U.S. health system performance: A national scorecard

Cathy Schoen, Karen Davis, Sabrina K.H. How, Stephen C. Schoenbaum

Research output: Contribution to journalArticlepeer-review

101 Scopus citations


This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, and efficiency. The overall picture that emerges from the scorecard is one of missed opportunities and room for improvement. The findings underscore the importance of policies that take a coherent, whole-system approach to change and address the interaction of access, quality, and cost.

Original languageEnglish (US)
Pages (from-to)w457-w475
JournalHealth Affairs
Issue number6
StatePublished - Nov 2006
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy


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