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Extra info for A Disease-Based Comparison of Health Systems
This trend does not reflect the general decline in underlying demand, as approximated by IHD mortality rates, during this same period. 2. 2. 3 IHD: Ischaemic heart disease. Note: ATC C02: cholesterol and triglyceride reducers; ATC C03: diuretics; ATC C07: beta-blocking agents; ATC C08: calcium-channel blockers; ATC C09: ACE inhibitors; ATC C10A: cholesterol and triglyceride reducers; DDD: defined daily dosage; ATC: anatomical therapeutic chemical classification (see ATC Index, 2000). Source: These data were collected by the experts in the countries participating in the IHD part of the ARD study.
The high utilisation rates observed for Belgium and Switzerland, where levels of IHD are not as great, and are actually lower than IHD levels in some countries with lower utilisation rates of PTCA and CABG. For Belgium and Switzerland, lower supply-side constraints are probably greater contributing factors to the high utilisation levels than in other countries. In order to examine treatment patterns in greater detail, data from hospital inpatient databases from several countries were analysed. However, to facilitate comparisons across countries, data on AMI admissions rather than IHD were collected.
2. 70 Number of cardiac surgery units per 100 000 population aged 40 and over CABG: Coronary artery bypass graft. Note: Canada, Denmark, Sweden (1995); United States (1996); Italy (1997); Australia (1998). For Ontario, Finland, Greece and Norway: CABG (1998), cardiac surgery units (2000). 3 for additional notes. 4. Cardiac surgery units per 100 000 population: responses to OECD questionnaire “Core set of indicators for ischaemic heart disease” and ARD country reports. 3. 6 Number of facilities with cardiac catheterisation labs per 100 000 population aged 40 and over PTCA: Percutaneous transluminal coronary angioplasty.
A Disease-Based Comparison of Health Systems by Organization for Economic Co-Operation a