Shopping around for hospital services : A comparison of the United States and Canada.
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.
- 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.
- Cross-sectional telephone survey conducted May 1996 to April 1997.
- The 2 largest acute care general hospitals from every city in the United States and Canada with a population greater than 500 000.
- 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.
- 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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0207329
Code Inist : 002B30A04B. Création : 11/09/1998.