health & society csa-europ assistance barometer 2013_full report

Health & Society Barometer - Europ Assistance / CSA2013: 7th wave of the barometer2013: 7th wave of the barometer

15 October 2013

Context, objectives and

Health & Society Barometer - Europ Assistance / CSA. 2

Context, objectives and

methodology

In 2006, the Europ Assistance Group and the Cercle Santé Société, alongside the CSA Institute, launched an annual

pan-European barometer on the relationship and practices of European citizens with regard to their health systems.

Set against the context of the radical change within the sector, the objective of the barometer is to provide

clarification on the position of the citizens, in order to introduce public opinion into the major debates that are

gripping the healthcare sector.

This year, the barometer will be published on the occasion of the 50th anniversary of Europ Assistance.

� The focus for 2013:

� On the occasion of the 50th anniversary of the assistance group, established in France by Pierre Desnos, the

founder of Europ Assistance, the Santé&Société Europ Assistance / CSA barometer focuses this, its 2013 edition,

Objectives of the study

3

founder of Europ Assistance, the Santé&Société Europ Assistance / CSA barometer focuses this, its 2013 edition,

on addressing the topic of healthcare and travel, assessing the contributions for repatriation for medical reasons

�Health and business: the main expectations of expatriate employees regarding the 4 S': “Santé, Sécurité,

Scolarité, Salaire” (Healthcare, Safety, Schooling, Salary)

� Healthcare and new communication technologies and the contribution of healthcare social networks

� The topics addressed by the barometer:

�Evaluation of the health system and the quality of treatments

�Health and social demands

�Mobility within access to treatment

�The ageing population and the provision of care to elderly and dependent people

�New technologies

�Prevention

�Contribution of the healthcare sector to the economy

Health & Society Barometer - Europ Assistance / CSA.

The scope of the barometer

Year Country Staff

2006-2007 • Germany

• France

• Italy

• United

Kingdom

• Sweden

• 400 for each country

2009 •Germany

• France

• Italy

• United

Kingdom

• Sweden

• Poland • 400 for each country

2010 • Germany • Poland • 400 for the European

4

2010 • Germany

• France

• Italy

• United

Kingdom

• Sweden

• Poland

• USA

• Austria

• 400 for the European

countries

• 800 for the USA

2011-2012 •Germany

• France

• Italy

• United

Kingdom

• Sweden

• Poland

• USA

• Austria

• Spain

• Czech Republic


countries

•1000 for the USA

2013 •Germany

• France

• Italy

• United

Kingdom

• Sweden

• Poland

• USA

• Austria

• Spain


countries

•1000 for the USA


The scope of the barometer

Total

population Sample Average agein millions

Source:

Eurostat 2011 years

European Union 27 countries 502 m

Germany 81.8 500 43.1

Sampling data sheet•Means of gathering data: interviews by telephone – cati - at the home of the interviewees.

• Sampling plan: a national sample representative of citizens aged 18 years old and older, structured in accordance

with the quotas method (gender, age, region and socio-professional category).

• Size of samples: 500 individuals aged 18 years old and older per European country and 1,000 individuals in the

United States, amounting to 5,000 interviews in a total of 9 countries.

• Field dates: May - June 2013.

• Time required to complete the questionnaire: 15 minutes.

Health & Society Barometer - Europ Assistance / CSA.5

Germany 81.8 500 43.1

France 65.4 500 39.8

Italy 60.9 500 43.0

United Kingdom 62.4 500 39.5

Spain 46.2 500 40.7

Poland 38.2 500 39.1

Sweden 9.5 500 40.6

Austria 8.4 500 41.2

Total of 8 countries studied 372.8 4000 40.9

The 8 countries surveyed represent 74% of the whole of the EU

in millions

Source: CIA Factbook

2011 years

United States: 50 states 313 m 1000 37.2

Evaluation of the health system and


Evaluation of the health system and

the quality of treatments

How would you assess the organisation of your healthcare system: poor, average, good, very good or excellent?Calculated by assigning a value to the responses: poor = 1, average = 3.25, good = 5.5, very good = 7.75, excellent = 10

Opinion on the healthcare system

6,3

5,2

5,1

5

4,8

AUS

UK

FR

GER

SPA

7Health & Society Barometer - Europ Assistance / CSA.

4,8

4,8

3,2

2,8

4,7

4,5

SPA

SWE

ITA

POL

EU

USA

5,5

5,0

5,1 5,1

4,84,9

5,0

5,1

5,7

5,1

5,6

5,6

5,35,2

5,3 5,5

4,74,7

4,85,0

6,5

6,2

6,56,3

5,4

5,1

4,84,7 4,7

Opinion on the healthcare system – Development 2006-2013

Excellent = 10

SWE

FR

SPA

UK

AUS

EU

How would you assess the organisation of your healthcare system: poor, average, good, very good or excellent?Calculated by assigning a value to the responses: poor = 1, average = 3.25, good = 5.5, very good = 7.75, excellent = 10

GER

3,9

4,2

4,2

4,5

4,3

3,3

3,6

4,1

3,8

3,4

3,7

3,2

5,04,5

4,74,7

2,5

3,0 2,92,6 2,8

4,3

4,64,5

4,7 4,7

2006 2007 2009 2010 2011 2012 2013

Poor = 1

8

POL

ITA

2013 significantly higher

than 2012

2013 significantly lower

than 2012

USA


Opinion regarding the technical competence of doctors

How would you today assess the technical competence of doctors with regard to diagnostics and

treatment: poor, average, good, very good, excellent?Calculated by assigning a value to the responses: poor = 1, average = 3.25, good = 5.5, very good = 7.75, excellent = 10

