The Patient-Reported Indicator Surveys (PaRIS) flagship report “Does healthcare deliver?” presents the results from the first international survey of primary care users aged 45 years and older, focusing on people living with chronic conditions. By capturing patients’ self-reported health outcomes and care experiences, PaRIS offers an invaluable perspective for assessing healthcare systems across the OECD countries and beyond.
Chapter 4 of the PaRIS flagship report focuses on how care that tailored to the patient improves health outcomes and patient experiences by focusing on strong patient engagement and effective care co‑ordination. This approach is particularly beneficial for managing chronic conditions, as it empowers patients to actively participate in decisions about their health and enhances patient confidence to manage their own health. However, significant challenges remain, such as insufficient care planning, limited use of digital tools, information that is difficult to understand, and poor continuity of health information across providers. The PaRIS data reveal that patients who are involved in decision-making are more confident in managing their health, but advanced self-management support is still underutilised. Additionally, older and less educated populations face greater difficulties in understanding health information and navigating digital health tools, which further hinders their care experience. To overcome these obstacles, healthcare systems must implement targeted actions to enhance care co‑ordination, improve health literacy, and use digital tools effectively, ensuring that people‑centred care is delivered seamlessly across all levels of the healthcare system.
