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The steady rise in the number of new medical and nursing graduates over the past 15 years, combined with the immigration of foreign-trained doctors and nurses in some countries, has generally exceeded the number of doctors and nurses leaving the profession. This explains why the number of doctors and nurses, both in absolute numbers and on a per capita basis, has increased since in nearly all OECD countries.

Share of health spending financed by basic health coverage schemes. Inpatient and outpatient medical services, as well as ancillary services imaging and lab tests are better covered by basic health coverage schemes than other types of care. Coverage for pharmaceutical spending is typically lower, due to often-higher cost-sharing and the possibility of self-consumption. Basic health coverage schemes cover about half of spending in dental care in a handful of countries Austria, Belgium, Czech Republic, Luxembourg, Slovak Republic, and Slovenia and three-quarter in Japan.

In many OECD countries the basic health coverage is publicly provided. In Germany these estimations were not possible to produce; other countries did not provide data. Outpatient primary and specialist care data do not include dental care; transport is not included in ancillary services.

Pharmaceutical spending has been increasing at a slower pace since the mids but the proliferation of high-cost specialty medicines will be a major driver of health spending growth in the coming years. Average annual growth in health and retail pharmaceutical expenditure, OECD average, Prior to , increased spending on retail pharmaceuticals acted a major contributor in driving up overall health expenditure and, as a consequence, the health sector share of GDP.

Particularly during the s and early s, average real annual growth in pharmaceutical spending outpaced overall health spending growth. However, during the s there was a notable shift with a significant drop in average pharmaceutical growth during the second half of the decade which intensified through the global economic crisis. It examines the drivers of recent spending trends, highlighting differences across therapeutic classes. While the consumption of medicines continues to increase and to push pharmaceutical spending up, cost-containment policies and patent expiries of a number of top-selling products have exerted downward pressure on pharmaceutical expenditures in recent years.

This resulted in a slower pace of growth over the past decade. The paper then looks at emerging challenges for policy makers in the management of pharmaceutical spending. The proliferation of high-cost specialty medicines will be a major driver of health spending growth in the coming years.

While some of these medicines bring great benefits to patients, others provide only marginal improvements. This challenges the efficiency of pharmaceutical spending. The proportion of LTC recipients aged 65 and over receiving long-term care at home has increased over the past ten years. Share of long-term care recipients aged 65 years and over receiving care at home, and or nearest year. Many older people who need long-term LTC care prefer to remain in their own home for as long as possible, and most OECD countries aim to support them to do so.

Over the last decade, nearly all countries for which we have data have seen an increase in the proportion of LTC users living at home, with particularly large shifts in France, Sweden and Korea. While an increase in home care is a positive change that can help people to remain independent and engaged with their community, it does create some new challenges.

People with LTC needs living at home are usually cared for, at least in part, by their family and friends. This can put a strain on those providing care, which can affect their health and make it difficult for them to work. A shift towards care at home means that policies to support carers are more important than ever.

There is also some evidence that severely dependent people, especially those with dementia, can be at greater risk of hospitalisation when living in their own home, compared to being in an institution. This risk needs to be considered when deciding on the best place to care for someone.

Health and social care is a growing source of employment. Employment in health and social work as a share of total employment, OECD countries, and or latest year available. Employment in the health and social sector represents a large and growing share of total employment in many OECD countries. But there are wide variations in cancer mortality rates across countries, and weak correlation with overall life expectancy.

This may be in part because as mortality from other causes falls and people live longer, cancer risks can increase. Countries can be thought of as broadly falling into four groups. These countries face the greatest challenges in tackling cancer. Many people may just not be living long enough to suffer from cancer. If mortality from other causes reduces, cancer mortality might rise. Tackling cancer is central to further improvements in life expectancy. The number of visits to emergency departments has increased over the past decade in almost all OECD countries Number of visits to emergency department per population, or nearest available year and or most recent year.

Due to different definition and identification of emergency care services caution is needed when comparing OECD countries. Some countries include both ambulatory and inpatient ED visits e. Australia , while other countries e. For sources and definitions by coumtry, see Table A1 and A2 in the Annex in the paper.

The number of ED visits for the 21 OECD countries for which data were available over the period increased by nearly 5. While the rise in the number of visits is recorded in 14 countries out of 22, the numbers of ED visits has decreased in Chile, Israel, Poland, the Czech Republic and Ireland. Emergency department visits are more frequent in the very young and the very old, while injury diagnoses constitute one of the most common reasons for visiting hospital emergency departments.

Deaths from transport accidents are declining, but there is no room for complacency Trends in transport accident mortality, selected OECD countries, Transport accidents — most of which are due to road traffic — are a major public health problem in OECD countries, causing the deaths of more than people in But the good news is that death rates from transport accidents have come down steadily in nearly all OECD countries.

Still, there remain considerable variation across countries, with transport accidents claiming more than five times as many lives per population in Mexico compared to the United Kingdom. Mortality rates from road transport accidents also remain relatively high in Chile and the United States.

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Would you like to proceed to the external website? What Is a Plan of Care? Eligibility Federal and U. Cost of Care Tool Find the average long term care costs in your area for home health care, assisted living facilities, and nursing homes.