Tracking Healthcare as a Priority Issue (Spring 2014)

Transcription

1 Tracking Healthcare as a Priority Issue (Spring ) A Twenty-Four Country Comparison and Drill-Down into Canada, US, UK, Australia and France Visit for information about all of our products and services. Copyright Ipsos All rights reserved. The contents of this publication constitute the sole and exclusive property of Ipsos.

2 Contents Page 3 Overview 6 Worldwide Country Comparison 11 Focus on CANADA 16 Focus on US 21 Focus on UK 26 Focus on AUSTRALIA 31 Focus on FRANCE 37 Contacts 38 Methodology 2

3 OVERVIEW 3

4 This report Ipsos Public Affairs has been tracking the top issue concerns of residents across 24 countries since This report is the first of a bi-annual series that will be provided by the Ipsos Health Policy Institute focusing on healthcare as an issue priority. Priority attributed to healthcare as an issue varies by country. It ranks with a higher focus among residents in Poland, the US, Canada and Australia than it does among residents in Germany, France, Italy, Argentina and Japan. Demographics come into play in the priority assigned to healthcare in some countries, but not in others. Women rate healthcare as a higher priority than men in each of the US and Australia, but less so in Canada, France and the UK. Similarly, rating of healthcare as a priority issue increases with age in Canada, the UK and Australia but less so in the US and France. When comparing across countries on ratings based on income and education there are no obvious trends or similarities. Of interest, when exploring other social/political issues such as the environment or poverty/inequality, we have often found that people who are active online tend to rate these issues as more important than those who are less active online. When comparing online activity and rating healthcare as important, online activity regarding social/political issues is not a factor in differentiating opinion. 4

5 The Ipsos Public Affairs Health Policy Institute The Ipsos Public Affairs Health Policy Institute is a major international player in the healthcare policy, service delivery and patient experience measurement field. The Institute works with clients to develop and implement consultation and research initiatives that measure the quality and impact of health care policy and service delivery on a variety of levels: TOPICS / AREAS Policy Development, Implementation Program Evaluation, Impact Assessment, Performance Measurement Communications, Advertising Behaviour Change Public Opinion, Reputation Assessment Patient Experience Social Marketing AUDIENCES Citizens as Taxpayers, Consumers, Patients, Advocates Healthcare Professionals, Providers Government, Insurance Companies and other Payors Health Care Facilities Provider Organizations, Associations Foundations, Charities ENVISIONING HEALTH AS HOLISTIC PHYSICAL, MENTAL, SOCIAL 5

6 Worldwide and Comparing Countries 15 of the countries in this reporting are those where our sampling and weighting protocols allow us to be reasonably confident that the data represent the general public. These countries are: Argentina, Australia, Belgium, Canada, France, Germany, Hungary, Italy, Japan, Poland, South Korea, Spain, Sweden, United Kingdom and United States. For the nine remaining countries surveyed, our sampling and weighting protocols only allow us to conclude that the data represent Upper Deck Consumer Citizens; more urban/educated/higher income than their fellow citizens. These countries are: Brazil, China, India, Indonesia, Mexico, Russia, Saudi Arabia, South Africa and Turkey. 6

7 Healthcare ranks in the middle of the pack as a top issue concern worldwide, behind unemployment/jobs, poverty/social inequality, corruption and crime/violence. 7 Tracking Select Top Issues WORLDWIDE (% rate in top 3) 45% 34% Unemployment and jobs Corruption (financial/political) 34% Poverty and social inequality 31% 23% Crime and violence Health care 19% Taxes 19% Education 17% Moral decline Immigration control Threats against the environment Maintain social programs 8% Climate change 7% Terrorism Dec 2010 Dec 2011 Dec 2012 Dec 2013 April 7% Rise extremism Which three of the following topics do you find the most worrying in your country? (List provided) 7

8 Worldwide, women, older, lower/middle education and lower/middle income tend to have a higher proportion identifying healthcare as a priority issue. The US, UK and Australia specifically fit this demographic profile. Healthcare As a Top Issue by Select Demographics Worldwide (% rate in top 3) 7 Male Female 19% 24% Younger Middle Aged Older 22% 25% Lower $ Middle $ Higher $ 18% 22% 23% Lower Education Middle Education Higher Education 17% 21% 26% 8

