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Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality
MAY, 2012 • The Commonwealth Fund

ABSTRACT: This analysis uses data from the Organization for Economic Cooperation and Development and other sources to compare health care spending, supply, utilization, prices, and quality in 13 industrialized countries: Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. The U.S. spends far more on health care than any other country. However this high spending cannot be attributed to higher income, an older population, or greater supply or utilization of hospitals and doctors. Instead, the findings suggest the higher spending is more likely due to higher prices and perhaps more readily accessible technology and greater obesity. Health care quality in the U.S. varies and is not notably superior to the far less expensive systems in the other study countries. Of the countries studied, Japan has the lowest health spending, which it achieves primarily through aggressive price regulation. READ MORE»

Improving Job Satisfaction
APRIL, 2014 • The Commonwealth Fund
Job Satisfaction

The California Improvement Network (CIN) partners — public and private health care organizations actively engaged in improving care delivery — meet quarterly to share experiences and to learn from one another. Following are highlights from the partners’ February 2014 meeting, which focused on preventing provider and staff burnout. To optimize health systems, the “triple aim” of improving patient expe- rience, improving population health, and reducing costs might include a fourth aim: workforce satisfaction. READ MORE»