title: A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences.
abstract: This 2009 survey of primary care doctors in Australia, Canada, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, the United Kingdom, and the United States finds wide differences in practice systems, incentives, perceptions of access to care, use of health information technology (IT), and programs to improve quality. Response rates exceeded 40 percent except in four countries: Canada, France, the United Kingdom, and the United States. U.S. and Canadian physicians lag in the adoption of IT. U.S. doctors were the most likely to report that there are insurance restrictions on obtaining medication and treatment for their patients and that their patients often have difficulty with costs. We believe that opportunities exist for cross-national learning in disease management, use of teams, and performance feedback to improve primary care globally.
authors.affiliation: Research and Evaluation, at 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: Michelle M
authors.initials: MM
authors.lastname: Doty
authors.forename: David
authors.initials: D
authors.lastname: Squires
authors.forename: Jordon
authors.initials: J
authors.lastname: Peugh
authors.forename: Sandra
authors.initials: S
authors.lastname: Applebaum
mesh_terms: D057286:Electronic Health Records / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D038622:Internationality; D008491:Medical Informatics Applications; D058007:Physicians, Primary Care / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000706:statistics & numerical data*; D012052:Reimbursement, Incentive; D011795:Surveys and Questionnaires