health & society csa-europ assistance barometer 2013_synthesis

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  • 1. Health & Society Barometer - Europ Assistance / CSA CSA. 2013: 7th wave of the barometer Main learning points In October 2006, the Europ Assistance Group and the Cercle Sant Socit, with 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 regular change within these systems, the objective of this barometer is to provide changes comparative enlightenment on the position of the citizens in the countries studied, in order that their opinions can feed into the major debates that are gripping the healthcare sector. In 2013, the barometer is being published at a time when Europ assistance is celebrating its 50th anniversary. 8 European countries, as well as the United States, are now included within the field of study of the barometer. Healthcare and, more broadly, the means of accessing care quality, including when travelling, within a professional context or via new technologies, are the main concerns of the citizens of all of these countries. This barometer not only allows us to evaluate their opinion and their expectations with regard to the preserv preservation of their healthcare systems, but also to study the manner in which the populations perceive the quality of their treatment. It thus contributes to gaining a better appreciation of the level of consciousness shown in public opinion regarding the iation new challenges associated with healthcare. 1
  • 2. On the occasion of the 50th anniversary of the assistance service, established in France by Pierre Desnos, the founder of Europ Assistance, the Sant & Socit Europ Assistance-CSA barometer focuses in its 2013 edition on CSA addressing the topic of healthcare and travel, assessing the benefits of repatriation for medical reasons. Also studied within the barometer are the changes in opinion regarding: The evaluation of the healthcare system and the quality of trea treatments, taking into account not only the organisation of this system, but also the technical competence of the doctors and its development since 2010, the trust placed in the healthcare authorities in each country regarding the limiting of risks, an observ observation on the perception of the various future threats since 2009 and new sources of financing. Social requirements, including the evaluation of equality when it comes to accessing treatments and the issue of the desired means of financing in order to stre strengthen this equality. The cancellation or postponement of medical treatments what treatments? for treatments, whom? The care for dependent elderly people is a measure of the change in opinion in each country since 2006, as regards the organisation and quality of this care provision, the adequacy of public support in financing home care and, more broadly, the recognition of the issue of dependency by public authorities. Furthermore, other than family, what types of organisations should be called on to provide this home care, what measures should be prioritised and to what equipment should preference be given, including technological devices? And finally, how can these services be financed? Healthcare and new communication technologies, with the development of the technologies, viewing of healthcare information online since 2006, the sharing and exchanging of iewing opinion regarding healthcare on social networks and the Internet, the perception of the development of continual home monitoring by mobile telephone and the evolution of this perception since 2010, the possible use of webcams for a remote GP consultation. Finally, public awareness of genome mapping and the intention to use it, measured since 2011. Healthcare and business, measuring the respective expectations of employees wit with regard to expatriation, depending on their country of origin, focussing on Healthcare, Safety, Schooling and Salary. The final topic, Healthcare and economy addresses the manner in which the awareness of the various populations has developed with regard to the importance of their healthcare system and its impact on the economy. This barometer was established on the basis of a telephone survey conducted by the CSA in institute, with a sample of 500 individuals per country of study in Europe, as well as 1,000 individuals in the United States, representative of the population aged 18 years and older, distributed across nine countries - Germany, France, Great Britain, Italy Italy, Sweden (2006), Poland (2009), the United States, Austria (2010) and Spain (since 2011), between May and June nd 2013. 2
  • 3. I- Evaluation of the healthcare system and of the quality of treatments Organisation: consolidation in the medium term 2013, Concerning the assessment of the public regarding the organisation of their healthcare system in 2013 clear differences of opinion are found between Austrians, who seem the most satisfied with an average score of 6.3/10, and the Polish who bring up the rear at 2.8, nonetheless reducing the gap between themselves and the Italians, for whom the average fell by half a point in relation to 2012, to 3.2. The Austrians also set themselves apart in that 47% of them consider their system to be very good or even excellent, far ahead of the British, of whom 29 are far 29% nonetheless of this opinion. Great Britain thus exceeds the average, with 5.2, followed by France (5.1), Germany (5.0), Spain and Sweden (4.8) and then the United States (4.5). In terms of changing opinions in the medium term, the general trend tends towards a structural balance if you term, compare the averages observed between 2006 and 2013. Only Germany experienced an upward variation of more than 1 point between these two dates, which can be explained by the generally positive financial situation of the generally Outer Rhine health insurance schemes. As for Sweden, the country has experienced a slight downward trend, falling from 5.3 in 2006 to 4.8 in 2013, and especially Italian opinion has significantly degraded since 2009 ( 1 2013, (point). France remains stable, as do Austria, Great Britain returning to its balanced trend following the peak in 2007. In the , United States, the opinions have remained stable since 2010, despite a little increase in 2012. Technical competence of doctors: a positive trend tors: Concerning the assessment made regarding the technical competence of the doctors, diagnostics and treatments, , the opinions in the various countries are relatively stable from the previous year, with only the United States falling by 0.3 points compared to 2012, yet still remaining the most positive (6.8) ahead of the Austrians (6.5), while the Polish replace the Italians in last place (4.7). If you consider the European countries together, the trend over two years is slightly positive and averages out at 5.6, following the considerable drop observed in all of the European countries between 2010 and 2011. between 3
  • 4. Confidence in the healthcare authorities: stabilised opinions 72% of British state that they have confidence in the controls put in place by the healthcare authorities to limit the risks associated with the taking of medication and 81% for the risks associated with the use of medical prostheses, probe implants and endoscopic equipment. However, only 42 and 56 of the Polish express these 56% views respectively. However, the level of confidence among the same Polish survey participants with regard to the risks associated participants with the taking of medication increased considerably between 2012 and 2013 (42 vs. 35 (42% 35%), as did that of the British (72 vs. 61%), when it continued to fall in Spain (63 vs. 66%) and in Italy (51 vs. 55% and remained relatively %), stable from one year to the next in the other countries. Regarding the risks associated with the use of medical prostheses, probe implants and endoscopic equipment, only the Spanish declare themselves considerably less confident, fall falling from 69% in 2012 to 66 in 2013, while the 66% confidence of the British increases by 15 points (to 81 ), that of the Swedish by 10 points (to 76 and that of the 81%), 76%) Germans (increasing to 56%) and the Polish (to 56 by 8 points. ) 56%) Even the confidence of the French increases by 5 points, in spite of the legal proceedings regarding the Mediator , drug and breast implants recently making the news. Threats to the future: Europe relatively more calm than the United States With regard to the perception of threat to the future of the healthcare systems, 82% of British consider the risks threats of medical errors to be very important, ahead of Americans (78 ), followed by Italians (75 (78%), (75%), while only 37% of French and Austrians consider this risk to be very important. In terms of development, there is a very noticeable drop among Spanish with regard to this risk being taken into account (70% vs. 86%), but also to a lesser extent among Austrians (37% vs. 48 ) and Germans (45% vs. 54 ), 48%) 54%). On the other hand, a significant increase is to be observed among Polish and Americans, 66 of whom assessed the ase 66% risk of medical errors to be very significant in 2012, whereas 74 and 78% respectively consider this to be the case 74% in 2013. The waiting times before receiving treatment continue to concern the vast majority of Polish (87 (87%), but also 78% of Spanish, 75% of British and 72% of Italians. However, a very noticeabl