As noted in Table 21.8, patient access and costs vary among a number of measures. Are these measures useful indicators of the performance of health care systems? Could you think of any others?

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Table 21.8 Selected Health System Performance Indicators for 11 Countries, 2013 or Most Recent Year a. Adults' access Able to get to care, 2013 same-day/next-day b. Avoidable deaths, 2013 appointment when sick Very/somewhat easy getting care after hours Waited 2 months or more for specialist appointment Australia Canada France Germany Netherlands New Zealand Norway Sweden Switzerland U.K. U.S. 41% 57% 76% 72% 52% 58% 52% 48% access barrier because of cost in 58% 46% 18% Waited 4 months 10% or more for elective surgery Experienced 16% past year Mortality amenable 68a to health care (deaths per 100,000 population) 38% 36% 56% 29% 18% 10% 18% 4% 3% 13% 18% 15% 78 64a 88 63% 56% 3% 1% 22% 72 54% 19% 15% 21% 89a 58% 26% 17% 22% 10% 69 35% 49% 6% 6% n/a 72 3% 4% 13% n/a 69% 39% 7% 6% n/a 7% 4% 37% 86 115b