Re: CABG costs 80 percent higher in U.S. than CANADA


"zee" <outrider@xxxxxxxxxxxxx> wrote in message
news:1120944062.001361.166630@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> Hospital Costs of Coronary Artery Bypass Graft Surgery in U.S. More
> Than 80 Percent Higher in U.S. Than in Canada
>
>
>
> CHICAGO - Although there are no differences in clinical outcome, the
> in-hospital cost of coronary artery bypass graft surgery (CABG) in the
> U.S. is 82.5 percent higher in the U.S. than in Canada, according to a
> study in the July 11 issue of Archives of Internal Medicine, one of the
> JAMA/Archives journals.
>
>
>
> Cardiovascular disease is a leading cause of illness and death in the
> U.S. and Canada, with an estimated direct cost in the U.S. of $209.3
> billion in 2003, including $94.1 billion in in-hospital costs alone,
> according to background information in the article. In 2000, more than
> 500,000 CABGs were performed in the U.S.
>
>
>
> Mark J. Eisenberg, M.D., M.P.H., of Jewish General Hospital, Montreal,
> and colleagues compared the outcomes and costs of treatment of 12,017
> consecutive patients (4,698 U.S. and 7,319 Canadian patients)
> undergoing CABG at five U.S. and four Canadian hospitals.
>
>
>
> "In-hospital costs of treatment were substantially higher in the United
> States than in Canada [an average cost of $20,673 vs. $10,373]," the
> authors report. "After controlling for demographic and clinical
> differences, length of stay in Canada was 16.8 percent longer than in
> the United States; there was no difference in in-hospital mortality
> [death]; and the cost in the United States was 82.5 percent higher than
> in Canada."
>
>
>
> "Coronary artery bypass graft surgery requires substantial resources
> in Canada and the United States," the authors conclude. "However,
> patients undergoing CABG at U.S. hospitals incur approximately twice as
> much cost compared with those at Canadian hospitals, with little
> difference in clinical outcome and despite shorter average LOS [length
> of stay]. The difference in total in-hospital costs is almost equally
> attributable to differences in direct and overhead costs between the
> Canadian and U.S. hospitals. This cost differential primarily reflects
> higher resource prices for products and labor and higher overhead costs
> in the United States resulting from a nonsocialized medical system.
> However, U.S. hospitals also appear to streamline services better to
> reduce LOS, a strategy Canadian hospitals might emulate to further
> reduce treatment costs."
>
> (Arch Intern Med. 2005; 165:1506-1513.)
>
> Editor's Note: This study was supported by an unrestricted research
> grant from Pfizer, Inc., Groton/New London, Conn. Dr. Eisenberg is a
> Senior Physician-Scientist of the Quebec Foundation for Health
> Research, Montreal. Co-author Kristian B. Filion, B. Sc., was supported
> by a Canadian Cardiovascular Outcomes Research Team Summer Studentship.
> Co-author Louise Pilote, M.D., M.P.H., Ph.D., is a Physician-Scientist
> of the Canadian Institutes of Health Research, Ottawa, Ontario.
>
Canadian docs are paid by the government...thus..at a fixed rate...

not so in the US

not to mention how many Canadians have their surgeries here in the US rather
than face a long wait in Canada...



.

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