COMPARED QUALITY OUTCOMES OF THE AMERICAN AND FRENCH HEALTH SYSTEMS

A. COMPARED QUALITY OUTCOMES

We found studies and research-based data providing evidence that, although two to four times less expensive than their American counterparts, French hospital compare favourably with them.

1. Hospital Readmissions rates in France are far lower than those in the US

A Comparative Analysis of Hospital Readmissions in France and the US

A study published in September 2015 by a mixed US and French research team on hospital readmission rates within a population of older people in France and the US provides a direct comparison: the rate for surgical conditions was 9.1 % in France compared with 15.6 % in the US.

These results, the authors said, are consistent with a previous study they conducted.

A time series study encompassing all hospitalizations in France, between 2002 and 2012 (more than 44 million hospitalizations) confirms the rate found in the previous study.

2. Readmission rates in the overall French population are low

3. Results of a Commonwealth fund international policy survey

A table extracted from the commonwealth fund international policy survey, confirms the overall conclusion that the French health care system is more reliable than the US one.

Results of a time series study, presents all hospitalizations, 2002 through 2012 in France, (more than 44 million hospitalizations) confirms the rate found in the above cited French-American (Gusmano-Rodwin-ottenet) study.

The study reports rates among ALL French Healthcare facilities, including patients of ALL age categories; as Care2care has selected the best French HCF, we consider the objective of nearly zero readmission as realistic and attainable.

B. PATIENT SATISFACTION

Another metric is often used to measure health outcomes quality : patient satisfaction. Here we experiment also the diversity of French and US health care systems ; in the US you cannot find a comprehensive approach like what exists in France. A recent study by the Journal of the American Medical Association (JAMA, the largest and most regarded health professional organization in the world) “Time for Transparent Standards in Quality Reporting by Health Care Organizations”, raised concern about the fact that there are no standards governing the information healthcare organizations are delivering on their site”

HAS’s E-SATIS

On the contrary, due to his centralized single-payer run system, France has measures controlled by an independent body, the HAS. It is a permanent and systematic survey on patient satisfaction, via an electronic questionnaire that each patient is invited to complete at home, 15 days after their discharge from the care facility. The system was put in place two years ago and the first results have been published in December 2017 : 122.000 patients have completed the survey in 2017:

  • 92 % are satisfied with the service delivered by physicians and surgeons ;
  • 89 % with the respect of their intimacy,
  • and 94 % with the respect of confidentiality and professional secrecy.