9 Healthcare ranks much higher as a priority issue in Brazil, Poland, the US, Canada and Australia than elsewhere. All Countries * Brazil Poland Canada US Australia Hungary * Russia * Saudi Arabia UK * China Spain Sweden Germany Japan Belgium France * South Africa Italy * Indonesia * India Argentina South Korea * Mexico * Turkey Healthcare As a Top Issue by Country (% rate in top 3) % 7 18% 17% 14% 14% 13% 11% 9% 8% 7% 6% 5% 23% 27% 27% 27% 25% 24% 22% * Countries where the data are Upper Deck Citizens/Consumers, not general population 37% 35% 58% 64% 9

10 Tracking among select countries, identification of healthcare as a top priority has trended down in France and Argentina recently, but has trended up in the UK. 7 Tracking Healthcare As a Top Issue by Select Countries (% rate in top 3) 37% 35% 27% 22% 14% 8% Canada US Australia UK Sweden France Argentina Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 10

11 Focus on CANADA 11

12 While still high on the public agenda, healthcare is not the dominant concern that it once was among Canadians. It is competing for top spot with unemployment/jobs and taxes. 7 Tracking Select Top National Issues CANADA (% rate in top 3) 38% Health care Unemployment and jobs 36% Taxes 31% 24% Corruption (financial/political) Poverty and social inequality 18% Education 17% 14% Crime and violence Climate change 12% 12% Immigration control Threats against the environment 11% Moral decline 9% 5% Maintain social programs Rise extremism Dec 2010 Dec 2011 Dec 2012 Dec 2013 April 4% Terrorism Which three of the following topics do you find the most worrying in your country? (List provided) 12

13 Healthcare tracks as a higher issue priority in Quebec and BC, and lowest in Ontario. It does not differ by online activity on social/political issues. 7 Tracking Healthcare as an Issue by REGION (% rate in top 3) Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 49% 46% 37% 36% 36% 33% Quebec BC Prairies Atlantic Alberta Ontario 7 Tracking Healthcare as an Issue by ONLINE ACTIVITY RE SOCIAL/POLITICS (% rate in top 3) Dec 2012 Dec 2013 Apr 43% Inactive Passive 37% Active INACTIVE: Not done anything online past month re social, political issues PASSIVE: Have only read what others have posted online past month re social, political issues ACTIVE: Have shared links, commented, written original ideas online in past month re social, political issues 13

14 Men and women have become almost identical in their rating of the importance of healthcare. It continues to track higher among the middleaged and older. 7 Tracking Healthcare as an Issue by GENDER (% rate in top 3) 38% 42% Men Women Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by AGE (% rate in top 3) 32% 44% 46% Younger Middle-Aged Older Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 14

15 7 Education is not a differentiating factor in rating of the importance of healthcare. However, income comes into play, with importance increasing as income increases. Tracking Healthcare as an Issue by INCOME (% rate in top 3) Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 31% 44% Lower $ Middle $ Higher $ 7 Tracking Healthcare as an Issue by EDUCATION (% rate in top 3) Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 38% Lower Ed. Middle Ed. Higher Ed. 15

16 Focus on the UNITED STATES 16

17 Healthcare continues to rank second to unemployment/jobs as a issue priority among Americans. 7 Tracking Select Top National Issues US (% rate in top 3) 37% 22% 22% 15% 15% 14% 9% 9% 7% 7% Unemployment and jobs Health care Corruption (financial/political) Taxes Crime and violence Moral decline Poverty and social inequality Education Terrorism Immigration control Climate change Maintain social programs Rise extremism Threats against the environment Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr Which three of the following topics do you find the most worrying in your country? (List provided) 17

18 Age does not differentiate ranking of healthcare as an issue to any significant degree, however women rank it higher than do men. 7 Tracking Healthcare as an Issue by GENDER (% rate in top 3) 31% 42% Men Women Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by AGE (% rate in top 3) 38% 33% 39% Younger Middle-aged Older Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 18

19 7 Income is not a big factor in rating of the importance of healthcare. However, education comes a bit more into play, with importance increasing as education decreases. Tracking Healthcare as an Issue by INCOME (% rate in top 3) 38% 39% 34% Lower $ Middle $ Higher $ Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by EDUCATION (% rate in top 3) 38% 32% Lower Ed. Middle Ed. Higher Ed. Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 19

