2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive The 2001 Commonwealth Fund International Health Policy.

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Presentation transcript:

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 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 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, 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 3 Views of Health Care System in Five Nations Rebuild Completely Only Minor Changes Needed 1988*1998** *1998**2001 Australia Canada New Zealand x3220x918 United Kingdom United States x 1988 data not available. *Harvard/Harris/Baxter, **1998 Commonwealth Fund International Health Policy Survey.

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 4 Income and Health: Percent Reporting Fair or Poor Health

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 5 Percent Who Believe that Adults with Low Incomes Have More Problems Getting Care than Those with Higher Incomes Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Access

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 7 Views of Change in Own and Familys Access to Care 2001 Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 8 Difficulties Getting Care, 2001 Percent of adults reporting: AUSCANNZUKUS Very or somewhat difficult to get care in evening or on weekends Often or sometimes unable to get care because it is not available where you live Extremely/very difficult to see a specialist when needed

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 9 Same Day Access to Doctors Percent of patients able to get same day appointment when sick

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 10 Extremely or Very Difficult to See A Specialist When Needed, by Income Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 11 Had Access Problems in Past Year Due to Cost Percent in the past year who: AUSCANNZUKUS Did not fill a prescription due to cost Had a medical problem but did not visit doctor due to cost Did not get test, treatment or follow-up due to cost Needed dental care but did not see a dentist due to cost

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 12 Did Not Get a Recommended Test, Treatment or Follow-up Due to Cost, by Income Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 13 Did Not Get Needed Dental Care Due to Cost, by Income Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Quality

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 15 Waited Less Than One Month for Elective or Non-Emergency Surgery Base: Those with elective surgery in the past 2 years Percent 1998 Commonwealth Fund International Health Policy Survey and

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 16 Waited Four Months or More for Elective or Non-Emergency Surgery Base: Those with elective surgery in the past 2 years Percent 1998 Commonwealth Fund International Health Policy Survey and

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 17 Hospital Care Quality Concerns, 2001 Percent of those hospitalized who: AUSCANNZUKUS Rated overall hospital experience fair or poor Rated availability of nurses as fair or poor Base: Hospitalized in Past Two Years

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 18 Received Conflicting Information from Different Health Professionals When Sick Percent often or sometimes received conflicting information Base: Adults with a serious illness, injury, or disability in past 2 years

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 19 Physician Ratings Percent rating physician as excellent or very good on: AUSCANNZUKUS Treating you with dignity and respect Listening carefully to your health concerns Providing all the information you want Spending enough time Knowing you and your family situation Being accessible by phone or in person

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 20 Composite Physician Ratings *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. Percent rating physicians excellent or very good on six measures of responsiveness

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 21 Composite Rating of Physicians, by Income Percent rating physicians excellent or very good on six measures* *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 22 Rated Overall Medical Care Received in the Past 12 Months as Excellent or Very Good Percent 1998 Commonwealth Fund International Health Policy Survey and

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Costs and Worries About the Future

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 24 Out of Pocket Costs for Prescription Drugs Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 25 Did Not Fill A Prescription Due To Cost In Past Year, 1998 and 2001 Percent 1998 Commonwealth Fund International Health Policy Survey and

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 26 Did Not Fill a Prescription Due to Cost in Past Year, by Income Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 27 Total Out of Pocket Costs, 2001 Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 28 Had Problems Paying Medical Bills In Past Year, 2001 Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 29 Had Problems Paying Medical Bills in the Past Year, By Income Percent

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 30 Worries About the Future Percent saying very worried that: AUSCANNZUKUS Would not be able to get most advanced care if seriously ill Would not be able to afford treatment if seriously ill Will not be able to pay for long term care for family member Will wait too long to get non-emergency care

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 31 Composite of Very Worried About Future Ability to Get Care, by Income *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. Percent they are very worried on a series of measures*

2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 32 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.