6,5

6

5,8

5,7

5,6

AUS

SPA

UK

FR

SWE


5,6

5,5

4,8

4,7

5,6

6,8

SWE

GER

ITA

POL

EU

USA

Opinion regarding the technical competence of doctors: development 2010-2013

Very good = 7.75

6,2

5,65,7

5,5

6,6

5,9

5,6

5,7

6,3

6,0 6,0

5,85,7

5,6

6,97,0

7,1

6,86,7

6,5 6,5

5,8

6,16

5,5 5,6 5,6SWE

USA

FR

SPA

UK

AUS

EU

How would you today assess the technical competence of doctors with regard to diagnostics and

treatment: poor, average, good, very good, excellent?Calculated by assigning a value to the responses: poor = 1, average = 3.25, good = 5.5, very good = 7.75, excellent = 10

Average = 3.25

5,55,6

4,1

4,6

4,8

5,55,4

5,1

4,9

4,7

2010 2011 2012 2013

POL

ITA

GER

EU

10

2013 significantly higher

than 2012


than 2012


Perceived threats to the future of the healthcare systems

In the coming years, our health system will face several threats, which I am going to read to you. For each of

them, do you think this threat is very significant, quite significant, somewhat significant or not at all significant?

UK

ITA

POLEU

USA

Medical errors

Waiting times before receiving


SWE

GER

SPA

AUS

FR

Waiting times before receiving

treatment

Increase of direct cost for

individuals

Unequal access to health care

Note de lecture :

- Scale going from 30% to 90%.

- Each radian is equivalent to 10% of response.


Medical errorsDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?

45%37% 37%

UK ITA POL SWE GER SPA AUS FR EU USA

Very important Somewhat important Not really important It is not a threat

12

82%75% 74% 70%

45%

70%61%

78%

11%18% 19% 21%

45%

15%

33% 31%

24%

17%

4% 5% 5% 7% 8%5%

24% 26%

10%4%3% 2% 3% 2% 2%

9% 6% 6% 4% 2%

Very / Somewhat

important 93% 93% 93% 91% 90% 85% 70% 68% 85% 95%

Average 9.2 9.0 8.9 8.8 8.0 8.4 7.0 7.0 8.3 9.1


57%52% 54%

68%

65%

78%

73%

75%

69%

84%

79%78%

82%

58%

70%

66%

70%

70%

76%

65%

74%

70% 71%

66%

78%

75%

86%

70%

63%

63%

61%

Perceived threats to the future of the healthcare systems - Development

2009-2013

90%

POL

ITA

SWE

USA

SPA

UK

EU

Medical errorsDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?

Development of "Very important"

43%

52% 54%

45%

33%

35%

40%

36%

37%

21%

47%

48%

37%

2009 2010 2011 2012 2013

10%

13

FR

GER

AUS

2013 significantly

higher than 2012


than 2012



Waiting times prior to receiving treatmentDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?

43% 45% 42%

POL ITA UK SPA SWE GER FR AUS EU USA


14

87%

72% 75% 78%

59%

43% 45% 42%

62% 66%

11%

25% 21% 17%

33%

44% 40%40%

29%28%

1% 2% 2% 3% 6%11% 8% 14%

6% 4%1% 1% 2% 2% 1% 2% 6% 4% 3% 2%

Very / Somewhat

important 98% 97% 96% 95% 92% 87% 85% 82% 91% 94%

Average 9.5 9.0 9.0 9.1 8.5 7.9 7.7 7.6 8.5 8.0



2009-2013Waiting times prior to receiving treatment

Do you think this threat is very significant, quite significant, somewhat significant or not at all significant?


100%

72%

75%

77%

72%70%

70%

70%

71%75%

68%

93%

89%88%

90%87%

76%

88%

78%

POL

ITA

SWE

USA

FR

SPA

UK

EU

30%

52%

57%

40%

43% 43%

47%45%

51%

45%

69%

70%

70%

54%52%

65%

68%

59%

64%

58%

57%

66%

34%

42%

39%

42%

61%62%

2009 2010 2011 2012 2013

15

FR

GER

AUS

2013 significantly

higher than 2012


than 2012



The increase in personal financingDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?

47% 49% 48%35%

SPA ITA POL GER UK AUS FR SWE EU USA


16

76%

58%70%

47%59%

49% 48%55%

74%

20%

38%26%

47%30%

39% 40%

39%

35%

21%

3% 2% 3% 5%6% 9% 8%

22%

7%3%

1% 2% 1% 5% 3% 4% 4% 3% 2%

Very / Somewhat

important 96% 96% 96% 94% 89% 88% 88% 74% 90% 95%

Average 9.1 8.6 8.9 8.0 8.0 8.0 8.0 7.1 8.0 9.0


Perceived threats to the future of the healthcare systems - Development 2010-2013

The increase in personal financingDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?


73%

55%53%

67%

58%59%

67%

69%

67%

70%

63% 66%

68%74%

73%

85%

76%

55%56%58%

55%

POL

ITA

USA

SPA

UK

90%

10%

55%

47%

47%

53%

48%

51%

48%47%

54%

49%

52% 54%

21%

43%

39% 35%

52%

43%

49%51%

55%56%55%

2010 2011 2012 2013

17

ITA

SWE

FR

GER

AUS

EU

2013 significantly

higher than 2012


than 2012



Inequalities in access to treatmentsDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?