20 Healthcare ranks similarly as a priority issue regardless of degree of online activity concerning social/political issues. 7 Tracking Healthcare as an Issue by ONLINE ACTIVITY RE SOCIAL/POLITICS (% rate in top 3) Dec 2012 Dec 2013 Apr 37% 35% Inactive Passive Active INACTIVE: Not done anything online past month re social, political issues PASSIVE: Have only read what others have posted online past month re social, political issues ACTIVE: Have shared links, commented, written original ideas online in past month re social, political issues 20

21 Focus on the UK 21

22 Healthcare has grown as a priority issue in the UK over the past four years. It currently ranks fourth behind unemployment/jobs, immigration control and poverty/social inequality. 7 Tracking Select Top National Issues UK (% rate in top 3) 38% 37% 32% 27% 21% 18% 18% 17% 16% 13% 12% 11% 8% 6% Unemployment and jobs Immigration control Poverty and social inequality Health care Moral decline Crime and violence Maintain social programs Corruption (financial/political) Taxes Rise extremism Education Climate change Terrorism Threats against the environment Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr Which three of the following topics do you find the most worrying in your country? (List provided) 22

23 The increase in the ranking of healthcare is evident among both men and women and the age groups. Importance also increases somewhat with age. 7 Tracking Healthcare as an Issue by GENDER (% rate in top 3) 25% 29% Men Women Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by AGE (% rate in top 3) 25% 26% 32% Younger Middle-aged Older Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 23

24 Middle and lower income households give marginally higher ratings to healthcare as a priority than higher income households. The highest educated also tend to posit marginally higher importance ratings. 7 Tracking Healthcare as an Issue by INCOME (% rate in top 3) 28% 29% 21% Lower $ Middle $ Higher $ Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by EDUCATION (% rate in top 3) 27% 22% 31% Lower Ed. Middle Ed. Higher Ed. Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 24

25 Healthcare ranks a bit higher as a priority issue among Active and Passive users of online regarding social/political issues. 7 Tracking Healthcare as an Issue by ONLINE ACTIVITY RE SOCIAL/POLITICS (% rate in top 3) Dec 2012 Dec 2013 Apr 24% 31% 29% Inactive Passive Active INACTIVE: Not done anything online past month re social, political issues PASSIVE: Have only read what others have posted online past month re social, political issues ACTIVE: Have shared links, commented, written original ideas online in past month re social, political issues 25

26 Focus on AUSTRALIA 26

27 Healthcare ranks second alongside crime/violence, behind unemployment/jobs, as a priority issue among Australians. 7 Tracking Select Top National Issues AUSTRALIA (% rate in top 3) 43% 35% 34% 26% 21% 17% 16% 14% 14% 12% 9% 7% 4% Unemployment and jobs Health care Crime and violence Immigration control Poverty and social inequality Education Taxes Moral decline Climate change Corruption (financial/political) Threats against the environment Maintain social programs Rise extremism Terrorism Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr Which three of the following topics do you find the most worrying in your country? (List provided) 27

28 Women are significantly more likely than men to rank healthcare as a higher priority. Importance also increases with age. 7 Tracking Healthcare as an Issue by GENDER (% rate in top 3) 29% Men Women Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by AGE (% rate in top 3) Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 36% Younger Middle-aged Older 28

29 Education and income do not differentiate importance associated with healthcare to any significant degree, although middle-income and middleeducation tend to rate it highest. 7 Tracking Healthcare as an Issue by INCOME (% rate in top 3) 32% 37% 32% Lower $ Middle $ Higher $ Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by EDUCATION (% rate in top 3) 29% 38% 32% Lower Ed. Middle Ed. Higher Ed. Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 29

30 Healthcare ranks similarly as a priority issue regardless of degree of online activity concerning social/political issues. 7 Tracking Healthcare as an Issue by ONLINE ACTIVITY RE SOCIAL/POLITICS (% rate in top 3) Dec 2012 Dec 2013 Apr 36% 35% 33% Inactive Passive Active INACTIVE: Not done anything online past month re social, political issues PASSIVE: Have only read what others have posted online past month re social, political issues ACTIVE: Have shared links, commented, written original ideas online in past month re social, political issues 30

