title: In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008.
abstract: 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.
authors.affiliation: Commonwealth Fund in New York City, USA. cs@cmwf.org
authors.forename: Cathy
authors.initials: C
authors.lastname: Schoen
authors.forename: Robin
authors.initials: R
authors.lastname: Osborn
authors.forename: Sabrina K H
authors.initials: SK
authors.lastname: How
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Doty
authors.forename: Jordon
authors.initials: J
authors.lastname: Peugh
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000628:therapy; D019049:Developed Countries; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012720:Severity of Illness Index