The Commonwealth Fund conducted a survey of chronically ill patients in eight industrialized nations (Australia, Canada, France, Germany, the Netherlands, New Zealand, the United Kingdom and the United States), and it found that those in the U.S. are the most likely to forgo care because of the cost, as well as the most likely to experience medical errors, care coordination problems and high out-of-pocket costs.
• More than half (54%) of U.S. chronically ill patients did not get recommended care, fill prescriptions or see a doctor when sick because of the cost, compared with 7 percent to 36 percent in the seven other countries.
• About one-third of U.S. patients—again, the highest proportion—experienced medical, medication or lab/diagnostic test errors.
• One-third encountered poorly coordinated care, including duplication of tests or medical records that were unavailable at the time of an appointment.
• Forty-one percent of U.S. patients spent more than $1,000 in the past year on out-of-pocket medical costs, compared with 4 percent in the U.K. and 8 percent in the Netherlands.
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