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Study: U.K. health system 'most efficient' - U.S. in last place

Seeded on Wed Jun 23, 2010 5:13 AM EDT
Read ArticleArticle Source: express.co.uk
health, health-care, us-health, us-health-care, commonwealth-fund, health-systems, health-care-systems, uk-health, us-health-care-system, us-health-system, australian-health, uk-health-system, australian-health-care, australian-health-care-system, australian-health-system, uk-health-care-system
Seeded by Carloz
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The UK's health system is the most efficient, a study of seven industrialised countries has said.

Britain also scored highly on quality of care and access to care, the Commonwealth Fund report found, but came second to last for "long, healthy, productive lives".

Overall the UK's system was ranked second - behind Holland but ahead of Australia, Germany, New Zealand, Canada and the United States in last place.

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  • Public Discussion (48)
Carloz

"The US and UK had much higher death rates in 2003 from conditions amenable to medical care than some of the other countries, for example rates 25% to 50% higher than Canada and Australia," the report said.

The US consistently underperformed in most areas, according to the US-based Commonwealth Fund's study.

  • 12 votes
Reply#1 - Wed Jun 23, 2010 5:14 AM EDT
neoatg

You dirty liberal pinko commie liar USA IS NUMBER ONE and don't you forgggettttt it.

  • 7 votes
#1.1 - Wed Jun 23, 2010 6:57 AM EDT
StevG-144

neoatg #1.1-People will always resent change, and don't like varation from status quo. They always think what they have, is always the best, and have a hard time excepting they might be wrong.

  • 10 votes
#1.2 - Wed Jun 23, 2010 8:55 AM EDT
willynilly

But the US is the most profitable- in the end that's what matters ;))

  • 7 votes
#1.3 - Wed Jun 23, 2010 8:57 AM EDT
kj031056-1

See we are #1....everyone chant along.....We're #1, We're #1, oh waitm what, that's profits over people.........

  • 6 votes
#1.4 - Wed Jun 23, 2010 10:31 AM EDT
Par4TheCourse

kj... wrong finger ;)

  • 5 votes
#1.5 - Wed Jun 23, 2010 9:53 PM EDT
Reply
usa1

From my experience the US health system is the most overpriced and understaffed on the globe.

Recently I fell while in a cave, nothing serious but received 3 stitches to the elbow. The stitches with 3 follow ups, medications including a drip, and removal, came to a grand total of 28.00. Last time i got hurt in the states the emergency room costs for a similar cut to the hand with no follow ups or removal the costs exceeded 1400 dollars.

Why is it so high for medical treatment in the States?

  • 8 votes
Reply#2 - Wed Jun 23, 2010 5:39 AM EDT
Carloz

Recently I fell while in a cave, nothing serious but received 3 stitches to the elbow. The stitches with 3 follow ups, medications including a drip, and removal, came to a grand total of 28.00.

Glad it was nothing serious. Where was that?

  • 7 votes
#2.1 - Wed Jun 23, 2010 5:55 AM EDT
usa1

outside of Changsa South China.

Found out walking on wet rock is an art LOL

  • 5 votes
#2.2 - Wed Jun 23, 2010 5:59 AM EDT
willynilly

Why is it so high for medical treatment in the States?

capitalism. that's why. Actually "Predatory Capitalism" . When your sick, you are essentially cornered- so pay up, after all without good health, everything else is of no use.

  • 12 votes
#2.3 - Wed Jun 23, 2010 9:00 AM EDT
nica1829

I recently has surgery. I got the statements from my insurance company. If I had paid the cost myself it would have been over $6000. My insurance company paid a little over a thousand. I believe that is what is wrong with the US health care system, willynilly is correct. Its all about making money and to hell with all else.

  • 10 votes
#2.4 - Wed Jun 23, 2010 9:18 AM EDT
Miss_Diagnosed

The hospital is the only place that you are required to sign a legal document saying that you will pay the bill before you can even see the bottom line.

I asked for an estimate last time I went to the hospital and they tell me "What do I look like? A mechanic?"

What kind of service is that where you walk in blind to the price and just sign a page saying you will pay it?

A greedy manipulative one.

  • 9 votes
#2.5 - Wed Jun 23, 2010 10:15 AM EDT
usa1

But Britain came last when measured for life expectancy at age 60. The UK's was 22.5 years, well behind leading nation Australia with 24.6 years.

If I interpreted this right 22.5 after the age 60 so that adds up to 82.5 years old. Still seems good and England came in last?

any way here is a good site for life expectancy.

