2016 Commonwealth Fund Survey of High-Need Patients

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Country: The United States

Survey Organization: Social Science Research Solutions

Sample: 3,009 adults age 18 and older living in the United States. Of these, 1,805 were completed with respondents who qualified as high-need based on screening questions assessing major chronic conditions and functional limitations.

Data Collection Methods: Telephone

Date: June 22–September 14, 2016


This nationwide survey of patients with complex medical needs shows that the health care system is failing them, with these individuals having far more unmet behavioral health and social service challenges than other adults. While nearly all of the high-need patients surveyed have consistent access to health care (95%), they nevertheless struggle to get the coordinated medical, behavioral, and social services they need to stay well and avoid costly hospital visits. Specifically, they had limited access to: care coordinators, assistance in managing functional limitations, emotional counseling, and transportation services.



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