[EQ] Toward Higher-Performance Health Systems: Adults Health Care Experiences In Seven Countries

Toward Higher-Performance Health Systems: Adults’ Health Care Experiences In Seven Countries, 2007

 

Cathy Schoen, Robin Osborn, Michelle M. Doty, Meghan Bishop, Jordon Peugh and Nandita Murukutla

Health Affairs, 26, no. 6 – November 2007: w717-w734

 

Available onlineFull Text at: http://content.healthaffairs.org/cgi/content/full/26/6/w717

 

“….This 2007 survey compares adults’ health care experiences in Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. In all countries, the study finds that having a "medical home" that is accessible and helps coordinate care is associated with significantly more positive experiences.

 

There were wide country differences in access, after-hours care, and coordination but also areas of shared concern. Patient-reported errors were high for those seeing multiple doctors or having multiple chronic illnesses. The United States stands out for cost-related access barriers and less-efficient care. …”

 

“….Looking forward, the seven countries we studied face the shared challenge of how to integrate care in an era of specialization and shortages of primary care physicians. Achieving better care coordination will likely require designs that include a mix of formally integrated organizations, co-locating or sharing services, and connecting through information systems. Aging populations and medical science advances will likely require workforce as well as system innovations to improve health and meet population needs. Developing medical-home approaches offers the potential to move toward higher performance….”

 

 

Cathy Schoen is a senior vice president at the Commonwealth Fund in New York City. Other Commonwealth Fund authors are Robin Osborn (vice president, International Health Policy and Practice), Michelle Doty (associate director of research), and Meghan Bishop (assistant director for research and programs, International Health Policy and Practice).
Jordon Peugh is research director at Harris Interactive in New York City; Nandita Murukutla is research manager there.

 

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