  • 3 votes
#2.6 - Wed Jun 23, 2010 10:25 AM EDT
willynilly

As patients / healthcare consumers in the US we have, in my opinion two options:

1. Save as much money as you can to pay for the inevitable healthcare costs which are going to strangle you some day. Stop wasting money on all non-essential items. Save it all for healthcare. Don’t depend on Obamacare to reduce costs any time soon.

2. Immigrate to Canada / Australia / UK or find a spouse who is a citizen of one of those countries- which will allow you to enjoy the best of both worlds.

Seriously, I kid you not.

  • 3 votes
#2.7 - Wed Jun 23, 2010 10:35 AM EDT
shepherd0886

Seriously, I know you are not kidding! Why do you think so many Americans are becoming 'expatriots?' Many are retiring in places all over the world such as Canada, France, Panama, Mexico, and South American countries like Ecuador. Not only is the health care better and more readily available but the exchange rate makes the cost of living way better than staying here in the U.S. This is certainly not an option for most of us because we have our "roots" here. Our kid, grandkids, and other family keep us close to the home fires. However when that is not an issue for you then there is no earthly reason to stay here and slowly bleed to death financially.

Interestingly there is a new trend as well. Young college graduates who cannot find gainful employment here are beginnig to migrate to other countries. China, South America, Australia, and many of the Balkan countries are actually competing for young American grads to bring their youth, training, and expertise to their countries. First we sent them our jobs, now we must also send them our trained youth to fill those jobs. I get the feeling that we are being 'turned inside out' by those free trade agreement deals. LOL Just be patient. All of our illegal immigrants will get their kids trained and educated here then immigrate to other countries to put their training to good use and get good medical care for their parents. LOL

As they say, what goes around comes around. We are just somewhere on the arc of the turn. HEH HEH HEH HEH. Just be patient. Pretty soon the immigrants will have the place all to themselves. The rest of us will have been absorbed by the rest of the world. :=))

  • 5 votes
#2.8 - Wed Jun 23, 2010 10:52 AM EDT
Auteur 1536

Why is it so high for medical treatment in the States?

Because people in the US are greedy.

  • 2 votes
#2.9 - Wed Jun 23, 2010 2:52 PM EDT
Reply
Lynn3765

Costs are high due to the cost of the medical malpractice insurance. People who are allowed to sue for frivolous claims, or who sue for legitimate claims and then gain recompense well over what is reasonable for the case, is a major issue in the US. Until that is fixed, costs will remain high.

I took a fall as well here in the US and broke my arm (humerus, upper arm). The emergency room, hosiptal, resultant surgery with two plates and 24 screws, and 6-months worth of follow-ups for the nerve damage (normal complication of this type of surgery) would added up to over $50,000. I was active duty military at the time.

As well, insurance companies pay as little as possible; that is going to drive up the cost to the individual.

I also quesiton the study. I have many friends that have lived their entire lives in the UK. Every single one of them says the healthcare availability in the UK is ridiculous. One had two impacted teeth. It took him 3 weeks to see a dentist and then 2 months before he could see the surgeon to have the teeth removed. The quality of care may be higher but the time to get in to GET that care is disgraceful.

  • 1 vote
Reply#3 - Wed Jun 23, 2010 7:00 AM EDT
Mark in Worcester

Malpractice claims account for less than 2% of health care spending in the United States. While frivolous claims are a problem, stating that they are the cause of the high cost of health care is equally frivolous.

  • 16 votes
#3.1 - Wed Jun 23, 2010 8:51 AM EDT
sunnybunny1269

The dental care in the UK sounds fairly good to me. Here in the US, I needed a procedure at the dentist that cost 600. when I was first told about it. By the time I could afford it 2 yrs later the price had increased to 900. (in addition to the fact that because I waited so long I needed further treatment). Dental insurance has a waiting period before you can get work done so I would have paid even more (including the premiums - which are a cost that you have to include to figure this out right) and waited just as long had I had insurance. I don't think waiting 3 months for treatment is bad at all, especially when preventative care is more available.

  • 5 votes
#3.2 - Wed Jun 23, 2010 10:59 AM EDT
LanaD

At least your friends were able to get dental work done. If you are uninsured good luck finding a dentist who will take you before you have cash in hand. I have a friend who needed 4 teeth pulled and she had to wait months to raise enough money.

The quality of care may be higher but the time to get in to GET that care is disgraceful.

Even for our lower quality of care the time to get in to get that care is disgraceful when you are poor and uninsured.

