医疗保健提供？：患者报告指标调查（PaRIS）的结果

Results from thePatient‑Reported Indicator Surveys (PaRIS) Does Healthcare Deliver? RESULTS FROM THE PATIENT‑REPORTEDINDICATOR SURVEYS (PaRIS) This work is published under the responsibility of the Secretary-General of the OECD. The opinions expressed andarguments employed herein do not necessarily reflect the official views of the Member countries of the OECD. This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty overany territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. ISBN 978-92-64-53651-7 (print)ISBN 978-92-64-74109-6 (PDF)ISBN 978-92-64-51508-6 (HTML) Photo credits:Cover © Morsa Images/Getty Images. Corrigenda to OECD publications may be found at: https://www.oecd.org/en/publications/support/corrigenda.html.© OECD 2025 Attribution 4.0 International (CC BY 4.0)This work is made available under the Creative Commons Attribution 4.0 International licence. By using this work, you accept to be bound by the terms of this licence(https://creativecommons.org/licenses/by/4.0/).Attribution– you must cite the work.Translations– you must cite the original work, identify changes to the original and add the following text:In the event of any discrepancy between the original work and thetranslation, only the text of original work should be considered valid.Adaptations– you must cite the original work and add the following text:This is an adaptation of an original work by the OECD. The opinions expressed and arguments employed inthis adaptation should not be reported as representing the official views of the OECD or of its Member countries.Third-party material– the licence does not apply to third-party material in the work. If using such material, you are responsible for obtaining permission from the third party and forany claims of infringement.You must not use the OECD logo, visual identity or cover image without express permission or suggest the OECD endorses your use of the work.Any dispute arising under this licence shall be settled by arbitration in accordance with the Permanent Court of Arbitration (PCA) Arbitration Rules 2012. The seat of arbitration shallbe Paris (France). The number of arbitrators shall be one. Foreword The Patient-Reported Indicator Surveys (PaRIS) is an initiativeof the OECDwhere countries work togetheron developing, standardising and implementing a new generation of indicators that measure the outcomesand experiences of healthcare that mattermost to people.This report presents the results of the firstinternational survey of primary care patients aged 45years and older, with an emphasis on the largest andfastest-growing group of healthcare users: people with chronic conditions.By capturingpatients’ self-reported health outcomes and experiences, this survey offers an invaluable perspective for assessinghealthcare systems across the OECD and beyond. Drawing on data from over 107000patients across more than 1800 primary care practices in19countries,PaRISprovides a rich foundation for understanding how healthcare systems can better address the needsand priorities of patients. The final report is the result of a shared effort of country officials, patient representatives, primary careprofessional representatives, experts, and the OECD Directorate for Employment, Labour and SocialAffairs. The international PaRIS-SUR consortium provided technical support. The development of this report was guided by StefanoScarpetta, MarkPearson and FrancescaColombo.The report was prepared by the PaRIS team of the OECD Health Division, with contributions from severalmembers: KatherinedeBienassis led Chapter6 ontrust.DianaCastelblanco contributed to writing andanalysis for Chapter2 on country comparisons, and contributed to data management and statisticalanalysis for all chapters.ÁngelGonzález contributed to writing and statistical analysis forChapters3,4,5and6 as well as data visualisation.ChrisJames led Chapter2.CandanKendir ledChapter3 about livingwith multiple chronic conditions and supported overall project management.NicolásLarrain led the overalldata management and statistical analyses tasks in close collaboration with the PaRIS consortium, carriedout quality checks on analyses conducted by other authors, and led the writing of Chapter7 about themethods. MichaelvandenBerg was responsible for overall project management, led Chapter5 oninequalities and co-led Chapter1 together with Frederico Guanais. FredericoGuanais was responsible foroverallsupervision,led Chapter4 about people-centredness and co-led Chapter1 together withMichaelvandenBerg. All authors reviewed and provided feedback on each other’s chapters, ensuringconsistency and coherence throughout the report.Paul Gallagher supported the writing of Chapter1 andthe executive summary. Administrativesupport was provided by SabinaKovačić,IsabelleVallard,GuillaumeHaquin andGeorgioCerniglia. Communication support was