TY - JOUR
T1 - Aiming high for the U.S. health system
T2 - A context for health reform
AU - Davis, Karen
AU - Schoen, Cathy
AU - Shea, Katherine
AU - Haran, Christine
PY - 2008/12
Y1 - 2008/12
N2 - Policy officials often assert that the U.S. has the best health care system in the world, but a recent scorecard on U.S. health system performance finds that the U.S. achieves a score of only 65 out of a possible 100 points on key indicators of performance in five key domains: healthy lives, access, quality, equity, and efficiency, where 100 represents the best achieved performance in other countries or within the U.S. The U.S. should aim higher by adopting a set of policies that will extend affordable health insurance to all; align financial incentives for health care providers to enhance value and achieve savings; organize the health care system around the patient to ensure that care is accessible and coordinated; meet and raise benchmarks for high-quality, efficient care; and ensure accountable national leadership and public-private collaboration. The incoming president and Congress should aspire to have the best health system in the world - not just assert it - and can do so by learning from examples of excellence within the U.S. and abroad.
AB - Policy officials often assert that the U.S. has the best health care system in the world, but a recent scorecard on U.S. health system performance finds that the U.S. achieves a score of only 65 out of a possible 100 points on key indicators of performance in five key domains: healthy lives, access, quality, equity, and efficiency, where 100 represents the best achieved performance in other countries or within the U.S. The U.S. should aim higher by adopting a set of policies that will extend affordable health insurance to all; align financial incentives for health care providers to enhance value and achieve savings; organize the health care system around the patient to ensure that care is accessible and coordinated; meet and raise benchmarks for high-quality, efficient care; and ensure accountable national leadership and public-private collaboration. The incoming president and Congress should aspire to have the best health system in the world - not just assert it - and can do so by learning from examples of excellence within the U.S. and abroad.
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U2 - 10.1111/j.1748-720X.2008.00317.x
DO - 10.1111/j.1748-720X.2008.00317.x
M3 - Article
C2 - 19093986
AN - SCOPUS:57349167349
SN - 1073-1105
VL - 36
SP - 629
EP - 643
JO - Journal of Law, Medicine and Ethics
JF - Journal of Law, Medicine and Ethics
IS - 4
ER -