Transcript Chartpack

The 2001 Commonwealth Fund
International Health Policy Survey
Accompanies May/June 2002 Health Affairs article
Charts Originally Presented at the 2001 International
Symposium on Health Care Policy Charts
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
2001 International Health Policy Survey
• Topics: System Views; Access, Quality and Cost;
Worries About the Future -- By Income and Trends
• Survey of 1,400 adults in each of five countries,
Australia, Canada, New Zealand, United Kingdom and
United States
• Conducted by Harris Interactive and subcontractors
from April 23, 2001 to May 31, 2001.
• Low income defined as adults reporting incomes
“below” or “much below” average (median) national
income.
• Margin of error + or - 3 percentage points for
differences between countries and + or - 2% for
country averages
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
2
Views of Health Care System in
Five Nations - 1988-2001
Rebuild Completely
Only Minor Changes
Needed
1988*
1998**
2001
17
30
19
34
19
25
Canada
5
23
18
56
20
21
New Zealand
x
32
20
x
9
18
United Kingdom
17
14
18
27
25
21
United States
29
33
28
10
17
18
Australia
1988* 1998** 2001
x 1988 data not available.
*Harvard/Harris/Baxter, 1988.
**1998 Commonwealth Fund International Health Policy Survey.
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Income and Health: Percent
Reporting Fair or Poor Health
Below average income
Above average income
50%
37%
31%
30%
23%
25%
10%
9%
23%
10%
10%
9%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
4
Percent Who Believe that Adults with Low
Incomes Have More Problems Getting
Care than Those with Higher Incomes
Percent
Below average income
100%
Above average income
87%
81%
81%78%
65%
59%
70%73%
80%84%
50%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
5
Access
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
Views of Change in Own and Family’s
Access to Care 2001
Percent
Gotten worse over past 2 years
50%
Gotten better over past 2 years
26%
25%
19%
8%
6%
15%
10%
17%
20%
17%
11%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
7
Difficulties Getting Care, 2001
Percent of adults
reporting:
AUS
CAN
NZ
UK
US
Very or somewhat
difficult to get care in
evening or on weekends
34
41
23
33
41
Often or sometimes
unable to get care
because it is not
available where you live
17
21
18
13
20
Extremely/very difficult
to see a specialist when
needed
12
16
11
13
17
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
8
Same Day Access to Doctors
Percent of patients able to get same day appointment when sick
80%
69%
62%
42%
35%
40%
36%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
9
Extremely or Very Difficult to See
A Specialist When Needed, by
Income
Percent
50%
Below average income
Above average income
30%
25%
14%
11%
20%
14%
21%
6%
16%
9%
8%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
10
Had Access Problems in Past
Year Due to Cost
Percent in the past year
who:
AUS
CAN
NZ
UK
US
Did not fill a prescription
due to cost
19
13
15
7
26
Had a medical problem
but did not visit doctor
due to cost
11
5
20
3
24
Did not get test,
treatment or follow-up
due to cost
15
6
14
2
22
Needed dental care but
did not see a dentist due
to cost
33
26
37
19
35
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
11
Did Not Get a Recommended Test,
Treatment or Follow-up Due to Cost, by
Income
Percent
50%
Below average income
Above average income
36%
25%
17%
14%
18%
9%
14%
11%
4%
4% 2%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
12
Did Not Get Needed Dental Care
Due to Cost, by Income
Percent
Below average income
Above average income
60%
51%
38%
31%
42%
40%
36%
30%
20%19%
15%
24%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
13
Quality
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
Waited Less Than One Month for
Elective or Non-Emergency Surgery
Base: Those with elective surgery in the past 2 years
Percent
100%
1998
2001
50%
51%
46%
60%63%
37%
28%
43%
26%
38%
23%
0%
AUS
CAN
NZ
UK
US
1998 Commonwealth Fund International Health Policy Survey and
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
15
Waited Four Months or More for
Elective or Non-Emergency Surgery
Base: Those with elective surgery in the past 2 years
Percent
100%
1998
2001
50%
23%
17%
27%
12%
22%26%
38%
33%
1% 5%
0%
AUS
CAN
NZ
UK
US
1998 Commonwealth Fund International Health Policy Survey and
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
16
Hospital Care Quality Concerns,
2001
Base: Hospitalized in Past Two Years
Percent of those
hospitalized who:
AUS
CAN
NZ
UK
US
Rated overall hospital
experience fair or poor
18
19
20
22
20
Rated availability of
nurses as fair or poor
24
22
22
28
22
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Received Conflicting Information from
Different Health Professionals When Sick
Base: Adults with a serious illness, injury, or disability in past 2 years
Percent “often” or “sometimes” received conflicting information
75%
44%
50%
31%
33%
AUS
CAN
29%
31%
NZ
UK
25%
0%
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
US
18
Physician Ratings
Percent rating physician as
excellent or very good on:
AUS
CAN
NZ
UK
US
Treating you with dignity
and respect
80
79
84
73
72
Listening carefully to your
health concerns
73
74
75
67
65
Providing all the
information you want
72
67
73
58
63
69
62
71
54
58
Knowing you and your
family situation
63
59
67
51
57
Being accessible by phone
or in person
59
55
64
48
52
Spending enough time
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Composite Physician Ratings
Percent rating physicians excellent or very good on six
measures of responsiveness
100%
69%
66%
AUS
CAN
72%
59%
61%
UK
US
50%
0%
NZ
*Average excellent or very good rating of: treating you with dignity & respect, listening carefully, being accessible
by phone or in person, spending enough time, knowing you, and providing you with all the information you want.
