21 th September 2010

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


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


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


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


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


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%


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%


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


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


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?


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


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


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?


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


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


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?


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?


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)?


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…?


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%


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...?


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%


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%


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



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



53

In your opinion, the health sector, which includes activities related to hospitals, medical equipment, treatments, consultations and pharmaceuticals, is an industry that...


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


or is merely a burden for societyContributes to the country's economic growth

DK

21 th September 2010

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Transcript of 21 th September 2010