50% 53% 50%

ITA POL UK SPA SWE GER FR AUS EU USA


18

67% 71% 73% 73%63%

50% 53% 50%63%

70%

29% 24% 19% 19%26%

38% 34% 36%

28%23%

2% 4% 4% 4% 9% 10% 7% 10%6% 4%

1% 1% 3% 4% 2% 2% 6% 4% 3% 3%

Very / Somewhat

important 96% 95% 92% 92% 89% 88% 87% 86% 91% 93%

Average 8.9 8.9 8.9 8.0 8.5 8.1 8.0 4.9 8.5 8.0



2009-2013

90%

63%

73%

72%67%

66%

69%

68%

73%

73%

71%

63%

78%

71%

63%

63%

65%

70%

66%

84%

72%

62%

POL

ITA

SWE

USA

SPA

UK

Inequalities in access to treatmentsDo you think this threat is very significant, quite significant, somewhat significant or not at all significant?


30%

63%

53%

48%49%

58%

54%

57%

53%

60%

50%

54% 55%

63%

38%

49%

51%50%

62%

62%

2009 2010 2011 2012 2013

19

SWE

FR

GER

AUS

EU

2013 significantly

higher than 2012


than 2012


Summary of perceived threats to the future of the healthcare

systems

Over the years to come, our healthcare system will face several threats, which I am going to identify for you:

For each of these, do you think this threat is very significant, quite significant, somewhat significant or not at all

significant? Sur ST "Very / Somewhat important"


POL FR GER ITA AUS SPA SWE UK EU USA

Medical errors 93% 68% 90% 93% 70% 85% 91% 93% 85% 95%

Waiting times prior to

receiving treatment98% 85% 87% 97% 82% 95% 92% 96% 91% 94%

The increase in personal

financing96% 88% 94% 96% 88% 96% 74% 89% 90% 95%

Inequalities in access to

treatments95% 87% 88% 96% 86% 92% 89% 92% 91% 93%

50%41%

32% 32% 30% 28%21%

38%30%

New sources of financing for the future

In order to cover the increase in healthcare expenses, what do you consider to be the best financing solution?

SWE UK GER FR SPA AUS POL ITA EU USA

16%24%

30%40% 44%

31% 30%

51%

33%42%

15%

26%

29%

28% 24%

39% 41%

28%

29%

28%

69%

50%

taxation or compulsory contributions private, supplementary or optional

mutual insurance policies, a higher excess for each medical

procedure



52%

55%

50%

65%

69%

73%

69%

SWE

80%

2013 significantly

higher than 2012


than 2012

Increasing of the taxations or compulsory contributions to cover the healthcare

expenses – Evolution of the perception since 2010


30%

40%37%

41%39%

42%

39%

32%

23%25%

12%

21%

52%48%

50%

34% 32%32%

28%

38% 38%

30%

25%29%

31%

25%

41%

33%

38%

2010 2011 2012 2013

POL

ITA

USA

FRSPA

UK

GER

AUS

EU

10%


51%

42%42%

38%

46%

41%39%

35%37%

43%

41%

AUS

POL

55%

2013 significantly

higher than 2012


than 2012

Increasing of the private, supplementary or optional mutual insurance policies

to cover the healthcare expenses – Evolution of the perception since 2010


25%

29%

22%24%

30%

21%

28%

26%

18%

15%13%

15%

27% 28%27%

28%29%

23%

24%

30%

35%

29%

2010 2011 2012 2013

SWE

SPA

UK

USAFRITAEUGER

10%


56%

52%

50%

51%

42%

52%

44%

40%

60%

ITA

SPA

USA

FR

2013 significantly

higher than 2012


than 2012

Increasing of the excess for each medical procedure to cover the healthcare

expenses – Evolution of the perception since 2010


20%

18%

21%

24% 24%24%

18%

16%14%

16%

29%

25% 27%

30%

35%

32%

35%

30%28%

31%

29%

32% 33%34%34%

40%

2010 2011 2012 2013

10%

EU

AUSPOLGER

UK

SWE

Confidence in the healthcare


Confidence in the healthcare

authorities

Confidence in the healthcare authorities in 2013

Do you or do you not have confidence in the controls put in place by the healthcare authorities to limit risks

associated with the taking of medication?

associated with the use of medical prostheses, probe implants and endoscope equipment...?

% of "yes" responses


72%65% 63%

51% 50% 50%46% 42%

55% 58%

81%76%

66%58%

65%59% 56% 56%

65% 64%

UK SWE SPA ITA AUS FR GER POL EU USA

Confidence in the healthcare authorities -

developments


associated with the taking of medication?

% of "yes" responses - developments since 2011

85%

72%

65% 63%

51% 50% 50%46%

55%58%

2011 2012 2013

Significantly higher than in

2012

Significantly lower than in

2012


63% 67%

68%

85%

53%

58%

41%

35%

58%

50%

61% 62% 66%

55% 52% 53%47%

35%

53%59%

51% 50% 50%46%

42%


Confidence in the healthcare authorities -

developments


associated with the use of medical prostheses, probe implants and endoscope equipment...?

% of "yes" responses - developments since 2012

81%76%

66%

58%

65%

59%56% 56%

65% 64%

2012 2013


2012


2012


66% 66% 69%

58%66%

54%48% 48%

57%65%


Social requirements


Social requirements

In your opinion, does the current healthcare system guarantee equal access to medical

treatments for all citizens?

