Comparing Medical Productivity between Germany and the US
An Assessment of Differences and Trends in Costs, Treatments and Outcomes for Acute Myocardial Infarction and Colorectal Cancer
Zusammenfassung
Die vorliegende Studie, die von der RAND Health Division im Auftrag der Techniker Krankenkasse durchgeführt wurde, zeigt anhand von zwei untersuchten Krankheitsbildern auf, wie sich die Behandlungsqualität in den Gesundheitssystemen der USA und Deutschlands verbessern und die Effizienz steigern lässt.
Abstract
Die vorliegende Studie, die von der RAND Health Division im Auftrag der Techniker Krankenkasse durchgeführt wurde, zeigt anhand von zwei untersuchten Krankheitsbildern auf, wie sich die Behandlungsqualität in den Gesundheitssystemen der USA und Deutschlands verbessern und die Effizienz steigern lässt.
- Kapitel Ausklappen | EinklappenSeiten
- 23–24 1.2 Relevance 23–24
- 39–50 Chapter 3: Methods 39–50
- 39–43 3.1 Data 39–43
- 43–44 3.2 Study Sample 43–44
- 49–49 3.3.3 Prices 49–49
- 49–50 3.3.4 Outcomes 49–50
- 51–72 Chapter 4: Results 51–72
- 51–52 4.1 Demographics 51–52
- 52–60 4.2 Co-morbidities 52–60
- 60–61 4.3 Total Costs 60–61
- 61–67 4.4 Treatments 61–67
- 67–69 4.5 Prices 67–69
- 69–69 4.6 Outcomes 69–69
- 73–78 5.1 Costs 73–78
- 78–83 5.2 Treatments 78–83
- 91–92 6.4 Outcomes 91–92
- 95–96 7.1 Conclusion 95–96
- 99–100 Literature 99–100
- 123–158 Appendix 3: Cost Models 123–158
- 195–196 Acknowledgement 195–196
- 197–198 Authors 197–198
24 Treffer gefunden
- „... German Health Care SystemThe German health care system is corporatist in nature, in that authority and ...” „... copayments varied between EUR 5 and 10. 2.3.2 The US Health Care SystemPrior to the 1980s, health care ...” „... insurance coverage was provided primarily by employers. Since the 1970s, the US health care system has been ...”
- „... copayments varied between EUR 5 and 10. 2.3.2 The US Health Care SystemPrior to the 1980s, health care ...” „... insurance coverage was provided primarily by employers. Since the 1970s, the US health care system has been ...” „... the German and US health care systems across a number of pertinent parameters (OECD, 2003). According ...”
- „... US system relies heavily on the market mechanism to allocate health care goods and services, such ...” „... provide policy makers in two major health care systems – those of Germany and the US – with detailed ...” „... particular interest because the characteristics of the health care delivery and financing systems differ ...”
- „... Health Care Systems 342.3.1 The German Health Care System 342.3.2 The US Health Care System 352.3.3 A ...” „... countries might be explained by factors other than the health care system itself (e.g., factors such as ...” „... , health care system comparison, purchasing power parities11ZusammenfassungEinleitung Zwischen dem ...”
- „... Germany. Also, although the US health care system is generally considered a market-driven health care ...” „... in Section 2.1.1, major differences exist between the German and US health care systems. However, it ...” „... to a set of health care services a patient typically receives when undergoing a certain type of ...”
- „... , pre-authorization, and selective contracting do not exist in Germany. Also, although the US health care system is ...” „... generally considered a market-driven health care system, a substantial proportion of care (Medicare ...” „... exist between the German and US health care systems. However, it is an open question whether these ...”
- „... SystemThe German health care system is corporatist in nature, in that authority and power are shared among ...” „... Characteristics of the German and US Health Care SystemsIn this study we compare costs, treatments and outcomes of ...” „... health care systems in two countries: Germany and the US. In this section we will give a brief Table 2.1 ...”
- „... Care 1999; 37(12): 1249-59.Busse R, Riesberg A. Health care systems in transition: Germany. Copenhagen ...” „... , WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies ...” „... 99LiteratureAnthony CR, Lurie N. Global Health Services Research: Challenging the Future. Health ...”
