Using a new scorecard to assess national health system performance, this article determines the U.S. scores for quality, access, equity, efficiency, and outcomes.  The authors note that the numbers point to a need for improvement and a focus on policies which treat with cost, quality, and access as interrelated. 

Schoen, C., Davis, K., How, S., & Schoenbaum, S. (2006). U.S. health system performance: A national scorecard. Health Affairs, 25(6): w457-w75.  20 Sept. 2006. DOI: 10.1377/hlthaff.25.w457. http://content.healthaffairs.org/cgi/content/abstract/25/6/w457 © 2006 by Project HOPE. 

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