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OECD - Tackling Wasteful Spending on Health

Highlights from OECD: Tackling Wasteful Spending on Health

Wasteful spending on health in numbers

One in ten patients in OECD countries is unnecessarily harmed at the point of care.

More than 10% of hospital expenditure goes to correcting preventable medical mistakes or infections that people catch in hospitals across a range of OECD countries

One in three babies in OECD countries is delivered by caesarean section, whereas medical indications suggest that C-section rates should be 15% at most. They are above 35% in seven OECD countries and close to 15% only in Iceland, the Netherlands, Finland and Israel.

The market penetration of generic pharmaceuticals ranges between 10-80% across OECD countries.Australia, Belgium, Canada, France, Italy and Portugal report at least one in five emergency department visits as inappropriate.

The costs of administering health systems represents on average 3% of health spending but varies in a ratio of one to seven across OECD countries, with no obvious correlation with health system performance.

On average, the loss to fraud and error is more than 6% of health expenditure and one third of OECD citizens consider the health sector to be corrupt or extremely corrupt (45% globally).

 

 

Screenshot_2020-02-11 Tackling-Wasteful-Spending-on-Health-Highlights-revised pdf.png

 

Read More at the above link

 

 

 

 

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   Hey not to worry,   ACA cuts overhead is one of the highlights of the paper.       Not to worry,  the rate of closure of small hospitals in rural US are continuing to close at an increasing rate....no $$$$ wasted on treating patients there!   120 closed in last decade but there are now 450 looking mighty vulernable to closure.   

    Recent historical US administrations targetted waste / fraud in healthcare in a big way with interagency task force...That has gone eerily quiet under current regime?

    But then, one big answer in the paper was more IT....and doctor's saying NO to things patient's want - but I saw this on TV.    Now I don't know about anyone else, but NO, my healthcare history is not public an I do not maintain a dialogue with my physians electronically - slightly inconvenient but that is maintaining the patient/physician privacy.     But then I was a healthcare professional.  

PRO-LIFE is Affordable Healthcare for ALL .
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@afisher 

How you got to the closing problems of rural hospitals from this thread confuses me but since you brought it up - 

Rural Hospitals have many problems that ALL affect their bottom line.  If they give care on an acute basis to an insured person and that person is then transferred to another hospital for more involved care or just because the other hospital is in their network, the patient ususally owes the rural hospital money for their care - from their deductible because the rural hospital was their 1st line of care.  Many times these patients don't pay.

High-Deductible Plans Jeopardize Financial Health Of Patients And Rural Hospitals 

 

This is just another example of why rural hospitals are having a very hard time staying afloat financially - there are many other reasons too.

 

Communication Technology between patients and their doctor and between their doctor and other healthcare providers is gonna take a bigger and bigger role in cost savings globally.  In fact, we are behind the times in this area in comparison to many other industrialized countries. 

 

E-prescribing has become common place in the medication arena already.

Having access to medical records from one institution to another saves time and money - Why get a test at one place, be referred to another and they ask for the same test again? 

Of course, an individual is free to carry around their own health records - in a protfolio or on their phone.  Of course, security measures have to be built into this data reserve but that will not stop this from happening as time marches on -

An individual or a caregiver having access to their respective patient's doctor via video chat can save lots of inconvenience too.  Access to speak (live) to one's personal physician or their designate can save trips to the ER.

 

We are also gonna have to rely on science to develop the best care for the least amount of money and stop listening to individuals or groups that try to circumvent this science in develop standards of care.  Stop the over diagnosis, stop the treatments that don't work, stop the use of expensive medicines when a lower cost one is just as good.  If people continue to want these things, against what is the scientific best, they will have to pay for them out of their own pocket.

 

When we are giving healthcare to the many, here or in another country, under whatever system, we have to look for all kinds of cost savings.

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@GailL1 wrote:

 

 

When we are giving healthcare to the many, here or in another country, under whatever system, we have to look for all kinds of cost savings.


