ipsos reid new ppt template

Global @dvisor

A Global @dvisory – June 2013

TRACKING GLOBAL HEALTHCARE ATTITUDES

International Healthcare Report Card

Citizen-Patients in 15 Countries Assess Improvement to

their National Healthcare Components and Services

© 2013 Ipsos

Global @dvisor


TRACKING GLOBAL HEALTHCARE ATTITUDES 2 A Global @dvisory – June 2013


PURPOSE

• To have international citizen-patients give their perceptions of access to their national healthcare

system overall and its components, and the nature of their experiences as patients now compared to five

years ago (2008); in short, to determine whether or not citizen-patients have witnessed some kind of

improvement to their healthcare system over the last five years—in all, is it getting better, staying the

same or getting worse?

• To be able to compare 15 countries with a net scoring system for analysis and future tracking on the

following three components :

1. Thinking about the access that you and members of your household personally have to healthcare services overall--including doctors,

specialist physicians such as surgeons, hospitals, tests for diagnosis and drugs to treat various ailments--as a patient in your local

community, how much easier is your ability to access those services today compared to five years ago (in 2008)?

2. Healthcare service in local community, how much easier is your ability to access those services today compared to five years ago (in

2008) [Randomized]

A doctor

Drugs to treat various ailments

Diagnostic tests

A hospital

A specialist physician

3. Now thinking about your patient experience recently compared to five years ago (in 2008) in going to a doctor and then being diagnosed,

referred to a specialist or for surgery, or treated for an accident or serious ailment or condition, have you found it to be…[Randomized]

Better information shared with me

More options given to me for treatment

Better quality

Better coordinated

Better level of care

More sensitive to my needs

Speedier

© 2013 Ipsos

Global @dvisor




Analysis and Top Line Findings

Analysis

• Ipsos employed a scorecard based on the net findings (removing ―no change‖ and subtracting the

positive from the negative findings) and on the gap scores in the statements sections. Each country was

able to produce a numerical net ―score‖.

• The cumulative scores for each country, across all three questions, represent their overall score on the

International Healthcare Report Card that was calculated in terms of a letter grade ranging from A+ to F.

Grades were assigned based on the relative gaps between each of the countries’ net scores and the total

range of all scores, creating a method of comparing the countries against each other.

Top Line Findings

• After completing a GAP Score Analysis of the 15 countries, the Global Score Average was +130. What

this means is that on an aggregate basis, perceptions of access to healthcare overall, its components and

patient experiences were deemed to be better now than five years ago. However, there were distinct

differences in terms of the countries and the elements assessed.

• The countries where citizen-patients rated their healthcare system high for improvement over the last

five years were: South Korea (net score 635 A+), followed by Argentina (net score 420 A), Japan (net score

291 A-), Belgium (net score 270 A-), Australia (net score to 16 B+), the United States (net score 199 B+),

Poland (net score 160 B), Germany (net score 132 B) and Canada (net score 105 B-).

• The countries where citizen-patients rated their healthcare system low/lowest for improvement over the

last five years were: Great Britain (net score 93 C+), Sweden (net score 9 C-), France (net score -2 D+ ),

Italy (net score -70 D), Hungary (net score -136 D-) and Spain (net score -372 F).

© 2013 Ipsos

Global @dvisor





Observations

• On overall access of healthcare compared with five years ago, the winners are similar to the Report

Card ratings: South Korea (+53), Argentina (+35), Belgium (+20) and Australia (+17) lead, while Germany

(+15) climbs from middle of the pack on the Report Card score to fifth in the world on overall access.

• ON ACCESS: South Korea again leads in total net scores for access to specific services (+250), followed

by Argentina (+145), Japan (+98) and Belgium (+87). Spain (-171) and Hungary (-76).

• ON PATIENT EXPERIENCE: South Korea also leads in total net patient experience (+332), followed by

Argentina (+241), Japan (+178), Belgium (+163), Poland (+133), and Australia (+132). Spain (-164), Hungary

(-37), Italy (-28), Sweden (+8), and France (+47) score lowest in this area.

