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A Comparison of International Health Outcomes and Health Care Spending

Published online by Cambridge University Press:  10 March 2009

Akira Babazono
Affiliation:
Okayama University Medical School, University of Pennsylvania
Alan L. Hillman
Affiliation:
University of Pennsylvania

Abstract

Does increased spending improve health outcomes? We analyzed 1988 data from OECD countries to determine how key health care indexes correlate with health care outcomes. Total health care spending per capita and outpatient and inpatient utilization are not related to health outcomes. How our resources are allocated seems to be more important than how much money is actually spent.

Type
Special Section: Assessing Nursing and Technology
Copyright
Copyright © Cambridge University Press 1994

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References

REFERENCES

1.Blendon, R., & Taylor, H.Views on health care: Public opinion in three nations. Health Affairs, 1989, 8 (Spring), 149–57.CrossRefGoogle ScholarPubMed
2.Colwell, J. M.Where have all the primary care applicants gone? New England Journal of Medicine, 1991, 326, 387–93.CrossRefGoogle Scholar
3.Hadley, J., Steinberg, E. P., & Feder, J.Comparison of uninsured and privately insured hospital patients, condition on admission, resource use and outcome. Journal of the American Medical Association, 1991, 265, 374–79.CrossRefGoogle ScholarPubMed
4.Igelhart, J. K.Health policy report: Japan's medical care system-Part two. New England Journal of Medicine, 1988, 319, 166–72.Google Scholar
5.Kleinman, E. The determinants of national outlay on health. In Pelman, M. (ed.), The economics of health and medical care. London: MacMillan, 1974.Google Scholar
6.Newhouse, J. P.Medical care expenditure: A cross-national survey. Human Resources, 1973, 8, 3756.CrossRefGoogle Scholar
7.Parkin, D., McGuire, A., & Yule, B.What do international comparisons of health care expenditure really show? Community Medicine, 1989, 11, 120.Google Scholar
8.Petersdorf, R. G.Primary care applicants — They get no respect. New England Journal of Medicine, 1991, 326, 408–9.CrossRefGoogle Scholar
9.Schneider, G. J., Poullier, J. P., & Greenwald, L. M.Health care systems in twenty-four countries. Health Affairs, 1991, 10 (Fall), 2337.Google Scholar
10.Shieber, G.Financing and delivering health care: A comparative analysis of OECD coutries. Paris: OECD, 1987.Google Scholar
11.Sorkin, A. L.Health economics. New York: Lexington Books, 1992.Google Scholar