Is the health of the French still so good? More broadly, how are the inhabitants of the world going? The overview of health that publishes this Thursday the OECD (Organization for Cooperation and Economic Development) draws from twenty indicators, a real state of health in a hundred countries, including Europe, the United States, China, Russia, India, Brazil …
Resources mobilized, staff, access to care, quality prescriptions, patient's feelings … This vast study does not designate a model country but tracks of progress and places France, sometimes above the average, sometimes below, never at Mountain peak. With somewhat disturbing perspectives. Details.
In France, one of the lowest charges
Our country is one of those who devote the most resources to health: 11% of the gross domestic product, or $ 4,965 (€ 4,500) per capita ($ 3,994 (€ 3,600) on average in the OECD) . But far behind the United States: $ 10,586 (€ 9,500)!
According to Panorama, care coverage by health insurance and complementary health care leaves the patient only 2% of the costs incurred, with, without doubt, considerable disparities. However, in detail, France is no longer the envied model of yesterday. According to the OECD, compulsory insurance (in France, health insurance) covers 77.1% of expenditure, when Luxembourg, Japan, Sweden, Denmark and especially Norway, exceed 83% coverage.
A caring device always very effective
The competence of our caregivers and the – relative – ease of access to care combined with a rather good lifestyle make France one of the countries where we are healthier, with a life expectancy of 82.4 years . Medical care is considered efficient. For example, the OECD looked at stroke and other heart attacks that require extreme speed and efficiency.
According to its findings, France has a mortality rate within 30 days of the accident, which places it 6th best student. Similarly, and it is a surprise, France is among the models in terms of access to primary care, with 89% of the population having access to a doctor in the city. Finally, the detection of cervical cancer in women is one of the best in the world (82% of the adult population screened). On the other hand, a certain number of pathologies are too often treated in the hospital whereas they should be treated in the city. This is the case of diabetes and heart failure, says the OECD.
The only real shadow on this table of skills: the prescription of antibiotics remains abnormally high: 23 doses per 1000 inhabitants per year, while the OECD average is 18. This figure does not improve, despite the campaigns of insurance sickness.
In the end, our system still leaves 8.3% of the population in poor health, 8 French out of 100, according to the panorama. We will console ourselves by comparing this figure with the OECD average (8.5%).
The French drink an average of 11.7 liters of alcohol per year
The numbers are beginning to translate reality. Regarding the number of doctors per capita, France is below the OECD average: 3.2 doctors per 1,000 inhabitants, the average being 3.5. On the other hand, we have many nurses: 10.5 per 1,000 inhabitants when the average is 8.8. We understand better then that the public authorities in France favor the delegation of tasks between doctors and nurses.
Other signs of concern, alcoholism, 30% higher in France compared to the panel with 11.7 liters of alcohol per year and per capita. Ditto for smoking affecting one in four adults (about 25%) versus 18% in the OECD. Illustration of the failure of prevention policies conducted for more than ten years in France. Finally, the ultimate worry: the financing of our system. According to the panorama, in 2030, France will devote 13% of its GDP to health. Will it be able to?
Worldwide, progress is threatened
Life expectancy in the OECD area is currently 80.7 years for newborns (with Japan remaining in the lead at age 84), but its progression is starting to slow down. It is threatened by several evils: the drug, which kills more and more massively (in the United States, in Sweden …), the heart attacks and strokes, frequent consequences of an invasive obesity, the explosion of the chronic diseases, of which suffer two out of three adults, and cancer, related to various factors, including smoking (18% of adults still smoke daily), particularly in France.
Among the other evils: alcohol which is dependent 4% of adults, and finally air pollution, responsible for 40 deaths per 100 000 inhabitants.
As for the effectiveness of care, while the OECD notes an overall improvement in patient safety, it says that 5% still contract a nosocomial disease when they go to the hospital. Finally, the Organization has been looking into the sustainability of increasingly important funding.
According to its latest estimates, health expenditure will reach 10.2% of GDP by 2030 in OECD countries, compared to 8.8% in 2018. "These figures raise concerns about the financial sustainability of the systems. often financed by public funds.
The OECD has 36 member countries and the study involves some 60 partner countries.