Post on 10-Feb-2016
description
21th September 2010
Presentation of the results
Healthcare in Europe and in the USA
Studied countries and historical background: 2006 - 2007 :
2009-2010 :
2010 :
2
Germany France Italy UK Sweden
Poland
USA Austria
Technical pieces of information: •Telephone interviews
•Respondents profile: general public, aged18+•Sample size: 3600 interviews : 400 per country and 800 in the USA.
•Representativeness (per country) ensured by quotas set on age, gender, SEC class and region.
Germany France Italy Sweden
Germany France Italy SwedenUK
PolandUK
Technical pieces of information
3
Studied topics:
1. Assessment of the healthcare system and of quality of care
2. Focus on doctors competence and training
3. Healthcare and social requirements
4. Patients mobility for access to treatment
5. New technologies
6. Prevention
7. Management of ageing and dependent people
8. Comparison across countries
Introduction
4
1 –Assessment of the healthcare system and of
quality of care
5
1 – Healthcare system
How would you evaluate the organisation of the health system in [FR/UK/GE/IT/PO/SU/US] today?
DK
Poor
Average
Very good
Excellent
Good46% 46%
30% 36% 40%17%
34%21%
10% 12%
7%
27% 22%
2%
44%
15%
7%
8%
8%
31% 32% 36%20% 21% 26%
12% 6%
24%
10% 8%
36%
2%
27%2%
3%
1%
3%
3%
1% 7%
12%
44%
1%
1,92,2
2,5 2,52,7
3 3
3,4
Pologne Italie Allemagne USA France Suède UK Autriche
6
1 – Healthcare system – synthesis using the scores
Score « organisation of the health system »
Excellent = 5
Very good =4
Good = 3
Average = 2
Poor = 1
How would you evaluate the organisation of the health system in [FR/UK/GE/IT/PO/SU/US] today?
1,92,2
2,5 2,52,7
3 3
3,42,8 2,7
3
3,53,4
3,1
3,43,5
2,6 2,5
33,4
3,13,4
33,5
Pologne Italie Allemagne USA France Suède UK Autriche
7
Score « quality of health care provided by a GP »
Score « quality of care provided during hospital stay »
Excellent = 5
And is the quality of health care provided when consulting a general practitioner ? And, in your opinion, is the quality of care provided during hospital stays…?
Very good =4
Good = 3
Average = 2
Poor = 1
How would you evaluate the organisation of the health system in [FR/UK/GE/IT/PO/SU/US] today?
Score « organisation of the health system »
1 – Healthcare system – synthesis using the scores
2,7
2,2
3
1,7
1,9
3
2,5
3,12,9
2,8
3,6
2,4
2,72,82,3
2,4 2,42,5
2,8
2,8
2 2,2
8
Evolution since 2006 of the opinions on the health system’s organisation
Excellent = 5
06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 09 10
1 – Healthcare system
Very good =4
Good = 3
Average = 2
Poor = 1
9
Evolution since 2006 of the opinions on the quality of health care provided by a GP
3,4
2,7
3,4
2,5
2,83,133,1
3,23,4
3,7
2,6
3,1
3,43 3 3 3
3,2
3,4
3
2,6
06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 09 10
1 – Healthcare system
Excellent = 5
Very good =4
Good = 3
Average = 2
Poor = 1
3,1
2,5
3
2,1
2,6
3,4
3,23,5
3,4
3,1
3,6
2,5
3 3
2,9 2,83 3
3,1
3,1
2,22,3
10
Evolution since 2006 of the opinions on the quality of care provided during hospital stay
06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 06 07 09 10 09 10
1 – Healthcare system
Excellent = 5
Very good =4
Good = 3
Average = 2
Poor = 1
11
Threats on the health system
Total : % very important
Lack of public funding
Increase in direct costs for individuals
Increase in prices for medical procedures
Unequal access to health care
72%
73%
72%
73%
58%
53%
48%
58%
45%
47%
51%
50%
77%
49%
55%
69%
53%
21%
35%
55%
77%
67%
67%
73%
56%
63%
76%
63%
62%
52%
49%
38%
1 – Healthcare system
In the coming years, our health system will have to face several threats, which I am going to read to you. For each of them, do you feel that the threat is very important, somewhat important, not really important or not at all important?
