Table 5.

Comparison of quality in the NHS and Kaiser, 1999

Measure	NHS	Kaiser, California
Vaccination
Children who received various immunisations by age 2 years	DTP=95%; MMR=88%; Hib=94%	DTP=91%*; polio=93%*; MMR=94%*; Hib=91%*; hepatitis B=86%*; chicken pox 83%*
Cancer screening
Breast	69% of women aged 50-64 years had mammogram in past 3 years†	78% of women aged 52-69 years had ⩾1 mammograms in past 2 years*
Cervical	84% women aged 25-64 years screened at least once in past 5 years‡	80% of women aged 21-64 years screened at least once in past 3 years*
Diabetic care
People with diabetes who received annual retinal examination	60%	70% for <65 years; 80% for ⩾65 years
Cardiovascular care
Patients with acute myocardial infarction who received β blockers	42%‡	93%
Coronary revascularisation procedures per 100 000:
Angioplasty	38§	116
Bypass graft	47§	127
Transplantation per 100 000
Heart	0.5	0.5
Kidney	2.7	4.8

Sources: OECD,⁶ HEDIS,⁸ Department of Health,²³ Barakat,³³ NHS,³⁴ CCHRI,³⁵ Ayanian and Quinn,³⁶ and unpublished Kaiser data. 

^*Data from Kaiser US (not California). 

^†2000, England. 

^‡1997, England. 

^§1998, England.