Journal ArticleDOI
Primary Care and Health: A Cross-National Comparison
TLDR
Ten Western industrialized nations were compared on the basis of three characteristics: the extent of their primary health service, their levels of 12 health indicators, and the satisfaction of their populations in relation to overall costs of the systems.Abstract:
Ten Western industrialized nations were compared on the basis of three characteristics: the extent of their primary health service, their levels of 12 health indicators (eg, infant mortality, life expectancy, and age-adjusted death rates), and the satisfaction of their populations in relation to overall costs of the systems. Information was derived primarily from published sources. Indices were developed to characterize the extent of primary care in each country and the standing of each country relative to the others on the health indicators. There was general concordance for primary care, the health indicators, and the satisfaction-expense ratio in nine of the 10 countries. Ratings for the United States were low on all three measures. West Germany also had low ratings. In contrast, Canada, Sweden, and the Netherlands had generally high ratings for all three measures. The lack of concordance in the ratings in the United Kingdom may be a result of relatively low expenditures for other social services and public education in that country. The findings may add to the debate and deliberations concerning modifications in organization and financing of care that are currently being considered in the United States. (JAMA. 1991;266:2268-2271)read more
Citations
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Journal ArticleDOI
Actual causes of death in the United States.
J M McGinnis,W H Foege +1 more
TL;DR: The most prominent contributors to mortality in the United States in 1990 were tobacco, diet and activity patterns, alcohol, microbial agents, toxic agents, firearms, sexual behavior, motor vehicles, and illicit use of drugs.
Journal ArticleDOI
Contribution of Primary Care to Health Systems and Health
TL;DR: The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
Journal ArticleDOI
Policy relevant determinants of health: an international perspective
Barbara Starfield,Leiyu Shi +1 more
TL;DR: The robustness of the findings in the light of the passage of 5-10 years, the addition of two more countries, and the findings of other research on the possible importance of other determinants of country health levels are determined.
Book
Primary Care: Concept, Evaluation, and Policy
TL;DR: This chapter discusses the elements of primary care in the United States, as well as issues in primary care, including organization, financing, and access to services.
Journal ArticleDOI
A proposal for electronic medical records in U.S. primary care.
TL;DR: It is argued that providers' and patients' information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs), and that implementing specific policies can accelerate utilization of EMRs in the U.S.
References
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Book
Primary Care: Concept, Evaluation, and Policy
TL;DR: This chapter discusses the elements of primary care in the United States, as well as issues in primary care, including organization, financing, and access to services.
Journal ArticleDOI
Satisfaction With Health Systems In Ten Nations
TL;DR: This DataWatch seeks to address questions with recent findings from a number of international and domestic opinion surveys about how Americans, Canadians, and Britons view the performance of their health care systems.
Journal ArticleDOI
A manpower policy for primary health care.
TL;DR: The study finds an adequate overall supply of physicians, but a shortage of primary health-care practitioners, and recommends maintaining current enrollment levels in medical schools and training programs for nurse practitioners and physician assistants and increasing the proportion of primary-care residents.