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This Wales country note uses the publication Does Healthcare Deliver: Results from the Patient-Reported Indicator Surveys (PaRIS) to assess Wales in context of the OECD PaRIS average across 10 key patient-reported outcome and experience measures. Findings highlight weaker physical health, well-being and care coordination support, alongside lower trust in the healthcare system, while noting strong preparation for care coordination in primary care and high capacity for electronic exchange of medical records.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/wales-united-kingdom-oecd-paris-country-note/204774/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/wales-united-kingdom-oecd-paris-country-note/204774.png","ImageObject",442,249,{"name":88,"@type":89},"\tJames","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-05",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of OECD PaRIS in this Wales country note?","Question",{"text":108,"@type":109},"PaRIS fills a gap in health data by measuring health outcomes and care experiences reported directly by patients. This note applies PaRIS findings to evaluate Wales for people with chronic conditions.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which areas in Wales show weaker results compared with the OECD PaRIS average?",{"text":113,"@type":109},"Wales reports lower physical health (60% vs 70%), lower well-being (59% vs 71%), and lower confidence in care coordination (22% vs 59%), trust in the healthcare system (46% vs 62%), and enough support for self-managing health (43% vs 63%).",{"name":115,"@type":106,"acceptedAnswer":116},"What strengths does Wales show in primary care practices?",{"text":117,"@type":109},"Primary care practices in Wales are frequently well-prepared to coordinate care (83% vs 56%) and almost all can exchange medical records electronically (94% vs 57%).","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},204774,1790329328,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":20,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":47},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Wales (United Kingdom)  \nThe OECD Patient-Reported Indicator Surveys (PaRIS) is a groundbreaking initiative that fills a critical gap in health data by measuring the health outcomes and care experiences of people. This is an essential piece of information still lacking: the views of those directly concerned by health services – the patients – about their experience with the healthcare system and the outcomes as reported by them. By capturing the perspectives of over 107 000 people across 1 800 primary care practices in 19 countries , PaRIS provides an internationally comparable assessment of how outcomes and experiences of primary care users aged 45 years and older vary across countries and how healthcare systems deliver the care people with chronic conditions need.  \nAs the global population of people living with chronic conditions continues to grow, the need for healthcare systems to adapt to their needs has never been more urgent. PaRIS plays a crucial role in informing this shift by offering data that supports the reorganisation of healthcare around the care experiences and health outcomes that matter most to people. Unlike disease-specific assessments, PaRIS takes a broader approach, measuring how healthcare impacts people’s lives across various dimensions. This comprehensive perspective has the potential to revolutionise the way we assess the performance of healthcare systems on a global scale.  \nPaRIS findings emphasise the need for more people-centred and co-ordinated care, especially for the 80% of primary care users aged 45 years or older that live with at least one chronic condition and the 50% that live with multiple (two or more) chronic conditions. Targeted policies are essential to address inequalities, enhance care co-ordination, and build trust in healthcare systems. Encouraging patient involvement in care decisions and fostering strong relationships with healthcare professionals can lead to better health outcomes, greater trust in the system, and increased confidence in managing their own health. At the sametime, a well-staffed healthcare workforce and primary care practices organised around people’s needs are key to achieving improved patient outcomes and experiences.  \nThis country note leverages the main findings of the publication, Does Healthcare Deliver: Results from the Patient-Reported Indicator Surveys (PaRIS), to provide a focused assessment for Wales (United Kingdom) . Drawing on the analysis of the ten key patient-reported outcome and experience measures used in the survey (Table 1), it explores findings in the Welsh context and compares them to the OECD PaRIS average. The OECD PaRIS average is the simple average of the 17 OECD member countries participating in PaRIS.  \nBox 1 . Key findings – Wales  \n• Nearly two-thirds of people with chronic conditions in Wales (60%) report good physical health , measuring physical function, pain and fatigue , which is lower than the OECD PaRIS average (70%) (lowest-highest: 52-82%) .  \n• While more than half of people (59%) with chronic conditions report good well-being , which refers to how positive a person feels in terms of mood, vitality, and fulfilment, this percentage is below the OECD PaRIS average (71%) . Wales is the lowest performing country on this measurement.  \n• One out of five people (22%) with chronic conditions report good experiences of care co-ordination , which is below the OECD PaRIS average of 59% .  \n• Less than half of people (46%) with chronic conditions trust their healthcare system in Wales compared to the 62% in the OECD PaRIS average.  \n• Slightly more than four out of ten (43%) people with chronic conditions in Wales receive enough support to manage their own health , below the OECD PaRIS average of 63% .  \n• Four out of five (83%) people with chronic conditions are managed in primary care practices that report being well-prepared to co-ordinate care compared to the OECD PaRIS average of 56% .  \n• Almost all (94%) people with chroni","cbCaiewKoCoYuWhs","https://ap.wps.com/l/cbCaiewKoCoYuWhs","pdf",577889,"English","# Box 1. Key findings – Wales\n## Physical health and well-being\n## Care coordination, trust, and self-management support\n## Primary care preparedness and electronic record exchange\n# How Wales delivers care to people with chronic conditions\n## 10 key indicators and measurement approach\n## Comparison with the OECD PaRIS average","[{\"question\":\"What is the purpose of OECD PaRIS in this Wales country note?\",\"answer\":\"PaRIS fills a gap in health data by measuring health outcomes and care experiences reported directly by patients. This note applies PaRIS findings to evaluate Wales for people with chronic conditions.\"},{\"question\":\"Which areas in Wales show weaker results compared with the OECD PaRIS average?\",\"answer\":\"Wales reports lower physical health (60% vs 70%), lower well-being (59% vs 71%), and lower confidence in care coordination (22% vs 59%), trust in the healthcare system (46% vs 62%), and enough support for self-managing health (43% vs 63%).\"},{\"question\":\"What strengths does Wales show in primary care practices?\",\"answer\":\"Primary care practices in Wales are frequently well-prepared to coordinate care (83% vs 56%) and almost all can exchange medical records electronically (94% vs 57%).\"}]","Wales (United Kingdom) - OECD PaRIS Country Note | PDF",1788575449]