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  1. Shopping around for hospital services : A comparison of the United States and Canada.

    Article - En anglais

    Context. - Historical comparisons indicate that US hospitals are more expensive than Canadian hospitals, but health care system reform might have changed the relative costs and timeliness of health care in the 2 countries.

    Objective

    - To estimate the price and convenience of selected hospital services in the United States and Canada for patients in 1997 had they paid out-of-pocket.

    Design

    - Cross-sectional telephone survey conducted May 1996 to April 1997.

    Participants

    - The 2 largest acute care general hospitals from every city in the United States and Canada with a population greater than 500 000.

    Measures

    - Each hospital was telephoned and asked their price and waiting time for 7 services :

    • magnetic resonance imaging of the head without gadolinium ;

    • a screening mammogram ;

    • a 12-lead electrocardiogram ;

    • a prothrombin time mea-surement ;

    • a session of hemodialysis ;

    • a screening colonoscopy ;

    • and a total knee replacement.

    Waiting times were measured in days until earliest appointment and charges were converted to American currency.

    Results

    - Overall, 48 US and 18 Canadian hospitals were surveyed.

    Median waiting times were significantly shorter in American hospitals for 4 services, particularly a magnetic resonance imaging of the head (3 days vs 150 days ; P<. 001).

    Median charges were significantly higher in American hospitals for 6 ser-vices, particularly for a total knee replacement ($26 805 vs $10 651 ; P<. 001). (...)

    Mots-clés Pascal : Hôpital, Etude comparative, Système santé, Analyse coût efficacité, Canada, Amérique du Nord, Amérique, Etats Unis, Homme, Economie santé

    Mots-clés Pascal anglais : Hospital, Comparative study, Health system, Cost efficiency analysis, Canada, North America, America, United States, Human, Health economy

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

    Cote : 98-0207329

    Code Inist : 002B30A04B. Création : 11/09/1998.