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2). 2. Acute care Discharge rates for IHD reflect the demand for acute care hospital services and are a function of the supply of facilities that provide these services, but capacity constraints and provider incentives can alter the provision of these services. 3). 4% average annual change during the same period. This trend does not reflect the general decline in underlying demand, as approximated by IHD mortality rates, during this same period. 2. 2. 3 IHD: Ischaemic heart disease. Note: ATC C02: cholesterol and triglyceride reducers; ATC C03: diuretics; ATC C07: beta-blocking agents; ATC C08: calcium-channel blockers; ATC C09: ACE inhibitors; ATC C10A: cholesterol and triglyceride reducers; DDD: defined daily dosage; ATC: anatomical therapeutic chemical classification (see ATC Index, 2000).
Data standardised to the European population aged 40 and over. 4. IHD mortality: OECD Health Database (2002). Spain, the fact utilisation rates for revascularisation procedures are low is not surprising given their relatively low levels of IHD. Given the relatively high levels of IHD in Denmark, Finland and the United Kingdom, they appear to be performing particularly lower numbers of revascularisations. 2. The influence of supply-side constraints It is clear that something other than the level of IHD is driving the utilisation of revascularisation procedures.
This is because high capital and resource costs associated with cardiac surgery facilities would make them a likelier target of regulations than less costly catheterisation laboratories. 18 However, it is difficult to say since differentiated information regarding regulation of these different facility types was not collected. 2. THE HEART OF THE HEALTH CARE SYSTEM countries with relatively high levels of IHD. However, in cases such as Germany, where the relationship between regulation and the number of facilities is weaker, or Japan and Korea, where lax regulation has not meant higher utilisation rates for revascularisations, there must be other factors at work.
A Disease-Based Comparison of Health Systems by Organization for Economic Co-Operation a