KEY POINTS:
WASHINGTON - Americans get the poorest health care and yet pay the most compared to five other rich countries, says a report released yesterday.
Germany, Britain, Australia, New Zealand and Canada all provide better care for less money, the Commonwealth Fund report found.
"The US health care system
ranks last compared with five other nations on measures of quality, access, efficiency, equity, and outcomes," the non-profit group which studies health care issues said in a statement.
Canada rates second worst out of the five overall. Germany scored highest, followed by Britain, Australia and New Zealand.
"The United States is not getting value for the money that is spent on health care," Commonwealth Fund president Karen Davis said.
The group has consistently found that the United States, the only one of the six nations that does not provide universal health care, scores more poorly than the others on many measures of health care.
Congress, President George W. Bush, many employers and insurers have all agreed in recent months to overhaul the US health care system - an unco-ordinated conglomeration of employer-funded care, private health insurance and government programmes.
The system leaves about 45 million people with no insurance at all, according to US Government estimates from 2005, and many studies have shown most of these people do not receive preventive services.
Davis said the fund's researchers looked at hard data for the report.
"It is pretty indisputable that we spend twice what other countries spend on average," she said.
Per capita health spending in the United States in 2004 was $6102 ($8376) twice that of Germany, which spent $3005. Canada spent $3165, New Zealand $2083 and Australia $2876, while Britain spent $2546 per person.
"We focus primarily on measures that are sensitive to medical care making a difference - infant mortality and healthy lives at age 60," Davis said. "Those are pretty key measures, like how long you live and whether you are going to die before age 75."
Measures of other aspects of care such as cataract surgery or hip replacements is harder to come by, she said.
They also looked at convenience and again found the United States lacking - with a few exceptions.
"We include measures such as waiting more than four months for elective, non-emergency surgery. The United States doesn't do as well as Germany but it does a lot better than the other countries on waiting time for surgery," Davis said.
"We looked at the time it takes to get in to see your own doctor ... [or] once you go to the emergency room do you sit there for more than two hours, and truthfully, we don't do well on those measures," Davis said.
According to the report, 61 per cent of US patients said it was somewhat or very difficult to get care on nights or weekends, compared with 25 per cent to 59 per cent in other countries.
"The area where the US health care system performs best is preventive care, an area that has been monitored closely for over a decade by managed care plans," the report reads.
The United States had the fewest patients - 84 per cent - reporting that they have a regular doctor.
And US doctors are the least wired, with the lowest percentage using electronic medical records or receiving electronic updates on recommended treatments.
- REUTERS
