In Chronic Condition: Experiences Of Patients With Complex Health Care Needs, In Eight Countries, 2008

被引:226
作者
Schoen, Cathy [1 ]
Osborn, Robin [1 ]
How, Sabrina K. H.
Doty, Michelle M.
Peugh, Jordon [2 ]
机构
[1] Commonwealth Fund, Int Program Hlth Policy & Practice, New York, NY USA
[2] Harris Interact, New York, NY USA
关键词
PRESCRIPTION DRUGS; SYSTEMS;
D O I
10.1377/hlthaff.28.1.w1
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This 2008 survey of chronically ill adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States finds major differences among countries in access, safety, and care efficiency. U. S. patients were at particularly high risk of forgoing care because of costs and of experiencing inefficient, poorly organized care, or errors. The Dutch, who have a strong primary care infrastructure, report notably positive access and coordination experiences. Still, deficits in care management during hospital discharge or when seeing multiple doctors occurred in all countries. Findings highlight the need for system innovations to improve outcomes for patients with complex chronic conditions. [Health Affairs 28, no. 1 (2009): w1-w16 (published online 13 November 2008; 10.1377/hlthaff.28.1.w1)]
引用
收藏
页码:W1 / W16
页数:16
相关论文
共 26 条
[1]  
Boyle S., 2008, Eurohealth, V14, P1
[2]   Quality of primary care in England with the introduction of pay for performance [J].
Campbell, Stephen ;
Reeves, David ;
Kontopantelis, Evangelos ;
Middleton, Elizabeth ;
Sibbald, Bonnie ;
Roland, Martin .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (02) :181-190
[3]   National health spending in 2006: A year of change for prescription drugs [J].
Catlin, Aaron ;
Cowan, Cathy ;
Hartman, Micah ;
Heffler, Stephen .
HEALTH AFFAIRS, 2008, 27 (01) :14-29
[4]  
CYLUS J, 2006, MULTINATIONAL COMP H
[5]   Can France keep its patients happy? [J].
Degos, Laurent ;
Romaneix, Francois ;
Michel, Philippe ;
Bacou, Jean .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 336 (7638) :254-257
[6]  
DURANDZALESKI I, 2008, EUROHEALTH, V14, P5
[7]   The incidence and severity of adverse events affecting patients after discharge from the hospital [J].
Forster, AJ ;
Murff, HJ ;
Peterson, JF ;
Gandhi, TK ;
Bates, DW .
ANNALS OF INTERNAL MEDICINE, 2003, 138 (03) :161-167
[8]   After-hours care in the United Kingdom, Denmark, and the Netherlands: New models [J].
Grol, Richard ;
Giesen, Paul ;
van Uden, Caro .
HEALTH AFFAIRS, 2006, 25 (06) :1733-1737
[9]   Eroding Access Among Nonelderly US Adults With Chronic Conditions: Ten Years Of Change [J].
Hoffman, Catherine ;
Schwartz, Karyn .
HEALTH AFFAIRS, 2008, 27 (05) :W340-W348
[10]   Rethinking prevention in primary care: Applying the Chronic Care Model to address health risk behaviors [J].
Hung, Dorothy Y. ;
Rundall, Thomas G. ;
Tallia, Alfred F. ;
Cohen, Deborah J. ;
Halpin, Helen Ann ;
Crabtree, Benjamin F. .
MILBANK QUARTERLY, 2007, 85 (01) :69-91