12
Total : % very important
Waiting time before receiving treatment
Shortage of general practitioners
Risks of getting an infection in hospital
Medical errors
57%
60%
56%
43%
52%
63%
43%
35%
69%
36%
54%
65%
70%
69%
87%
84%
52%
56%
63%
70%
89%
59%
76%
76%
64%
66%
69%
70%
34%
25%
21%
21%
1 – Healthcare system
Threats on the health system
In the coming years, our health system will have to face several threats, which I am going to read to you. For each of them, do you feel that the threat is very important, somewhat important, not really important or not at all important?
13
1 – Healthcare system
Constant improvements in the quality of treatments are leading to additional spending. To pay for these additional costs, what do you think is the best solution?
Increase taxes or compulsory contributions
Increase private insurance, optional supplemental insurance or supplemental policies from mutual insurance companies
Pay a greater excess for each medical service
DK
17%28%
40%17% 23% 26% 26%
45% 23%16%
25% 17%30%
40%20%
26%32% 16% 43% 61% 28%
22%
28%
12% 17%28%
17%5%
26%
15%
19% 12%
14
2 – Focus on training/ communication: perception of
doctors training and competence
15
2 – Focus on training/ communication – synthesis on doctors competence
3,3 3,5
2,9
3,43,4
33,5 3,6
2,9 2,92,7
3,1 3 2,7 3
3,2
2,6 2,62,4
2,62,3 2,2
2,6
2,9
Allemagne France Italie UK Suède Pologne Autriche USA
Score interpersonal skills
Score technical skills (for diagnosis and treatments)
Excellent = 5
Score sharing of information and the coordination of care
At the moment, how do you rate their interpersonal skills (to inform and explain)?How do you rate the sharing of information and the coordination of care between the hospital doctors and general practitioners?
Very good =4
Good = 3
Average = 2
Poor = 1
Let's talk about the competency of doctors in [FR/UK/GE/IT/PO/SU/US]At the moment how do you rate their technical skills (for diagnosis and treatments)?
16
3,2 3,3 2,9
3,53,4
2,9 3,3
3,7
2,9 2,9 2,93,2 3,1
2,93,2
3,4
Allemagne France Italie UK Suède Pologne Autriche USA
Score ongoing knowledge acquisition
Score training during medical studies
Excellent = 5
How do you rate the training that doctors receive during their medical studies? How do you rate the ongoing knowledge acquisition that doctors receive throughout their careers?
2 – Focus on training/ communication – synthesis on doctors training
Very good =4
Good = 3
Average = 2
Poor = 1
17
3 – Social requirements
18
Does the current health system guarantee equal access to medical care for all citizens of FR/UK/GE/IT/PO/SU/US?
3 – Social requirements
Yes
DK
No29%
48% 41%54%
35% 23%52%
29%
70%49% 54% 62%
75%47%
66%
5%
40%
1%
3%5%
1%
2%3%
6%
19
To guarantee all citizens equal access to quality care, are you for or against an increase in contributions/taxes?
AgainstFor DK
3 – Social requirements
51% 48%28%
67% 72%
43% 53%40%
46% 51%68%
29% 25%
54%43%
56%
4%3% 1%
4%
4%3%
3%4%
20
Have the consequences of the economic crisis caused you to cancel or postpone health care actions such as visits to the doctor, tests, surgical procedures, dental care or prescription drug purchases?
Current affairs – 2010 update
Yes, I may be forced to do so
No, it will not change anything
DK
Yes, I have already done so
19% 12%33%
5% 2% 5% 8% 6%
17% 23%25% 10%
62% 63%47%
86% 92%69%
1%
8% 6%
18%
24%
80%69%
1%
2%
2%2%1%
2%
21
Have the consequences of the economic crisis caused you to cancel or postpone health care actions such as visits to the doctor, tests, surgical procedures, dental care or prescription drug purchases?