Evaluation of the equality of access to treatments

33%40%

52% 56% 59%65%

72% 72%

56% 59%

60%

80%

100%

Yes No

30

67%59%

48% 44% 41%35%

28% 28%

44% 41%

0%

20%

40%

SPA UK AUS FR SWE GER ITA POL EU USA

50%


48% 49%

45%

57%

53% 54% 55% 54%

59%

43%

52% 47%48%

76%

67% 67%

60%

80%

In your opinion, does the current healthcare system guarantee equal access to medical

treatments for all citizens? Development in the equality of access to treatments since 2007 (% of "yes" responses)

Evaluation of the equality of access to treatments - Development since

2007

FR

SPA

UK

AUS

EU

28% 24%

29% 29%

31%

34%38%

38%

38%

43%

45%

41%

41%

33%

44%

28%

44%

43%

35%

35%34%

41%

19%

23% 22%

25%

28%29%

35% 34%

41%48%

43% 42%44%

-

20%

40%

2007 2009 2010 2011 2012 2013

31

POL

ITA

SWE

USA

GER

2013 significantly

higher than 2012


than 2012


Financing the equality of access to treatments through taxation

In order to reinforce equality of access to medical treatments, are you or are you not in

favour of an increase in taxes or compulsory contributions?

20%

45%56% 57% 58%

64%57% 59%

80%

100%

In favour Not in favour

32

80%

55%44% 43% 42%

36%26%

20%

43% 41%

56% 57% 58%64%

74%80%

57% 59%

0%

20%

40%

60%

SWE UK FR AUS GER POL SPA ITA EU USA

50%


81%

61%

80%

57%

72%

67%

53%

73%

56%

77%

57%

51%

80%

55%60%

80%

Financing the equality of access to treatments through taxation - Development

In order to reinforce equality of access to medical treatments, are you or are you not in

favour of an increase in taxes or compulsory contributions?Development between 2009 and 2013 of the % of "In favour" responses.

2009

2013 significantly

higher than 2012


than 2012

37%37%

48%

53%

51%

43%

28%

40%

42% 43%

38% 37%

44%

12%

39%

43%

51%

39% 38% 39%

24%25%

40%42%44% 43% 42%

36%

26%

20%

43%41%

-

20%

40%

2009

20102011

SWE UK FR AUS GER POL SPA ITA EU USA

33

2012

2013


Cancellation of treatments


Cancellation of treatments

The cancellation of treatments in 2013

Throughout the course of the past year, have you cancelled or postponed medical treatments for

yourself or a member of your household on account of financial difficulties?% of "yes" responses


39%33%

24%20%

11%7% 6% 4%

18%23%


Development regarding the cancellation of treatments

Throughout the course of the past year, have you cancelled or postponed medical treatments for

yourself or a member of your household on account of financial difficulties?Development between 2009 and 2013 of the % of "yes" responses.

39%

33%

2009 2010 2011 2012 2013


2012


2012


13% 11% 12%13%

6%10%

25% 23%

17% 18%

10%

6%

8%

24%

36%29%

15%19%

10%5%

5%

6%

17%

25%

41%

27%30%

27%

10%

8%

4%

9%

22%21%

24%

20%

11%

7% 6%4%

18%

23%



++ --

Gender: Male (30%) Gender: Female (19%)

Age: 18 to 39 (36%) Age: 60 years old and above (12%)

Status: Active (32%) Status: Inactive (15%)

Throughout the course of the past year, have you cancelled or postponed medical treatments for yourself or a member of your

household on account of financial difficulties?

Significant cross-tabulations for "% yes"More postponements or cancellations of treatments Less postponements or cancellations of treatments

Gender: Female (41%) Gender: Male (23%)



++ --



++ --


No major difference

++ --


No major difference

++ --

Health insurance coverage: No health insurance

coverage (13&)Age: 60 years old and above (2%)

No major difference



Health insurance coverage: Not Insured (60%) Health insurance coverage: Employer-based (18%)

Health insurance coverage: Not insured (55%) Health insurance coverage: Insured (19%)


Focus on USA, according to the type of health insurance

coverage

Throughout the course of the past year, have you cancelled or postponed medical

treatments for yourself or a member of your household on account of financial

difficulties?% of "yes" responses. Distribution according to the health insurance system

AllEmployer-

based

Self-purchased

/ Self-insuredMedicare Medicaid Not Insured Military

% Yes 23% 18% 30% 21% 44% 60% 11%


% Yes 23% 18% 30% 21% 44% 60% 11%

Key

The result is significantly and statistically higher than that of the whole

The result is significantly and statistically lower than that of the whole

The cancellation of treatments in 2013 : detail

What type of treatment was it?Several answers possible

Basis: spontaneous answers


Routine treatments:

consultation with a GP 23% 12% 5% 9% 4% 2% 2% 2% 7% 18%


consultation with a GP

or specialist

23% 12% 5% 9% 4% 2% 2% 2% 7% 18%

Intensive treatments:

surgical operations,

examinations or

expensive procedures

13% 7% 7% 6% 5% 2% 1% 2% 5% 16%

Purchase of medication 16% 7% 13% 5% 3% 2% 1% 1% 6% 10%

Dental treatments 17% 25% 14% 10% 7% 3% 3% 2% 10% 14%

Purchase of corrective

glasses or lenses12% 17% 10% 4% 5% 2% 1% 1% 6% 10%

Cancellations of routine treatments - Developments

Have cancelled or postponed routine medical treatments on account of financial difficultiesDevelopment since 2011

2011 2012 2013


2012


2012


13% 12%

3% 4% 2% 2% 2% 1% 4%

13%

19%

9% 7%12%

4% 2% 1% 4%8%

16%

23%

12%

5%

9%

4%2% 2% 2%

7%

18%


Cancellations of intensive treatments - Developments

Have cancelled or postponed intensive medical treatments on account of financial difficultiesDevelopment since 2011

