Equitable access to care--how the United States ranks internationally.

@article{Davis2014EquitableAT,
  title={Equitable access to care--how the United States ranks internationally.},
  author={Karen D. Davis and Jeromie Ballreich},
  journal={The New England journal of medicine},
  year={2014},
  volume={371 17},
  pages={
          1567-70
        }
}
  • K. Davis, J. Ballreich
  • Published 22 October 2014
  • Political Science, Medicine
  • The New England journal of medicine
In a survey of adults in 11 high-income countries, the United States ranks last on measures of financial access to care as well as of availability of care on nights and weekends. Uninsured Americans are particularly likely to report encountering barriers to care. 

Tables from this paper

Educational Inequalities in Hospital Use Among Older Adults in England, 2004‐2015

TLDR
Variation in the use of hospital care among education‐level‐defined groups of older adults in England, before and after controlling for differences in health status is studied.

Equity, Quality, and Gatekeeping

TLDR
This chapter illustrates the philosophy of equity in primary care with reference to the quality of care and gatekeeping practices and elaborates on how the principles are translated to practice in the provision of quality primary health care in the community setting.

Effect of Massachusetts healthcare reform on racial and ethnic disparities in admissions to hospital for ambulatory care sensitive conditions: retrospective analysis of hospital episode statistics

TLDR
Massachusetts reform was not associated with significantly lower overall or racial and ethnic disparities in rates of admission to hospital for ACSCs, and additional efforts might be needed to improve access to outpatient care and reduce preventable admissions.

Drivers of preventable high health care utilization: a qualitative study of patient, physician and health system leader perspectives

TLDR
To be potentially more effective, interventions to reduce preventable high health care utilization should incorporate the perspectives of patients, health system leaders and physicians.

Socio-Economic Disparities in US Healthcare Spending: The Role of Public vs Private Insurance

TLDR
In the US healthcare system, patients of different socio-economic status (SES) often receive disparate treatment for similar conditions, and socioeconomic disparities in spending for all medical conditions at the 3-digit ICD-9 level are examined.

Using the Quadruple Aim Framework to Measure Impact of Heath Technology Implementation: A Case Study of eConsult

  • C. LiddyE. Keely
  • Medicine, Political Science
    The Journal of the American Board of Family Medicine
  • 2018
TLDR
Although the Champlain Building Access to Specialists through eConsult service has been widely adopted in the region and is currently expanding to new jurisdictions across Canada, it met several challenges in evaluating its impact on population health.

Health Care Public Sector Share and the U.S. Life Expectancy Lag: A Country-level Longitudinal Study

  • Megan M. Reynolds
  • Political Science
    International journal of health services : planning, administration, evaluation
  • 2018
TLDR
Results indicate that public sector share has a beneficial effect on longevity net of the effect of health care effort and that this effect is nonlinear, decreasing in magnitude as levels rise.

Experiences applying for and understanding health insurance under Massachusetts health care reform

TLDR
Although most patients with Medicaid or publicly subsidized exchange-based plans were able to obtain assistance with applying for and choosing an insurance plan, substantial proportions of respondents experienced difficulties with the application process and with understanding coverage and cost features of plans.

Care of patients with chronic disease: achievements in Australia over the past decade

TLDR
There has been some success with tobacco use declining to 13% of the population, although it still accounts for the largest contribution to the burden of disease, Nevertheless, other risk factors have not improved.

References

SHOWING 1-8 OF 8 REFERENCES

Accelerating the adoption of high-value primary care--a new provider type under Medicare?

  • R. BaronK. Davis
  • Medicine, Political Science
    The New England journal of medicine
  • 2014
To accelerate delivery-system changes, Medicare could adopt a new provider category, the Advanced Primary Care Practice, with its own eligibility standards and accountability for performance on

Access, affordability, and insurance complexity are often worse in the United States compared to ten other countries.

TLDR
Signaling the lack of timely access to primary care, adults in the United States and Canada reported long waits to be seen in primary care and high use of hospital emergency departments, compared to other countries.

Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally, 2010 Update

TLDR
This report—an update to three earlier editions—includes data from seven countries and incorporates patients’ and physicians’ survey results on care experiences and ratings on dimensions of care, leading to improved disease management, care coordination, and better outcomes over time.

The Patient Protection and Affordable Care Act of 2010

  • Gordon H. SunMatthew M Davis
  • Medicine, Political Science
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2012
TLDR
The Patient Protection and Affordable Care Act does not effectively engage otolaryngologists in quality improvement, despite modifications to the Physician Quality Reporting System, and the legislation also levies a tax on cosmetic procedures, affecting both clinicians and patients.

Mirror on the wall

Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally

TLDR
In this edition of Mirror, Mirror, the United Kingdom ranks first, followed closely by Switzerland (Exhibit ES1), and the U.S. is last or near last on dimensions of access, efficiency, and equity.

Starting on the path to a high performance health system: analysis of the payment and system reform provisions in the Patient Protection and Affordable Care Act

  • New York: Commonwealth Fund,
  • 2010

Starting on the path to a high performance health system : analysis of the payment and system reform provisions in the Patient Protection and Affordable Care Act of

  • 2010