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Public Views on US Health Care System: Support, Problems, and Concerns

This figure-based report presents the public's perspectives on the US health care system, including strong support for well-coordinated care, concerns about access, cost, and administrative aspects of care, and worries about affordability and quality. It also highlights views on the need for information technology, practitioner teams, and group practices to improve care quality. The report includes insights based on income, insurance, region, and political affiliation.

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Public Views on US Health Care System: Support, Problems, and Concerns

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  1. Figure 1. Strong Public Support for Well-Coordinated Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  2. Figure 2. Positive Public Views on the Need for Quality andCost Information and Payments that Reward Performance Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  3. Figure 3. Majority of the Public Views Information Technology, Practitioner Teams, and Group Practices as Effective Actionsto Improve Care Quality Percent 92 90 88 81 Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  4. Figure 4. Two of Five Adults Had Serious Problemswith Access, Cost, or Administrative Aspects of Care Paying for your or your family’smedical bills 38 Paying for your or your family’s health insurance 38 Getting an appointment with a doctor quickly without going to the emergency room 39 Getting information on caring foran aging parent or seriously ill family member 36 Having to spend time on paperwork or disputes related to medical bills and insurance 39 Percent with problem in past two years Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  5. Figure 5. Insurance Complexity: Two of Five Adults Report Having to Spend Time on Paperwork or Disputes Related to Medical Bills and Health Insurance in the Past Two Years Percent 46 39 39 38 33 Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  6. Figure 6. Half of Middle- and Lower-Income AdultsExperienced Serious Problems Paying for Medical Billsor Insurance in Past Two Years Percent Percent 50 50 48 48 38 38 33 35 23 21 Medical bills Health insurance Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  7. Figure 7. Inefficient, Poorly Coordinated, Unsafe CareHigh rates of duplicate tests, medical errors, failures to share information, or times doctors recommended unnecessary care Percent of adults reporting a time they experienced each event in the past two years Ordered a test that had already been done Medical, surgical, medication, or lab test error Failed to provide important medical history or test results to other doctors or nurses Recommended unnecessary care or treatment Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  8. Figure 8. Worries About Affordability and Access toHigh-Quality Care Spreading to Middle-Income Families Percent worried they will not be able to pay medical bills in event of serious illness Percent worried they will not get high-quality care when needed 66 53 52 50 50 48 47 47 38 34 Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  9. Figure 9. Americans’ Overall Views of the U.S. Health Care System, by Income, Insurance, Region, and Political Affiliation Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  10. Figure 10. Adults with Negative Care ExperiencesAre More Likely to Call for a Complete Rebuild of System * Problems include getting an appointment quickly, spending time on paperwork and disputesrelated to medical bills and insurance, paying health insurance, paying for medical bills,or finding care for aging or sick family member. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  11. Figure 11. Rating of Importance of Issues for Presidentialor Congressional Action, by Political Affiliation Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  12. Figure 12. What Are the Most Important Health Care Issuesfor Presidential and Congressional Action? (by income level) Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

  13. Figure 13. What Are the Most Important Health Care Issues forPresidential and Congressional Action? (by political affiliation) Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.

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