Yes, we have to look at cost savings, but not at the expense of people losing actual health care, preventative medicine, or losing their privacy. The Republicans look at it a little differently.


Man learns from history that man learns nothing from history.
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@GailL1 wrote:

Highlights from OECD: Tackling Wasteful Spending on Health

Wasteful spending on health in numbers

One in ten patients in OECD countries is unnecessarily harmed at the point of care.

More than 10% of hospital expenditure goes to correcting preventable medical mistakes or infections that people catch in hospitals across a range of OECD countries

One in three babies in OECD countries is delivered by caesarean section, whereas medical indications suggest that C-section rates should be 15% at most. They are above 35% in seven OECD countries and close to 15% only in Iceland, the Netherlands, Finland and Israel.

The market penetration of generic pharmaceuticals ranges between 10-80% across OECD countries.Australia, Belgium, Canada, France, Italy and Portugal report at least one in five emergency department visits as inappropriate.

The costs of administering health systems represents on average 3% of health spending but varies in a ratio of one to seven across OECD countries, with no obvious correlation with health system performance.

On average, the loss to fraud and error is more than 6% of health expenditure and one third of OECD citizens consider the health sector to be corrupt or extremely corrupt (45% globally).

 

 

Screenshot_2020-02-11 Tackling-Wasteful-Spending-on-Health-Highlights-revised pdf.png

 

Read More at the above link

 

 

 

 


For the average person this is pure nonsense, not even good reading. For people in the medical field they should read it, and see if any of the suggestions are something they might use. The one thing we do not need is rules based on them as some people are helped by having the treatment , and their Dr. should make the call. I could give you some examples of rules by Ins. Carriers which increased health care costs but that is a waste of time in here. Let the experts in the field handle this type of article. Right now if you wan to improve health care work to defeat Trump in Nov. as that is the first step to save this country.

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@john258 wrote:

For the average person this is pure nonsense, not even good reading. For people in the medical field they should read it, and see if any of the suggestions are something they might use. The one thing we do not need is rules based on them as some people are helped by having the treatment , and their Dr. should make the call. I could give you some examples of rules by Ins. Carriers which increased health care costs but that is a waste of time in here. Let the experts in the field handle this type of article. Right now if you wan to improve health care work to defeat Trump in Nov. as that is the first step to save this country.

Sorry, you don't find this interesting - I thought it was very interesting.

- That other countries with their Universal Care still have some of the same problem which we have now. 

- If someone else is the payer; doesn't matter who - they have a say in your care - the when, the what and the how.

 

Read the whole report, maybe you would find it interesting.

 

 

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@GailL1 wrote:

@john258 wrote:

For the average person this is pure nonsense, not even good reading. For people in the medical field they should read it, and see if any of the suggestions are something they might use. The one thing we do not need is rules based on them as some people are helped by having the treatment , and their Dr. should make the call. I could give you some examples of rules by Ins. Carriers which increased health care costs but that is a waste of time in here. Let the experts in the field handle this type of article. Right now if you wan to improve health care work to defeat Trump in Nov. as that is the first step to save this country.

Sorry, you don't find this interesting - I thought it was very interesting.

- That other countries with their Universal Care still have some of the same problem which we have now. 

- If someone else is the payer; doesn't matter who - they have a say in your care - the when, the what and the how.

 

Read the whole report, maybe you would find it interesting.

 

 


No other country with UC has the same problems we have. We have a President who is now in court trying to end health care in this country as we know it. If he wins every program now in operation will be effected if not killed. No one knows how bad it will get. Worse yet we have a President who is trying to pay for his money gifts  to the top tier of this country in the way of less taxes by cutting money for health care and other programs for the lower end people. We are told today Trump has more money for his reelection than anyother person has ever had in our history. We know everything Trump does he gets something in return and it looks like one thing is money for reelection for the tax cuts. Solve the main problem Trump and until that is done you can not solve anyother problem.

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