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OECD - Health at a Glance 2019

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OECD Health at a Glance 2019
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Health at a Glance 2019 OECD Indicators Please cite this publication as - photo 1
Health at a Glance 2019 OECD Indicators
Please cite this publication as:
OECD (2019), Health at a Glance 2019: OECD Indicators , OECD Publishing, Paris, https://doi.org/10.1787/4dd50c09-en .
Metadata Legal and Rights ISBN 978-92-64-38208-4 print - - photo 2
Metadata, Legal and Rights
ISBN: 978-92-64-38208-4 (print) - 978-92-64-80766-2 (pdf) - 978-92-64-94275-2 (HTML) - 978-92-64-37101-9 (epub)
DOI: https://doi.org/10.1787/4dd50c09-en
Health at a Glance
ISSN: 1995-3992 (print) - 1999-1312 (online)
This work is published under the responsibility of the Secretary-General of the OECD. The opinions expressed and arguments employed herein do not necessarily reflect the official views of OECD member countries.
This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.
The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Photo credits: Cover kudla/Shutterstock.com; Images - Health status: Thitiporn taingpan/Shutterstock.com, Risk factors for health: Radachynskyi Serhii/Shutterstock.com, Access to care: onoky Fotolia.com, Quality and outcomes of care: YAKOBCHUK VIACHESLAV/Shutterstock.com, Health Expenditure: Doubletree Studio/Shutterstock.com, Health Workforce: Flamingo Images/Shutterstock.com, Health care activities: NaruFoto/Shutterstock.com, Pharmaceutical sector: Fahroni/Shutterstock.com, Ageing and long-term care: Thinkstock/iStockphoto.com.
Corrigenda to publications may be found on line at: www.oecd.org/about/publishing/corrigenda.htm .
OECD 2019
The use of this work, whether digital or print, is governed by the Terms and Conditions to be found at http://www.oecd.org/termsandconditions .
Foreword

Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. This 2019 edition presents the latest comparable data across 80 indicators, reflecting differences across countries in health status, risk factors and health-seeking behaviour, access, quality of care, and the financial and physical resources available for health. Alongside indicator-by-indicator analysis, an overview chapter summarises the comparative performance of countries and major trends, including how much health spending is associated with staffing levels, access, quality, and health outcomes. This edition also includes a special chapter on patient-reported outcomes and experiences.

The production of Health at a Glance would not have been possible without the contribution of national data correspondents from OECD countries. The OECD gratefully acknowledges their effort in supplying most of the data contained in this publication, as well as their detailed feedback to a draft of the report. Special acknowledgement is extended to members of the Patient-reported Indicator Surveys (PaRIS) Working Groups on mental health, breast cancer care, and hip and knee replacement for their contribution to Chapter 2, especially those individuals from countries, registries and health care organisations that facilitated the provision of patient-reported data. The OECD also recognises the contribution of other international organisations, notably the World Health Organization and Eurostat, for providing data and comments. The European Union provided financial and substantive assistance for work related to PaRIS, but the opinions expressed and arguments employed herein do not necessarily reflect the official views of the OECD member countries or the European Union.

This publication was prepared by the OECD Health Division under the coordination of Chris James. Chapter 1 was prepared by Chris James and Alberto Marino; Chapter 2 by Luke Slawomirski, Ian Brownwood, Emily Hewlett and Rie Fujisawa; Chapter 3 by Chris James, Viviane Azas, Eileen Rocard, Yuka Nishina and Emily Hewlett; Chapter 4 by Cristian Herrera, Jane Cheatley, Gabriel Di Paolantonio, Yuka Nishina and Michael Padget; Chapter 5 by Chris James, Michael Mueller, Viviane Azas, Alberto Marino and Marie-Clmence Canaud; Chapter 6 by Frdric Daniel, Michael Padget, Eliana Barrenho, Rie Fujisawa, Luke Slawomirski and Ian Brownwood; Chapter 7 by David Morgan, Michael Mueller, Emily Bourke, Luca Lorenzoni, Alberto Marino and Chris James; Chapter 8 by Karolina Socha-Dietrich, Galle Balestat, Gabriel Di Paolantonio, Emily Bourke and Emily Hewlett; Chapter 9 by Chris James, Gabriel Di Paolantonio, Galle Balestat, Alberto Marino and Caroline Penn; Chapter 10 by Valrie Paris, Ruth Lopert, Suzannah Chapman, Martin Wenzl, Marie-Clmence Canaud and Michael Mueller; Chapter 11 by Elina Suzuki, Leila Pellet, Marie-Clmence Canaud, Thomas Rapp, Eliana Barrenho, Michael Padget, Frdric Daniel, Gabriel Di Paolantonio, Michael Mueller and Tiago Cravo Oliveira Hashiguchi. The OECD databases used in this publication are managed by Galle Balestat, Emily Bourke, Ian Brownwood, Marie-Clmence Canaud, Frdric Daniel, David Morgan, Michael Mueller and Michael Padget.

Detailed comments were provided by Frederico Guanais and Gatan Lafortune, with further useful inputs from Francesca Colombo, Mark Pearson, Stefano Scarpetta and Sarah Thomson. Editorial assistance by Lucy Hulett, Lydia Wanstall and Marie-Clmence Canaud is also gratefully acknowledged.

Executive summary

Health at a Glance 2019 provides the latest comparable data and trends over time on population health and health system performance across OECD members, candidate and partner countries.

Gains in longevity are stalling; chronic diseases and mental ill health affect more and more people
  • On average across OECD countries, a person born today can expect to live almost 81 years. But life expectancy gains have slowed recently across most OECD countries, especially in the United States, France and the Netherlands. 2015 was a particularly bad year, with life expectancy falling in 19 countries.

  • The causes are multifaceted. Rising levels of obesity and diabetes have made it difficult to maintain previous progress in cutting deaths from heart disease and stroke. Respiratory diseases such as influenza and pneumonia have claimed more lives in recent years, notably amongst older people.

  • In some countries the opioid crisis has caused more working-age adults to die from drug-related accidental poisoning. Opioid-related deaths have increased by about 20% since 2011, and have claimed about 400 000 lives in the United States alone. Opioid-related deaths are also relatively high in Canada, Estonia and Sweden.

  • Heart attacks, stroke and other circulatory diseases caused about one in three deaths across the OECD; and one in four deaths were related to cancer. Better prevention and health care could have averted almost 3 million premature deaths.

  • Almost one in ten adults consider themselves to be in bad health. This reflects in part the burden of chronic diseases almost a third of adults live with two or more chronic conditions. Mental ill health also takes its toll, with an estimated one in two people experiencing a mental health problem in their lifetime.

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