Achieving a high-performance health care system with universal access: What the United States can learn from other countries

J. Fred Ralston, Molly Cooke, Charles Cutler, David A. Fleming, Brian P. Freeman, Robert A. Gluckman, Mark Liebow, Robert M. McLean, Kenneth A. Musana, Patrick M. Nichols, Mark W. Purtle, P. Preston Reynolds, Kathleen M. Weaver

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

This position paper concerns improving health care in the United States. Unlike previous highly focused policy papers by the American College of Physicians, this article takes a comprehensive approach to improving access, quality, and efficiency of care. The first part describes health care in the United States. The second compares it with health care in other countries. The concluding section proposes lessons that the United States can learn from these countries and recommendations for achieving a high-performance health care system in the United States. The articles are based on a position paper developed by the American College of Physicians' Health and Public Policy Committee. This policy paper (not included in this article) also provides a detailed analysis of health care systems in 12 other industrialized countries. Although we can learn much from other health systems, the College recognizes that our political and social culture, demographics, and form of government will shape any solution for the United States. This caution notwithstanding, we have identified several approaches that have worked well for countries like ours and could probably be adapted to the unique circumstances in the United States.

Original languageEnglish (US)
Pages (from-to)55-75
Number of pages21
JournalAnnals of Internal Medicine
Volume148
Issue number1
StatePublished - Jan 1 2008

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Delivery of Health Care
Physicians
Quality of Health Care
Public Policy
Health Policy
Developed Countries
Demography
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ralston, J. F., Cooke, M., Cutler, C., Fleming, D. A., Freeman, B. P., Gluckman, R. A., ... Weaver, K. M. (2008). Achieving a high-performance health care system with universal access: What the United States can learn from other countries. Annals of Internal Medicine, 148(1), 55-75.

Achieving a high-performance health care system with universal access : What the United States can learn from other countries. / Ralston, J. Fred; Cooke, Molly; Cutler, Charles; Fleming, David A.; Freeman, Brian P.; Gluckman, Robert A.; Liebow, Mark; McLean, Robert M.; Musana, Kenneth A.; Nichols, Patrick M.; Purtle, Mark W.; Reynolds, P. Preston; Weaver, Kathleen M.

In: Annals of Internal Medicine, Vol. 148, No. 1, 01.01.2008, p. 55-75.

Research output: Contribution to journalArticle

Ralston, JF, Cooke, M, Cutler, C, Fleming, DA, Freeman, BP, Gluckman, RA, Liebow, M, McLean, RM, Musana, KA, Nichols, PM, Purtle, MW, Reynolds, PP & Weaver, KM 2008, 'Achieving a high-performance health care system with universal access: What the United States can learn from other countries', Annals of Internal Medicine, vol. 148, no. 1, pp. 55-75.
Ralston JF, Cooke M, Cutler C, Fleming DA, Freeman BP, Gluckman RA et al. Achieving a high-performance health care system with universal access: What the United States can learn from other countries. Annals of Internal Medicine. 2008 Jan 1;148(1):55-75.
Ralston, J. Fred ; Cooke, Molly ; Cutler, Charles ; Fleming, David A. ; Freeman, Brian P. ; Gluckman, Robert A. ; Liebow, Mark ; McLean, Robert M. ; Musana, Kenneth A. ; Nichols, Patrick M. ; Purtle, Mark W. ; Reynolds, P. Preston ; Weaver, Kathleen M. / Achieving a high-performance health care system with universal access : What the United States can learn from other countries. In: Annals of Internal Medicine. 2008 ; Vol. 148, No. 1. pp. 55-75.
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