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.
authors.affiliation: Commonwealth Fund in New York City, USA. cs@cmwf.org
authors.forename: Cathy
authors.initials: C
authors.lastname: Schoen
authors.forename: Karen
authors.initials: K
authors.lastname: Davis
authors.forename: Sabrina K H
authors.initials: SK
authors.lastname: How
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Schoenbaum
mesh_terms: D019985:Benchmarking; D003266:Continuity of Patient Care; D017598:Efficiency, Organizational; D006291:Health Policy; D006297:Health Services Accessibility; D006302:Health Services Research; D006801:Humans; D038622:Internationality; D017063:Outcome Assessment, Health Care; D019984:Quality Indicators, Health Care; D012051:Reimbursement Mechanisms; D012935:Social Justice; D012941:Social Responsibility; D014481:United States