Quote:
To explore accessibility to patients, the survey asked about timeliness, twenty-four-hour availability, and financial access. Reports revealed striking between-country differences. The majority of adults in New Zealand and Australia said that they received appointments the same day the last time they were sick and needed medical attention. In contrast, only one-third or less of Canadian or U.S. adults reported such rapid access. Canadian and U.S. adults also reported long waits, with 20–25 percent waiting at least six days to get an appointment when sick, a waiting time rare in Australia or New Zealand.
Difficulty in getting care nights, weekends, or holidays was of significant concern in all five countries. Although problems were most widespread in the United States, majorities of adults in Australia and Canada also said that after-hours access was difficult. Even in New Zealand, where the rate of difficulty was lowest, one-third of adults viewed after-hours access as difficult.
Emergency room care. The emergency room (ER) serves as a sensitive indicator for how well care systems are responding to patients’ needs. ER use rates during the past two years were significantly higher in Canada and the United States than the other three countries (Exhibit 3). Canadian and U.S. adults were also more likely to have gone to the ER for care that their regular source could have provided if available. In these two countries, such ER visits accounted for about half of recent ER use. The survey also found use of the ER substituting for regular physician care in the other three countries, but to a lesser extent. Notably, adults in Canada and the United States were less likely than adults in the other countries to report rapid access to doctors when sick and more likely to say that after-hours access was difficult. In combination, these indicators signal widespread patient concerns about timely primary care access in both countries.
ER waits appear to be a particular concern in Canada, but waits were also often long in the United Kingdom and United States. Lack of effective ER response to pain emerged as a shared concern across countries.
Asked to consider times when they needed care or treatment, the majority of patients in all countries except the United States think that their doctors always make goals and plans clear, with Australia and New Zealand being the most positive; one in five U.K. and U.S. adults responded negatively to this item.
So apparently Australia and NZ are aces.