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THE PRODUCTIVITY OF HEALTHCARE SYSTEMS...

Doctors and hospitals respond predictably and consistently to their economic incentives As a result, there are wide variations in how patients get treated in the US, Germany, and the UK The conventional wisdom that the US wastes resources in healthcare is wrong Key factors are competition and integration of care. The US and the UK appear to be moving in the right direction But reforms to date in Germany may not be pushing it far enough along...

Lynn Dorsey Bernard T. Ferrari Andrew Gengos Ted W. Hall William W. Lewis Charles O. Schetter...

for a large and rapidly growing portion of the developed world's gross domestic product. As a result, governments and healthcare organizations are increasingly interested in ways to rethink and reform their healthcare systems (Exhibit 1). Yet we are early in the process and many fundamental questions remain. What is at the root of the diferences in spending among countries, and why do the diferences appear to be unrelated to variations in overall life expectancy ...

EALTHCARE ACCOUNTS...

To help provide a foundation for future reform, we examined and compared the healthcare systems in the US, Germany, and the UK by...

Lynn Dorsey is a principal, Bernie Ferrari and Charlie Schetter are directors, and Andrew Gengos is a consultant in McKinsey's Los Angeles ofice. Ted Hall is a director in the San Francisco ofice. Bill Lewis is Director of the McKinsey Global Institute. Copyright 1996 McKinsey & Company. All rights reserved....

THE McKINSEY QUARTERLY 1996 NUMBER 4...

THE PRODUCTIVITY OF HEALTHCARE SYSTEMS...

Growth in healthcare spending in the US, the UK, and Germany...

Spending as a percent of GDP...

assessing productivity in the treatment of four diseases during the late 1980s diabetes, cholelithiasis (gallstones), breast cancer, and lung cancer. We looked at the day-to-day actions of doctors and hospitals and tried to connect these actions to diferences in longevity and quality of life. Surprisingly, diferences in actions mainly arose from variations in how doctors and hospitals were paid and the constraints they faced in providing treatment....

Each country's health system had a distinctive structure, level of spendSource OECD Health Care Financing Administration ing, and level of productivity, all Office of National Health Statistics stemming from diferent kinds of regulation. In particular, we found that degrees of competition and care integration were ...

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The Productivity of Healthcare Systems assets client file about the ranch staff ted hall productivityof healthcare systems

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