2011 2012 2013


2012


2012


11%5% 3%

8%3% 0% 1% 0% 4% 7%

12%

5% 5%9%

3% 1%

0%

2% 5%9%

13%

7% 7% 6% 5%2% 1% 2%

5%

16%


Cancellations of medication - Developments

Have cancelled or postponed the purchase of medication on account of financial difficultiesDevelopment since 2012

2011 2012 2013


2012


2012


16%

6% 3% 3% 1% 1% 0% 1% 3% 7%

17%

4%10%

4% 2% 1% 1% 2% 5%

12%

16%

7%

13%

5%3% 2% 1% 1%

6%

10%


Cancellations of dental treatments - Developments

Have cancelled or postponed dental treatments on account of financial difficultiesDevelopment since 2012

2012 2013


2012


2012


15%19%

16%

8% 6% 3% 3% 6%9%

13%

17%

25%

14%

10%7%

3% 3% 2%

10%

14%


Cancellation of the purchase of corrective glasses/lenses -

Developments

Have cancelled or postponed the purchase of corrective glasses/lenses on account of financial

difficultiesDevelopment since 2012

2012 2013


2012


2012


10% 10%13%

2% 3% 1% 1% 3% 5%8%

12%

17%

10%

4% 5%2% 1% 1%

6%

10%


Healthcare and economy


Healthcare and economy

Contribution of the healthcare sector to the economy in

2013

Would you say that the healthcare sector, which includes all activities relating to medical equipment, treatments,

consultations, medications and public and private healthcare institutions is a sector that, for you...

Is a burden on society Contributes to the economic growth of the country


15% 15% 17% 19% 24%34% 41% 42%

26%40%

85% 85% 83% 81% 76%66% 59% 58%

74%60%

ITA SPA SWE UK AUS GER FR POL EU USA

Contribution of the healthcare sector to the economy -

Developments

68%

72%

70%

72%

71%

77%81%

72% 73%

67%69%

83%

69%

75% 76%

85%

74%


2012


2012

Would you say that the healthcare sector, which includes all activities relating to medical

equipment, treatments, consultations, medications and public and private healthcare

institutions is a sector that, for you, contributes to the economic growth of the country or

is a burden to the country: ...Development from 2006 to 2012 as a percentage of responses stating "contributes to the economic growth of the country"

ITA

SWESPA

UK

AUSEU


68%

59%

58%

60%

66%

60%

52%

59%

57%

59%57%

59%

71%

63% 67%63%

68%

61%62% 63%

58%

67%

43%

49%

61%

53%

58%

66%

62%62%

60%

65%

61%

2006 2007 2009 2010 2011 2012 2013

POL

FR

GER

USA

Prevention


Prevention

Use of the health check in 2013

During the past 5 years, have you undergone a general health check?As a % of "have undergone a health check in the last 5 years" responses

94%


88%81% 80% 80% 77% 72%

58%51%

73%

94%

SPA SWE UK GER POL AUS FR ITA EU USA

Use of the health check - Developments

During the past 5 years, have you undergone a general health check?development from 2009 to 2012 as a % of "have undergone a health check in the last 5 years" responses

88%81%

80%80%

77%72% 73%

94%

Significantly higher than

in 2011

Significantly lower than

in 2011


74%

74%

82%75%

55% 57%67%

71%82%

71%

83%

59%

55%

91%85%

80%

83%

78% 79% 75%

58%

47%

72%

92%

84%

81%82%

72%

77%

69% 63%

58%

73%94%

58%

51%

SPA SWE UK GER POL AUS FR ITA EU USA

2009

2010

2011

2012

2013

Healthcare programmes at work in 2013

Do you or do you not think that, within a work context, you require healthcare programmes

for…% of "Yes" responses

54%

66%

61%

44%

75%

49%

62%

53%

52%

65%

39%

53%

35%

36%

22%

35%

33%

22%

17%

33%

29%

23%

GER

FR

ITA

UK

SWE

Back pain

Stress management

The screening of serious illnesses


77%

70%

58%

63%

40%

65%

71%

55%

56%

58%

45%

47%

65%

51%

59%

49%

44%

47%

42%

37%

35%

35%

36%

48%

37%

27%

35%

32%

30%

SWE

POL

AUS

SPA

EU

USA

The prevention of obesity

The prevention of risks associated with

the consumption of tobacco, alcohol or

drugs

New technologies


New technologies

19% 17% 17% 20%10% 14% 16% 17%

SWE POL GER UK AUS ITA FR SPA EU USA

Yes, regularly Yes, occasionally No, never

Information via the Internet

Do you consult health-related information on the Internet: regularly, occasionally, rarely or

never?

26%19% 17% 17% 20%

10% 14% 16% 17%29%

57%

44% 45% 44% 40%

40% 31% 25%

41%

46%

18%

37% 38% 39% 40%50% 55% 59%

42%

25%

53

Yes, regularly /

occasionally 83% 63% 62% 61% 60% 50% 45% 41% 58% 75%


Information via the Internet - Development

Do you consult health-related information on the Internet: regularly,

occasionally, rarely or never?

2006

2007

Development in the "Yes, regularly" and "Yes, occasionally" sub-total.


in 2012


in 2012

2007

2009

2010

2011

SWE POL AUS UK GER ITA FR SPA EU USA

54

2012

2013


Do you share and exchange information, opinions or comments regarding your health with

other people on social networks?

