Interest is resurging in the problems relating to the quality of patient ca
re. This paper provides a comparative perspective on this issue from a five
-country physician survey conducted in Australia, Canada, New Zealand, the
United Kingdom, and the United States in 2000. Physicians in all five count
ries reported a recent decline in quality of care and concerns with how hos
pitals address medical errors. Physicians in four countries expressed serio
us concerns about shortages of medical specialists and inadequate facilitie
s. U,S. physicians reported problems caused by patients' inability to pay f
or prescription drugs and medical care. Asked about efforts to improve qual
ity of care in the future, physicians indicated support for electronic medi
cal records, electronic prescribing, and initiatives to reduce medical erro
rs.