31 Focus on FRANCE 31

32 Healthcare ranks well down the list of issue priorities in France. The public agenda is dominated by economic issues. 7 Tracking Select Top National Issues FRANCE (% rate in top 3) 63% 46% 35% 25% 17% 17% 17% 15% 14% 13% 9% 5% 5% 4% Unemployment and jobs Taxes Poverty and social inequality Crime and violence Corruption (financial/political) Immigration control Moral decline Rise extremism Health care Education Threats against the environment Climate change Maintain social programs Terrorism Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr Which three of the following topics do you find the most worrying in your country? (List provided) 32

33 Age and sex do not differentiate ranking of healthcare as an issue priority. 7 Tracking Healthcare as an Issue by GENDER (% rate in top 3) 12% 15% Men Women Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by AGE (% rate in top 3) 11% 16% 14% Younger Middle-aged Older Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 33

34 Income and education are not significant factors in ranking of healthcare as an issue. 7 Tracking Healthcare as an Issue by INCOME (% rate in top 3) 15% 15% 11% Lower $ Middle $ Higher $ Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 7 Tracking Healthcare as an Issue by EDUCATION (% rate in top 3) 15% 15% 9% Lower Ed. Middle Ed. Higher Ed. Dec 2010 Dec 2011 Dec 2012 Dec 2013 Apr 34

35 Degree of online activity on social/political issues is not a determinant of rating of healthcare as an issue priority. 7 Tracking Healthcare as an Issue by ONLINE ACTIVITY RE SOCIAL/POLITICS (% rate in top 3) Dec 2012 Dec 2013 Apr 14% 14% 13% Inactive Passive Active INACTIVE: Not done anything online past month re social, political issues PASSIVE: Have only read what others have posted online past month re social, political issues ACTIVE: Have shared links, commented, written original ideas online in past month re social, political issues 35

36 Contacts and Methodology 36

37 Contacts for CANADA OVERSIGHT, STRATEGY Heather Dawson Vice-President, Toronto Chris Martyn Chief Research Officer/Managing Director Toronto Sarah English Associate Vice- President, Ottawa Michael Howell Associate Vice- President, Toronto Lauren Korosec Research Manager, Toronto Mike College President, Canada Ottawa Sandra Guiry Senior VP Advanced Analytics/Design Toronto Jan Hodes Senior VP, Jacksonville, FLA, USA ADVISORY Brad Griffin Vice President / Manager Qual/Quali-Quant/ Journey Toronto Kyle Braid VP/Managing Director Vancouver Bobby Duffy Director, Social Research Institute, Ipsos Mori London, UK first name.last name@ipsos.com 37

38 Data for this report were generated from Ipsos SURVEY METHOD COUNTRIES SAMPLE WEIGHTING The survey instrument is conducted monthly in 24 countries around the world via the Ipsos Online Panel system. Data are normally collected in the 2 nd and 3 rd weeks of each month. The countries normally included in the tracking include Argentina, Australia, Belgium, Brazil, Canada, China, France, Germany, United Kingdom, Hungary, India, Indonesia, Italy, Japan, Mexico, Poland, Russia, Saudi Arabia, South Africa, South Korea, Spain, Sweden, Turkey and the United States of America. The normal sample each wave consists of an international sample of approximately 19,000 adults age in the US and Canada, and age in all other countries. Approximately individuals participate on a country by country basis via the Ipsos Online Panel with the exception of Argentina, Belgium, Indonesia, Mexico, Poland, Russia, Saudi Arabia, South Africa, South Korea, Sweden and Turkey, where each have a sample approximately Weighting is employed to balance demographics to ensure that the sample's composition reflects that of the adult population according to the most recent country Census data. A survey with an unweighted probability sample and a 10 response rate would have an estimated margin of error of +/-3.1 percentage points for a sample of 1,000 and an estimated margin of error of +/- 4.5 percentage points 19 times out of 20 per country for a sample of 500 of what the results would have been had the entire population of adults in that country had been polled. All sample surveys and polls may be subject to other sources of error, including, but not limited to coverage error, and measurement error. 38