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Cost Containment and the Patient Protection and Affordable Care Act - page 15 / 30

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Higher volume in US--greater use of surgical procedures and expensive diagnostic tests

More procedures to treat blocked coronary arteries (2 x OECD avg.), more knee replacements (1.5 x OCED avg.), and more cesarean sections (1.25 x OECD avg.)

Increase in outpatient surgery centers very important

More MRI exams (> 2 x OECD avg.) and more CT exams (> 2 x OECD avg.)

High ratio of specialists to primary care physicians

US patients more likely to be hospitalized for conditions preventable by good primary care

OECD Health Data (2009); Peterson & Burton (2007)

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