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2016 International Survey of Adults

The 2016 Commonwealth Fund International Survey of 11 nations finds that adults in the United States are far more likely than those in other countries to go without needed care because of costs and to struggle to afford basic necessities such as housing and healthy food. U.S. adults are also more likely to report having poor health and emotional distress. Explore select findings below.

Access to Care

Cost-Related Access Barriers in the Past Year

Percent

Had a medical problem but did not visit doctor; skipped medical test, treatment or follow up recommended by doctor; and/or did not fill prescription or skipped doses

Did Not Get Same- or Next-Day Appointment Last Time You Needed Care

Percent

Base: Excludes adults who did not need to make an appointment to see a doctor or nurse

Difficulty Getting After-Hours Care

Percent who said it was 'somewhat' or 'very' difficult to obtain after-hours care

Base: Excludes adults who did not need after-hours care

Patient Experiences in the Health Care System

Regular Doctor Does Not Always Or Often Spend Enough Time With You or Explain Things So You Can Understand

Percent

Base: Regular doctor or place

Regular Doctor Has Not Discussed Things That Worry You or Cause Stress, Among Those Depression/Mental Illness

Percent

Base: Adults with a regular doctor or place of care and who have ever been diagnosed with depression, anxiety or other mental health problem. Germany and Netherlands have small sample size (n<100). France excluded due to very small sample size.

Chronic Care Management

In the past year, did not discuss with a health professional their treatment options, including side effects

Percent of adults with a chronic condition

Base: Had ever been diagnosed with joint pain or arthritis; asthma or chronic lung disease; diabetes; heart disease, including heart attack; and hypertension or high blood pressure.

Patient Experiences in the Health Care System

Experienced a Problem with Care Coordination in Past Two Years

Percent

Test results/records not being available at appointment or duplicate tests ordered; specialist lacked medical history or regular doctor not informed about specialist care; and/or received conflicting information from different doctors or health care professionals.

Key Health System Indicators Among Adults with Low Incomes

Cost-Related Access Barriers in the Past Year, Among Low-Income Adults

Percent of low-income adults

Respondents are categorized as earning less than half their country’s median if they said that their household income was less than: Australia, AUD $35,000; Canada, CAD $35,000; France, €21,000; Germany, €23,000; Netherlands, €17,000; New Zealand, NZD $33,000; Norway, NOK 340,000; Sweden, SEK 170,000; Switzerland, CHF 48,000; United Kingdom, £14,000; United States, USD $25,000.

Waited Six Days or More For Appointment Last Time Needed Care, Among Low-Income Adults

Percent of low-income adults

Respondents are categorized as earning less than half their country’s median if they said that their household income was less than: Australia, AUD $35,000; Canada, CAD $35,000; France, €21,000; Germany, €23,000; Netherlands, €17,000; New Zealand, NZD $33,000; Norway, NOK 340,000; Sweden, SEK 170,000; Switzerland, CHF 48,000; United Kingdom, £14,000; United States, USD $25,000. Base: Excludes adults who did not need to make an appointment to see doctor or nurse

Experienced a Problem with Care Coordination, Among Low-Income Adults

Percent of low-income adults

Respondents are categorized as earning less than half their country’s median if they said that their household income was less than: Australia, AUD $35,000; Canada, CAD $35,000; France, €21,000; Germany, €23,000; Netherlands, €17,000; New Zealand, NZD $33,000; Norway, NOK 340,000; Sweden, SEK 170,000; Switzerland, CHF 48,000; United Kingdom, £14,000; United States, USD $25,000.

Regular Doctor Has Not Discussed Diet and Exercise, Among Low-Income Adults

Percent of low-income adults

Respondents are categorized as earning less than half their country’s median if they said that their household income was less than: Australia, AUD $35,000; Canada, CAD $35,000; France, €21,000; Germany, €23,000; Netherlands, €17,000; New Zealand, NZD $33,000; Norway, NOK 340,000; Sweden, SEK 170,000; Switzerland, CHF 48,000; United Kingdom, £14,000; United States, USD $25,000.