD Health Data base 2000 (Denmark, Germany, Hungary, Spain, Switzerland and the United Kingdom).
DELSA/ELSA/WD/HEA(2003)3/ANN2
59
Chart 58. Distribution of length of stay
0
5
10
15
20
25
30
35
40
Und King.(Oxf)
Australia Canada(Ontario)
Switzerland Italy Japan
Mean
Upperquartile(75%)
Median
Average, median and upper quartile of the length of stay(days)
Note: Australia - same day admissions are included if patient died inhospital. Japan - the figures are based on admissions to a set of tertiary care teaching hospitals (VHJ project). Switzerland - the figures are based on admissions in the canton of Vaud, 1998; transfers from another hospital, non-acute hospital patients and day cases excluded.
Source: Responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. See Table 20 for data sources and data characteristics.Chart 59 (Average length of stay by age and sex).
DELSA/ELSA/WD/HEA(2003)3/ANN2
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Chart 59. Average length of stay by age and sex
0
3
6
9
12
15
18
40–64 65–74 75+
1987
1990
1993–94
1996–97
59a. AUSTRALIA (Men)Number of days
0
3
6
9
12
15
18
40–64 65–74 75+
1987
1990
1993–94
1996–97
59b. AUSTRALIA (Women)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59c. CANADA (Ontario) (Men)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59d. CANADA (Ontario) (Women)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59e. DENMARK (Men)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59f. DENMARK (Women)Number of days
DELSA/ELSA/WD/HEA(2003)3/ANN2
61
Chart 59. (cont.) Average length of stay by age and sex
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59g. FINLAND (Men)days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59h. FINLAND (Women)days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59i. SWEDEN (Men)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59j. SWEDEN (Women)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59k. UNITED STATES (Men)Number of days
0
3
6
9
12
15
18
40-64 65-74 75+
1987
1990
1993
1996
59l. UNITED STATES (Women)Number of days
Note: Australia - excludes admissions with length of stay less than 2 days, except if patient died in hospital. or patient was transferred to another hospital and subsequently not transferred to another hospital.
Source: The data for Canada (Ontario), Denmark, Finland and the US were provided by the TECH Research Network; data for
the other countries were taken from responses to the OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports.
See Table 20 for data sources and data characteristics.
DELSA/ELSA/WD/HEA(2003)3/ANN2
62
Chart 60. Unit costs for selected acute care treatments Average expenditure per selected treatment bundle as a percentage of GDP/capita
0
5
10
15
20
25
AUS BEL CAN DNK FIN GRC ITA
Uncomplicated AMI
0
20
40
60
80
100
120
140
AUS BEL CAN DNK FIN GRC USA
Complicated AMI with a PTCA
0
20
40
60
80
100
120
140
AUS BEL CAN DNK FIN GRC ITA USA
Complicated AMI without a PTCA
0
10
20
30
40
50
60
70
80
AUS BEL DNK FIN ITA JPN
AMI deceased
0
10
20
30
40
50
60
70
80
AUS BEL CAN DNK FIN GRC ITA JPN GBR USA
Elective PTCA
0
20
40
60
80
100
120
140
AUS BEL CAN DNK FIN GRC ITA JPN GBR USA
CABG
Note: Denmark and Finland use NORD-DRGs. The two graphs for complicated AMI, with PTCA and without PTCA, both
use the same DRG (DRG 121 - complicated AMI with no PTCA), therefore the unit cost for complicated AMI with PTCA is underestimated for both Denmark and Finland. Also, DRG 107 (CABG wihtout catheterisation) was used for Denmark and Finland. The corresponding figures for DRG 106 (CABG with catheterisation) are 71.6% for Denmark and 73.7% for Finland. Unit cost is calculated as average expenditure per selected treatment bundle as a percentage of gdp per capita for the year which data on average expenditure were available (1991 - US; 1993 - UK; 1996 - Canada; 1997 - Denmark; 1998 - Belgium, Italy; 1998-99 - Australia; 1999 - Finland, Greece, Japan).
Source: See Table 23 for the characteristics of the data sources.
