U.S. Should Focus on Primary Care
- The vast majority (69 percent) of U.S. respondents report that their practices have no provisions for after-hours care, leaving their patients no choice but the emergency room. The U.S. was behind every other country surveyed on this finding.
- Fifty-eight percent of U.S. primary care physicians say their patients often have trouble paying for their medications and care, compared to 5- 37 percent in the other ten countries.
- While 99 percent of doctors in the Netherlands and 97 percent of doctors in New Zealand and Norway use electronic medical records (EMRs), only 46 percent of U.S. doctors report EMR use.
- One-third of U.S. physicians report receiving any financial incentives for the quality improvement measures tracked in the survey. By contrast, 89 percent of doctors in the U.K. and sizable majorities of their counterparts in the Netherlands, New Zealand, Italy, and Australia report financial incentives tied to quality.
Primary care forms the foundation of a quality health delivery system, coordinating care and holding down prices.
The authors conclude, "Overall, the survey highlights the lack of national policies focused on U.S. primary care. Unless primary care practices are part of more integrated care systems, they are on their own facing multiple payers with uncoordinated policies. In contrast, other countries with multiple payers seek coherent payment and coverage policies. As the United States looks to develop new primary care models that could work well for patients and physicians, policymakers can learn a great deal from diverse initiatives under way in other countries."