This study develops a composite measure of primary care experience, using the Commonwealth Fund's 2010 International Health Policy Survey (IHP), applied on eleven high income OECD countries, and based on user self-report. The multidimensional measure is composed of answers regarding specific primary care domains, including: accessibility, continuous care, coordination of care, and provider communication and cultural competence. The overall measure of primary care experience is tested and validated, including an exploration of population characteristics (e.g.

This technical note presents a comparative analysis of Latin America's fragmented health systems. It provides a detailed account of health system fragmentation along six dimensions (organizations, risk pooling, eligibility, benefits, premium/contributions, payments) and the effects of historical reforms in Costa Rica, Colombia, Ecuador, Brazil, Mexico, and Chile, as well as examples of successful integration in Spain and Turkey.