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Insurance the Presence of a Medical Home and the Benefits of Primary Care for Children. Part II

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Starfield Benefits of Primary Care: Evidence from International Comparisons of 13 Industrialized Countries Starfield 09/02 The Countries, Mid-1990s Australia (AUS) Belgium (BEL) Canada (CAN) Denmark (DK) Finland (FIN) France (FR) Germany (GER) Japan (JAP) Netherlands (NTH) Spain (SP) Sweden (SWE) United Kingdom (UK) United States (US) Starfield Primary Care Orientation of Health Systems: Rating Criteria • Health System Characteristics – – – – – – – – – Type of system Financing Type of primary care practitioner Percent active physicians who are specialists Professional earnings of primary care physicians relative to specialists Cost sharing for primary care services Patient lists Requirements for 24-hour coverage Strength of academic departments of family medicine Starfield Source: Starfield, 1998. Primary Care Orientation of Health Systems: Rating Criteria • Practice Characteristics – – – – – – First-Contact Longitudinality Comprehensiveness Coordination Family-centeredness Community orientation Source: Starfield, 1998. Starfield Primary Care Scores, 1980s and 1990s Belgium France Germany United States Australia Canada Japan Sweden Denmark Finland Netherlands Spain United Kingdom 1980s 0.8 0.5 0.2 1990s 0.4 0.3 0.4 0.4 1.1 1.2 1.2 1.5 1.5 1.5 1.7 1.1 1.2 0.8 0.9 1.7 1.5 1.5 1.4 1.9 Starfield 2000 System and Practice Characteristics Facilitating Primary Care, Early-Mid 1990s 12 11 10 9 8 7 6 5 4 3 2 1 0 0 GER BEL Practice Characteristics (Rank*) FR US SWE FIN SP DK UK NTH JAP CAN AUS 1 2 3 4 5 6 7 8 9 10 11 12 13 System Characteristics (Rank*) Starfield 11/00 Health Care Expenditures per Capita, 1996 Belgium ----France ----Germany ----United States ----Australia ----Canada ----Japan ----Sweden ----Denmark ----Finland ----Netherlands ----Spain ----United Kingdom ----- 1693 1978 2222 3708 1776 2002 1581 1405 1430 1389 1756 1131 1304 Starfield 2000 Primary Care Score vs. Health Care Expenditures, 1997 2 Primary Care Score UK DK 1.5 SP NTH FIN CAN AUS SWE JAP 1 0.5 GER BEL FR US 0 1000 1500 2000 2500 3000 3500 4000 Per Capita Health Care Expenditures Starfield 10/00 International Comparisons: Birth Outcomes and Primary Care Score Primary Care Score Low 14 Med 11.5 High Average Rankings 12 10 9.5 7.3 4.8 8 6 4 2 0 5.5 4.6 Countries with weak primary care infrastructures have poorer health performance. Low BirthWeight Post Neonatal Mortality R= -.38 NS R= -.74; p<.001 Low: BEL, FR, GER, US Med: AUS, CAN, JAP, SWE High: DEN, FIN, NTH, SP, UK Source: Starfield & Shi, 2002. Starfield 09/02 Average Rankings for Health Indicators, YPLL (Total and Suicide) in Countries Grouped by Primary Care Orientation All Except Suicide Female Male Suicide Female Male All Except External Female Male Lowest 9.5 (Belgium, France, Germany, US) Middle 3.8 (Australia, Canada, Japan, Sweden) Highest 7.6 (Denmark, Finland, Netherlands, Spain, UK) 10.8 7.3 8.3 8.8 10.8 2.8 7.0 7.3 3.8 3.5 7.4 6.8 5.8 8.2 7.0 Source: OECD, 1998. Starfield 2000 Average Rankings for World Health Organization Health Indicators for Countries Grouped by Primary Care Orientation DALEs Child Survival Equity Overall Health Lowest (Belgium, France, Germany, US) 16.3 22.5 36.3 Middle* (Australia, Canada, Sweden, Japan) 4.8 11.0 16.0 16.5 15.8 15.2 26.0 29.1 31.6 Highest* (Denmark, Finland, Netherlands, Spain, UK) Source: Calculated from WHO, 2000. Starfield 10/02 Primary Care Features Consistently Associated with Good/Excellent Primary Care • System features – Regulated resource distribution – Government-provided health insurance – No/low cost-sharing for primary care • Practice features – Comprehensiveness – Family orientation Starfield 10/01 Benefits of Primary Care: Within-Country Studies • Ecological