Healthcare and social networks

5% 5% 6% 2% 3% 1% 2% 2% 3% 6%

21% 21%10%

12% 7% 9% 6% 5%12%

15%

GER SWE AUS POL FR ITA SPA UK EU USA

Yes, regularly Yes, occasionally No, never

55

21% 21%10% 15%

74% 74%84% 86% 90% 90% 92% 93%

85%79%

Yes,

regularly /

occasionally

26% 26% 16% 14% 10% 10% 8% 7% 15% 21%


SWE SPA ITA UK POL AUS FR GER USA EU

More in favour More against

Continual home monitoring by mobile telephone

Are you more in favour of or against the development of means of continual medical

monitoring by mobile telephone? (example: daily log of sugar levels, measurement of blood

pressure and heart rhythm)?

80% 75% 70% 70% 69%62% 61% 60%

74%68%

20% 25% 30% 30% 31%38% 39% 40%

26%32%


Continual home monitoring by telephone - Development 2010-2013

Are you more in favour of or against the development of means of continual medical monitoring by mobile

telephone? (example: daily log of sugar levels, measurement of blood pressure and heart rhythm)? Development of opinions regarding continual home monitoring by telephone since 2010, as a % of responses more in favour

90%

65%

70%68%

70%

74% 75%72%

80%

68%68%

69%

71%

65%

69%

74%

79%

67%

75%

68%

POL

ITA

SWESPA

UK

AUS

EU

USA

30%

56%

47% 46%

60%

61%

57%

61%60%

55%

65%

57%

63% 63%62%

55%

62%

59%

60%

68%

2010 2011 2012 2013

57

FR

GER

AUS

2012 significantly

higher than 2011


than 2011


33%28% 28%

19%14% 15%

7% 4%

18% 20%

20% 28%17%

18%

11%

21%

15%

SWE SPA POL UK ITA FR GER AUS EU USA

Yes, certainly Yes, probably No, probably not No, certainly not

Medical consultation via the Internet

If it were offered to you, would you or would you not consult your GP remotely by means of a video camera

link via the Internet (webcam)?

29%

24% 22%

20% 28% 21%

28%

20%

17% 23%

13%

23%

18%22%

19%

25%

18%

32%27%

48%

36%

51% 53%

70%

42%

27%

58

Yes 62% 52% 50% 39% 42% 32% 25% 15% 39% 48%


If it were offered to you, would you or would you not accept the offer to consult your GP remotely by means

of a video camera link via the Internet (webcam)?

2012: Total of responses "Yes, certainly" + "Yes, probably"

Medical consultation via the Internet - Development

2013: Total of responses "Yes, certainly" + "Yes, probably"

POL SWE SPA UK FR GER ITA AUS EU USA


Genome mapping in 2013

Everyone will soon be able to access their genome map and this will enable them to predict the genetic risk of

serious illnesses.

Have you already heard this being mentioned and do you have the intention to use it?

AUS SWE GER ITA SPA UK FR POL EU USA

Total aware 77% 75% 68% 47% 52% 44% 26% 27% 52% 67%


47% 47% 42%21% 19% 26%

16% 11%29%

47%

30% 28%26%

26% 33% 18%

10% 16%

23%

20%

23% 25% 32%53% 47%

56%74% 72%

48%34%

Yes and I have the intention

to use it

Don’t know

Yes but I have no intention to

use it

No, I have never heard of it

Genome mapping - Developments

Everyone will soon be able to access their genome map and this will enable them to predict the genetic risk of serious

illnesses. Have you already heard this being mentioned and do you have the intention to use it?

Development of knowledge of the genome map since 2011 (% of those aware)

68%

58%

75%

58%

65%

77%

60% 63%

67%

SWE

GER

AUS

USA


55%57%

29%

30%

26%

31%

48%47%

38%

44%

54%

58%

26% 26%

28%

58%

32%

42%

53%

37%

43%

52%

2011 2012 2013

ITA

FR

SPA

UK

EU

2013 significantly

higher than 2012


than 2012

POL

Healthcare and travel abroad


Healthcare and travel abroad

The benefits of repatriation for medical reasons

For each of the following trends concerning healthcare and travel, would you say that for yourself or people

like you, repatriation for medical reasons in the event of accidents or serious illnesses suffered while

travelling abroad, has represented an improvement or not?Number of assessments as "very important" as a %

81%

80%

75%

72%

76%

49%

53%

46%

60%

34%

44%

31%

GB

SWE

SPA

AUS

Saving lives

Travelling as a family


68%

60%

54%

37%

66%

76%

46%

43%

50%

39%

26%

48%

76%

31%

39%

39%

29%

21%

37%

74%

AUS

ITA

GER

FR

POL

EU

USA

Travelling as a family

Discovering distant and

lesser known countries

The benefits of repatriation to save lives

For each of the following trends concerning healthcare and travel, would you say that for yourself or people like

you, repatriation for medical reasons in the event of accidents or serious illnesses suffered while travelling abroad,

has represented an improvement or not?

