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GEOGRAPHIC VARIATIONS 
IN HEALTH CARE USE 
IN 13 OECD COUNTRIES 
Geographic Variations in Health Care 
What do we know and what can be done to improve health system 
performance? 
Released Tuesday 16 September 2014 
http://www.oecd.org/health/health-systems/medical-practice-variations.htm
Hospital medical admission rates vary by 2- 
fold or more across countries and within 
some countries 
Hospital admission rates across and within selected OECD countries 
(2011 or latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?, OECD Health Policy Studies, OECD Publishing. 
DOI: 10.1787/9789264216594-en
Coronary bypass rates vary by more than 3-fold across 
countries and by up to 6-fold within countries 
Coronary bypass rates across and within a selected set of countries 
(2011 or latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
Coronary angioplasty rates vary by more than 3-fold 
across countries and by up to 5-fold within countries 
Angioplasty rates across and within a selected set of countries (2011 or 
latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
Admissions/surgery after hip fracture vary by 2-fold 
across countries and by less than 2-fold within countries 
Admissions/surgery rates across and within a selected set of countries 
(2011 or latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
Knee replacement rates vary by more than 4-fold 
across countries and by more to 5-fold within 
some countries 
Knee replacement rates across and within a selected set of countries 
(2011 or latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
C-sections are on the rise & display high variations 
across geographic areas in some countries 
C-section rate across and within selected OECD countries (2011 or 
latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
Variations in hysterectomy rates are relatively 
high, in a context of declining use 
Hysterectomy rates across and within a selected set of OECD countries 
(2011 or latest year) 
Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be 
Done to Improve Health System Performance?
Further information 
OECD (2014), Geographic Variations in Health Care: 
What Do We Know and What Can Be Done to 
Improve Health System Performance?, OECD Health 
Policy Studies, OECD Publishing. 
DOI: 10.1787/9789264216594-en 
Contacts 
Divya Srivastava (divya.srivastava@oecd.org) 
Valérie Paris (valerie.paris@oecd.org) 
Gaetan Lafortune (gaetan.lafortune@oecd.org) 
Annalisa Belloni (annalisa.belloni@oecd.org) 
Website: http://www.oecd.org/health/health-systems/medical-practice-variations.htm

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Geographic variations in health care

  • 1. GEOGRAPHIC VARIATIONS IN HEALTH CARE USE IN 13 OECD COUNTRIES Geographic Variations in Health Care What do we know and what can be done to improve health system performance? Released Tuesday 16 September 2014 http://www.oecd.org/health/health-systems/medical-practice-variations.htm
  • 2. Hospital medical admission rates vary by 2- fold or more across countries and within some countries Hospital admission rates across and within selected OECD countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?, OECD Health Policy Studies, OECD Publishing. DOI: 10.1787/9789264216594-en
  • 3. Coronary bypass rates vary by more than 3-fold across countries and by up to 6-fold within countries Coronary bypass rates across and within a selected set of countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 4. Coronary angioplasty rates vary by more than 3-fold across countries and by up to 5-fold within countries Angioplasty rates across and within a selected set of countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 5. Admissions/surgery after hip fracture vary by 2-fold across countries and by less than 2-fold within countries Admissions/surgery rates across and within a selected set of countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 6. Knee replacement rates vary by more than 4-fold across countries and by more to 5-fold within some countries Knee replacement rates across and within a selected set of countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 7. C-sections are on the rise & display high variations across geographic areas in some countries C-section rate across and within selected OECD countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 8. Variations in hysterectomy rates are relatively high, in a context of declining use Hysterectomy rates across and within a selected set of OECD countries (2011 or latest year) Source: OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?
  • 9. Further information OECD (2014), Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?, OECD Health Policy Studies, OECD Publishing. DOI: 10.1787/9789264216594-en Contacts Divya Srivastava (divya.srivastava@oecd.org) Valérie Paris (valerie.paris@oecd.org) Gaetan Lafortune (gaetan.lafortune@oecd.org) Annalisa Belloni (annalisa.belloni@oecd.org) Website: http://www.oecd.org/health/health-systems/medical-practice-variations.htm