DELSA/ELSA/WD/HEA(2003)3/ANN2
63
Chart 61. Unit costs per day for selected acute care treatments (Average expenditure per selected treatment bundle as a percentage of GDP/capita) divided by ALOS
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
AUS BEL CAN DNK GRC ITA
Uncomplicated AMI
0
2
4
6
8
10
12
14
16
18
AUS BEL CAN DNK GRC USA
Complicated AMI with a PTCA
0
2
4
6
8
10
12
14
16
18
AUS BEL CAN DNK GRC ITA USA
Complicated AMI without a PTCA
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
AUS BEL DNK ITA JPN
Deceased AMI
0
5
10
15
20
25
30
AUS BEL CAN DNK GRC ITA JPN GBR
Elective PTCA
0
2
4
6
8
10
12
AUS BEL CAN DNK GRC ITA JPN GBR USA
CABG
Note: See Chart 60. Average length of stay was not available for Finland nor for the US for elective PTCA. Source: See Table 23 for the characteristics of the data sources.
DELSA/ELSA/WD/HEA(2003)3/ANN2
64
Chart 62a. Utilisation rates for CABG and number of cardiac surgery units, per 100 000 inhabitants
CAN (Ont)
DNK
FINCAN
DEU
GRC
ITA
AUS
SWENOR
0
100
200
300
400
500
600
0.00 0.05 0.10 0.15 0.20 0.25 0.30 0.35 0.40Number of cardiac surgery units per 100 000 population
Num
ber
of C
AB
G p
er 1
00 0
00 p
opul
atio
n
Note: the trendline does not take the USA into account
USA
Note: Canada, Denmark, Sweden (1995); United States (1996); Italy (1997); Australia (1998). For Ontario, Finland, Greece
and Norway: CABG (1998), cardiac surgery units (2000). Refer to Chart 4 for additional notes. Source: For number of CABG per 100,000 population see Chart 47. For number of cardiac surgery units per 100,000
population see Chart 4.
Chart 62b. Utilisation rates for PTCA and no. of catheterisation facilities, per 100 000 inhabitants
USA
DNKFIN
CAN
DEU
GRC
AUS
SWE
NOR
CAN (Ont)
0
50
100
150
200
250
300
350
400
450
0.0 0.1 0.2 0.3 0.4 0.5 0.6
Number of facilities with cardiac catheterisation labs per 100 000 population
Num
ber
of P
TC
A p
er 1
00 0
00 p
opul
atio
n
Note: Canada, Ontario, Denmark, Sweden (1995); Germany, United States (1996); Greece (1999). For Australia, Finland and
Norway: PTCA (1998), catheterisation laboratories (2000). The figures for facilities includes all facilities able to do cardiac catheterisation due to the difficulty of separating these facilities from those additionally equipped to do PTCA. Refer to Chart 3 for additional notes.
Source: For number of PTCA per 100,000 population see Chart 35. For number of cardiac catheterisation laboratories per 100,000 population see Chart 3.
DELSA/ELSA/WD/HEA(2003)3/ANN2
65
Chart 63a. Utilisation rates for CABG and IHD mortality, per 100 000 inhabitants
DNK
FINBEL CAN DEU
GRC
ITA
AUS
ESP
SWE
UKG
NOR
0
100
200
300
400
500
600
50 100 150 200Age-standardised number of deaths due to IHD per 100 000 population
Num
ber
of C
AB
G p
er 1
00 0
00 p
opul
atio
nUSA
Note: the trendline does not take the USA into account.
Note: Belgium, Norway (1994); Australia, Spain (1995); Denmark, Finland, Sweden (1996); Canada, Germany, Greece, United Kingdom, United States (1997). For Italy: mortality (1995) and CABG (1996). Data standardised to the European population aged 40 and over.
Sources: For number of CABG per 100,000 population see Chart 47. For IHD mortality - OECD Health Database (2000).
Chart 63b. Utilisation rates for PTCA and IHD mortality, per 100 000 inhabitants
DNK
FIN
BEL
CAN
GRC
ITA
AUS
ESP
SWE
UKG
NOR
0
50
100
150
200
250
300
350
400
50 100 150 200Age-standardised number of deaths due to IHD per 100 000 population
Num
ber
of P
TC
A p
er 1
00 0
00 p
opul
atio
n
Note: the trendline does not take Germany and the Usa into account.
USA
DEU
Note: Belgium (1994); Australia, Spain (1995); Denmark, Finland, Sweden (1996); Canada, Germany, Greece, United Kingdom, United States (1997). For Italy: mortality (1995) and PTCA (1996); for Norway: mortality (1995) and PTCA (1998). Data standardised to the European population aged 40 and over.
