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Income-Related Inequality In Affordability And Access To Primary Care In Eleven High-Income Countries.

Michelle M Doty1, Roosa S Tikkanen2, Molly FitzGerald3

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US adults, especially lower-income individuals, face significant challenges with healthcare affordability and primary care access compared to other high-income nations. These income-related disparities highlight a critical need for systemic solutions to ensure equitable healthcare access.

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Area of Science:

  • Health Policy
  • Comparative Health Systems Research
  • Health Equity

Background:

  • High-performing healthcare systems aim for universal access, affordability, quality, and equity.
  • Income-related disparities in healthcare access and outcomes persist globally.
  • Understanding these disparities is crucial for policy development.

Purpose of the Study:

  • To compare health status, affordability, and primary care access among US adults versus those in ten other high-income countries.
  • To analyze income-related disparities in healthcare experiences.
  • To identify specific challenges faced by lower-income adults in the US healthcare system.

Main Methods:

  • Utilized data from the 2020 Commonwealth Fund International Health Policy Survey.
  • Compared health status, socioeconomic factors, affordability, and primary care access.
  • Analyzed income-related disparities between lower- and higher-income adults across countries.

Main Results:

  • US adults with lower incomes reported worse affordability and primary care access compared to peers in other high-income countries.
  • Income-related disparities in healthcare were more pronounced in the US across multiple domains.
  • Significant differences were observed in health status and socioeconomic risk factors.

Conclusions:

  • The US healthcare system exhibits greater income-related inequalities in affordability and primary care access.
  • Addressing these disparities is essential for achieving equitable healthcare outcomes.
  • Policy interventions are needed to mitigate income-based barriers to care in the US.