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Public opinion research findings presented at the Mayo Clinic National Symposium on Health Care Reform.

Public opinion research findings presented at the Mayo Clinic National Symposium on Health Care Reform.

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  • 1. Consumers’ Views of Health Care, Reform Options and Prospects for Change Jack Korte, Vice President Amy Collis, Senior Research Manager Conducted by Harris Interactive ® for Mayo Clinic Health Policy Center December 2007 A National Opinion Poll
  • 2.
    • Learn about the health care consumer and their views on:
      • Health care today
      • American reform options
      • Health care and the 2008 election
      • Importance of reform
      • Prospects for change
    Research Goals
  • 3.
    • 1,018 online surveys
    • U.S. residents, ages 25-75
    • All health care decision makers
    Methodology
  • 4. Health Care Consumer Profile
    • More than Half of Americans Reported A Chronic Health Condition
    Percent of Americans with a Chronic Condition (n=1018) Major Chronic Conditions (multiple responses allowed; conditions listed by at least 5%) Do not have a chronic condition Have a chronic condition Decline to answer (n=1018) Total Respondents 7% Cancer 5% High Cholesterol/ Hyperlipidemia 5% COPD 10% Hypertension/ High Blood Pressure 14% Chronic Pain 15% Heart Disease 20% Depression 25% Diabetes 27% Arthritis Have a Chronic Condition (n=612)
  • 5.
    • Health Status — 19 Percent with Fair/Poor Health
    (n=1018) Health Status Chronic Condition by Health Status Excellent/Very Good Health Status Good Health Status Fair/Poor Health Status Total Respondents (a) (b) (c) (n=362) (n=427) (n=229) Health Care Consumer Profile
  • 6.
    • 1 in 8 Americans Uninsured
    (n=1018) Percent of Americans with Health Insurance (n=1018) Insured vs. Uninsured: Key Demographic Differences Insured Uninsured Note: The US Census places the 2006 uninsured rate at 15.8%. Our slightly lower rate is likely explained by the fact that our sample excludes 18-24 year olds, a group with a much higher rate of uninsured (29.3%) 1 Total Respondents Health Care Consumer Profile 64% q 10% 2% 35% Insured (p) (n=896) 39% p Income: Under $25K 41% Marital Status: Married 12% p Employment Status: Unemployed and looking for work 50% p Highest Education Completed: High School or Less Uninsured (q) (n=120 )
  • 7. Other mentions included: the number of uninsured, preventing government run health care, and providing better/higher quality care. State of American Health Care 3% Universal health care/coverage 3% Rising drug prices 24% Availability of health care (net) 54% Cost/formulary coverage (net) 12% Availability of health care to everyone 2% Don’t know 17% All other mentions 5% Rising health care costs 5% Rising insurance costs 8% Other cost/formulary coverage mentions 33% Rising costs (unspecified) 3% Decline to answer/None 4% Other availability of health care mentions 5% Availability of health care to poorer people Total (n=1018)
  • 8. (p) (q) (n=896) (n=120) (n=1018) Cost of Health Care State of American Health Care
  • 9. (n=1018) (n=1018) (a) (b) (c) (n=362) (n=427) (n=229) Overall Satisfaction with American Health Care The percent of people very or completely satisfied with American health care is also significantly lower among the uninsured (2%) vs. 15% among the insured. State of American Health Care
  • 10.
    • About Half of Respondents Rated Quality, Coordination and Value of Care as Fair or Poor
    (n=1018) Ratings of Quality, Coordination, Value and Access to Care Total Respondents (n=1018) State of American Health Care
  • 11.
    • The views of the uninsured and sick differ from those who are healthier and have insurance
    (n=1018) State of American Health Care
  • 12. Overall Quality of Health Care in the US Respondent Breakouts (p) (q) (n=896) (n=120) (a) (b) (c) (n=362) (n=427) (n=229) Health Status Insurance Status State of American Health Care
  • 13. Americans Want Information, Access to Providers and Tools to Better Manage their Own Health (n=1,018) Reform Statements: Importance Ratings Total Respondents Health Care Reform Options 4.0 4.3 4.1 4.0 4.2 Ave
  • 14. Most American Adults Believe the Government Should Not Play an Active Role in Health Care (n=1,018) Reform Statements: Importance Ratings Total Respondents Health Care Reform Options 3.2 3.6 3.3 3.4 3.4 Ave
  • 15.