Sources: For number of PTCA per 100,000 population see Chart 35. For IHD mortality - OECD Health Database (2000).
DELSA/ELSA/WD/HEA(2003)3/ANN2
66
Chart 63c. Number of catheterisation laboratories and IHD mortality, per 100 000 inhabitants
USA
DNK
FIN
CAN
DEU
GRC
AUS SWE
NOR
0.0
0.1
0.2
0.3
0.4
0.5
0.6
85 105 125 145 165 185
Standardised number of deaths due to IHD per 100 000 population
Num
ber
of c
ath.
labo
rato
ries
per
100
000
pop
ulat
ion
Note: Canada, Denmark, Sweden (1995); Germany, Japan, United States (1996); for the other countries: cath lab (2000); for Australia, Norway: mortality (1995); for Finland: mortality (1996); for Greece: mortality (1997); for Hungary: mortality (1998). Data standardised to the European population aged 40 and over.
Sources: For number of catheterisation laboratories see Chart 3. For IHD mortality - OECD Health Database (2000).
Chart 63d. Number of cardiac surgery facilities and IHD mortality, per 100 000 inhabitants
USA
DNK
FIN
JPN
CAN
DEUGRC
ITA
AUSSWE
NOR
0.0
0.1
0.2
0.3
0.4
0 50 100 150 200
Standardised number of deaths due to IHD per 100 000 population
Num
ber
of c
ardi
ac u
nits
per
100
000
pop
ulat
ion
Note: Australia, Canada, Denmark, Finland, Sweden (1995); Japan, United States (1996); for Norway: mortality (1995) and facilities (2000); for Italy: mortality (1995) and facilities (1996); for Greece: mortality (1997) and facilities (2000); for Germany: mortality (1997) and facilities (1998). Data standardised to the European population aged 40 and over.
Sources: For number of cardiac surgery facilities see Chart 4. For IHD mortality - OECD Health Database (2000).
DELSA/ELSA/WD/HEA(2003)3/ANN2
67
Chart 64. Utilisation of CABG as a proportion of total revascularisation procedures
25
35
45
55
65
75
1990 1991 1992 1993 1994 1995 1996 1997 1998
Belgium
Canada
Germany
Sweden
United States
25
35
45
55
65
75
1990 1991 1992 1993 1994 1995 1996 1997 1998
Australia
Denmark
Finland
Greece
Italy
UnitedKingdom
Note: Numerator (CABG per 100 000 inhabitants). Denominator (CABG+PTCA per 100 000 inhabitants). Sources: For number of CABG per 100,000 population see Chart 47. For number of PTCA per 100,000 population see Chart 35.
DELSA/ELSA/WD/HEA(2003)3/ANN2
68
Chart 65. One-year case fatality rates and use of revascularisations for 90-day episode of care
Oxf98
Oxf90
Fin97
Fin94
Swe90
Swe97Ont92
Ont96
Perth90
Perth96
Usa90
Usa95
5
7
9
11
13
15
17
19
21
0 10 20 30 40 50 60
Men (40 to 64)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Oxf98
Oxf90
Fin97
Fin94
Swe90
Swe97
Ont92
Ont96
Perth90
Perth96
Usa90
Usa95
5
7
9
11
13
15
17
19
21
0 10 20 30 40 50 60
Women (40 to 64)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Oxf98
Oxf90
Fin97
Fin94
Swe90
Swe97Ont92Ont96
Usa90
Usa95
12
17
22
27
32
0 10 20 30 40 50
Men (65 to 69)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Oxf98
Fin97
Fin94
Swe90
Swe97
Ont92
Ont96
Usa90
Usa95
Oxf90
12
17
22
27
32
0 10 20 30 40 50
Women (65 to 69)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Usa95
Usa90
Ont96
Ont92Swe97
Swe90
Fin94
Fin97
Oxf90
Oxf98
17
22
27
32
37
42
0 10 20 30 40 50
Men (70 to 74)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Oxf95
Oxf91
Fin96Swe90
Swe97Ont92
Ont96
Usa90
Usa95
17
22
27
32
37
42
0 10 20 30 40 50
Women (70 to 74)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Fin97
Fin94
Swe90
Swe97
Ont92 Ont96
Usa90
Usa95
25
30
35
40
45
50
0 5 10 15 20 25 30 35 40
Men (75 to 79)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Fin97
Fin95Swe90
Swe97
Ont92
Ont96
Usa90
Usa95
25
30
35
40
45
50
0 5 10 15 20 25 30 35 40
Women (75 to 79)
Proportion of AMI patients receiving a CABG-PTCA 90 days after admission
Prop
orti
on o
f A
MI
pati
ents
die
d on
e ye
ar a
fter
adm
issi
on
Note: Australia-Perth (1990-95); Canada-Ontario (1992-96); Finland (1990-97); United States (1990 - 1995). Source: One-year case fatality - Perth (Chart 53a); Ontario, Sweden and United States (Chart 53b - TECH). CABG - See
Chart 40 (data provided by TECH). PTCA - See Chart 37 (data provided by TECH).