  • 3 votes
#3.3 - Wed Jun 23, 2010 12:15 PM EDT
Lynn3765

OK Mark..I will clarify. Malpractice claims ADD to the high cost..they are not solely responsible.

  • 1 vote
#3.4 - Wed Jun 23, 2010 12:19 PM EDT
Lynn3765

In this case, the teeth were impacted. My friend was on increasing strength pain killers for three months and went through two bouts of infection and related antibiotics.

  • 1 vote
#3.5 - Wed Jun 23, 2010 12:22 PM EDT
sunnybunny1269

I'm curious and this question may not seem PC, but why did your friend wait so long to have these teeth treated when the wait is only a few months? If the care is accessible and affordable, why not take care of the problem before it got to that point - filling the cavities as soon as they were detected? Are regular cleanings and checkups not part of the deal with the NHS? I'm not meaning to be rude - I really don't understand how it works (maybe there is a good reason?)

  • 4 votes
#3.6 - Wed Jun 23, 2010 12:28 PM EDT
TheJonesGirl

Lynn, I have a friend here in the States who was showing signs of a brain tumor (personality changes, headaches), who went to the doctor and was scheduled for an MRI--6 weeks later. She took the appointment as it was the best she could get. A week later, she collapsed while grocery shopping and was rushed to the ER, where it was determined that without surgery in 24 hours, she'd be dead. And she had great insurance...she did have the surgery that night and is alive today.

It's a myth that medical care is immediately available in the US, even when you have symptoms of life threatening disease. It took her nearly dying to get care, with great insurance!

  • 5 votes
#3.7 - Wed Jun 23, 2010 1:23 PM EDT
Mark in Worcester

Every little bit adds to it, Lynn. But at 2% of the total spent on health care costs in the United States you can't really say that "Costs are high due to the cost of the medical malpractice insurance".

  • 5 votes
#3.8 - Wed Jun 23, 2010 3:51 PM EDT
Lynn3765

I didn't get the ins and outs of my friend's ongoing dental care..just passing along the story.

JonesGirl :)..I didn't say the US was great. I was commenting on the timeline, as I knew it, in the UK. I can't argue the time it takes to see a doctor here. It has always been an issue that a doctor wont' take a new patient for a good 3-4 months which adds to the headaches of things like simply moving to a different location. I never understood why, if you are a new patient it takes 3-4 months to get that first appointment while regular patients can be seen within a few days...uhm...isn't that why there is a schedule for appointments?? :)

Mark, I added my addendum that the malpractice costs add to the costs and agreed they are not solely respponsible.

  • 2 votes
#3.9 - Thu Jun 24, 2010 7:15 AM EDT
Reply
Thomas Mendip

Not surprised. My niece is an ex pat living in London. She's experienced both ours and theirs, and maintains the UK system is vastly superior.

  • 11 votes
Reply#4 - Wed Jun 23, 2010 8:34 AM EDT
SansSerif

My mother is the same. She remarried and moved to London 15 years ago and got re-divorced. she has been severely disabled due to a car accident since she was 18 and has an in and out knowledge of health care. she not planning on coming back anytime soon as she actually receives health care over there and can live a relatively independent life thanks to the medical support she gets.

  • 8 votes
#4.1 - Wed Jun 23, 2010 10:56 AM EDT
Reply
Had-E-Nuf

I went to the CommonWealth Fund website seeking more information. I was curious by the statement

UK outperformed the other countries on six of the 10 chronic care management indicators, suggesting it may be down to "the major push made by the UK government to implement health information technology".

However, they are not clear on what those 10 indicators are; they may be out there but I can't find them.

The report makes its conclusions and at the end it adds the following qualifier:

Any attempt to assess the relative performance of countries has inherent limitations. These rankings summarize evidence on measures of high performance based on national mortality data and the perceptions and experiences of patients and physicians. They do not capture important dimensions of effectiveness or efficiency that might be obtained from medical records or administrative data. Patients' and physicians' assessments might be affected by their experiences and expectations, which could differ by country and culture.

Key phrase here is "They do not capture important dimensions of effectiveness or efficiency that might be obtained from medical records or administrative data".I could very well be wrong, but my take away is that there MIGHT be a DIRECT relationship between amount of money spent and patient outcome. Less money worse outcome? More money better outcome? I don't know...but they should have taken the extra energy and time to see if a correlation exists.

The other key phrase is "the perceptions and experiences of patients and doctors" which adds a dimension of subjectivity that really can't be attenuated or offset using scientific methods. The fact that we're talking different countries and cultures, makes benchmarking very hard...what one patient may perceive as adequate treatment in their country may be unacceptable in another country.