8%6%
13%10%
12%
17% 18%
25%
6%
11% 13%
23%
10091009 1009 1009 1009 1009
+ 5 points
+ 12 points + 5
points
- 2 points
+ 12 points
Current affairs – 2010 update
Yes, I have already done so
22
4 - Mobility
23
4 – Mobility
Imagine that you need surgery. Would you prefer to go to...?
…A specialised surgeon from a distant city DK… A generalist surgeon close to
where you live
68%50% 55% 51%
82% 75%60% 52%
26%49% 39%
16% 23%37% 40%43%
6% 3%6%
1%6%
2%2%
8%
24
Would you be willing to travel abroad to gain access to a medical technique that you feel to be of identical quality but at a lower price than in [FR/UK/GE/IT/PO/SU/US]?
4 – Mobility
Yes
DK
No
23% 17%39% 32% 42%
57%
23% 25%
75% 82%56% 56%
40%
75% 75%
5%
66%
2%1%
2%2%
3%
25
Imagine that you are choosing a holiday destination abroad.How much importance do you give to local health conditions when you are choosing your holiday destination?
4 – Mobility
Considerable importance No importance at allLittle importance DK
42%24% 24% 25%
38%17%
38% 33%
30% 62% 64%43% 21%
74% 28%50%
28%11% 7%
27%40%
5%31%
14%5% 4%
1%5%
3%
3%
3%
26
Now imagine that you had to go and live in another country.How much importance do you give to the proximity of doctors and hospitals to your new place of residence?
4 – Mobility
Considerable importance No importance at allLittle importance DK
5% 3% 4% 6% 5%
19%
41%
13%23%15%19% 14%21%
74% 80% 69%77%
45%73% 68% 78%
3% 3%7%12%4%
5%2%4%4%2% 2%
27
5 – New technologies
28
Do you use the Internet for information relating to healthcare?
5 – New technologies
Yes, regularly No, neverYes, occasionally DK
45%34% 30% 41%
53%37% 41% 42%
17%
11% 16%16% 17% 17%
38%55% 54%
43% 33% 42% 34%
14%24%
44%
2%
29
Do you use the Internet for information relating to healthcare?
36% 39%35%
45%
24% 26% 29%34%
24% 27% 25%32% 30%
36%41%
33% 34%41%
53%
40% 37%
11%11%
12%
17%
7%9%
11%
13%10%
16% 11%
26% 12%
16%
13%17%
17%
14%
12% 17%
30%
7%12%
06 07 09 09 101010090706100907061009070610090706
+15 points
+14 points +10 points
+14 points +21 points +2 points
5 – New technologies
Yes, regularly Yes, occasionally
30
Do you dare to talk with your doctor about health information that pertains to you that you saw on the Internet?(To those who use the Internet for information relating to healthcare )
Yes No DK
5 – New technologies
90%73%
52%66%
43%
80%
9%27%
48%32%
4%18%
32%
91%68%
56%2%
1%
5%
2%
1%
31
What do you expect from a doctor with regard to health information available on the Internet?
5 – New technologies
That he provide additional information beyond what I found
That he explain to me the aspects I did not clearly understand
That he tell me about reliable websites
82%
59%
86%74%
48%
85% 84%
64%
75%
80%
80%76%
47%
83% 84%
65% 73%61% 58%
38%
68%
56%48% 55%
32
Are you in favour or not in favour of the development of on-line medical consultations?
5 – New technologies
Not in favourIn favour DK
22% 10%40% 39%
78%
41% 30%48%
75% 87%60%
15% 27%61% 52%55%
3%3%
9%
32%
7%
6%
33
Are you in favour or not in favour of the development of continuous in-home monitoring resources over the telephone or Internet (e.g. measurement of blood pressure and heart rate)?
5 – New technologies
Not in favourIn favour DK
56% 61% 60% 57%74% 68% 61%
71%
41% 36% 35%22% 23%
35% 26%
3%40%
3%3% 5% 4%
9%4%
3%
34
Do you think that these in-home medical surveillance or monitoring resources over the telephone or Internet…?