• It is evident that those in South Korea view their healthcare system as having improved substantially

over the past five years given that they outrank the other 14 countries on every measure

• On access: diagnostic tests +54, doctors +53, drugs +53,

hospitals +49, specialists +41

• On patient experience: level of care +58, speed +51, quality +48,

info +45, options +44, sensitivity +44, coordination +42

© 2013 Ipsos

Global @dvisor





Observations (continued)

• On the other end, it is evident that respondents are Spain have seen a stark degradation in their

healthcare services as they take last place in every category:

• On access: drugs -47, specialists -43, tests -39, hospitals -34, doctor -8

• On patient experience: level of care -27, options -27, coordination -25, quality -24, speed -24,

sensitivity -23, info -14

• Poland’s overall score suggests a worsening of access to healthcare (-8), but only hospitals (-5) and

specialists (-18) are rated to show degradations and their patient experience (+133) scores are positive.

• Most countries hold similar rankings across access and services improvements, except…

• Japan ranks seventh in reported heath care access (+15), but they are third in service access (+98)

and patient experience (+178).

• Germany ranks fifth in overall healthcare access (+15), but fall to tenth on patient experience (+73).

© 2013 Ipsos

Global @dvisor



Overall Global Score: +130 points

6

© 2013 Ipsos

Global @dvisor



Q2. Access to Healthcare Services

A d

oct

or

Dru

gs t

o t

reat

va

rio

us

ailm

en

ts

Dia

gno

stic

te

sts

A h

osp

ital

A s

pe

cial

ist

ph

ysic

ian

Tota

l

International Average +15 +11 +10 +2 -4 +32

Argentina +40 +21 +34 +26 +24 +145

Australia +14 +27 +23 +2 +1 +67

Belgium +24 +24 +22 +12 +5 +87

Canada +3 +19 +12 -6 -12 +16

France -1 -6 +5 -13 -20 -35

Germany +18 +8 +8 +9 +1 +44

Great Britain -1 +9 +8 +2 -5 +13

Hungary -1 -2 -21 -23 -29 -76

Italy +12 -3 -10 -17 -9 -27

Japan +23 +24 +19 +18 +14 +98

Poland +31 +6 +21 -5 -18 +35

South Korea +53 +53 +54 +49 +41 +250

Spain -8 -47 -39 -34 -43 -171

Sweden +5 +17 -2 -6 -16 -2

United States +16 +12 +14 +14 +9 +65

Ease of Access to Healthcare & Services by Country (net change)

Q1. Overall Access to Healthcare

International Average +5

Argentina +35

Australia +17

Belgium +20

Canada +4

France -14

Germany +15

Great Britain +2

Hungary -23

Italy -16

Japan +15

Poland -8

South Korea +53

Spain -37

Sweden +3

United States +15

© 2013 Ipsos

Global @dvisor



Q3. Patient

Experience

Better information shared with

me

More options given to me for

treatment Better quality

Better coordinated



Speedier Total

International Average

+19 +16 +13 +12 +11 +12 +8 +91

Argentina +37 +36 +34 +33 +30 +34 +37 +241

Australia +27 +26 +18 +19 +18 +17 +7 +132

Belgium +27 +34 +23 +23 +23 +16 +17 +163

Canada +19 +16 +12 +14 +12 +12 0 +85

France +12 +16 +7 +8 +7 +6 -9 +47

Germany +15 +18 +14 +14 -5 +9 +8 +73

Great Britain +18 +13 +9 +11 +6 +13 +8 +78

Hungary +12 -2 -6 -7 -9 -9 -16 -37

Italy +2 0 -5 -4 -11 -4 -6 -27

Japan +27 +31 +22 +25 +25 +26 +22 +178

Poland +28 +18 +28 +15 +15 +16 +13 +133

South Korea +45 +44 +48 +42 +58 +44 +51 +332

Spain -14 -27 -24 -25 -27 -23 -24 -164

Sweden +6 +4 0 -8 +1 +5 0 +8

United States +22 +20 +15 +18 +15 +15 +14 +119

Patient Experience by Country (net change)

