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The Cost Of Health System Change: Public Discontent In Five Nations: Amid widely divergent systems and cultural norms of health care, citizens express surprisingly similar concerns about the future.
Abstract
Many nations have undergone changes in health care financing and services. The public notices policy changes in health care and frequently bears new and unexpected costs or barriers to care unwillingly. This paper presents data from surveys of about 1,000 adults conducted during April-June 1998 in each of five countries--Australia, Canada, New Zealand, the United Kingdom, and the United States--to measure public satisfaction with health care. In no nation is a majority content with the health care system. Different systems pose different problems: In systems with universal coverage, dissatisfaction is with the level of funding and administration, including queues. In the United States, the public is primarily concerned with financial access.
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Citations
Cited by
Nurses’ Reports On Hospital Care In Five Countries
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., Giovannetti, P., Hunt, J., Rafferty, A. M., & Shamian, J. (2001) · Health Affairs · doi:10.1377/hlthaff.20.3.43 · Cited by 1,623
How does satisfaction with the health-care system relate to patient experience?
Bleich, S. (2009) · Bulletin of the World Health Organization · doi:10.2471/blt.07.050401 · Cited by 647
Hospital staffing, organization, and quality of care: Cross-national findings
Aiken, L. H., Clarke, S. P., & Sloane, D. M. (2002) · Nursing Outlook · doi:10.1067/mno.2002.126696 · Cited by 447
Patient-Physician Communication About Out-of-Pocket Costs
Alexander, G. C. (2003) · JAMA · doi:10.1001/jama.290.7.953 · Cited by 414
Assessing health system performance in developing countries: A review of the literature
Kruk, M. E., & Freedman, L. P. (2008) · Health Policy · doi:10.1016/j.healthpol.2007.09.003 · Cited by 332
Metadata
- Authors
- Donelan, K., Blendon, R. J., Schoen, C., Davis, K., & Binns, K.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 1999-05
- Volume
- 18
- Issue
- 3
- Pages
- 206-216
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2080085605
- Cited by
- 250
- References
- 0
- FWCI
- 73.14
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The Cost Of Health System Change: Public Discontent In Five Nations: Amid widely divergent systems and cultural norms of health care, citizens express surprisingly similar concerns about the future. https://app.cochat.ai/papers/10.1377/hlthaff.18.3.206
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- Donelan, K., Blendon, R. J., Schoen, C., Davis, K., & Binns, K. (1999). The Cost Of Health System Change: Public Discontent In Five Nations: Amid widely divergent systems and cultural norms of health care, citizens express surprisingly similar concerns about the future. Health Affairs. https://doi.org/10.1377/hlthaff.18.3.206
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
