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OECD Study of Cross-National Differences in the Treatment, Costs and Outcomes of Ischaemic Heart Disease


  • Pierre Moïse
  • Stéphane Jacobzone


The Ageing-Related Diseases study compares treatment trends and health outcomes on a disease-by-disease basis. Most of the day-to-day decisions that determine health care system performance are made in treating specific diseases. Therefore, the ARD’s bottom-up approach to comparing health care system performance at the disease level, rather than the more common top-down approach, goes to the heart of health care system performance. This paper presents such an analysis for ischaemic heart disease. There is considerable variation in treatment trends for the same diseases across countries and much of this variation can be explained by differences in structural characteristics of health care systems. A disease-level analysis begins with an examination of these characteristics: the economic incentives, policies and regulations that affect individual providers’ decisions for treating a specific disease, defining a particular health care system’s approach. In order to properly assess ... L’étude sur les maladies liées au vieillissement compare les tendances en matière de traitements et de résultats par type de maladie. La plupart des décisions prises quotidiennement et qui déterminent la performance des systèmes de soins de santé le sont au moment du traitement d’une maladie spécifique. Ainsi, lors de la comparaison de la performance des systèmes de soins de santé par maladie, le projet des maladies liées au vieillissement effectue une approche du bas vers le haut plutôt que l’approche plus habituelle, et va ainsi au cœur de la performance des systèmes de soins de santé. Ce document présente une telle analyse en ce qui concerne la cardiopathie ischémique. Les tendances dans les traitements préconisés varient considérablement d’un pays à l’autre pour les mêmes maladies et peuvent s’expliquer par des différences caractéristiques structurelles propre à chaque système de santé. Une analyse par type de maladie commence par l’examen de ces caractéristiques : les ...

Suggested Citation

  • Pierre Moïse & Stéphane Jacobzone, 2003. "OECD Study of Cross-National Differences in the Treatment, Costs and Outcomes of Ischaemic Heart Disease," OECD Health Working Papers 3, OECD Publishing.
  • Handle: RePEc:oec:elsaad:3-en

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    Cited by:

    1. Oliver Tiemann, 2008. "Variations in hospitalisation costs for acute myocardial infarction - a comparison across Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 33-45.
    2. Anderson Gerard & Chalkidou Kalipso & Herring Bradley, 2012. "High US Health-Care Spending and the Importance of Provider Payment Rates," Forum for Health Economics & Policy, De Gruyter, vol. 15(3), pages 1-22, September.
    3. Dominic Coey, 2013. "Physician Incentives and Treatment Choices in Heart Attack Management," Discussion Papers 12-027, Stanford Institute for Economic Policy Research.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other


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