Global @dvisor



Detailed Findings

© 2013 Ipsos

Global @dvisor



31%

58%

53%

34%

38%

36%

32%

28%

29%

30%

28%

30%

17%

21%

19%

16%

26%

5%

18%

14%

21%

21%

17%

13%

25%

27%

26%

38%

31%

37%

42%

53%

Total

South Korea

Argentina

Belgium

Australia

Germany

United States

Japan

Canada

Sweden

Great Britain

Poland

France

Italy

Hungary

Spain

Easier Worse

Overall Access to Healthcare by Country

GK1. Thinking about the access that you and members of your household personally have to healthcare services overall--including doctors, specialist

physicians such as surgeons, hospitals, tests for diagnosis and drugs to treat various ailments--as a patient in your local community, how much easier is

your ability to access those services today compared to five years ago (in 2008):

10

% seen

change Net Change

57 +5

63 +53

71 +35

48 +20

59 +17

57 +15

49 +15

41 +15

54 +4

57 +3

54 +2

68 -8

48 -14

58 -16

61 -23

69 -37

Rating of Overall Access to Healthcare vs 5 Years Ago

© 2013 Ipsos

Global @dvisor



31%

30%

30%

24%

22%

16%

19%

20%

22%

26%

A Doctor


Tests for diagnosis such as x-rays or blood and urine tests

A hospital

A specialist physician such as a surgeon

Easier Worse

Ratings of Access to Specific Healthcare Services vs. Five Years Ago

GK2.. Healthcare service in local community, how much easier is your ability to access those services today compared to five years ago (in 2008)

11

% seen

change Net Change

47 +15

49 +11

50 +10

46 +2

48 -4

© 2013 Ipsos

Global @dvisor



Net Scores for Access to Specific Healthcare Services

GK2. Healthcare service in local community, how much easier is your ability to access those services today compared to five years ago (in 2008)

12

34

250

145

98

87

67

65

44

35

16

13

-2

-27

-35

-76

-171

-250% -150% -50% 50% 150% 250%

Total

South Korea

Argentina

Japan

Belgium

Australia

United States

Germany

Poland

Canada

Great Britain

Sweden

Italy

France

Hungary

Spain

© 2013 Ipsos

Global @dvisor



31%

57%

52%

45%

33%

31%

29%

27%

33%

26%

24%

25%

26%

20%

17%

18%

16%

4%

12%

15%

9%

8%

11%

11%

19%

14%

19%

22%

27%

21%

18%

26%

Total

South Korea

Argentina

Poland

Belgium

Japan

Germany

United States

Australia

Italy

Sweden

Canada

Great Britain

Hungary

France

Spain

Easier Worse

A Doctor

GK2.1. Healthcare service in local community, how much easier is your ability to access those services today compared to five years ago (in 2008)

