Health Affairs

Health Affairs, 25, no. 6 (2006): w457-w475 (Published online 20 September 2006) doi: 10.1377/hlthaff.25.w457 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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U.S. Health System Performance: A National Scorecard

Cathy Schoen, Karen Davis, Sabrina K.H. How and Stephen C. Schoenbaum

This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.

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