5 – New technologies
Enable more patients to be independent in their homes Will dehumanise medicine
78%
39%
68%
71%80%
72%
66%71%
69%
44%40%34%51%38%
46%51%
46%
30%
41%
49%40% 42%
37%
62%
69%
54% 55%61%
61%51% 52%
68%
Allemagne France Italie UK Suède Pologne Autriche USA
35
In favour of websites where hospitals can be assessed ( les 18- 39 y.o. most in favour ) In favour of websites where doctors can be assessed?(18- 39 y.o. most in favour)
5 – New technologies - synthesis
Are you in favour or not in favour of websites where doctors can be assessed?Are you in favour or not in favour of websites where hospitals can be assessed ?
36
6 – Prevention
37
To prevent risks stemming from the appearance of new epidemics like bird flu, mad cow or the A/H1N1 flu, do you want the State to spend...?
Current affairs – 2010 update
More
DK
Less
No change
54% 48% 42%59%
71%
36%48% 52%
16%16% 36%
31% 11%
46%11%
33%
26% 33%17% 7% 15% 8%
37%11%
10% 4%
4%
5%4%
3%
3%3%
38
6 – Prevention
Have been tested for a serious disease like cancer or AIDS overs the last five years
Have been for a check-up over the last five years
Have had a check-up at the dentist during the last year
Are interested in a lifelong health monitoring programme
69%
42%49%
32%
44%42%
65%
55%
82%
59%55%
71%67%
71%
83%91%91%
68%61%
75% 80%
61%
80%
71%
36%
50%
42%
27%
42%
31% 28%19%
0%10%20%30%40%50%60%70%80%90%
100%
Allemagne France Italie UK Suède Pologne Autriche USA
39
6 – Prevention -synthesis
Not interested
via the insurance
Direct payment
Via taxes
Via the employer
DK
It is now possible to purchase a lifelong health monitoring programme which includes preventive consultations and an annual personalised check-up. Are you personally interested in this monitoring programme? Who would pay? (Aux intéressés) / How?
Interested in and payment
6% 4% 9% 4% 9% 12%6% 7%
63%
50%
52%72%
54%
61% 77%69%
7%
10%
7%
5%
11%
5%
6%
7%10%
12%9%
11% 23%10%
7%
7%7%
8%
19%
5%3%
7%
2%5%
7%16%
4% 3% 5% 2% 5%
Total % « yes »
Back pain
Stress management
Detecting serious illnesses
Obesity prevention
Preventing risks related to tobacco, alcohol or drug use
40
In the context of your job, do you feel that you need health programmes for...?
6 – Prevention
67%
54%
39%
27%
17%
72%
57%
37%
40%
35%
61%
51%
29%
31%
23%
31%
51%
31%
51%
28%
55%
42%
29%
32%
18%
69%
57%
63%
42%
37%
44%
46%
39%
37%
32%
63%
57%
39%
21%
18%
41
7 – the 5th risk: management of ageing and
dependent persons
42
In your opinion, the care given to dependent elderly people is...
7– Ageing
DK
Poor
Average
Very good
Excellent
Good
30% 26% 24% 22% 32%15%
36% 25%
7%3% 4% 12%
11%29%
15%5%
43% 44% 34% 36% 34% 31%
15% 20% 33% 19% 15%
32%
4%
19%5%
1%
4%
1%3% 1%
5%3%
24%50%
3%
2%
5%6%
4%4%4%
43
Given the problems raised by increasing life spans and the rise in the number of dependent elderly people, which of the following should be our priority today?
7– Ageing
DK
Home care
Retirement homes
78%
78%
84%
77%
40%
71%
74%
79%
17%
20%
14%
19%
51%
25%
21%
15%
5%
2%
2%
5%
9%
4%
5%
6%
44
Currently in our country, the public assistance provided to help dependent or elderly people stay in their homes is...
7– Ageing
DK
29%46%
31%53% 54%
17%43% 46%
6%4% 7%
53%39% 43%
28% 30% 29%
10%
7%18%
7% 6%
20%
8%10%
6% 7%
6% 8%
8%
5%8%
1%
4%
3%2%
2%
40%54%
4%
45
Outside of their families, which organisation provides dependent elderly people with the best support to help them stay in their homes?
