Physicians’ Views On Quality Of Care: A Five-Country Comparison

Authors:
  • CSCathy Schoen
    Cathy Schoen
  • KDKaren Donelan
    Karen Donelan
  • RORobin Osborn
    Robin Osborn
  • CDCatherine M. DesRoches
    Catherine M. DesRoches
  • KSKimberly Scoles
    Kimberly Scoles
  • KDKaren Davis
    Karen Davis
  • KBKatherine Binns
    Katherine Binns
  • KZKinga Zapert
    Kinga Zapert

Abstract
Interest is resurging in the problems relating to the quality of patient care. This paper provides a comparative perspective on this issue from a five-country physician survey conducted in Australia, Canada, New Zealand, the United Kingdom, and the United States in 2000. Physicians in all five countries reported a recent decline in quality of care and concerns with how hospitals address medical errors. Physicians in four countries expressed serious concerns about shortages of medical specialists and inadequate facilities. U.S. physicians reported problems caused by patients’ inability to pay for prescription drugs and medical care. Asked about efforts to improve quality of care in the future, physicians indicated support for electronic medical records, electronic prescribing, and initiatives to reduce medical errors.