Related Experiment Videos
U.S. health system performance: a national scorecard
Cathy Schoen1, Karen Davis, Sabrina K H How
1Commonwealth Fund in New York City, USA. cs@cmwf.org
Health Affairs (Project Hope)
|September 22, 2006
Summary
A new scorecard reveals U.S. health system performance lags behind benchmarks in key areas like outcomes and access. Findings highlight missed opportunities and the need for integrated policies addressing quality, access, and cost.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Performance Measurement
Background:
- The U.S. health system faces ongoing challenges in delivering equitable and efficient care.
- Monitoring performance across multiple domains is crucial for identifying areas needing improvement.
Purpose of the Study:
- To introduce a novel scorecard for assessing and monitoring U.S. health system performance.
- To establish benchmarks using national and international data for performance comparison.
Main Methods:
- Development of a scorecard evaluating domains including health outcomes, quality, access, equity, and efficiency.
- Calculation of simple ratio scores comparing U.S. averages against established benchmarks.
Main Results:
- Average ratio scores ranged from 51 to 71 across the evaluated domains.
- The scorecard indicates significant room for improvement in U.S. health system performance.
Conclusions:
- The U.S. health system presents numerous missed opportunities for advancement.
- Coherent, whole-system policies are essential to improve health outcomes, quality, access, and cost-efficiency.
Related Concept Videos
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...