The Economist (Intelligence Unit) – Creating Healthy Partnerships (2019)

THE ROLE OF PATIENT VALUE AND PATIENT-CENTRED

CARE IN HEALTH SYSTEMS

The results

Table 1 shows the scorecard’s national results by domain, indicator and sub-indicator.

Table 1: Patient Centred Care Scorecard by domain, indicators and sub-indicators (using numeric values for scoring)

Domain # Indicator Sub-indicator Score

range

Brazil China France GermanyItaly Japan SpainUK US

Strategy 1.1 Strategic plan and

patients’ bill of rights

National strategy for patient-centred

care

0-3 2 2 2 2 1 2 1 2 1

Bill/Statement of patients’ rights 1 0 1 1 1 0 1 1 1

1.2 National quality

standards for

monitoring the

implementation of

patient-centred care

n /a 0-2 0 0 1 0 0 0 1 2 1

1.3 Value-based

payment systems as

provider incentives

for implementation

of patient-centred

care

n /a 0-2 1 1 2 1 2 1 2 2 1

Provision 2.1 Education and

support for

healthcare staff

Education and training about the

principles of patient-centred care

for health professionals as part of the

curriculum in medical/nursing schools

0-2 1 1 1 1 1 0 1 1 1

Support of health professionals in

service settings

0 0 1 0 0 0 1 1 0

2.2 Continuity of care Existence of national clinical practice

guidelines recommending co-ordinated

and integrated patient care with

multidisciplinary teams (selected

conditions)

0-4 0 0 0 0 0 0 0 1 0

Accessibility of primary care, family

doctor or usual doctor services for all

0 0 1 1 1 1 1 1 1

Ease of scheduling doctors’

appointments

0 0 1 1 1 1 1 1 1

Ease of navigation of health services 0 0 0 0 0 0 0 0 0

2.3 Patient access to

healthcare

Access to healthcare 0-3 1 0 2 2 1 1 1 2 1

Access to innovations in healthcare 1 1 1 1 1 1 1 1 1

Delivery 3.1 Personalised

care according to

patients’ values and

preferences

Personalised approach to patient care 0-3 0 0 0 0 0 0 0 1 0

Holistic approach to patient care taking

account of co-morbidities

0 0 2 0 0 0 1 0 2

3.2 Patient involvement

in shared decision-

making

National policies for shared decision-

making

0-4 1 0 1 1 0 0 0 1 1

Patient aids for shared decision-making 0 0 1 1 0 0 1 1 1

Patients’ right to access their own health

record

0 0 1 1 1 1 1 1 1

Use of decision quality measures 0 0 0 1 0 0 0 1 1