- „... health care system, government policies, and technological advances.98 ...” „... diseases, that the efficiency of health care delivery systems might vary by condition, rather than being ...” „... regarding the cost and/or quality of health care provided. Hence, policy makers should be informed about the ...”
- „... (PPP). Exchange rates and PPPs are commonly used for international cost comparisons in health care ...” „... , such as health care. Medical care-specific PPPs have been criticized for the small number of items of ...” „... exchange rates rather than GDP PPPs or medical care-specific PPPs can have a considerable effect on ...”
- „... healthcare system and a typical US citizen in the German health care system, we took this analysis one step ...” „... indicative of how well health care providers follow guidelines, which in turn might be an indication of the ...” „... % (parasiticides) and 81 % (cardiovascular system) in the US, and between 1 % (parasiticides) and 89 ...”
- „... receiving health care benefits through (previous) employment. Thus, uninsured people were not included. The ...” „... higher levels of health care expenditure for AMI and CRC in the US lead to an increased life expectancy ...” „... leads to another limitation as well. Because health care costs are zero once a patient has died, our ...”
- „... claims data covering the years 2000-2004. The US data were obtained from Ingenix Inc, a US health care ...” „... commonly used for international cost comparisons in health care, even though concerns have been raised ...” „... their calculation, especially for non-marketed goods or services, such as health care. Medical ...”
- „... health care systems around the world. The importance of learning from other health care systems was ...” „... health systems around the world, shows that estimating health care costs and outcomes in an international ...” „... imply that countries can improve their health care systems not only by looking at the one or two ...”
- „... with very similar health care systems and economic structures. Second, it is possible that in other ...” „... differences in the use of services could possibly signal over- or under provision of health care, and hence ...” „... suggested by existing statistics on per capita health care expenditure, as disseminated by the OECD, for ...”
- „... possibly signal over- or under-provision of health care, and hence suboptimal levels of productivity. A ...” „... level, i.e., we attached prices to a set of health care services a patient typically receives when ...” „... reviewed the literature on the relationship between health care expenditures and other variables measured ...”
- „... the German and US health care systems across a number of pertinent parameters (OECD, 2003). According ...” „... 36obtain their care from physicians employed by the HMO, and fees were predetermined for all health ...” „... Germany than in the US, likely reflecting the higher incidence. 37Table 2.2 Health Care Comparisons for ...”
- „... person’s health care costs before and after being diagnosed with the disease in question. In this way, we ...” „... can define the cost of the disease as the difference in health care over a particular interval of time ...” „... analyses by comparing the cost of the treatment of AMI and CRC for both the German and US health care ...”
- „... diseases, that the efficiency of health care delivery systems might vary by condition, rather than being ...” „... aggregate country-level health care expenditure. However, once we control for (estimated) prices, most of ...” „... conclusions regarding the cost and/or quality of health care provided. Hence, policy makers should be informed ...”
- „... imply that countries can improve their health care systems not only by looking at the one or two ...” „... previous studies, and a discussion of the US and German health care systems. We discuss our methodology in ...” „... FindingsOur key findings can be summarized as follows. First, we found much larger differences in health care ...”
- „... imply that countries can improve their health care systems not only by looking at the one or two ...” „... previous studies, and a discussion of the US and German health care systems. We discuss our methodology in ...” „... FindingsOur key findings can be summarized as follows. First, we found much larger differences in health care ...”
- „... 52order to make valid comparisons between the health care systems of both countries. 4.2 ...” „... 4 % of people with CRC were diagnosed with diabetes during an inpatient episode of care in the year ...” „... during an inpatient episode of care in the year prior to or following the first hospitalization for CRC ...”
- „... Germany. 52order to make valid comparisons between the health care systems of both countries. 4.2 ...” „... ; population health; treatment volume; and treatment prices) and show cost differences adjusted for ...”
- „... health care systems. 2.1 Treatment of CRC and AMI2.1.1 Treatment of CRCColorectal cancer encompasses ...”