How Does Canada Do It? a Comparison of Expenditures for Physicians' Services in the United States and Canada
Fuchs, Victor R.
Hahn, James S.
New England Journal of Medicine. 1990 Sep 27; 323(13): 884-890.
Expenditures per capita for most aspects of health care, including physicians' services, are greater in the United States than in Canada, which provides comprehensive health insurance to all citizens. Fuchs and Hahn undertook a quantitative analysis of the 1.72 ratio between American and Canadian expenditures for physicians' services and came to two conclusions. First, Canadians receive more physicians' services than do Americans, despite the greater American expenditures. Second, the United States uses more real resources than does Canada to produce a given quantity of services. Fuchs and Hahn discuss possible explanations for their findings. Their study also includes a parallel analysis of the ratio between Iowa and Manitoba in per capita expenditures for physicians' services as a check on the comparison between the United States and Canada. (KIE abstract)
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