More than 7 of 10 adults think the US health care system needs to be fundamentally changed or completely rebuilt, according to a Commonwealth Fund survey released today that reveals strong support for more patient-centered care systems and innovative use of teams and information systems.
The new survey found that a large majority of US adults (71%) have concerns about gaining access to needed health care, including the inability to get timely appointments or advice from their physician on the phone or to obtain after-hours care without going to the emergency department. Nearly half (47%) experienced poorly coordinated care, and more than half reported wasteful (54%) care.
"A Call for Change: The Commonwealth Fund 2011 Survey of Public Views of The US Health System" also reports that at least 85% of adults support policies that would make care better coordinated and would provide more transparent information about health care costs and quality. Respondents voiced strong support for medical homes and a team approach to care, with 93% saying it was important or very important to have one place or physician responsible for primary care and coordinating care, and 86% of people supporting physicians and nurses working in teams or groups with an expanded role for nurses.
A large majority (88%) thought it was important or very important for physicians to use electronic medical records, and 92% thought it was important or very important for physicians to be able to share information electronically with other physicians.