U.S. health system performance: A national scorecard

Cathy Schoen, Karen Davis, Sabrina K H How, Stephen C. Schoenbaum

Research output: Contribution to journalArticle

Abstract

This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.

Original languageEnglish (US)
JournalHealth Affairs
Volume25
Issue number6
DOIs
StatePublished - Nov 2006
Externally publishedYes

Fingerprint

Benchmarking
Health
health
performance
equity
Costs and Cost Analysis
efficiency
costs
interaction

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

U.S. health system performance : A national scorecard. / Schoen, Cathy; Davis, Karen; How, Sabrina K H; Schoenbaum, Stephen C.

In: Health Affairs, Vol. 25, No. 6, 11.2006.

Research output: Contribution to journalArticle

Schoen, Cathy ; Davis, Karen ; How, Sabrina K H ; Schoenbaum, Stephen C. / U.S. health system performance : A national scorecard. In: Health Affairs. 2006 ; Vol. 25, No. 6.
@article{73daa0e004f642848874855147477291,
title = "U.S. health system performance: A national scorecard",
abstract = "This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.",
author = "Cathy Schoen and Karen Davis and How, {Sabrina K H} and Schoenbaum, {Stephen C.}",
year = "2006",
month = "11",
doi = "10.1377/hlthaff.25.w457",
language = "English (US)",
volume = "25",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "6",

}

TY - JOUR

T1 - U.S. health system performance

T2 - A national scorecard

AU - Schoen, Cathy

AU - Davis, Karen

AU - How, Sabrina K H

AU - Schoenbaum, Stephen C.

PY - 2006/11

Y1 - 2006/11

N2 - This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.

AB - This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.

UR - http://www.scopus.com/inward/record.url?scp=33845286511&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33845286511&partnerID=8YFLogxK

U2 - 10.1377/hlthaff.25.w457

DO - 10.1377/hlthaff.25.w457

M3 - Article

C2 - 16987933

AN - SCOPUS:33845286511

VL - 25

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 6

ER -