期刊
HEALTH AFFAIRS
卷 40, 期 1, 页码 113-120出版社
PROJECT HOPE
DOI: 10.1377/hlthaff.2020.01566
关键词
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资金
- Commonwealth Fund
- Bureau of Health Information in New South Wales (Australia)
- Health Quality Ontario (Canada)
- Canadian Institute for Health Information (Canada)
- Ministere de la Sante et des Services sociaux (Canada)
- Haute Autorite de sante (France)
- Caisse Nationale d'Assurance Maladie des travailleurs salaries (France)
- Institute for Quality Assurance and Transparency in Health Care (IQTIG) (Germany)
- Dutch Ministry of Health and Scientific Institute for Quality of Healthcare at Radboud University Medical Center (IQ Healthcare) (the Netherlands)
- Swedish Ministry of Health and Social Affairs (Sweden)
- Swedish Agency for Health and Care Services Analysis (Vardanalys) (Sweden)
- Swiss Federal Office of Public Health (Switzerland)
- The Health Foundation (the UK)
The study found that among lower-income adults, those in the US have worse affordability and access to primary care compared to other countries, with greater income-related disparities observed across various domains. These disparities should encourage efforts to address income-related inequality in affordability and primary care access.
A high-performing health care system strives to achieve universal access, affordability, high-quality care, and equity, aiming to reduce inequality in outcomes and access. Using data from the 2020 Commonwealth Fund International Health Policy Survey, we report on health status, socioeconomic risk factors, affordability, and access to primary care among US adults compared with ten other high-income countries. We highlight health experiences among lower-income adults and compare income-related disparities between lower- and higher-ncome adults across countries. Results indicate that among adults with lower incomes, those in the US fare relatively worse on affordability and access to primary care than those in other countries, and income-related disparities across domains are relatively greater throughout. The presence of these disparities should strengthen the resolve to find solutions to eliminate income-related inequality in affordability and primary care access.
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