7/29/2019 Intl Healthcare Comparison_Final

1/14

InternationalHealthcareComparison

Group 1:

Kate Jarrett

Ashlyn Knaur

Ansley Mitcham

Claire Myers

7/29/2019 Intl Healthcare Comparison_Final

2/14

http://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.png

7/29/2019 Intl Healthcare Comparison_Final

3/14

United States Insurance

Coverage Tied to Employment Individual Premiums and Co-pays

Medicaid/Medicare

Access Medicaid: Accepted Almost EverywhereState Funded Medicare: Accepted Almost EverywhereFederally Funded Insurance: Provider NetworkReferrals

Quality HAIs: 1.7 million in 2012 = 99,000 deaths

Joint Commission, Department of Human Services and CDC

Financial 17.6% of US GDP

Medicare Insolvency in 2026

Highest Medical Costs in World

7/29/2019 Intl Healthcare Comparison_Final

4/14

U.S. Healthcare SystemAdvantages

World Leader in HealthcareResearch

World-Class Specialists

World Leader in MedicalTechnology

World Leader in MedicalEducation

Disadvantages

Quality of Primary CareServices Underwhelming

High Costs and Utilization

Lack of Transparency

Limited Access for thoseWithout Insurance

7/29/2019 Intl Healthcare Comparison_Final

5/14

Englands Healthcare System Insurance

Universal Coverage

Covered through Public Purse

Option to Purchase Private Insurance Available

Access

Patients choose General Practitioners General Practitioners serve as Gatekeepers

Quality Concerns All Regulatory Organizations Merged to Become One Entity

National Service Frameworks

Financial 9.6% of Englands GDP

NHS and Primary Care Trusts Expected to Balance

Centralized Administration

7/29/2019 Intl Healthcare Comparison_Final

6/14

Englands Healthcare System

Advantages Rx Co-Pay Exemptions

Out-of-pocket costs only11.9% in 2005

Transportation Provided forLow-Income Citizens

Cap on Government HealthExpenditures

Low Infant Mortality Rates

Disadvantages

Dental Services Scarce inSome Areas

Gatekeeper System PreventsQuick Access to Specialists

Long Waiting Lines

Some Instances of PatientDissatisfaction

7/29/2019 Intl Healthcare Comparison_Final

7/14

Sick Around the World: The UK

7/29/2019 Intl Healthcare Comparison_Final

8/14

Japans Healthcare System

Insurance Mandatory universal coverage National, Employer-based, and Elderly insurance Cost-sharing

Access No Physician Exclusions Long Wait Times Overcrowding

Quality Concerns Twice as likely to die from a heart attack in Japan than in the US

Financial 17.9% of Government Expenditures Public & Private Payers Low costs

http://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspx

7/29/2019 Intl Healthcare Comparison_Final

9/14

Japans Healthcare System

Advantages

Long Life Expectancy

9.3% of GDP

Low Hospital Admission Rate

No Gatekeepers

Low Infant Mortality Rate

Cap on Patient Spending

Disadvantages

Low coverage in PreventativeCare

30 % Coinsurance Rate forServices Under NationalHealth Insurance

Physician shortage

Disparity Due to Geography

Long Wait Times and LOS

ER Patients Sometimes TurnedAway

7/29/2019 Intl Healthcare Comparison_Final

10/14

Sick Around the World: Japan

7/29/2019 Intl Healthcare Comparison_Final

11/14

What Can the U.S. Learn FromOthers?

7/29/2019 Intl Healthcare Comparison_Final

12/14

Tips From Around the World

Efficient & Reliable Electronic Health Records

UK: Links all patient records across country

Incentivize Personal Responsibility for Healthcare Japan & Switzerland: Encourage ownership of health

Netherlands: Invest in strong primary care to promoteprevention

Expand Access to ALL Americans France: Standardize Payer System

Decrease influence of Pharma and Insurance companiesin government

7/29/2019 Intl Healthcare Comparison_Final

13/14

Questions?

7/29/2019 Intl Healthcare Comparison_Final

14/14

Sources http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS http://www.kaiseredu.org/Issue-Modules/International-Health-

Systems/Japan.aspx http://www.youtube.com/watch?v=PFqgsUdR81g http://kff.org/global-indicator/infant-mortality-rate/ http://video.pbs.org/video/1050712790/ http://articles.washingtonpost.com/2009-09-

07/world/36813795_1_medical-care-health-care-health-care http://www.economist.com/node/21528660 http://en.wikipedia.org/wiki/File:Total_health_expenditure_per_c

apita,_US_Dollars_PPP.png http://www.commonwealthfund.org/usr_doc/UK_Country_Profil

e_2008.pdf http://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-

medicare-fund-insolvency-date-a-bit-further-away-than-last-

year?lite http://www.pbs.org/newshour/rundown/2012/10/health-costs-

how-the-us-compares-with-other-countries.html

http://data.worldbank.org/indicator/SH.XPD.TOTL.ZShttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.youtube.com/watch?v=PFqgsUdR81ghttp://kff.org/global-indicator/infant-mortality-rate/http://video.pbs.org/video/1050712790/http://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://www.economist.com/node/21528660http://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.pnghttp://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.pnghttp://www.commonwealthfund.org/usr_doc/UK_Country_Profile_2008.pdfhttp://www.commonwealthfund.org/usr_doc/UK_Country_Profile_2008.pdfhttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.htmlhttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://nbcpolitics.nbcnews.com/_news/2013/05/31/18655925-medicare-fund-insolvency-date-a-bit-further-away-than-last-year?litehttp://www.commonwealthfund.org/usr_doc/UK_Country_Profile_2008.pdfhttp://www.commonwealthfund.org/usr_doc/UK_Country_Profile_2008.pdfhttp://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.pnghttp://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.pnghttp://en.wikipedia.org/wiki/File:Total_health_expenditure_per_capita,_US_Dollars_PPP.pnghttp://www.economist.com/node/21528660http://www.economist.com/node/21528660http://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://articles.washingtonpost.com/2009-09-07/world/36813795_1_medical-care-health-care-health-carehttp://video.pbs.org/video/1050712790/http://video.pbs.org/video/1050712790/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://kff.org/global-indicator/infant-mortality-rate/http://www.youtube.com/watch?v=PFqgsUdR81ghttp://www.youtube.com/watch?v=PFqgsUdR81ghttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://www.kaiseredu.org/Issue-Modules/International-Health-Systems/Japan.aspxhttp://data.worldbank.org/indicator/SH.XPD.TOTL.ZShttp://data.worldbank.org/indicator/SH.XPD.TOTL.ZShttp://data.worldbank.org/indicator/SH.XPD.TOTL.ZS