Document Detail


Medical spending differences in the United States and Canada: the role of prices, procedures, and administrative expenses.
MedLine Citation:
PMID:  20812461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The United States far outspends Canada on health care, but the sources of additional spending are unclear. We evaluated the importance of incomes, administration, and medical interventions in this difference. Pooling various sources, we calculated medical personnel incomes, administrative expenses, and procedure volume and intensity for the United States and Canada. We found that Canada spent $1589 per capita less on physicians and hospitals in 2002. Administration accounted for the largest share of this difference (39%), followed by incomes (31%), and more intensive provision of medical services (14%). Whether this additional spending is wasteful or warranted is unknown.
Authors:
Alexis Pozen; David M Cutler
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Inquiry : a journal of medical care organization, provision and financing     Volume:  47     ISSN:  0046-9580     ISO Abbreviation:  Inquiry     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-03     Completed Date:  2010-09-23     Revised Date:  2011-07-20    
Medline Journal Info:
Nlm Unique ID:  0171671     Medline TA:  Inquiry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-34     Citation Subset:  IM    
Affiliation:
Health Services and Policy Analysis Program, Graduate Division, University of California, Berkeley 94720, USA. apozen@berkeley.edu
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MeSH Terms
Descriptor/Qualifier:
Canada
Delivery of Health Care / economics*,  organization & administration
Health Expenditures / statistics & numerical data*
Health Personnel / economics
Health Services Administration / statistics & numerical data*
Humans
Salaries and Fringe Benefits / statistics & numerical data
United States
Grant Support
ID/Acronym/Agency:
P01 AG031098-02/AG/NIA NIH HHS; P01 AG0584/AG/NIA NIH HHS
Comments/Corrections

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