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Understanding What Makes Americans Dissatisfied With Their Health Care System: An International Comparison.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2016 Mar; Vol. 35 (3), pp. 502-9. - Publication Year :
- 2016
-
Abstract
- For decades, public satisfaction with the health care system has been lower in the United States than in other high-income countries. To better understand the distinctive nature of US health system satisfaction, we compared the determinants of satisfaction with the health system in the United States to those in seventeen other high-income countries by applying regression decomposition methods to survey data collected in the period 2011-13. We found that concerns related to "accessing most-preferred care" (the extent to which people feel that they can access their top preferences at a time of need) were more important to satisfaction in the United States than in other high-income countries, while the reverse was true for satisfaction with recent interactions with the health system. Differences among US socioeconomic groups in survey responses regarding access to most-preferred care suggest that wide variation in insurance coverage and generosity may play a role in these differences. While reductions in the uninsured population and the movement toward minimum health plan standards could help address some concerns about access to preferred care, our results raise the possibility of public backlash as market forces push plans toward more restricted access and higher cost sharing.<br /> (Project HOPEāThe People-to-People Health Foundation, Inc.)
- Subjects :
- Comprehension
Cross-Sectional Studies
Delivery of Health Care economics
Delivery of Health Care methods
Female
Global Health
Health Care Surveys
Healthcare Disparities statistics & numerical data
Humans
Internationality
Male
Medically Uninsured statistics & numerical data
Socioeconomic Factors
United States
Health Services Accessibility economics
Healthcare Disparities economics
Insurance Coverage economics
Patient Satisfaction statistics & numerical data
Surveys and Questionnaires
Subjects
Details
- Language :
- English
- ISSN :
- 1544-5208
- Volume :
- 35
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 26953306
- Full Text :
- https://doi.org/10.1377/hlthaff.2015.0978