13

% seen

change Net Change

47 +15

61 +53

64 +40

60 +30

42 +24

39 +23

40 +18

38 +16

52 +14

40 +12

43 +5

47 +3

53 -1

41 -1

35 -1

44 -8

Rating of Access to Specific Healthcare Services vs 5 Years Ago

© 2013 Ipsos

Global @dvisor



30%

58%

36%

34%

32%

45%

30%

29%

26%

24%

29%

36%

24%

23%

18%

10%

19%

5%

9%

10%

8%

25%

10%

12%

14%

15%

21%

30%

25%

25%

23%

57%

Total

South Korea

Australia

Belgium

Japan

Argentina

Canada

Sweden

United States

Great Britain

Germany

Poland

Hungary

Italy

France

Spain

Easier Worse



14

% seen

change Net Change

49 +11

63 +53

45 +27

44 +24

40 +24

70 +20

40 +20

41 +17

40 +12

39 +9

50 +8

66 +6

49 -1

48 -2

41 -5

67 -47


© 2013 Ipsos

Global @dvisor



30%

58%

50%

35%

31%

41%

27%

27%

28%

28%

27%

21%

22%

23%

18%

12%

20%

4%

16%

12%

9%

20%

8%

13%

17%

19%

19%

16%

24%

34%

39%

51%

Total

South Korea

Argentina

Australia

Belgium

Poland

Japan

United States

Canada

Great Britain

Germany

France

Sweden

Italy

Hungary

Spain

Easier Worse

Tests for diagnosis such as x-rays or blood and urine tests


15

% seen

change Net Change

50 +10

62 +54

66 +34

47 +23

40 +22

61 +21

35 +19

40 +14

45 +11

47 +9

46 +8

37 +5

46 -2

57 -11

57 -21

63 -39


© 2013 Ipsos

Global @dvisor



24%

56%

44%

28%

25%

26%

22%

24%

22%

20%

24%

15%

14%

19%

15%

12%

22%

7%

18%

10%

11%

14%

12%

22%

20%

25%

30%

21%

27%

36%

38%

46%

Total

South Korea

Argentina

Japan

United States

Belgium

Germany

Australia

Great Britain

Canada

Poland

Sweden

France

Italy

Hungary

Spain

Easier Worse

A hospital


16

% seen

change Net Change

46 +2

63 +49

62 +26

38 +18

36 +14

40 +12

34 +10

46 +2

42 +2

45 -5

54 -6

36 -6

41 -13

55 -17

53 -23

58 -34


© 2013 Ipsos

Global @dvisor



22%

47%

42%

23%

24%

24%

24%

24%

18%

19%

18%

14%

20%

13%

16%

11%

26%

6%

18%

9%

15%

19%

23%

23%

24%

28%

31%

30%

38%

34%

45%

54%

Total

South Korea

Argentina

Japan

United States

Belgium

Australia

Germany

Great Britain

Italy

Canada

Sweden

Poland

France

Hungary

Spain

Easier Worse

A specialist physician such as a surgeon

17

% seen

change Net Change

48 -4%

53 +41

60 +24

32 +14

39 +9

43 +5

47 +1

47 +1

42 -6

47 -9

49 -13

44 -16

58 -18

47 -21

61 -29

65 -43


GK3. Now thinking about your patient experience recently compared to five years ago (in 2008) in going to a doctor and then being diagnosed, referred to

a specialist or for surgery, or treated for an accident or serious ailment or condition, have you found it to be:

© 2013 Ipsos

Global @dvisor



32%

32%

29%

29%

28%

28%

29%

13%

15%

15%

17%

16%

18%

21%



Better quality

Better coordinated



Speedier

Agree Worse

Rating of Patient Experience vs. Five Years Ago



18

% seen

change Net Change

45 +19

47 +16

44 +13

46 +12

44 +12

46 +11

50 +8

© 2013 Ipsos

Global @dvisor



Net Scores for Access to Specific Healthcare Services

GK2. Healthcare service in local community, how much easier is your ability to access those services today compared to five years ago (in 2008)

