Stroke Care in OECD Countries: A Comparison of Treatment, Costs and Outcomes in 17 Countries

The Ageing-Related Diseases study compares health care systems by examining 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 stroke.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 diseaselevel 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 ... L’etude sur les maladies liees au vieillissement compare les divers systemes de sante en examinant les tendances en matiere de traitements et de resultats par type de maladie. La plupart des decisions prises quotidiennement et qui determinent la performance des systemes de soins de sante le sont au moment du traitement d’une maladie specifique. Ainsi, lors de la comparaison de la performance des systemes de soins de sante par maladie, le projet des maladies liees au vieillissement effectue une approche du bas vers le haut plutot que l’approche plus habituelle, et va ainsi au cœur de la performance des systemes de soins de sante. Ce document presente une telle analyse en ce qui concerne les accidents cerebrovasculaires.Les tendances dans les traitements preconises varient considerablement d’un pays a l’autre pour les memes maladies et peuvent s’expliquer par des differences caracteristiques structurelles propre a chaque systeme de sante. Une analyse par type de maladie commence par ...

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