Politiques et données sur la santé

Hospital performance


Health spending on average represents 9% of GDP in OECD countries, ranging from 4.3% in Turkey to 17.2% in the United States. Hospitals account for nearly 40% of health spending. In most OECD countries, more than 80% of this expenditure is covered by government and compulsory schemes. Hence, hospitals are important targets in national efforts to improve health system performance.

The OECD currently collects a number of acute care measures of hospital performance on a national level.



The OECD launched the Hospital Performance Project in 2015 to understand hospital performance across countries and to strengthen international comparisons. This work was build on international initiatives such as the ECHO and euroHOPE Projects.

The mortality rate within 30 days of patients being admitted to hospital after AMI is a key measure assessing hospital performance. Data on hospital-level adjusted rates for 30-day AMI mortality were collected for over 3,000 hospitals across 12 OECD member countries for the years 2013 to 2015 after two years of methodological work.

The scope and scale of this data collection effort is groundbreaking, being the first time hospital-level performance data have been collated and compared across OECD countries in America, Europe and Asia. Results were first published in the OECD’s flagship publication Health at a Glance 2017: OECD Indicators (see Chapter 6 on Quality and Outcomes of Care). 

The OECD is expanding the hospital performance work to include a focus on stroke mortality. Currently OECD collects data on the national level for both ischaemic and haemorrhagic stroke mortality after 30-days. The intention is to collect this data at a hospital level for OECD countries.

Thirty-day mortality after admission to hospital for acute myocardial infarction (AMI) based on linked and unlinked data, 2013-2015 (or nearest years)

Note: The width of each line in the figure represents the number of hospitals (frequency) with the corresponding rate. Data for Canada not linked to death statistics. UK data are limited to England and presented at trust level (i.e. multiple hospitals). Ordered by inter quartile range of admission-based data. Rates based on linked data are also standardised for previous AMI. Data from the OECD Hospital Performance Data Collection 2017.
Source: Health at a Glance 2017: OECD Indicators.
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