analyses: Effect of primary care doctor to population ratios (US, UK) • Case control studies (US) • Hospitalizations for avoidable conditions or complications (US, Spain) • Survey data on impact of affiliation with a primary care doctor (US, Spain) • Path analyses at state and local levels (US) Starfield 09/02 Rates of Avoidable Pediatric Hospitalization for Diabetes Mellitus and Pneumonia and Family Physicians per 10,000 Population Source: Parchman & Culler, 1994. Starfield 10/02 State Level Analysis: Primary Care and Life Expectancy 78 77 Life Expectancy 76 75 74 73 72 71 4.00 . . ID . IA UT . . TN . . TX . . WV DE AR MI . . MS AL . ID . . .. . AZ . . MT . NJ . . NM . FL WI KS . KY . PA . NC . VA . NE SD ME NH RI IL . . ND . OR . NY . CT . . MN . MA WA . CA . HI . MD . GA . LA . NV . SC 5.00 . AK R=.54 P<.05 4.50 5.50 6.00 6.50 7.00 7.50 Primary Care Physicians/10,000 Population PC physicians/population positively associated with longer life expectancy. Source: Shi et al., 1999. Starfield 03/02 Path Coefficients for the Effects of Income Inequality and Primary Care on Health Outcome: 50 US States, 1990 Total Mortality .42** Income Inequality (Robin Hood Index) .35* Infant Mortality -.36** -.29* -.33* -.37** Life Expectancy Primary Care Physicians .58** -.17 Low Birthweight Starfield .41** Source: Shi et al., 1999. *p<.05; **p<.01. Path Coefficients for the Effects of Income Inequality and Primary Care on Health Outcome: 50 US States, 1990 Total Mortality Life Expectancy .39** -.35** Income Inequality (GINI COEFFICIENT) .40** -.18 Neonatal Mortality -.38** -.33* .16 Stroke Mortality Primary Care Physicians .18 -.33* Postneonatal Mortality -.38** .42** Life Expectancy Source: Shi et al., 1999. *p<.05; **p<.01. Starfield Reductions in Inequality in Health by Primary Care: Self-Reported Health, 60 US Communities, 1996 Percent reporting fair or poor health • Areas with low income inequality –No effect of primary care resources* • Areas with moderate income inequality –16% increase in areas with low primary care resources* • Areas with high income inequality –33% increase in areas with low primary care resources* *compared with median # of primary care physicians to population ratios Based on data in Shi & Starfield, 2000. Starfield 2000 Reductions* in Inequality in Health by Primary Care: Postneonatal Mortality, 50 US States, 1990 Areas with low income inequality High primary care resources Low primary care resources 0.8% decrease in mortality 1.9% increase in mortality Areas with high income inequality High primary care resources Low primary care resources 17.1% decrease in mortality 6.9% increase in mortality *compared with population mean Based on data in Shi & Starfield, 2000. Starfield 2000 Low Birthweight among US Rural, Urban, and Health Center Infants 8.8 7.5 6.8 6.0 Urban health center infants infants US rural infants Rural health center infants African American urban infants African American urban health center infants African American rural infants African American rural health center infants 7.4 10.4 13.6 13.0 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 Starfield 09/02 Source: Politzer et al., 2001. Racial composition Geographic area US urban infants Primary Care and Health: Evidence-Based Summary • Countries with strong primary care – have lower overall costs – generally have healthier populations • Within countries – areas with higher primary care physician availability (but NOT specialist availability) have healthier populations – more primary care physician availability reduces the adverse effects of social inequality Starfield 09/02 Primary Care and Equity: Evidence-Based Summary In areas with low social inequity, the additional effect of primary care is small. In areas of high social inequity, the additional effect of primary care is larger. Starfield 09/02
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