    • No new taxes to pay for reform
    (n=1018) Health Care Reform Options
  • 16. The Vast Majority of American Adults are Dissatisfied with the Overall Direction of the Country (p) (q) (n=896) (n=120) (n=1018) Satisfaction with the General Direction of the Country Direction of America
  • 17. After the War in Iraq, Health Care is the Most Important Issue Facing the Next President Americans with a health condition and those who visit their doctor more frequently are more likely to list health care as their top issue. Presidential Election 6% 5% 4% 8% 5% 10% 10% 14% 17% Good Health Status (b) (n=427) 7% 8% 9% Illegal Immigration 10% 11% 10% Terrorism 20% 15% 15% Health Care 14% 19% 17% The War in Iraq 4% 6% 5% Alternative Sources of Energy 6% 5% 6% Job Losses in the Country 6% 8% 6% Balancing the Budget 4% 4% 5% Tax Reform 8% 8% 7% Social Security/Retirement Programs Fair/Poor Health Status (c) (n=229) Total (n=1018) Excellent/ Very Good Health Status (a) (n=362)
  • 18. Participation in Actions to Make Reform a Reality (n=229) (n=362) (n=1018) % Rating Very much Favor/Somewhat Favor Insured, higher-income and more-educated Americans are more likely to favor taking more personal responsibility. Hispanics and also higher-income Americans are significantly more likely to favor paying more in taxes. Prospects for Health Care Reform
  • 19. About 80 Percent Agreed It’s Important to Improve Quality (n=427) (n=229) (n=362) (n=1018) % Rating Very/ Extremely Important Prospects for Health Care Reform 4.2 4.3 4.2 4.2 Ave.
  • 20. Greatest Ability to Affect Change (Those Mentioned by at Least 5%; Multiple Responses Accepted) Prospects for Health Care Reform 6% 8% 4% 6% News Media 3% 3% 1% 2% Other 9% 8% 10% 9% None/Don’t Know/No answer 9% 15% 19% c 15% Large employers 27% 35% 31% 32% Doctors and other health care providers 31% 39% a 23% 31% Congress 18% 30% c 33% c 29% Consumers 41% a 40% a 29% 36% Insurance companies 18% 20% c 18% Good Health Status (b) (n=427) 19% 11% 16% Fair/Poor Health Status (c) (n=229) 14% 16% Hospitals 15% 16% The President 16% Total 11% Excellent/ Very Good Health Status (a) (n=362) Individual state legislatures
  • 21. Likelihood of Reform in the Next Ten Years (n=1,018) Older Americans are more optimistic about the likelihood of reform: 27% of 65-75 year-olds think that it is likely we will see change in the next 10 years. Prospects for Health Care Reform
  • 22. “ Politics,” Health Insurance Companies, and Costs are Seen as the Biggest Barriers to Achieving this Reform Goal Single Biggest Barrier to Achieving Goal (those mentioned by at least 5%) Prospects for Health Care Reform 0% 1% 1% 1% Other 2% 3% 2% 3% Not enough government involvement 11% 7% 15% b 11% Competing interests 5% 3% 2% 3% Lack of coordination among multiple providers 21% 17% 18% 18% Health insurance companies 16% 18% 15% 17% Cost 10% 14% 18% 15% Too much government involvement 26% 31% a 22% 26% Politics 0% Good Health Status (b) (n=427) 2% Fair/Poor Health Status (c) (n=229) 1% 1% None/Don’t know/No answer Total Excellent/ Very Good Health Status (a) (n=362)
  • 23.
    • American consumers are:
      • Frustrated with health care
      • Interested in getting more involved in their own care
      • Distressed with the high cost of health care
      • Opposed to new taxes
      • Believe quality, coordination and access can be improved
    (n=1018) Take Aways