citizens’ views of health services around the world · ipsos mori social research institute ......

EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 1

Citizens’viewsofhealthservices

aroundtheworld

BobbyDuffy

MangingDirector,

IpsosMORISocialResearchInstitute


Countrieswhichratetheirhealthcaresystemshighly

arealsomostworriedaboutthem

AustraliaBelgium

U.S.

India

GB

Canada

SAfrica

Germany

Sweden

France

Argentina

Spain

Turkey

SKorea

Japan

China

Italy

Brazil

Mexico

PeruRussia

Poland

0

10

20

30

40

50

0 10 20 30 40 50 60 70 80 90 100

Base:18,180adults16-64across23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey

%ratethequalityofhealthcarethattheyandtheirfamilyhaveaccesstointheircountryasgood

%expectthequalityof

healthcarethattheyandtheirfamilywillhave

accesstolocallytogetworseoverthe

comingyears


Thereissomecorrelationbetweenspendonhealth

andviewsofservices

Base:18,180adults16-64across23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey

%ratethequalityofhealthcarethattheyandtheirfamilyhaveaccesstointheircountryasgood

%oftotalannualGrossDomesticProductisspentonhealth

expenditureeachyear

Australia

Belgium

U.S.

India

GBCanada

SAfrica

Germany

SwedenFrance

Argentina

Spain

Turkey

SKorea

Japan

China

ItalyBrazil

Mexico

Peru

Russia

Poland

0

2

4

6

8

10

12

14

16

18

20

0 10 20 30 40 50 60 70 80

Butlittlelinkbetweenhowworried peopleareandhealthindicators

6EuropeanHealthcareDesignCongress|12June2017|Version1|Public|

toohighAvg.guess(21)

Actual(8)%pointdifferencetoolowCountry

IndonesiaMalaysiaThailandIndiaPhilippinesCanadaTurkeyBrazilMontenegroSingaporeHongKong*SouthAfricaChinaTaiwan*US*MexicoArgentinaJapanBelgiumPeruIsraelFranceAustralia*Norway*DenmarkSerbia*GreatBritainColombiaSouthKoreaSweden*GermanyVietnamItalyCzechRepublicNetherlandsChileSpainHungaryRussiaPoland

+36+33

+24+23

+19+18+18

+17+17+16+16+16

+15+15

+14+13

+12+12+12+11+11+11+11+11+11+10+10+9+9+9+9+9+9+8+8+8+8

+4+4+4

39 337 430 727 524 528 1023 525 823 621 521 525 921 622 731 1819 617 522 1022 1117 619 822 1221 1020 1021 1120 1019 917 717 720 1120 1116 718 916 719 1116 817 912 711 710 6

WhatpercentageoftotalannualGrossDomesticProductdoyouthinkisspentonhealthexpenditureeachyear?

PERILSOFPERCEPTION|2016

Wethinkwespendmuchmoreonourhealththanweactuallydo.

The‘actual’dataforthisquestionislargelyfromtheWorldBank.Instanceswherethe‘actual’datacomesfromanothersourceareindicatedwithanasterisk(*).Pleaseseehttp://perils.ipsos.com/ forfulldetailsofallsources.

Base:27,250adults16-64across40countries,online,22September– 6November2016


LookingattheUK

detail…

healthcaresystem

inabitmore


Wearegenerallyveryhappywithits

currentstate

68%aresatisfiedwiththeNHS

78%sayBritain’sNHSisoneofthebestintheworld

Base:1016adultsinEngland,face-to-face,3November– 17December2014 Source:IpsosMORI/DepartmentofHealthPublicPerceptionsoftheNHSTrackerSurvey


ButrecordnumbersexpecttheNHStogetworseover

Base:February2017,1044adultsaged18+intheUK,10 – 14February2017 Source:IpsosMORIPoliticalMonitorFebruary2017

0

10

20

30

40

50

60

Mar-02

Sep-02

Mar-03

Sep-03

Mar-04

Sep-04

Mar-05

Sep-05

Mar-06

Sep-06

Mar-07

Sep-07

Mar-08

Sep-08

Mar-09

Sep-09

Mar-10

Sep-10

Mar-11

Sep-11

Mar-12

Sep-12

Mar-13

Sep-13

Mar-14

Sep-14

Mar-15

Sep-15

Mar-16

Sep-16

Mar-17

better

worse

21

57AndthinkingabouttheNHSoverthenextfewyearsdoyouexpectittoget…?