DELSA/ELSA/WD/HEA(2003)3/ANN2
69
Chart 66. One-year readmission rates and use of CABG for 90-day episode of care
Ont97
Usa96
Fin97Fin90
Swe90
Swe97
Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
45
50
55
0 5 10 15 20 25
Men (40 to 64)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97
Usa96
Fin97Fin90
Swe90
Swe97
Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
45
50
55
0 5 10 15 20 25
Women (40 to 64)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97 Usa96
Fin97
Fin90
Swe90 Swe97
Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
45
0 5 10 15 20 25
Men (65 to 69)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97 Usa96
Fin97
Fin90
Swe90
Swe97
Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
45
0 5 10 15 20 25
Women (65 to 69)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97Usa96
Fin97
Fin90
Swe90 Swe97
Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
0 5 10 15 20 25
Men (70 to 74)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97 Usa96
Fin97
Fin90
Swe90 Swe97Ont92
Perth90
Perth95
Usa90
10
15
20
25
30
35
40
0 5 10 15 20 25
Women (70 to 74)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97
Usa96
Fin97Fin90
Swe90 Swe97
Ont92
Perth90
Perth95
Usa90
5
10
15
20
25
30
35
40
0 5 10 15 20
Men (75 to 79)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Ont97
Usa96
Fin97
Swe90Swe97
Ont92
Perth90 Perth95
Usa90
5
10
15
20
25
30
35
40
0 5 10 15 20
Women (75 to 79)
Proportion of AMI patients receiving a CABG 90 days after admission
Pro
port
ion
of A
MI
pati
ents
rea
dmit
ted
afte
r on
e ye
ar
Note: Australia-Perth (1990-95); Canada-Ontario (1992-97); Finland (1990-97); Sweden (1990-97); United States (1990-96). Source: One-year readmission - See Table 21 - TECH. CABG - See Chart 40 (data provided by TECH).
DELSA/ELSA/WD/HEA(2003)3/ANN2
70
OTHER SERIES OF WORKING PAPERS AVAILABLE FROM THE OECD INCLUDES:
LABOUR MARKET AND SOCIAL POLICY OCCASIONAL PAPERS
This series has now been replaced by two separate series: OECD HEALTH WORKING PAPERS and OECD SOCIAL, EMPLOYMENT AND MIGRATION WORKING PAPERS, available on the OECD website.
