International Survey of Patients with Complex Care Needs

Health Affairs recently published results from a 2011 survey of patients with serious illnesses, serious injuries or chronic diseases in eleven countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the United States. The survey focused on access, care coordination and management, patient engagement, safety and the extent to which having a primary care practice with attributes of a patient-centered medical home influenced the patient’s care experience.

The authors note that “the countries share the challenge of how to meet the needs of patients with complex conditions in often fragmented care systems. Our study points to areas of shared concern and opportunities to improve primary care, care coordination, and communication.” Following are some of the results (as percentage of respondents answering affirmatively).


Schoen C, Osborn R, Squires D, et al. New 2011 Survey Of Patients With Complex Care Needs In Eleven Countries Finds That Care Is Often Poorly Coordinated. Health Affairs (Project Hope). 2011;30(12):2437-2447.