Base:March2002– August2016,AdultsinBritain(c.1000perwave) Source:IpsosMORIGovernmentDeliveryIndex

thenextfewyears


Wearemoreworriedaboutitthananyotherissue

Base:997Britishadults18+,5– 15May2017 Source:IpsosMORIIssuesIndex

61%

45%

27%

25%

20%

15%

15%

12%

12%

10%

NHS/Hospitals/Healthcare

Common Market/Brexit/EU/Europe

Education/Schools

Immigration/immigrants

Economy

Poverty/Inequality

Housing

Ageing population/social care

Unemployment

Crime/Law and Order/ASB

+13

-3

-4

+7

-2

+1

-1

+1

-2

-2

% Position

-1

-1

+3

+1

+2

-1

-1

+3

Whatdoyouseeasthemost/otherimportantissuesfacingBritaintoday?

Top mentions % Change since April


42

43

22

16

12

12

9

42

31

21

18

17

14

10

7

47

24

35

19

16

9

Europe/EU/Brexit

Healthcare/NHS/hospitals

Education/schools

Managingtheeconomy/economicsituation

Asylumandimmigration

Taxation

Don’tKnow

May-17 Apr-17 Apr-15

…andwesaidtheNHSwouldbeimportantindecidinghowtovote

tovotelastThursdayLookingaheadtotheGeneralElection,which,ifany,issuesdoyouthinkwillbeveryimportanttoyouinhelpingyoudecide whichpartytovotefor?*(UNPROMPTED)

§ Base:1,053Britishadults18+,21st – 25th April2017 Source:IpsosMORIPoliticalMonitor


0

20

40

60

80

100

disagree

agree

7

85

Pleasetellmewhetheronthewholeyouagreeordisagreewitheachofthefollowingstatements…TheNHSwillfaceaseverefundingprobleminthefuture

Base:c1000adultsinEnglandperwave Source:IpsosMORI/DepartmentofHealthPublicPerceptionsoftheNHSTrackerSurvey

Ourconcernsarelargelyaboutfunding


Thereis,ofcourse,courseforconcern

Just30yearsago,youcouldalmostfiteveryAustralianagedover100intothesamebus.Bymid-century,wewillhavearound40,000centurions–enoughtofillafootballstadium.

Source:OECDhttp://www.oecd.org/health/healthcarecostsunsustainableinadvancedeconomieswithoutreform.htm


Base:1985adultsaged15+inGreatBritain,5– 15May2017 Source:IpsosMORIpollforTheHealthFoundation

PeoplearemoreprotectiveoverNHSspendingthanany

otherformofspendingWhichTWOorTHREE,ifany,ofthefollowingmainareasofpublicspendingdoyouthinkshouldbeprotectedfromanycuts?

88%

56%

40%

31%

20%

12%

11%

11%

4%

*

1%

TheNHS/healthcare

Schools

Care fortheelderly

ThePolice

Socialservices

Defence

Benefitpayments

Localauthorityservices

Overseasaid

None

Don’tknow


59%21%

7%

12%

Base:1792adultsaged15+inGreatBritain,13– 23March2015(excludingthosewhosaid‘don’tknow’) Source:IpsosMORIpollforTheHealthFoundation

Thereisappetitetopaymoreintaxinordertohelp

theNHSManyexpertsarguethatitisbecomingmoreexpensivetofundtheNHSbecauseofincreasingcostsoftreatments,anageingpopulationandseveralotherfactors.Thismeansthateveninordertomaintainthecurrentlevelofcareandservicesprovidedforfreebythe NHS,spendingontheNHSwouldhavetoincrease. Withthatinmind,which,ifany,ofthefollowingwouldyoumostliketosee?