60%

68%

81%

36%

27%

13%

3%

5%

3%

1%

1%

3%

GER

ITA

UK

Very significant Somewhat significant Somewhat insignificant It is not an improvement


72%

80%

54%

75%

37%

66%

76%

21%

11%

37%

15%

32%

24%

19%

4%

6%

6%

4%

15%

6%

3%

3%

3%

3%

6%

16%

4%

2%

AUS

SWE

FR

SPA

POL

EU

USA

The benefits of repatriation to travel as a family




76%

50%

39%

16%

43%

45%

5%

7%

11%

3%

1%

5%

UK

GER

FR



43%

46%

53%

49%

26%

48%

76%

40%

36%

29%

29%

34%

34%

18%

16%

13%

11%

18%

20%

12%

3%

2%

5%

8%

5%

20%

6%

3%

ITA

AUS

SPA

SWE

POL

EU

USA

The benefits of repatriation to discover distant and lesser known

countries




60%

39%

39%

23%

43%

36%

9%

16%

21%

8%

2%

4%

UK

GER

ITA



44%

29%

34%

31%

21%

37%

74%

28%

40%

30%

31%

32%

33%

19%

17%

19%

29%

29%

24%

21%

4%

11%

11%

7%

9%

23%

9%

3%

SPA

FR

SWE

AUS

POL

EU

USA

The most important thing when it comes to work-related

expatriation

If your employer were lead to offer you a position in a foreign country as an expatriate, of this list of suggestions,

which would in your opinion be the most important criteria to be taken into consideration in order to accept this

offer?Factor listed in first place

58%

52%

51%

50%

14%

19%

10%

11%

7%

10%

2%

14%

12%

10%

13%

18%

9%

8%

23%

7%

GER

SWE

POL

AUS

access and the provision of quality

treatment to you and your family in the

destination country

the education of children in a school

offering a good quality of teaching


50%

41%

31%

31%

30%

43%

20%

11%

11%

17%

13%

12%

14%

12%

14%

10%

10%

22%

16%

11%

24%

18%

22%

24%

16%

27%

17%

24%

7%

16%

18%

18%

15%

14%

20%

AUS

ITA

SPA

FR

UK

EU

USA

offering a good quality of teaching

access to an overall prevention,

information, warning and evacuation

system protecting you and your family from

local geopolitical and climate-related risks

a healthy living environment and

comfortable accommodation

an increase in your salary

Provision of care for dependent


Provision of care for dependent

elderly people

Evaluation of provision of care for the elderly in 2013

In your opinion, is the organisation and provision of care to elderly and dependent people:

5% 1%1%

5%3% 2% 1% 1%

2% 6%

26%

7% 7% 4% 7% 7%1% 1%

7%

18%

39% 34%28% 25% 26%

19%11%

28%24%

AUS GER SWE FR UK SPA POL ITA EU USA

Excellent Very good Good Average Poor


45%

39% 34% 28%

34%

21%

36%37%

43%37% 39%

42%

24%

35%

27%

3%

18% 21% 21%29% 27%

37%

63%

27%15%

Excellent + Very good 31% 8% 8% 9% 10% 9% 2% 2% 9% 24%

Average score 5.7 4.1 3.9 3.9 3.6 3.6 2.9 2.2 3.7 4.9

Evaluation of the provision of care for the elderly - Developments

In your opinion, is the organisation and provision of care to elderly and dependent people:Calculated by assigning a value to the responses: poor = 1, average = 3.25, good = 5.5, very good = 7.75, excellent = 10

Development since 2006

5,04,84,7 4,9

5,6

5,2

5,55,7

2013 significantly

higher than 2012


than 2012

AUS

USA


4,2

3,7

4,3

4,0 3,9 4,1

3,6

3,6

3,83,8

2,62,8

3,8

3,2

2,5

2,9

2,2

3,5

4,3

3,5 3,6

3,94,0

4,2

4,4

3,7

3,9

2,82,9

2,82,9

2,9

4,8

4,9

3,6

4,0

3,7

2006 2007 2009 2010 2011 2012 2013

POL

ITA

SWEFR

SPAUK

GER

EU

USA

Evaluation of the financing of dependence by public aid in 2013

4% 7% 3% 4% 3% 2% 1% 3% 9%

54% 49%48% 41%

29%26%

17%13%

35%

SWE UK AUS FR SPA GER ITA POL EU USA

Completely satisfactory Somewhat satisfactory Somewhat unsatisfactory Completely unsatisfactory

Is public financial aid for home care for elderly or dependent people…


54% 49%48%

55%

37%28%

42%42%

39% 50%

34% 47%

40%

25%

5%16%

6%12%

29%23%

48%39%

22%12%

Satisfied 58% 56% 51% 45% 32% 26% 19% 14% 38% 64%

Evaluation of the financing of dependence by public aid - Developments

Is public financial aid for home care for elderly or dependent people sufficient?Development between 2010 and 2013 in the % of "public aid is satisfactory" responses

56%

58%56%

52%

46%

38%

64%

2010

2011

2013 significantly

higher than 2012


than 2012


56%

58%

47% 50%

31% 32%

19%

53%

51%

49% 46%

44%

55%

30%

25%

12%

37%

61%52%

51%

47%

40%

49%

40%

21%14%

37%

60%

31%27%

19%

14%

38%

SWE UK AUS FR SPA GER ITA POL EU USA

2012

2013

10%15% 17% 18% 19% 25%

34%41%

22%14%

Home care Retirement homes

In view of the problems posed by prolonging life expectancy and the increase in the number of elderly and

dependent people, what measures should be undertaken today as a matter of priority?

Measures to be prioritised regarding the provision of care to elderly and

dependent people in 2013


90% 85% 83% 82% 81%75%

66%59%

78%86%

34%41%

ITA UK FR GER AUS POL SPA SWE EU USA

Priority given to home care in the provision of care to elderly and

dependent people - Developments

90%85% 83% 82% 81%

75%

66%

78%

86%

2013 significantly

higher than 2012


than 2012

In view of the problems posed by prolonging life expectancy and the increase in the number of elderly and

dependent people, what measures should be undertaken today as a matter of priority? Development between 2009 and 2013 in the % of "give priority to home care for elderly and dependent people" in relation to the suggestion of

retirement homes


74%76%

80%

76% 62%

41%

84%77%

78%78%

74%

71%

40%

79%

82%82%

77% 80%72%

70% 70%

49%

77%83%

82% 77%80%

71%

78%

72%

69%

54%

74%81%

66%

59%

ITA UK FR GER AUS POL SPA SWE EU USA

2009

2010

2011

2012

2013

Source of support for home care in 2013

Outside of their family, from which organisation can elderly and dependent people find the best home care support?

