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  1. On the success, cost and efficiency of modern medicine : an international comparison.

    Article - En anglais

    Kjellstrand CM, Kovithavongs C, Szabo E (University of Alberta, Edmonton, Canada).

    On the success, cost and efficiency of modern medicine : an international comparison.


    To study the success and cost of modern medicine in industrialized, rich countries from 1980 to 1990.


    Cost per capita and per cent of gross domestic product (GDP) spent on health was related to :

    • (i) mortality in six diseases amenable to treatment by modern medicine ;

    • (ii) the sum of those six diseases (avoidable disease) ;

    • (iii) death due to other, unavoidable diseases ;

    • (iv) maternal and infant mortality ;

    • (v) life expectancy at birth ;

    • (vi) renal dialysis and transplantation rates.

    Efficiency was studied by comparing a country's avoidable mortality rates multiplied by expenses, to the mean for all countries.


    During the 10 years, avoidable death rate decreased 38% but unavoidable death rate only 10%. Life expectancy increased 3%. Cost per capita increased 107% but health expenditures, as per cent of GDP only 10%. There was a reasonable correlation between expenses and avoidable mortality but none between expenses and unavoidable death rate.

    In 1990 avoidable mortality was lowest in Canada, and highest in Japan.

    Cost was lowest in New Zealand, and highest in the USA.

    The efficiency index was highest for Australia, and lowest in the USA.


    Modern medicine as we have studied it is successful. (...)

    Mots-clés Pascal : Médecine, Evaluation performance, Analyse coût, Mortalité, Longévité, Dialyse, Transplantation, Corrélation, 1980-1990, Etude comparative, Pays industrialisé

    Mots-clés Pascal anglais : Medicine, Performance evaluation, Cost analysis, Mortality, Longevity, Dialysis, Transplantation, Correlation, 1980-1990, Comparative study, Industrialized country

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0108384

    Code Inist : 002B30A11. Création : 22/06/1998.