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Composite Rating of Physicians, by Income
Percent rating physicians excellent or very good on six
measures*
100%
Below average income
Above average income
72% 69% 67% 69% 71% 73%
60%
69%
54% 51%
50%
0%
AUS
CAN
NZ
UK
US
*Average excellent or very good rating of: treating you with dignity & respect, listening carefully, being accessible
by phone or in person, spending enough time, knowing you, and providing you with all the information you want.
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Rated Overall Medical Care Received in the
Past 12 Months as Excellent or Very Good
Percent
1998
100%
63%
53%
AUS
2001
54%54%
67%
54%
50%53%
58%
50%
CAN
NZ
UK
US
50%
0%
1998 Commonwealth Fund International Health Policy Survey and
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
22
Costs and Worries
About the Future
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
Out of Pocket Costs for
Prescription Drugs
Percent
AUS
50%
CAN
NZ
UK
US
44%
40%
25%
26%
23%
19%
6%
16%
8%
10%
7%
0%
No out-of-pocket spending
on prescription drugs
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
More than $200
24
Did Not Fill A Prescription Due To
Cost In Past Year, 1998 and 2001
Percent
1998
30%
2001
19%
15%
13%
12%
17%
15%15%
7%
26%
6% 7%
0%
AUS
CAN
NZ
UK
US
1998 Commonwealth Fund International Health Policy Survey and
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Did Not Fill a Prescription Due to
Cost in Past Year, by Income
Percent
50%
25%
Below average income
Above average income
39%
21%
18%
22%
20%
7%
11%
18%
7% 7%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
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Total Out of Pocket Costs, 2001
Percent
AUS CAN
43%
50%
NZ
UK
US
35%
26%
25%
4%
6%
7%
8%
11%
5%
2%
0%
No out-of-pocket costs
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
More than $1000
27
Had Problems Paying Medical
Bills In Past Year, 2001
Percent
40%
21%
20%
11%
12%
7%
3%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
28
Had Problems Paying Medical
Bills in the Past Year, By Income
Percent
Below average income
Above average income
40%
20%
35%
20%
17%
14%
8%
3%
7%
11%
4%
2%
0%
AUS
CAN
NZ
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
UK
US
29
Worries About the Future
Percent saying “very
worried” that:
AUS
CAN
NZ
UK
US
Would not be able to get
most advanced care if
seriously ill
24
23
24
18
22
Would not be able to
afford treatment if
seriously ill
26
20
24
15
29
Will not be able to pay for
long term care for family
member
30
26
32
23
35
Will wait too long to get
non-emergency care
19
17
20
15
14
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
30
Composite of “Very Worried” About
Future Ability to Get Care, by Income
Percent they are very worried on a series of measures*
50%
Below average income
Above average income
37%
25%
29%
22%
30%
16%
30%
21%
20%
16%
18%
0%
AUS
CA
NZ
UK
US
*Country averages of percent very worried: they would not be able to get the most advanced care if seriously
ill, would not be able to afford treatment if seriously ill, would not be able to pay for long term care or would
wait too long for non-emergency care.
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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Methodology
Surveys of nationally representative, non-institutionalized adult
populations in each of the five countries were conducted by
telephone during April-May 2001 by Harris Interactive and their
international affiliates. Interviews resulted in a sample of 1412
adults in Australia, 1400 in Canada, 1400 in New Zealand, 1400 in
the United Kingdom, and 1401 in the United States. Identical
instruments were used in all of the countries. The surveys were
designed by a team of researchers at the Harvard School of
Public Health and the Commonwealth Fund and reviewed by
experts in each country.
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
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