19

91

332

241

178

163

133

132

119

85

78

73

47

8

-28

-37

-164

-340% -240% -140% -40% 60% 160% 260%

Total

South Korea

Argentina

Japan

Belgium

Poland

Australia

United States

Canada

Great Britain

Germany

France

Sweden

Italy

Hungary

Spain

© 2013 Ipsos

Global @dvisor



32%

50%

47%

43%

38%

31%

34%

31%

30%

31%

27%

29%

25%

24%

23%

19%

13%

5%

10%

14%

11%

4%

8%

9%

11%

13%

12%

17%

13%

18%

22%

32%

Total

South Korea

Argentina

Poland

Australia

Japan

Belgium

United States

Canada

Great Britain

Germany

Hungary

France

Sweden

Italy

Spain

Agree Worse


20

% seen

change Net Change

45 +19

55 +45

57 +37

57 +29

49 +27

35 +27

42 +26

40 +22

41 +19

44 +18

39 +15

46 +12

38 +12

42 +6

45 +1

51 -13



Rating of Patient Experience vs 5 Years Ago

© 2013 Ipsos

Global @dvisor



32%

47%

48%

39%

35%

38%

30%

33%

39%

28%

28%

29%

24%

23%

22%

13%

15%

4%

12%

5%

4%

11%

10%

14%

21%

12%

12%

16%

20%

22%

24%

40%

Total

South Korea

Argentina

Belgium

Japan

Australia

United States

Germany

Poland

Canada

France

Great Britain

Sweden

Italy

Hungary

Spain

Agree Worse


21

% seen

change Net Change

47 +16

51 +43

60 +36

44 +34

39 +31

49 +27

40 +20

47 +19

60 +18

40 +16

40 +16

45 +13

44 +4

45 +1

46 -2

53 -27




© 2013 Ipsos

Global @dvisor



29%

52%

47%

44%

30%

26%

32%

26%

27%

25%

24%

22%

19%

22%

19%

14%

15%

5%

13%

16%

7%

4%

13%

11%

13%

14%

14%

14%

19%

27%

24%

38%

Total

South Korea

Argentina

Poland

Belgium

Japan

Australia

United States

Germany

Canada

Great Britain

France

Sweden

Hungary

Italy

Spain

Agree Worse

Better quality

22

% seen

change Net Change

44 +13

57 +47

60 +34

60 +28

37 +23

30 +22

45 +19

37 +15

40 +14

39 +11

38 +10

36 +8

38 +0

49 -5

43 -5

52 -24




© 2013 Ipsos

Global @dvisor



29%

46%

45%

28%

31%

33%

29%

36%

28%

27%

28%

25%

22%

22%

17%

16%

17%

4%

12%

4%

8%

14%

11%

21%

14%

14%

17%

17%

26%

29%

25%

41%

Total

South Korea

Argentina

Japan

Belgium

Australia

United States

Poland

Canada

Germany

Great Britain

France

Italy

Hungary

Sweden

Spain

Agree Worse

Better coordinated

23

% seen

change Net Change

46 +12

50 +42

57 +33

32 +24

39 +23

47 +19

40 +18

57 +15

42 +14

41 +13

45 +11

42 +8

48 -4

51 -7

42 -8

57 -25




© 2013 Ipsos

Global @dvisor



28%

48%

45%

30%

31%

37%

26%

26%

28%

26%

24%

22%

25%

20%

19%

15%

16%

4%

11%

4%

14%

21%

10%

11%

16%

15%

15%

16%

20%

24%

28%

38%

Total

South Korea

Argentina

Japan

Australia

Poland

Belgium

United States

Great Britain

Canada

Germany

France

Sweden

Italy

Hungary

Spain

Agree Worse


24

% seen

change Net Change

44 +12

52 +44

56 +34

34 +26

45 +17

58 +16

36 +16

37 +15

44 +12

41 +11

39 +9

38 +6

45 +5

44 -4

47 -9

53 -23




© 2013 Ipsos

Global @dvisor



28%

60%

45%

29%

31%

32%

26%

38%

26%

23%

24%

22%

19%

19%

19%

14%

18%

2%

15%

4%

9%

13%

10%

23%

14%

15%

18%

21%

24%

29%

29%

41%

Total

South Korea

Argentina

Japan

Belgium

Australia

United States

Poland

Canada

France

Great Britain

Sweden

Germany

Hungary

Italy

Spain

Agree Worse


25

% seen

change Net Change

46 +11

62 +58

60 +30

33 +25

40 +22

45 +19

36 +16

61 +15

40 +12

38 +8

42 +6

43 +1

43 -5

48 -10

48 -10

55 -27




© 2013 Ipsos

Global @dvisor



29%

54%

49%

27%

29%

38%

27%

29%

26%

29%

25%

23%

22%

17%

21%

16%

21%

2%

12%

5%

12%

25%

14%

21%

18%

22%

24%

23%

28%

26%

36%

40%

Total

South Korea

Argentina

Japan

Belgium

Poland

United States

Great Britain

Germany

Australia

Sweden

Canada

Italy

France

Hungary

Spain

Agree Worse

Speedier

26

% seen

change Net Change

50 +8

56 +52

61 +37

32 +22

41 +17

63 +13

41 +13

50 +8

44 +8

51 +7

