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Across the globe, health care policymakers face mounting pressure to lower costs while improving the quality and safety of care. The U.S. can learn a lot by examining other health systems, their performance in relation to ours, and their health care delivery and payment innovations. This site presents profiles of the health care systems in 18 countries. Download the full report.

Selected Health and System Statistics

Compare 18 countries on key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views.

Physician Survey Data

Views and Experiences of Primary Care Physicians in 11 Countries

The 2015 Commonwealth Fund International Survey of 11 nations found that nearly one-quarter of primary care physicians in the United States report they are not prepared to care for the sickest and frailest patients. The findings suggest the U.S. may need to do more to strengthen primary care and employ new ideas shown to be effective in other countries.

Doctors’ Views of Practice Preparedness to Manage Patients with Multiple Chronic Conditions

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with multiple chronic conditions

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients with Severe Mental Health Issues

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with severe mental health issues

Excludes those who NEVER see those patients

Practice Has Arrangement for Patients’ After-Hours Care to See Doctor or Nurse

Percent of primary care physicians reporting their practice has arrangement for patients to see doctor or nurse after hours without going to emergency department

In Norway, respondents were asked whether their practice has arrangements or if there are regional arrangements, reflecting the fact that municipalities—and not primary care physicians—have responsibility for primary care after-hours services in this country.

Primary Care Doctors’ Communication with Hospital

Percent of primary care physicians reporting they are always notified when patient is discharged from the hospital

Doctors’ Use of Electronic Medical Records

Percent of primary care physicians reporting they use an electronic medical record