Unbiased Analysis of Today's Healthcare Issues

Archive for the 'International Health Care Systems' Category

Kidney Transplants in Iran

Almost ten years ago, I wrote a post on Iran’s policy of paying organ donors.  It looks like the New York Times has finally caught on.   An excerpt is below: But [Iran’s organ donation program’s] chief advantage is this: People who need kidneys get them rapidly, rather than die on the waiting list. In the vast majority of cases, […]

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Dartmouth, France?

The Dartmouth Atlas is well known for examining regional variation in practice patterns in the U.S. It looks like researchers in France are taking a similar approach to evaluate their own single payer system. A paper by Mercier, Georgescu and Bousquet (2015) find: We assessed disparities in potentially avoidable hospitalizations in France in 2012 and […]

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Disability Benefits Around the World

In a series of papers, Coile, Milligan and Wise look at Social Security Programs and Retirement Around the World. In the sixth installment of the series, the authors look specifically at disability programs. Although stereotypically one would believe that most people exit the workforce due to choice and rely on Social Security, job pensions, and […]

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Visit your doctor whenever you like

Typical hours when illness strikes is 24 hours a day, 7 days per week.  In the US, typical physician hours are 9-5, Monday through Friday. Although this is changing (CVS Minute Clinics have Saturday and Sunday hours), it is still difficult for individuals who are work and are ill to see a doctor without taking […]

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Pharmaceuticals in China

As China is now the second largest economy in the world, spending on medical services and medications is also growing. Pharmafile reports: China is positioned to become the second-largest pharmaceutical market, after the US, by next year, according to healthcare analysts IMS Health; meanwhile, by growing an estimated 15% to 18% annually, the organisation says […]

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What is Reference Pricing?

To reduce utilization of pharmaceutical products, many countries have opted to use reference pricing. Reference pricing is a system where patient coinsurance payments depend not only on the price of the drug but also the price of alternatives therapies.  As the name indicates, reference pricing sets patient coinsurance rates as the difference between the drug’s […]

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US Ranks Last

According to a Commonwealth Fund report examining the health care system of 11 countries, Americans receive the worst health care.  The report summarizes the findings as follows: The United States health care system is the most expensive in the world, but comparative analyses consistently show the U.S. underperforms relative to other countries on most dimensions of performance. […]

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Brazil’s Health Care System and the World Cup

The World Cup starts June 12 in Brazil.  Although the event is sure to draw attention around the world, protesters have taken to the streets demanding that Brazil use the money for these events to improve the countries, health care and education services it provides to its citizens.  Brazil’s projected budget for hosting the World […]

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Free Health Care in the UK ‘A Thing of the Past’?

The UK’s National Health Service (NHS) is well known for providing free care to all its citizens. However, will £0 out-of-pocket payments be a thing of the past? Maybe so according to a recent survey of UK Members of Parliament (MPs). Pharmafile reports: In response to the question “if the challenges facing the NHS are […]

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P4P in the UK

General Practitioners (GPs) in the UK NHS are paid a mixture of capitation, lump sum allowances, and a pay-for-performance bonus. The P4P element, the Quality and Outcomes Framework (QOF), rewards GPs according to their performance on a large number of indicators. QOF payments represented up to 20% of GPs ’ income in the first year […]

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