TY - JOUR
T1 - Primary care and health system performance
T2 - Adults' experiences in five countries
AU - Schoen, Cathy
AU - Osborn, Robin
AU - Huynh, Phuong Trang
AU - Doty, Michelle
AU - Davis, Karen
AU - Zapert, Kinga
AU - Peugh, Jordon
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/7
Y1 - 2004/7
N2 - 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 initiatives.
AB - 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 initiatives.
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U2 - 10.1377/hlthaff.W4.487
DO - 10.1377/hlthaff.W4.487
M3 - Review article
C2 - 15513956
AN - SCOPUS:9244254471
VL - 23
SP - W4-487-W4-503
JO - Health Affairs
JF - Health Affairs
SN - 0278-2715
IS - SUPPL. 2
ER -