Reducespendingonotherservices suchaseducationandwelfareinordertomaintainthelevelofspendingneededtokeepthecurrentlevelofcareand

servicesprovidedbytheNHS

IncreasetaxesinordertomaintainthelevelofspendingneededtokeepthecurrentlevelofcareandservicesprovidedbytheNHS

ReducethelevelofcareandservicesprovidedbytheNHSsothatyoudonotneedtoincreasethecurrentleveloftaxationandspendingon

theNHS

Noneoftheabove


Base:978adultsinEngland,March2014 Source:IpsosMORI

Itis,afterall,the“closestthingEnglishpeoplehaveto

areligion”

52%

47%

33%

26%

22%

7%

7%

7%

4%

3%

9%

BBCBritishbusiness

TeamGBTheRoyalFamily

HousesofParliament

TheNHSTheArmedForces

Oxfam

Noneofthese/Don’tknow

JohnLewisMarks&Spencer

Whichtwoorthreeofthefollowing,ifany,wouldyousaymakesyoumostproudtobeBritish?


Thereissomesupportforthepreventionagenda

“IntheUK,webelievethatfurtherandgreaterinvestmentintheNHSwillimprovethehealthofthepeopleandthetruthisthatitwon’t,certainlynotonitsown.”

DuncanSelbie,ChiefExecutive,PublicHealthEngland


Thereissomesupportforthepreventionagenda

Butwemayfacechallengesasthereare

demographicpressuresotherthanageing


GenerationXatsameage…tobeoverweightthanMillennialsaremorelikely

MYTH OR REALITY…?


REALITY


Millennialsarethefirstyounggenerationwhereover

halfareoverweight

%withahealthyweight,UK

0%10%20%30%40%50%60%70%80%90%

1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014

Prewar(probablybornpre1945) Babyboomers(probablyborn1945-1965) GenerationX(probablyborn1966-1979) Millennials(probablyborn1980-1995)

Millennialsataverageage26:Healthyweight=48%

GenXataverageage26:healthyweight=53%


…andtheyconsumemoresugarthantherestofus

Millennialsnow(2012)age18- 32

GenerationXnow(2012)age33- 46

GenerationXthen(2000)age21- 34

Babyboomersnow(2012)age47- 67

75g55g65g53g

Dailysugarconsumption

Source:NationalDietandNutritionSurvey


atsameage…tosmoke thanGenerationXMillennialsaremorelikely

MYTH OR REALITY…?


MYTH


0%

5%

10%

15%

20%

25%

30%

35%

40%

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014Prewar(bornbefore1945) BabyBoomers(born1945-1965) GenerationX(born1966-1979) Millennials(born1980onwards)

Smokingrateshavedeclinedinthelast15yearsbutat

lowerratesamongMillenials

%currentsmoker (smokeeveryday/somedays),EnglandMillennialsataverageage26:currentsmoker=29%

GenXataverageage26:currentsmoker=36%


MYTH

howhealthyweare…Therearelots ofmythsaboutButhowsurprising isthis?

28PERILSOFPERCEPTION |EuropeanHealthcareDesignCongress|12June2017|Version1|Public|

+21+9+6

0-8-9-9

-11-11-11-12-13-13-14-14-15-16-16-17-17-17-17-18-19-19-20-20-20-24-26

-33-33

-43

IndiaJapanChina

SouthKoreaSouthAfricaNetherlands

BrazilSerbia

AustraliaHungary

ArgentinaCanadaChileItaly

IrelandPeru

MexicoUnitedStates

BelgiumFrance

GermanyPoland

GreatBritainSweden

NewZealandColombia

SpainNorway

MontenegroRussiaIsraelTurkey

SaudiArabia

Thepublicgenerallyunderestimatetheproportionofoverweightorobesepeopleintheircountry.

41 2032 2334 2832 3247 5540 4947 5642 5351 6249 6040 5243 5653 6636 5044 5841 5653 6950 6636 5332 4940 5740 5744 6233 5247 6635 5538 5833 5335 5931 5724 5732 6528 71

Q.Outofevery100peopleaged20yearsorover],howmanydoyouthinkareeitheroverweightorobese?

%pointdifference toolow|toohigh Avg.guess Actual


Sowhatsortofpublichealthinterventions

areacceptabletopeople?


Nudgesaremorepopularthanshoves

Base:c.500- 1,000residentsaged16-64(18-64intheUSandCanada)ineachcountry,August2015andNovember2010 Source:IpsosGlobal@visor

85%

82%

77%

55%

55%

Provideinformation abouthealthyeating

Provideincentives,suchashealthfoodvouchers

Makecompaniespromotehealthychoices

Makeunhealthyfoodsmoreexpensive

Ban unhealthyfoods

Thinkingaboutwhatpeoplechoosetoeat.What,ifanything,doyouthinkgovernmentshoulddo?

