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New international health survey of sicker adults: Those with a medical home fare better
Date:11/8/2011

ctor, not filling a prescription or skipping medication doses, or not getting recommended carea significantly higher proportion than in all the other countries, and more than double the rates in Canada, France, the Netherlands, Norway, Sweden, Switzerland, and the U.K. Moreover, U.S. patients had among the highest rates of self-reported medication, lab, or medical errors, as well as gaps in coordination of care.

Medical Homes Improve Care Experiences, Care Coordination, and Care Management

Across the wide diversity of health care systems included in the study, patients who were connected to a medical home in general had more positive care experiences, including better support for managing chronic conditions, better communication, and better care coordination. Patients with medical homes were also less likely to report medical mistakes and far more likely to rate their care highly.

"We found that to varying degrees in all countries, chronically ill or sicker patients encounter failures of providers to communicate with each other or coordinate care," said Commonwealth Fund senior vice president Cathy Schoen, lead author of the study. "Yet in each country, patients with primary care practices that help them navigate the care system and provide easy access are far less likely to encounter duplication, delays, and failures to share important information." Schoen says the study highlights the critical importance of patient-centered primary care as a foundation for a high-performing health system.

U.S. Sicker Adults: High Levels of Access Problems and Medical Bill Concerns

Sicker adults in the U.S. stood out as the most likely to have problems getting needed care because of the cost, or to have medical bill or debt problems. More than two of five (42%) sicker adults in the U.S. went without care because of costs. More than one of four (27%) said they could not pay, or had serious problems paying, medical bills, com
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Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
Source:Eurekalert

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