Health outcomes often better in Canada than U.S.: review
April 18, 2007 | 11:20 AM ET
The Canadian Press
The death and disease rates for patients in Canada are the same or lower than those for people with similar diagnoses treated in the United States ? even though per capita health-care spending is higher south of the border, a study suggests.
The findings ? from Canadian and U.S. researchers who crunched data from 38 studies ? were published in the inaugural edition of Open Medicine. The online medical journal launched Wednesday in the aftermath of a rift last year between some editors and the publisher of the Canadian Medical Association Journal.
'What it shows is that despite an enormous investment in money, we do not see better health outcomes [in the U.S.]'
? Study author Dr. P.J. Devereaux"In looking at patients in Canada with a specific diagnosis compared to Americans with the same diagnosis, in Canada patients had at least as good an outcome as their American counterparts ? and in many situations, a better health outcome," said one of the 17 authors, Dr. P.J. Devereaux, a cardiologist and clinical epidemiologist at McMaster University in Hamilton.
"And that is important because in the United States, they're currently spending a little over $7,100 per individual on health care annually, whereas in Canada we're spending a little over $2,900 per individual annually," he said in a telephone interview from Brantford, Ont.
The study covered data on patient populations in the United States and Canada from 1955 to 2003. To conduct their meta-analysis, researchers identified almost 5,000 titles and abstracts. Of these, 498 appeared potentially eligible on initial review. Eventually, 38 studies were deemed to be eligible.
"Overall, Canada did better, and in fact we found a statistically significant five per cent mortality advantage [of survival] to people with diagnoses in Canada compared to their counterparts in the United States," Devereaux said.
To view the article in its entire, go to:
https://www.openmedicine.ca/article/view/8/1
Please note the amounts spent per capita in Canada and the U.S.