More Older Adults in U.S. Have Multiple Chronic Conditions Exhibit 1 * Reported having hypertension or high blood pressure, heart disease, diabetes, lung.

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More Older Adults in U.S. Have Multiple Chronic Conditions Exhibit 1 * Reported having hypertension or high blood pressure, heart disease, diabetes, lung problems, mental health problems, cancer, and/or joint pain/arthritis. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Percent*

Varying Rates of Functional Limitations in Older Adults Among Nine Countries Exhibit 2 * Reported being “somewhat or severely limited” in the activities people usually do, such as feeding oneself, getting in and out of bed or a chair, dressing and undressing, or bathing. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Percent*

More High-Need Adults Have Avoidable Emergency Department Visits Exhibit 3 Base: Had regular doctor/place of care. Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Went to the ED for a condition that could have been treated by regular doctor or place of care if available (percent):

Cost-Related Access Problems More Prevalent Among High-Need Adults Exhibit 4 a Had a medical problem but did not visit doctor, skipped medical test or treatment recommended by doctor, and/or did not fill prescription or skipped doses because of the cost. Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Had any cost-related access problem a in the past year (percent):

High-Need Patients Experience Poorly Coordinated Care Exhibit 5 a Test results/records not available at appointment or duplicate tests ordered; received conflicting information from different doctors; and/or specialist lacked medical history or regular doctor was not informed about specialist care. Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Had any coordination problem a in the past two years (percent):

High-Need Patients Less Confident in Their Medical Care Exhibit 6 a This could include being given the wrong medication or wrong result from a medical test. Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older with at least one chronic condition. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Thought a medical mistake a was made in their treatment or care in the past two years (percent):

In the U.S., More High-Need Patients Report Contact from Health Care Providers Between Visits Exhibit 7 Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older with at least one chronic condition. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Percent

High-Need Patients More Likely Than Other Older Adults to Report Having a Treatment Plan to Carry Out in Daily Life Exhibit 8 Notes: High-need adults—Adults age 65 and older with 3+ chronic conditions or a functional limitation; Other older adults—All other adults age 65 and older with at least one chronic condition. * p < 0.05, denotes significant differences between high-need adults and other older adults within country. Source: 2014 Commonwealth Fund International Health Policy Survey of Older Adults. Percent