| Titre : | Shopping around for hospital services : A comparison of the United States and Canada. (1998) |
| Auteurs : | C.M. BELL ; M. CRYSTAL ; A.S. DETSKY ; D.A. REDELMEIER ; Department of Medicine and Health Administration. University of Toronto. Toronto Ontario. CAN ; Department of Medicine. Sunnybrook Health Science Centre. Toronto Ontario. CAN ; Program in Clinical Epidemiology and Health Care Research. University of Toronto. Toronto Ontario. CAN |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 279, n° 13, 1998) |
| Pagination : | 1015-1017 |
| Langues: | Anglais |
| Mots-clés : | Hôpital ; Etude comparée ; Système santé ; Analyse coût efficacité ; Canada ; Amérique du Nord ; Amérique ; Etats Unis ; Homme ; Economie santé |
| Résumé : | [BDSP. Notice produite par INIST J7AVJR0x. Diffusion soumise à autorisation]. Context. - Historical comparisons indicate that US hospitals are more expensive than Canadian hospitals, but health care system reform might have changed the relative costs and timeliness of health care in the 2 countries. Objective. - To estimate the price and convenience of selected hospital services in the United States and Canada for patients in 1997 had they paid out-of-pocket. Design. - Cross-sectional telephone survey conducted May 1996 to April 1997. Participants. - The 2 largest acute care general hospitals from every city in the United States and Canada with a population greater than 500 000. Measures. - Each hospital was telephoned and asked their price and waiting time for 7 services : magnetic resonance imaging of the head without gadolinium ; a screening mammogram ; a 12-lead electrocardiogram ; a prothrombin time mea-surement ; a session of hemodialysis ; a screening colonoscopy ; and a total knee replacement. Waiting times were measured in days until earliest appointment and charges were converted to American currency. Results. - Overall, 48 US and 18 Canadian hospitals were surveyed. Median waiting times were significantly shorter in American hospitals for 4 services, particularly a magnetic resonance imaging of the head (3 days vs 150 days ; P<. 001). Median charges were significantly higher in American hospitals for 6 ser-vices, particularly for a total knee replacement ($26 805 vs $10 651 ; P<. 001). (...) |
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