from "Equity, Health & Human Development" <[log in to unmask]>
From: Ford, Kathleen [mailto:[log in to unmask]]
Sent: Thursday, October 28, 2004 11:53 AM
Survey Finds Variations In Primary Care In Five Countries
Health Affairs, 10.1377/hlthaff.w4.487 2004 by Project HOPE
Primary Care and Health System Performance: Adults57; Experiences In Five
Countries
Australia, Canada, New Zealand, the United Kingdom, and the United States
Commonwealth Fund in New York City, October 2004
Available online at:
http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.487
60;70;.This paper reports on a 2004 survey of primary care experiences
among adults in Australia, Canada, New Zealand, the United Kingdom, and the
United States. The survey finds shortfalls in delivery of safe, effective,
timely, or patient-centered care, with variations among countries. Delays
in lab test results and test errors raise safety concerns. Failures to
communicate, to engage patients, or to promote health are widespread. Aside
from clinical preventive care, the United States performs poorly on most
care dimensions in the study, with notable cost-related access concerns and
short-term physician relationships. Contrasts across countries point to the
potential to improve performance and to learn from international
initiatives70;. Abstract61;
60;70;..A new survey of adults57; experiences with primary care in five
countries shows variations in access to primary care, continuity and
coordination of care, satisfaction with physician encounters, and
prevention and health promotion.
Cathy Schoen, vice president of health policy, research, and evaluation at
the Commonwealth Fund, and six colleagues report that the United States has
particular failings on cost and length of patients57; relationships with
their physicians. However, the United States leads or ranks high in
measures of clinical preventive care. The authors conclude that the
cross-national comparison can allow policymakers to learn from
international initiatives70;.61;
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