15% 19%25%

32%42% 44%

33%

59%

33%23%

12%

17%

GER AUS POL UK FR SPA ITA SWE EU USA


59%17%

20%

19%

14%

21%37%

15%

19% 39%

73%64%

54%49%

43%35%

30% 26%

47%39%

Public organisations Private organisations Organisations within the voluntary or private non-profit sectors

Home carers in 2013

99% 98% 98% 97% 96% 96%93% 92%

96%92%

88% 89% 89%

81%

93%

75% 77%71%

83%

90%

78%75% 77%

81%

59% 61%

Home care jobs

In order to prolong the home care of elderly and dependent people, what is the priority?


50%

42% 41%

28%

59% 61%

FR ITA SPA POL UK GER SWE AUS EU USA

Telemonitoring enabling

home life to be made safer

Robotics enabling the

performance of daily tasks

Home carer jobs - Developments

Priority given to home carer jobs Development of opinions regarding home care workers since 2010% of "YES" responses

100%

93%

97% 97%

98%99%

95%

96%

95%

93%

94%

97%

92%

93%94%

98%

96%

ITA

SWE

USA

FR

SPAUK

GER

AUS

2013 significantly

higher than 2012


than 2012

POLEU


80%

90%

84%

91%91%

91%

90%

89%

92%

2010 2011 2012 2013

USA

Telemonitoring - Developments

Priority given to telemonitoring in order to make home life safer Development of opinions regarding home care workers since 2010% of "YES" responses

100%

86%87%

80%

88%

83%

93%

89%89%

92%

94%92%

93%

81%

89% 88%

87%

90%

86%

80%

83%

ITA

USA

FR

SPA

UK

2013 significantly

higher than 2012


than 2012

EU

POL


50%

74%

63%

65%

75%74%

66%

77%75%

79%

70%

73%

64%

71%

75%

80%

79%

2010 2011 2012 2013

SWE

GER

AUS

Robotics - Developments

Priority given to robotics in order to perform daily tasksDevelopment of opinions regarding home care workers since 2010% of "YES" responses

100%

69%

72%

78%

73%72%

76%

81%

62%

68% 71%

77%

63%61%

75%

61%

59%

ITA

SPA

UK

USA

POL


0%

29%

18%

41%42%

52%55% 50%

53%

14%

36% 36%

41%

63%

28% 26%29%

28%

52%50%

59%

2010 2011 2012 2013

SWE

FR

GER

AUS

USA

EU

Preference towards telemonitoring to make home life safer in in 2013

Are you prepared to equip your elderly relatives with remote monitoring systems such as an electronic bracelet, a

fall detector or continual blood pressure monitoring in order to make their home life safer?% of "Yes" responses

93% 91%88% 87%

83% 81% 80%77%

85% 87%


SPA UK FR SWE AUS ITA POL GER EU USA

Preference towards telemonitoring to make home life safer in in 2013 -

Developments

Are you prepared to equip your elderly relatives with remote monitoring systems such as an electronic bracelet, a

fall detector or continual blood pressure monitoring in order to make their home life safer?% of Yes responses - Developments since 2011

93% 91%88% 87%

83% 81% 80%77%

85% 87%

2011


71%

83%78% 82% 78%

83%73%

61%

74%85%

74%82% 81% 81%

76% 80%74%

57%

74%

86%

SPA UK FR SWE AUS ITA POL GER EU USA

2011

2012

2013

The financing of home care in 2013

Who should pay for the services and support in order to meet the daily needs of elderly and dependent people?

48% 51%40%

26%37% 39%

24%19%

36%

12%

28%

22%

SWE SPA POL GER ITA UK AUS FR EU USA

Financement public par la collectivité

publique avec des impôts ou des

cotisations obligatoires

Financement mixte avec davantage

de financement public


36%23%

33%

47%33% 29%

38%

28%

34%

12%

18% 18% 16% 23% 24%28%

38%

22%

27%

3%3% 2% 4%

1% 4% 4% 11% 4%

16%

1% 5% 7% 7% 5% 5% 6% 4% 5%

23%

2013 84% 74% 73% 73% 70% 68% 62% 47% 70% 34%

2012 84% 67% 70% 68% 74% 68% 62% 56% 69% 35%

Total Public financingPublic financing by the public government with taxes or compulsory contributions + Mixed financing with an emphasis on public financing

de financement public

Financement mixte à la fois par la

collectivité publique et par les

personnes concernées

Financement mixte avec davantage

de financement personnel

Financement privé par les personnes

concernées et leurs familles

Awareness of the issue of dependency - Developments

In your opinion, are the public authorities in your country fully aware of the issue of dependency? Development of opinions regarding the awareness of the issue of dependency since 2011 (% Yes)

28%

37%

26%

31%30%32%33%

FR

AUS


in 2012


in 2012

USA


14%

17%

26%

9% 9%

13%

15%

20%

11% 11%

8% 7%

9%

21%

23%

18%

13%

18% 18%

2011 2012 2013

POLITA

SWE

SPA

UK

GER

EU

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