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July 2011
Issues in International Health Policy
The U.S. Health System in
Perspective: A Comparison of
Twelve Industrialized Nations
David A. Squires
The mission of The Commonwealth Abstract: The Organization for Economic Cooperation and Development (OECD) tracks and
Fund is to promote a high performance reports on more than 1,200 health system measures across 34 industrialized countries. This
health care system. The Fund carries
analysis concentrated on 2010 OECD health data for Australia, Canada, Denmark, France,
out this mandate by supporting
independent research on health care Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom,
issues and making grants to improve and the United States. Health care spending in the U.S. towers over the other countries. The
health care practice and policy. Support U.S. has fewer hospital beds and physicians, and sees fewer hospital and physician visits, than
for this research was provided by in most other countries. Prescription drug utilization, prices, and spending all appear to be
The Commonwealth Fund. The views highest in the U.S., as does the supply, utilization, and price of diagnostic imaging. U.S. per-
presented here are those of the author
formance on a limited set of quality measures is variable, ranking highly on five-year cancer
and should not be attributed to The
Commonwealth Fund or its directors, survival, middling on in-hospital case-specific mortality, and poorly on hospital admissions for
officers, or staff. chronic conditions and amputations due to diabet
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