Schoen Cathy, Osborn Robin, Doty Michelle M, Bishop Meghan, Peugh Jordon, Murukutla Nandita
Commonwealth Fund in New York City, USA.
Health Aff (Millwood). 2007 Nov-Dec;26(6):w717-34. doi: 10.1377/hlthaff.26.6.w717.
This 2007 survey compares adults' health care experiences in Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. In all countries, the study finds that having a "medical home" that is accessible and helps coordinate care is associated with significantly more positive experiences. There were wide country differences in access, after-hours care, and coordination but also areas of shared concern. Patient-reported errors were high for those seeing multiple doctors or having multiple chronic illnesses. The United States stands out for cost-related access barriers and less-efficient care.
这项2007年的调查比较了澳大利亚、加拿大、德国、荷兰、新西兰、英国和美国成年人的医疗保健经历。研究发现,在所有国家,拥有一个可及且有助于协调护理的“医疗之家”与显著更积极的经历相关。在可及性、非工作时间护理和协调方面,各国存在很大差异,但也有共同关注的领域。看多个医生或患有多种慢性病的患者报告的错误率很高。美国在与成本相关的可及性障碍和低效护理方面表现突出。