In reply to Removed UserFuchs:
Different studies measure different things.
I disagree that outcomes are the one important thing. The best outcomes in the world are great if you can access them, and meaningless if you can't. World beating outcomes for all would of course be the ideal, but no system has achieved that so far. Being able to get access to good outcomes, in a system that is safe and responsive to you is not a bad deal to my mind, and given the commonwealth fund report we're discussing includes service user feedback, this seems to be a fairly widely held view.
Also- outcomes in this report isn't for every single condition the service deals with- they took a limited number of important conditions and based the report on that. But that's why you have too look at the report as a whole- a system that has excellent cancer survival rates, but poor outcomes on hospital acquired infections and high rates of avoidable deaths from venous thromboembolism isn't necessarily doing as well as its 'outcome' score would suggest at first glance- because performance in the latter will be captured in safety ratings, no outcomes. That's why the NHS's top ranking in system safety is important- as avoidable deaths due to the healthcare system itself are a big deal.
The report strikes me as likely to be correct in relation to the strengths and weaknesses of the NHS. Access and system safety are real achievements and ones that matter to people. Outcomes in the areas measured are important too, and these need to be better. But as per my previous post- we get this performance from a relatively modest investment in comparison with other similar nations. Imagine what our outcomes could be like if we spent what the French or Germans do...
Post edited at 23:28