Article source for : I hope they're grading on a serious curve.... Results from the National Scorecard on U.S. Health System Performance, 2008
http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=692682
It's easier to read the charts and whatnot in the article.
This seems to sum it up along with the 101,000 unnecessary deaths:
Efficiency: Average Score 53
* Inappropriate, wasteful, or fragmented care: In 2007, as in 2005, U.S. patients were much more likelyâthree to four times the benchmark rateâthan patients in other countries to report having had duplicate tests or that medical records or test results were not available at the time of their appointment.
* Avoidable hospitalizations: Average rates of hospital readmissions within 30 days remained high, at 18 percent in both 2003 and 2005. Rates in the highest regions were 50 percent higher than in the lowest regions. Rates of hospitalizations for preventable conditions decreased somewhat from 2002â2003 to 2004â2005, but continued to vary two- to fourfold across hospital regions and states.
* Variation in quality and costs: Among Medicare patients treated for heart attacks, hip fractures, or colon cancer, a high proportion of regions with the lowest mortality rates also had lower total costs, indicating that it is possible to save lives and lower costs through more effective, efficient systems. The total costs of caring for patients with chronic disease varied twofold across regions.
* Administrative costs: U.S. health insurance administrative costs as a share of total health spending are 30 percent to 70 percent higher than in countries with mixed private/public insurance systems and three times higher than in countries with the lowest rates.
* Information systems: U.S. primary care physicians' use of electronic medical records (EMRs) increased from 17 percent to 28 percent from 2001 to 2006. Still, the U.S. lags far behind leading countries, where EMRs are now used by nearly all physicians (98%) to improve care.