Carloz, it's a good post that gets you thinking, and it may be 100% accurate, I just find some things in it to be suspect to me. I've been wrong before, just ask my wife...

  • 5 votes
Reply#5 - Wed Jun 23, 2010 8:50 AM EDT
Carloz

I went to the CommonWealth Fund website seeking more information.

Yes, after reading and seeding this article before going to work this morning, I visited their site this afternoon. Here is their article about the study: Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally, 2010 Update

  • 3 votes
#5.1 - Wed Jun 23, 2010 1:28 PM EDT
Reply
Erik the Read

"Most efficient" is quite a mouthful when only seven countries are involved in the "study". Oddly, of the seven, five are English speaking. Just by chance, I suppose.

  • 4 votes
Reply#6 - Wed Jun 23, 2010 9:24 AM EDT
Carloz

Oddly, of the seven, five are English speaking.

Technically we could say four and 3/4ths out of the seven: Canada has two official languages, and I believe about about 25% of Canadians are native-French speakers.

  • 4 votes
#6.1 - Wed Jun 23, 2010 1:34 PM EDT
SansSerif

Oh and don't forget some of the small villages that still speak Gaelic in Nova Soctia.

  • 2 votes
#6.2 - Wed Jun 23, 2010 2:29 PM EDT
Erik the Read

The preference for English-speaking languages may have to with the availability of information in English - making the study cheaper - or that stats in these countries are collected in ways that are easy to compare.

One of the parameters mentioned was that medical services were equal for all. You'd have to have a society divided in classes to maintain stats to illuminate this aspect. But totally independent of health services provided, well-to-do people live healthier lives and live longer, their children even grow taller than poor people's.

  • 3 votes
#6.3 - Wed Jun 23, 2010 4:07 PM EDT
Reply
lamplighter

"Most efficient" is quite a mouthful

True. Efficiency does not align with quality of care or patient outcomes.

  • 4 votes
Reply#7 - Wed Jun 23, 2010 9:33 AM EDT
Furry LewisDeleted
Furry LewisDeleted
Sesostrus-1426398

It was interesting to me that they did not include France in the study. France is usually #1 in most rankings.

  • 4 votes
Reply#10 - Wed Jun 23, 2010 10:07 AM EDT
billy-witchdoctor-com

If the British are so efficient it must not include Dental care

    Reply#11 - Wed Jun 23, 2010 10:11 AM EDT
    shoes123Deleted
    shepherd0886

    This "study result" doesn't surprise me in the least but I do advise a bit of caution here. As I always say, such studies and statistics can be and often are manipulated to further a specific cause. That is why I tend to respond with a quizical smile and a casual "Hmmmm, is that so?" kind of a response. The truth is in the reality and that is best gotten from those who have experienced it. As with anything there are going to be some good and some bad experiences. That is just the variability of dealing with anything run by humans. LOL

    The American system often provides some the the latest and most advanced techniques and technology however such advances are of little use if the public cannot afford them or gain access to them. That is the problem we face in our system. The creators and developers want to make all their money up front at the expense of the patient an/or their insurance companies. Whether it is the latest scanning technology or the latest pharmacological discovery it is going to be so costly as to only serve the very richest or best insured patients. Therefore it is of no use to the majority of us who just need a simple procedure or some general care. This is where many other countries are superior to us. They tend to focus their medical services and their costs on the average needs of most patients. This permits them to provide a better quality of care across a much broader spectrum of patient needs and thus a larger portion of their population.

    Another interesting thing about the American medical system is the degree to which physicians themselves invest in this very expensive technology and treatment facilities. Therefore, it is in their best interests to see to it that it gets used throroughly and frequently even if the procedure doesn't necessaryly call for it. Their justification of course is that it protects them from litigation later should something go wrong. They claim that not performing such costly tests would leave them open to some sort of liability. That is why we are often treated to CAT scans and NMRI procedures for some really simple medical diagnosis. It makes them money by using their machines and they have a reason to justify it as protecting them against legal actions.

    In some ways we have done this to ourselves. We demand the very best of everything and sue if we don't get it. Therefore there is no reason that the providers should not charge us to the hilt for all of it. We asked for it and we get it. However the bill comes along with it too. HEH HEH HEH HEH

    • 4 votes
    Reply#13 - Wed Jun 23, 2010 10:34 AM EDT
    In cognito

    Our health care system is and has been a disaster. I'm tired of hearing the excuse people make about people not being able to afford health insurance "they can just go to the ER!" If you get a terminal illness by the time you need the ER you already have a death sentence. People need preventive care. Unfortunately, the new health care bill does NOT solve the problem it only makes things worse. The people who can't afford health insurance still won't be able to, and the insurance companies are going to gouge even more people for even more money while they laugh all the way to the bank thanks to the "mandate". This health care bill is nothing but an insurance company stimulus plan.

