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

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Presentation on theme: "2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive The 2001 Commonwealth Fund International Health Policy."— Presentation transcript:

1 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

2 2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 2 2001 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, 2001. 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

3 2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive 3 Views of Health Care System in Five Nations - 1988-2001 Rebuild Completely Only Minor Changes Needed 1988*1998**20011988*1998**2001 Australia 173019341925 Canada 52318562021 New Zealand x3220x918 United Kingdom 171418272521 United States 293328101718 x 1988 data not available. *Harvard/Harris/Baxter, 1988. **1998 Commonwealth Fund International Health Policy Survey.

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

5 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

6 2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Access

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

8 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 3441233341 Often or sometimes unable to get care because it is not available where you live 1721181320 Extremely/very difficult to see a specialist when needed 1216111317

9 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

10 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

11 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 191315726 Had a medical problem but did not visit doctor due to cost 11520324 Did not get test, treatment or follow-up due to cost 15614222 Needed dental care but did not see a dentist due to cost 3326371935

12 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

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

14 2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Quality

15 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

16 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

17 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 1819202220 Rated availability of nurses as fair or poor 2422 2822 Base: Hospitalized in Past Two Years

18 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

19 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 8079847372 Listening carefully to your health concerns 7374756765 Providing all the information you want 7267735863 Spending enough time 6962715458 Knowing you and your family situation 6359675157 Being accessible by phone or in person 5955644852

20 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

21 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.

22 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

23 2001Commonwealth Fund International Health Policy Survey Commonwealth Fund/Harvard/Harris Interactive Costs and Worries About the Future

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

25 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

26 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

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

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

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

30 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 2423241822 Would not be able to afford treatment if seriously ill 2620241529 Will not be able to pay for long term care for family member 3026322335 Will wait too long to get non-emergency care 1917201514

31 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*

32 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.

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