How High-Need Patients Experience Health Care in the United States

Brief
Key Questions Answered
  • What are the common social, behavioral, and medical needs of people with complex needs?
  • How do people with complex needs experience the health care system?
  • How might greater support of people with complex needs affect their utilization of health care?
Key Themes and Takeaways

The Commonwealth Fund surveyed patients with complex needs from June to September of 2016, and an analysis of the results reveals that the health care system is failing to meet these patients’ needs.

  • People with complex needs have more behavioral health and social challenges than other adults do.
  • Interventions that could improve these patients’ health include better access to care, good patient-provider communication, and services to meet nonmedical needs.
  • Better-designed health care services could lead to fewer delays in care and less inappropriate use of the emergency department.
Authors
Jamie Ryan
Melinda K. Abrams
Michelle M. Doty
Tanya Shah
Eric C. Schneider
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Promising Evidence
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