title: The cost of health system change: public discontent in five nations.
abstract: Many nations have undergone changes in health care financing and services. The public notices policy changes in health care and frequently bears new and unexpected costs or barriers to care unwillingly. This paper presents data from surveys of about 1,000 adults conducted during April-June 1998 in each of five countries--Australia, Canada, New Zealand, the United Kingdom, and the United States--to measure public satisfaction with health care. In no nation is a majority content with the health care system. Different systems pose different problems: In systems with universal coverage, dissatisfaction is with the level of funding and administration, including queues. In the United States, the public is primarily concerned with financial access.
authors.affiliation: Harvard Opinion Research Program, Harvard School of Public Health, Boston, USA.
authors.forename: K
authors.initials: K
authors.lastname: Donelan
authors.forename: R J
authors.initials: RJ
authors.lastname: Blendon
authors.forename: C
authors.initials: C
authors.lastname: Schoen
authors.forename: K
authors.initials: K
authors.lastname: Davis
authors.forename: K
authors.initials: K
authors.lastname: Binns
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001315:Australia; D002170:Canada; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D017048:Health Care Costs; D018166:Health Care Reform; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D009520:New Zealand; D011639:Public Opinion; D011787:Quality of Health Care; D006113:United Kingdom; D014481:United States