    • 3 votes
    Reply#14 - Wed Jun 23, 2010 12:23 PM EDT
    willynilly

    Unfortunately, the new health care bill does NOT solve the problem it only makes things worse...

    In cognito, Your right, however I do see somthing positive about this health care bill. Namely that it will bring us to the brink of disaster much much sooner. Rather than bleeding slowly to death, I predict that when healthcare reaches 25-30% of GDP probably in another 5-6 years and more and more people get seriously fed up with our system we might see "real" change. We havent reached the tipping point yet, but this bill might get us there faster.

    • 1 vote
    #14.1 - Wed Jun 23, 2010 1:15 PM EDT
    Reply
    willynilly

    In some ways we have done this to ourselves. We demand the very best of everything and sue if we don't get it. Therefore there is no reason that the providers should not charge us to the hilt for all of it. We asked for it and we get it. However the bill comes along with it too. HEH HEH HEH HEH

    shepherd, you nailed it. And it is actually quite funny. For those of us who see the whole picture, the state of healthcare in this country is actually quite funny. And the funniest part is that I dont see any sign of change any time soon, HA HA HA !!

      Reply#15 - Wed Jun 23, 2010 1:09 PM EDT
      shepherd0886

      I quite agree. We are doing what we always do in these types of situations. Start throwing 'bandaids' everywhere. Temporary 'quick fixes' that relax the jerking knees. LOL

      • 1 vote
      #15.1 - Thu Jun 24, 2010 11:33 AM EDT
      Reply
      Dr Danny

      The UK has perhaps one of the most inefficient, over-staffed with middle-management healthcare systems in the world. The UK Labour party doubled spending during the tenure on the NHS and yet even government reports have stated that productivity fell despite that spending. The target culture has led to an appalling degredation in patient care the recruitment of "managers" at five times the rate of nurses over the past 10 years has meant there's so much redtape strangling NHS trusts.

      But then again, if you consider closing Accident and Emergency departments (ER) and maternity wards at most hospitals so that only the "super-centres" have these facilities as efficient, then so be it. But when it takes more than an hour to get by amubulance from your house to a hospital, I wouldn't call that efficient. I think you really need to use the NHS to discover its pitfalls. It's so bad that, despite being free, 25% of NHS doctors have private healthcare coverage!

      I wouldn't give this "report" the time of day, quite frankly.

      • 2 votes
      Reply#16 - Thu Jun 24, 2010 8:58 AM EDT
      willynilly

      Dr. Danny, No system is perfect. Ofcourse the NHS has problems. The fact is there is no perfect system for everyone. As with most things, those who can afford to, go first class. The wealthy have allways gotten and will allways get better healthcare. The tragedy in the US is that average middle class people are just one major illness away from financial ruin. If 25% of NHS doctors have private healthcare coverage it is because they can afford it. And good for them. Try living in the US without proper health insurance and see what it feels like. Try living wihtout any safety net. You really dont know how good you have it untill you loose it.

      • 4 votes
      #16.1 - Thu Jun 24, 2010 4:35 PM EDT
      Dr Danny

      Of course no system is perfect. But for this article to claim that the UK has the most efficient healthcare service is beyond the ridiculous given that healthcare spending has doubled in the UK in the last 10 years yet productivity has fallen by nearly 3%. It's one of the worst things I've read on the Vine for quite some time.

      • 1 vote
      #16.2 - Fri Jun 25, 2010 8:39 AM EDT
      Reply
      sweepea-1175418Deleted
      One Miscreant

      "Effective" is an odd word in this context. A primary care doctor (PC Doc) can have a massive patient folder, due to all of the tests and various doctors a patient has seen, both in and out of the PC practice. That same PC Doc most likely won't understand how all of the items in this folder, affect "Quality of care" or "Quality of Life" for the patient. PC Doc's don't know why Specialist's choose the meds they do. They don't know about interactions. They don't know if one Specialist is affecting another. There is never any coordination among Doc's. That would require much more time than any of them actually have. The only thing PC Doc's know is that they got a big file on this one, eh?

      Effective is not a word I would use with healthcare or treatment.

      • 1 vote
      Reply#18 - Thu Jun 24, 2010 9:52 PM EDT
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