7– Ageing
None
Public entities
Private entities
Non-profit organisations
DK
21%34% 34%
26%
56%
20% 26%15%
43% 20% 16%16%
15%
31%
38%
33%
4%
31%
5% 1%
23%11%19%
14% 14%
26%
15%
36%22%
47%
33%
4%3% 12%25%
6%
5%
46
To help dependent elderly people stay in their homes, do you think we must develop...?
7– Ageing
Robotics which make it possible to perform daily tasks
Home care jobs
Remote monitoring which makes living at home safer
93%
97%
92%
95%
91%
94%
93%
90%
74%
86%
83%
92%
74%
75%
74%
89%
29%
52%
69%
73%
14%
62%
28%
62%
47
Two solutions are possible to finance services and daily care for elderly and dependent people : public funding stemming from taxes and compulsory public contributions, or cost totally met by the individual or the family either from a personal insurance policy or direct payment. Which of the following financing options would you most support?
7– Ageing
Total coverage by taxes and compulsory public contributions
Cost totally met by the individual or the family
Mix of state funding and personal/ family contributions DK
61% 63% 60%45%
64% 72% 70%
17%31% 27% 32%
49%31% 23%
15%
6% 6% 4% 3%12%
2% 4% 4% 2% 2% 2% 3%
79%
3%4%4%
40%
46%
27%30%
33% 32% 37%36%
57%
62%
44% 45%52%
52%49%
46%
Allemagne France Italie UK Suède Pologne Autriche USA
48
For a compulsory private insuranceFor a compulsory public insurance
Are you for or against compulsory private insurance to cover the costs of daily living for dependent elderly people?
Are you for or against compulsory public insurance to cover the costs of day to day living for dependent elderly people?
7– Ageing
49
8 – Comparison across countries
50
Of these seven countries, where does one receive the best care? Germany UKUSAFranceItalyPolandSweden
8 – Comparisaon across countries
67% / 4%
46% / 6%
4% / 0%
50% / 19%
38% / 11% 28% / 3%
31% / 1%
XX% / YY% : perception of country’s interviewees vs. perception other countries interviewees
51
69% / 3%
28% / 3%
2% / 0%
48% / 16%
20% / 7%
18% / 4%
27% / 1%
Of these seven countries, where does one get the best reimbursement of health care spending?Germany UKUSAFranceItalyPolandSweden
8 – Comparisaon across countries
XX% / YY% : perception of country’s interviewees vs. perception other countries interviewees
52
20% / 2%
50% / 31%
2% / 0%
18% / 9%
22% / 8%
13% / 2%
23% / 0%
Of these seven countries, which one is the most advanced in new health care technology? Germany UKUSAFranceItalyPolandSweden
XX% / YY% : perception of country’s interviewees vs. perception other countries interviewees
8 – Comparisaon across countries
53
In your opinion, the health sector, which includes activities related to hospitals, medical equipment, treatments, consultations and pharmaceuticals, is an industry that...
8 – Comparisaon across countries
or is merely a burden for societyContributes to the country's economic growth
DK
59% 57%77%
62%73%
49%66% 66%
31% 36%14% 12%
24% 24%
10% 7%
9%16%
15%10%
37%22%
14%
10%
54
2006/2007/2009/2010: comparaison perception du secteur de la santé
In your opinion, the health sector, which includes activities related to hospitals, medical equipment, treatments, consultations and pharmaceuticals, is an industry that...
68% 72% 70%59% 60% 52% 59% 57%
72% 71% 63%77%
63% 68% 61% 62% 68% 72%58%
73%
43% 49%
24% 18% 18%38% 34% 36%
21% 17% 25%14%
25%12%
24% 22% 17% 13%29%
12%
45% 37%8%
10% 12%
10% 2% 7%
8% 12%12%
9%
12%21%
15% 16%15% 16%
12%
15%
12%14%
45%31%
3%7%
06 07 09 09 101010090706100907061009070610090706
8 – Comparisaon across countries
or is merely a burden for societyContributes to the country's economic growth
DK