Health Care Systems in Twenty-Four Countries

Schieber, George; Poullier, Jean‐Pierre; Greenwald, Leslie

doi:10.1377/hlthaff.10.3.22

Cited by 89 publications

(17 citation statements)

References 3 publications

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“…2 Among the nations studied, the United States has the largest population, the lowest life expectancy at birth, and the highest level of health spending as a percentage of gross domestic product (GDP). 3 Japan has the longest life expectancy and among the lowest percentages of GDP devoted to health.…”

Section: Profile Of the Elderlymentioning

confidence: 99%

A Five-Nation Perspective On The Elderly

Rowland

1992

Health Affairs

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As the world faces the challenges of an increasingly aged population, this study examines the attitudes and experiences of those age sixty-five and older in five nations: the United States, Canada, the United Kingdom, western Germany, and Japan. Commissioned by the Commonwealth Fund Commission on Elderly People Living Alone and conducted by Louis Harris and Associates in 1991, the survey was undertaken to illuminate issues critical to the well-being of older people, including satisfaction with life, opportunities for social interaction and community support, and expectations and use of medical care.This study provides new insights into the problems and attitudes of elderly U.S. residents by comparing their attitudes and experiences with those of elderly people in other highly industrialized and technologically advanced countries. Each of the five countries has a well-developed and relatively comprehensive social welfare system that provides retirement pensions and health care coverage for elderly citizens. With regard to health coverage, the population over age sixty-five is particularly interesting because almost all elderly Americans have government-sponsored health insurance coverage under Medicare-making the United States similar to the other nations in this regard. The same cannot be said for the nonelderly population.The study results reveal a great deal of commonality in the experiences of elderly people across the five nations but also show striking differences. Most notably, the fear of the cost of health care is astoundingly different for elderly people in the United States compared with their counterparts in the other four nations.Survey design and methods. A cross-section of approximately 900 people age sixty-five and older were interviewed in each of the five countries: the United States (910 interviews), Canada (930 interviews),

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Section: Profile Of the Elderlymentioning

confidence: 99%

A Five-Nation Perspective On The Elderly

Rowland

1992

Health Affairs

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“…Yet, it scores quite poorly on infant mortality; and it has by far the most privatized system which would be expected to hold costs down. It also has a relatively low number of hospital beds per capita which suggests costdriven efficiency, but it also has the lowest hospital bed occupancy rate in the developed world which bespeaks exactly the opposite (Schieber, et al, 1991) . Thus, the text and tables in the following section will note whenever removing the U.S. from the analysis materially changes the results.…”

Section: Model and Hypothesesmentioning

confidence: 99%

“…A second major prediction of the inefficiency argument is that more privatized systems will hold down total costs. Clearly, the United States forms a formidable deviant case to this logic having by far the most privatized system and the highest spending levels in the developed world (see Schieber, et al, 1991). Even after removing the U.S. from the analysis, though, public responsibility for health and total per capita health expenditures are uncorrelated.…”

Section: Testing the Modelmentioning

confidence: 99%

The Performance of National Health Care Systems: A “Good News, Bad News” Finding for Reform Possibilities

Clark

McEldowney

2000

Review of Policy Research

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This paper seeks to contribute to an understanding of how macro health systems work by comparing three possible sets of influences on national health care outcomes: 1) health care facilities and their presumed link to national affluence, 2) social characteristics which are assumed to promote healthy behavior, and 3) political variables in the form of welfare state development. Our findings bear both optimistic and pessimistic connotations. On the one hand, the somewhat limited importance of the first set of factors shows that good health in a country is not simply the function of high spending levels. However, the surprisingly strong role of "social development" in determining health care outcomes that emerges implies that much more than the direct provision of health care must be manipulated to ensure optimal health for a nation's population. Copyright 2000 by The Policy Studies Organization.

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“…This is despite per capita health spending in the United States that far exceeds expenditures in other industrialized countries. 1 Denmark established home visiting by law in 1937 after a pilot program was successful in lowering infant mortality. France provides free prenatal care and home visits by midwives or nurses to provide education about smoking, nutrition, alcohol and other drug use, housing, and other health-related issues.…”

mentioning

confidence: 99%

The Role of Home-Visitation Programs in Improving Health Outcomes for Children and Families

1998

Pediatrics

108

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ABSTRACT. Traditional pediatric care is often based on the assumption that parents have the basic knowledge and resources to provide a nurturing, safe environment and to provide for the emotional, physical, developmental, and health care needs of their infants and young children. Unfortunately, many families have insufficient knowledge of parenting skills and an inadequate support system of friends, extended family, or professionals to help with these vital tasks. Home-visitation programs offer an effective mechanism to ensure ongoing parental education, social support, and linkage with public and private community services. This statement reviews the history and current research on home-visitation programs and provides recommendations about the pediatrician's role in supporting and using home visitation.

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Health Care Systems in Twenty-Four Countries

Cited by 89 publications

References 3 publications

A Five-Nation Perspective On The Elderly

A Five-Nation Perspective On The Elderly

The Performance of National Health Care Systems: A “Good News, Bad News” Finding for Reform Possibilities

The Role of Home-Visitation Programs in Improving Health Outcomes for Children and Families

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