Since 1971 pediatric mortality rates have decreased markedly but differently in Canada and the United States.
These trends were examined in light of changes in hospital use and health care financing.
Annual mortality and hospital use rates for children aged 14 years and younger were calculated.
Between 1971 and 1987, all-cause mortality in Canada fell from 165 to 74 per 100 000 ; the American rate fell from 172 to 96 per 100 000.
American hospitalization rates remained essentially constant until 1983 and then fell by 27.5%, while Canadian hospitalization rates declined throughout.
In 1987 Canadian children had higher hospitalization rates, while American children had higher mortality rates.
These differences may be associated with differences in health financing ; the adoption of US prospective payment systems was temporally coincident with sharp declines in hospitalization rates for American children.
Mots-clés Pascal : Mortalité, Enfant, Utilisation, Hôpital, Hospitalisation, Etude comparative, Canada, Etats Unis, Financement, Système santé, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Mortality, Child, Use, Hospital, Hospitalization, Comparative study, Canada, United States, Financing, Health system, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0500723
Code Inist : 002B30A01A2. Création : 01/03/1996.