International comparison of health care systems using resource profiles

The most frequently used bases for comparing international health care resources are health care expenditures, measured either as a fraction of gross domestic product (GDP) or per capita. There are several possible reasons for this, including the widespread availability of historic expenditure figur...

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Main Authors: Anders Anell, Michael Willis
Format: Article
Language:English
Published: The World Health Organization 2000-06-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600009&lng=en&tlng=en
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author Anders Anell
Michael Willis
author_facet Anders Anell
Michael Willis
author_sort Anders Anell
collection DOAJ
description The most frequently used bases for comparing international health care resources are health care expenditures, measured either as a fraction of gross domestic product (GDP) or per capita. There are several possible reasons for this, including the widespread availability of historic expenditure figures; the attractiveness of collapsing resource data into a common unit of measurement; and the present focus among OECD member countries and other governments on containing health care costs. Despite important criticisms of this method, relatively few alternatives have been used in practice. A simple framework for comparing data underlying health care systems is presented in this article. It distinguishes measures of real resources, for example human resources, medicines and medical equipment, from measures of financial resources such as expenditures. Measures of real resources are further subdivided according to whether their factor prices are determined primarily in national or global markets. The approach is illustrated using a simple analysis of health care resource profiles for Denmark, France, Germany, Sweden, the United Kingdom, and the USA. Comparisons based on measures of both real resources and expenditures can be more useful than conventional comparisons of expenditures alone and can lead to important insights for the future management of health care systems.
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spelling doaj.art-cf2812ace11c419198b235b2af5389ae2024-03-02T17:50:32ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862000-06-01786770778S0042-96862000000600009International comparison of health care systems using resource profilesAnders Anell0Michael Willis1Swedish Institute for Health EconomicsSwedish Institute for Health EconomicsThe most frequently used bases for comparing international health care resources are health care expenditures, measured either as a fraction of gross domestic product (GDP) or per capita. There are several possible reasons for this, including the widespread availability of historic expenditure figures; the attractiveness of collapsing resource data into a common unit of measurement; and the present focus among OECD member countries and other governments on containing health care costs. Despite important criticisms of this method, relatively few alternatives have been used in practice. A simple framework for comparing data underlying health care systems is presented in this article. It distinguishes measures of real resources, for example human resources, medicines and medical equipment, from measures of financial resources such as expenditures. Measures of real resources are further subdivided according to whether their factor prices are determined primarily in national or global markets. The approach is illustrated using a simple analysis of health care resource profiles for Denmark, France, Germany, Sweden, the United Kingdom, and the USA. Comparisons based on measures of both real resources and expenditures can be more useful than conventional comparisons of expenditures alone and can lead to important insights for the future management of health care systems.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600009&lng=en&tlng=enHealth expenditureshealth resourcesmodelstheoreticalDenmarkFranceGermanySwedenUnited KingdomUSA
spellingShingle Anders Anell
Michael Willis
International comparison of health care systems using resource profiles
Bulletin of the World Health Organization
Health expenditures
health resources
models
theoretical
Denmark
France
Germany
Sweden
United Kingdom
USA
title International comparison of health care systems using resource profiles
title_full International comparison of health care systems using resource profiles
title_fullStr International comparison of health care systems using resource profiles
title_full_unstemmed International comparison of health care systems using resource profiles
title_short International comparison of health care systems using resource profiles
title_sort international comparison of health care systems using resource profiles
topic Health expenditures
health resources
models
theoretical
Denmark
France
Germany
Sweden
United Kingdom
USA
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600009&lng=en&tlng=en
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