No. 63 THE EVOLVING RETIREMENT INCOME PACKAGE: TRENDS IN ADEQUACY AND EQUALITY IN NINE OECD COUNTRIES (2002) Atsuhiro Yamada
No. 62 THE RELATIONSHIP BETWEEN PERSONAL, FAMILY, RESOURCE AND WORK FACTORS AND MATERNAL EMPLOYMENT IN AUSTRALIA (2002) Edith Gray and Peter McDonald
No. 61 LOW FERTILITY AND LABOUR FORCE PARTICIPATION OF ITALIAN WOMEN: EVIDENCE AND INTERPRETATIONS (2002) Daniela Del Boca
No. 60 GETTING OLDER, GETTING POORER, A STUDY OF THE EARNINGS, PENSIONS, ASSETS AND LIVING ARRANGEMENTS OF OLDER PEOPLE IN NINE COUNTRIES (2002) Bernard Casey and Atsuhiro Yamada
No. 59 POSTPONEMENT OF MATERNITY AND THE DURATION OF TIME SPENT AT HOME AFTER FIRST BIRTH: PANEL DATA ANALYSES COMPARING GERMANY, GREAT BRITAIN, THE NETHERLANDS AND SWEDEN (2002) Siv S. Gustafsson, Eiko Kenjoh and Cécile M.M.P. Wetzels
No. 58 SOCIAL ASSISTANCE IN GERMANY (2003) Willem Adema, Donald Gray and Sigrun Kahl
No. 57 IMPROVING THE PERFORMANCE OF HEALTH CARE SYSTEMS: FROM MEASURES TO ACTION (2001) Zynep Or
No. 56 AN ASSESSMENT OF THE PERFORMANCE OF THE JAPANESE HEALTH CARE SYSTEM (2001) Hyoung-Sun Jeong and Jeremy Hurst
No. 55 PUBLIC SUPPORT FOR RETIREMENT INCOME REFORM (2001) Peter Hicks
No. 54 PENSION REFORM IN THE SLOVAK REPUBLIC – BACKGROUND AND OPTIONS: CAN LESSONS BE DRAWN FROM OTHER TRANSITION COUNTRIES? (2001) Agnieszka Chlon, Marek Góra, Martina Lubyova, Lawrence H. Thompson
No. 53 TOWARDS MORE CHOICE IN SOCIAL PROTECTION? INDIVIDUAL CHOICE OF INSURER IN BASIC MANDATORY HEALTH INSURANCE IN SWITZERLAND (2001) Francesca Colombo
Recent available working papers can be found on the OECD website: www.oecd.org.
DELSA/ELSA/WD/HEA(2003)3/ANN2
71
RECENT RELATED OECD PUBLICATIONS:
SOCIETY AT A GLANCE (2002)
TOWARDS ASIA’S SUSTAINABLE DEVELOPMENT – The Role of Social Protection(2002)
MEASURING UP: IMPROVING HEALTH SYSTEMS PERFORMANCE IN OECD COUNTRIES (2002)
BENEFITS AND WAGES – OECD Indicators (2002)
KNOWLEDGE AND SKILLS FOR LIFE: First Results from PISA 2000 (2001)
AGEING AND INCOME: Financial Resources and Retirement in 9 OECD Countries (2001)
HEALTH AT A GLANCE (2001)
SOCIETY AT A GLANCE: OECD Social Indicators (2001)
INNOVATIONS IN LABOUR MARKET POLICIES: The Australian Way (2001)
OECD EMPLOYMENT OUTLOOK July 2002 (published annually)
LABOUR MARKET POLICIES AND THE PUBLIC EMPLOYMENT SERVICE (Prague Conference) (2001)
TRENDS IN INTERNATIONAL MIGRATION: SOPEMI 2000 Edition (2001)
OECD HEALTH DATA (2002) available in English, French, Spanish and German on CD-ROM (Windows 95, 98, 2000, NT or Me)
REFORMS FOR AN AGEING SOCIETY (2000)
PUSHING AHEAD WITH REFORM IN KOREA: Labour Market And Social Safety-Net Policies (2000)
A SYSTEM OF HEALTH ACCOUNTS (2000)
OECD ECONOMIC STUDIES No. 31, 2000/2 (Special issue on “Making Work Pay”) (2000)
POLICIES TOWARDS FULL EMPLOYMENT (OECD Proceedings) (2000)
LABOUR MIGRATION AND THE RECENT FINANCIAL CRISIS IN ASIA: (OECD Conference Proceedings) (2000)
OECD SOCIAL EXPENDITURE DATABASE, 1980-1998 (2001) Third edition - Available in English and French on CD-ROM
THE BATTLE AGAINST EXCLUSION - Volume 3 Social Assistance in Canada and Switzerland (1999)
THE BATTLE AGAINST EXCLUSION - Volume 2 Social Assistance in Belgium, the Czech Republic, the Netherlands and Norway (1998)
THE BATTLE AGAINST EXCLUSION Social Assistance in Australia, Finland, Sweden and the United Kingdom (1998)
For a full list, consult the OECD On-Line Bookstore at www.oecd.org, or write for a free written catalogue to the following address:
OECD Publications Service 2, rue André-Pascal, 75775 PARIS CEDEX 16
or to the OECD Distributor in your country
DELSA/ELSA/WD/HEA(2003)3/ANN2
72
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