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Population Experiences of Primary Care in 11 Organization for Economic Cooperation and Development Countries (International Journal for Quality in Health)

Publication Topics

Access to Health Care; Screening for Early Disease Detection; Costs of Care for the Uninsured; Low-Income; Health Promotion/Disease Prevention Issues; Health Behaviors

Publication Type

Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1194&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1194&RootFolder=*">James Macinko, Ph.D.</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1263&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1263&RootFolder=*">Frederico C. Guanais</a>

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Authors developed a measure of individual user assessment of primary care and tested its association with health system performance and quality indicators. Survey data collected in 2013 from 20,045 respondents in OECD countries: Australia, Canada, France, Germany Netherlands, New Zealand, Norway, Sweden, Switzerland, The United Kingdom and the USA.

Reports of out-of-pocket expenses over $1,000, lack of receipt of appropriate/timely care (use of ER, consulting three or more doctors in past year) and of clinical prevention (blood pressure check in past year, cholesterol checked in the past 5 years, receipt of influenza vaccination in past year and report of any medical error) were measured and scored. Users experiencing poorer primary care were significantly more likely to report significant out-of-pocket expenses, emergency room use in the past 2 years, having consulted more than three doctors in the past year, lower likelihood of blood pressure or cholesterol screening or an annual flu shot and higher reports of medical error.


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Journal Article: Population Experiences of Primary Care in 11 Organization for Economic Cooperation and Development Countries

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Press Release

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Version: 3.0
Created at 10/15/2015 7:31 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 10/15/2015 7:36 AM by i:0#.f|uclachissqlmembershipprovider|celeste