MANAGED CARE June 2002. ©MediMedia USA
| The British Medical Journal this year published a comparison of Kaiser Permanente and the National Health Service, concluding that health care “costs per capita in Kaiser and the NHS are similar to within 10 percent and that Kaiser’s performance is considerably better in certain respects, particularly access to specialist diagnosis and treatment, and hospital waiting times." | ||
| Measure | NHS | Kaiser (California) |
| Primary care | ||
| Time to see a primary care physician | 2001: average 3 days; <48 hours by 2004 | Urgent: <24 hours; routine: 80% <7 days |
| Telephone help line and associated services | NHS direct help line available. By 2004, NHS Direct will provide gateway to advice, appointments, and out of hours care. | 24-hour hot line available for advice and appointments. Appointments can also be made online. |
| Repeat prescription available without calling or visiting a doctor | Available nationwide by 2004 | Available now |
| Time spent with primary care physician | 8.8 minutes | Medical: 20 minutes; Ob/Gyn: 15 minutes; pediatrics: 10 minutes |
| Specialist referral | ||
| Waiting time to see a specialist | 2001: 36% <4 weeks, 20% >13 weeks, 4% >6 months; by 2005, average 5 weeks and maximum 3 months | 2001: 80% <2 weeks |
| Waiting time for inpatient treatment or surgery | 2001: 41% <13 weeks, 33% >5 months, 7% >12 months; by 2005: average 7 weeks and maximum 6 months | 2001: 90% <13 weeks |
| Vaccination | ||
| Children who received various immunizations by 2 years old | DTP=95%, MMR=88%, Hib=94% | DTP=91%*, Polio=93%*, MMR=94%*, Hib=91%*, Hepatitis B=86%*, Chicken pox=83%* |
| Specialists per 100,000 people | ||
| Pediatricians | 4.9 | 12.3 |
| Ob/Gyn | 4.1 | 8.3 |
| Oncologists | 0.9 | 1.7 |
| Radiologists | 4.3 | 6.0 |
| Cardiologists | 0.8 | 2.4 |
| Cancer screening | ||
| Breast | 69% of women age 50–64 had mammogram in past 3 years† | 78% of women age 52–69 had ≥1 mammogram in the past 2 years* |
| Cervical | 84% of women age 25–64 screened at least once in past 5 years‡ | 80% of women age 21–64 screened at least once in past 3 years* |
| Diabetic care | ||
| People with diabetes who received annual retinal examination | 60% | 70% for <65 years; 80% for = 65 years |
| Coronary revascularization procedures per 100,000 | ||
| Angioplasty | 38** | 116 |
| Bypass graft | 47** | 127 |
| Transplantation per 100,000 | ||
| Heart | 0.5 | 0.5 |
| Kidney | 2.7 | 4.8 |
| *Data from Kaiser US (not California). †2000, England. ‡1997, England. **1998, England. SOURCE: “GETTING MORE FOR THEIR DOLLAR: A COMPARISON OF THE NHS WITH CALIFORNIA’S KAISER,” BRITISH MEDICAL JOURNAL, JAN. 19, 2002 |
||
MANAGED CARE June 2002. ©MediMedia USA