49 +1

46 +0

50 -6

43 -9

57 -15

56 -24




© 2013 Ipsos

Global @dvisor




METHODOLOGY

• These are the findings of an Ipsos Global @dvisor online survey conducted between January 4th -

18th, 2013 with a total international sample of 12,001 adult citizen-patients spread across 15

countries. The countries that were surveyed include Argentina, Australia, Belgium, Canada, France,

Germany, Great Britain, Hungary, Italy, Japan, Poland, South Korea, Spain, Sweden, and the United

States.

• Adults aged 18-64 in the US and Canada, and age 16-64 in all other countries, were interviewed.

Approximately 1000+ individuals participated in each of Australia, Canada, France, Germany, Great

Britain, Italy, Japan, Spain and the United States. whereas Argentina, Belgium, Hungary, Poland,

South Korea and Sweden each have a sample 500+.

• Weighting was then employed to balance demographics and ensure that the sample's composition

reflects that of the adult population according to the most recent country Census data and to

provide results intended to approximate the sample universe.

• The precision of Ipsos online polls are calculated using a credibility interval. In this case, a poll of

1,000 is accurate to +/- 3.5 percentage points and one of 500 is accurate to +/- 5.0 percentage points

in their respective general populations.

• All sample surveys and polls may be subject to other sources of error, including, but not limited to

coverage error, and measurement error.

• For more information on credibility intervals, please visit the Ipsos website at http://ipsos-

na.com/dl/pdf/research/public-affairs/IpsosPA_CredibilityIntervals.pdf

http://ipsos-na.com/dl/pdf/research/public-affairs/IpsosPA_CredibilityIntervals.pdf





© 2013 Ipsos

Global @dvisor



Ipsos is an independent market research company controlled and managed by research

professionals. Founded in France in 1975, Ipsos has grown into a worldwide research group with a

strong presence in all key markets. In October 2011 Ipsos completed the acquisition of Synovate.

The combination forms the world’s third largest market research company.

With offices in 84 countries, Ipsos delivers insightful expertise across six research specializations:

advertising, customer loyalty, marketing, media, public affairs research, and survey management.

Ipsos researchers assess market potential and interpret market trends. They develop and build

brands. They help clients build long-term relationships with their customers. They test advertising

and study audience responses to various media and they measure public opinion around the globe.

Ipsos has been listed on the Paris Stock Exchange since 1999 and generated global revenues of

€1,363 billion (1.897 billion USD) in 2011.

Visit www.ipsos-na.com to learn more about Ipsos’ offerings and capabilities.

About Ipsos

© 2013 Ipsos

Global @dvisor



John Wright

Senior Vice President and Managing Director, Global @dvisor

Ipsos Public Affairs +1 (416) 324-2002

[email protected]

Keren Gottfried

Research Manager, Global @dvisor


[email protected]

The Ipsos Global @dvisor Syndicate Study is a monthly, online survey of consumer citizens in 24

countries and produces syndicated reports and studies specifically tailored to the needs of

corporations, advertising and PR agencies, and governments. For information contact:

Chris Deeney

Senior Vice President and Managing Director


[email protected]

Visit www.ipsos.com for information about all of our products and services.

Copyright Ipsos 2010. All rights reserved. The contents of this publication constitute the sole and

exclusive property of Ipsos.

For information about this and other Global @dvisor products contact http://www.ipsosglobaladvisor.com/ or:

mailto:[email protected]





http://www.ipsos.com/

http://www.ipsosglobaladvisor.com/

ipsos reid new ppt template

Documents