28%

31%

66%

78%

62%


Peoplearenotconsistentintheirviewsthoughthough

Base:c.500- 1,000residentsaged16-64(18-64intheUSandCanada)ineachcountry,August2015andNovember2010 Source:IpsosGlobal@visor

68%agreethat“governmentshouldintroducelawstoban

unhealthyfoodsORshouldintroducelawstomakeitmoreexpensivetomake

unhealthyfoods”

56%agreethat“governmentshouldnotgetinvolvedinwhatpeoplechoose

toeat”

35%


Butthereispotentialtonudgetoahealthierpopulation

SouthernCrossStation,Melbourne,140%increaseinuseofstairsduringpeakhours

TheBlueZoneProject,Iowa,Increasingaccesstopedestrianwalkwaystoencouragewalkinginandaroundtowns

EuropeanHealthcareDesignCongress|12June2017|Version1|Public|

Doyoucurrently,orhaveyouever,usedaconnectedhealthdeviceortooltomanageyourhealth?

Base:18,180adultsacross23countries,online,12thSep– 11thOct2016

Yes,currentlyuse Formerlyused

…butpeople don’tusedevicesforlong

12% 12%Overall

USA

Sweden

6%

10%

Russia

14% 15%11% 7%

21%

7%GreatBritain


Thepowerofdoctorsinpromotingconnectedhealth

issignificant,butmanyneedconvincing

85%

58%

52%

agreeiftheirdoctorrecommendedtheyuseaconnectedhealthdeviceaspartoftheirtreatmentplantheywould

ofdoctorsareconcernedabouthowpatientdataishandled andsecured

ofdoctorsareconvincedthatconnectedhealthdevicesarehelpingtoimprovehealthoutcomes


Butpublicacceptanceofchangeisslow- thereisn’tmuchappetiteformuchappetiteforvirtualdoctorsanytimesoon

LesspositivereactionsMorepositivereactions

FutureCitiesDialogue

PORTABLE BATTERYPACK


DRIVERLESSCARS


VIRTUALDOCTOR


DRONES


SMARTHOUSEWARE


PERSONALHEALTHTRACKERS


SMALLSCALENUCLEAR REACTORS


SYNTHETICMEAT


BIOMETRICTRANSPORTCARDS


3DPRINTERS

Basedonqualitativeexerciseindicatingtop-of-mindconsumerreactions&preferences Source:IpsosMORI/InnovateUK


Insummary…

• Thereiswidevariationabouthowweratehealthcareservicesacrosstheglobe

• Somecountriesaremoreworriedthanothers

• Thosewhoarehappywiththeircurrenthealthcaresystemsaremostworried,probablybecausetheyarekeentopreservethem

• Butwedofacechallengesgoingforwards:thecostofhealthcareisincreasingandyoungergenerationsarenotnecessarilyhealthierthanbefore

• Itseemsnudgeswillworkbetterthanshoves

• Youngpeoplearestartingtouseconnectedhealthdevices,butthereisrecognitiontheycanonlygosomeway

• Theremaybesomehopethough…


T

1234567

891011121314151617181920212223

Base:18,180adultsacross23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey

…ashalfofusthinkthateventuallyallmedicaldiseases

willbecurable50%

74%

71%

71%

66%

60%

60%

55%

55%

54%

52%

50%

49%

48%

47%

45%

43%

42%

39%

36%

35%

34%

33%

33%

38%

21%

24%

23%

28%

31%

26%

41%

28%

35%

37%

34%

44%

31%

40%

34%

39%

43%

50%

48%

54%

49%

53%

55%

TotalIndonesia

IndiaTurkeyPeruBrazilChina

MexicoRussia

ArgentinaSAfrica

ItalySKoreaPoland

U.S.Japan

AustraliaCanadaSpain

GBGermanyFrance

BelgiumSweden

%Eventuallyallmedicalconditionsanddiseaseswillbecurable

Agree Disagree


[email protected]

@BobbyIpsosMORI

citizens’ views of health services around the world · ipsos mori social research institute ......

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