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Patient and Public AttitudesIpsos MORI Social Research Institute
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“No decision about me without me” - challenges
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B. I was able to choose the treatment or service which best
suited my needs
Useful to see where we are now
A. I was involved as much as I wanted to be in decisions about my
care or treatment
% Neither / nor
% Don't know
% Tend to agree% Strongly agree
% Strongly disagree % Tend to disagree
31%
43%
11%
10%3%2%
Q Thinking back to the last time you saw a health professional, such as a GP or hospital doctor, to what extent would you agree or disagree with each of the following statements.
Source: Ipsos MORI/DH Perceptions of the NHS TrackerBase: 1,011 English adults aged 16+
20%
36%20%
15%
6% 3%
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…still significant proportion who favour a more traditional model
36%
19%
26%
9%
8%
Agree much more with statement A
Q Please listen to the following pair of statements and decide, on a scale of 1 to 5, which comes closest to your own opinion. A score of 1 means you agree much more with statement A while a score of 5 means you agree much more with Statement B.
2.
3.
4.
Agree much more with statement B
Source: Ipsos MORI/DH Perceptions of the NHS TrackerBase: 1,011 English adults aged 16+
1.
A – In general, I want a health professional, such as a GP or a consultant, to make decisions about my treatment
B – In general, I want to make my own decisions about my treatment, not rely on a health professional, such as a GP or consultant
Men are more likely than women to place
themselves at 1, as are those aged 65+ and those
in lower social grades. Also those with long-term
conditions.
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Public
All NHS Staff
36
26
19
16
26
36
9
8
8
13
D2: Which of these statements comes closest to your opinion?
Base: All NHS Staff from GfK NOP (Winter ‘10 only - 270), Public on MORI tracker (Winter ’10 - 1,011)
Patients want health professionals to make decisions about their
treatment (1)2 3 4
Patients want to make their own decisions about treatment and
not rely on health professionals (5)
I want a health professional to make decisions about my
treatment (1)
3 4I want to make my own decision about treatment and not
rely a health professional (5)
2
Interesting difference between the public and NHS Staff
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To what extent, if at all, would you trust doctors to do the following:
50
48
56
45
37
24
20
18
41
42
33
44
44
45
47
45
6
7
7
8
12
19
20
21
1
2
3
1
4
6
4
7
Much of this is down to our trust in doctors
% Not very much % Not at all% A fair amount% A great deal
Act in the best interests of their patients
Decide on the most appropriate treatment for you
Give you advice on improving your health
Run the health services in your local area
Keep your personal information safe
Decide which is the best hospital for you
Decide which treatments the NHS can and cannot afford
Decide how money is spent within your local NHS
91%
90%
89%
89%
81%
69%
67%
63%
Base: 1,026 United Kingdom adults aged 15+, 10-16 June 2011 Source: Ipsos MORI/BMA
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Personal information
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GPs / Family Doctors
Consultants / Hospital Doctors
Family Members
Banks/ Financial companies
The NHS
Police
Employers
Dentists
The Department of Health
The Government
Lawyers
67
50
49
48
40
38
35
34
29
28
27
71
51
24
8
41
7
9
31
23
6
4
Personal health information % Personal Information %
Which, if any, would you generally trust to have access to your personal information?
And which, if any, would you generally trust to have access to your personal health information?
Interest distinction made between doctors, the NHS and DH
Base: 1,701 adults aged 15= interviewer between 6 th and 12th June 2008 Source: Ipsos MORI
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Have you ever tried to see your personal medical records?
This was 2008 but question over how much it may or may not have changed
Base: 1,109 adults aged 15= who know that you can see your medical records, interviewed between 6th and 12th June 2008
Source: Ipsos MORI
13%
87%
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16%
84%
People are not looking for information to the extent that we might think they are…
Source: Ipsos MORI
No
Yes
Base: 805 English adults 18+, interviewed face-to-face, 2-8 Dec 2011
Have you ever looked online for information about the quality of local services (for example, looking for patient ratings or official inspection reports)?
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11
Base: 3,970 GB adults aged 15+: Apr/July/ Nov 2011/ Jan 2012
% Accessing the internet by gender and social grade in 2011
Source: Ipsos MORI
All 15-24 25-34 35-44 45-54 55-64 65+
Females 79 92 95 92 87 77 42
Females AB 90 100 100 98 96 91 64Females C1 86 98 97 95 96 86 51Females C2 81 93 96 95 90 83 37
Females DE 56 76 85 74 64 46 23
All 15-24 25-34 35-44 45-54 55-64 65+
Males 84 93 96 92 85 81 54
Males AB 94 100 100 98 100 96 76Males C1 90 96 100 96 93 89 66Males C2 78 94 94 84 82 82 38
Males DE 67 88 88 78 58 49 27Internet access
80-100%
50-79%
0-49%
The information revolution: A charter for the connected?
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hereChallenges
• How do you move this beyond early adopters?
• What is the long-term goal? What is realistic?
• Clear the role of doctors is key in advocating this
• How does it become the social norm to be a partner in care?
• How should the benefits of access be framed?