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Health & Society Barometer - Europ Assistance / CSA
2013: 7th wave of the barometer

15 October 2013
Context, objectives and
methodology

Health & Society Barometer - Europ Assistance / CSA.

2
Objectives of the study
In 2006, the Europ Assistance Group and the Cercle Santé Société, alongside the CSA Institute, lau...
The scope of the barometer
Year

Country

Staff

2006-2007

• Germany
• France
• Italy
• United
Kingdom
• Sweden

• 400 fo...
The scope of the barometer
Sampling data sheet
•Means of gathering data: interviews by telephone – cati - at the home of t...
Evaluation of the health system and
the quality of treatments

Health & Society Barometer - Europ Assistance / CSA.

6
Opinion on the healthcare system
How would you assess the organisation of your healthcare system: poor, average, good, ver...
Opinion on the healthcare system – Development 2006-2013
How would you assess the organisation of your healthcare system: ...
Opinion regarding the technical competence of doctors
How would you today assess the technical competence of doctors with ...
Opinion regarding the technical competence of doctors: development 2010-2013
How would you today assess the technical comp...
Perceived threats to the future of the healthcare systems
In the coming years, our health system will face several threats...
Perceived threats to the future of the healthcare systems

Medical errors
Do you think this threat is very significant, qu...
Perceived threats to the future of the healthcare systems - Development
2009-2013
Medical errors
Do you think this threat ...
Perceived threats to the future of the healthcare systems
Waiting times prior to receiving treatment
Do you think this thr...
Perceived threats to the future of the healthcare systems - Development
2009-2013
Waiting times prior to receiving treatme...
Perceived threats to the future of the healthcare systems
The increase in personal financing
Do you think this threat is v...
Perceived threats to the future of the healthcare systems - Development 2010-2013
The increase in personal financing
Do yo...
Perceived threats to the future of the healthcare systems
Inequalities in access to treatments
Do you think this threat is...
Perceived threats to the future of the healthcare systems - Development
2009-2013
Inequalities in access to treatments
90%...
Summary of perceived threats to the future of the healthcare
systems

Over the years to come, our healthcare system will f...
New sources of financing for the future
In order to cover the increase in healthcare expenses, what do you consider to be ...
Increasing of the taxations or compulsory contributions to cover the healthcare
expenses – Evolution of the perception sin...
Increasing of the private, supplementary or optional mutual insurance policies
to cover the healthcare expenses – Evolutio...
Increasing of the excess for each medical procedure to cover the healthcare
expenses – Evolution of the perception since 2...
Confidence in the healthcare
authorities

Health & Society Barometer - Europ Assistance / CSA.

25
Confidence in the healthcare authorities in 2013
Do you or do you not have confidence in the controls put in place by the ...
Confidence in the healthcare authorities developments
Do you or do you not have confidence in the controls put in place by...
Confidence in the healthcare authorities developments
Do you or do you not have confidence in the controls put in place by...
Social requirements

Health & Society Barometer - Europ Assistance / CSA.

29
Evaluation of the equality of access to treatments
In your opinion, does the current healthcare system guarantee equal acc...
Evaluation of the equality of access to treatments - Development since
2007
In your opinion, does the current healthcare s...
Financing the equality of access to treatments through taxation

In order to reinforce equality of access to medical treat...
Financing the equality of access to treatments through taxation - Development
In order to reinforce equality of access to ...
Cancellation of treatments

Health & Society Barometer - Europ Assistance / CSA.

34
The cancellation of treatments in 2013
Throughout the course of the past year, have you cancelled or postponed medical tre...
Development regarding the cancellation of treatments
Throughout the course of the past year, have you cancelled or postpon...
The cancellation of treatments in 2013
Throughout the course of the past year, have you cancelled or postponed medical tre...
The cancellation of treatments in 2013
Focus on USA, according to the type of health insurance
coverage
Throughout the cou...
The cancellation of treatments in 2013 : detail
What type of treatment was it?
Several answers possible
Basis: spontaneous...
Cancellations of routine treatments - Developments

Have cancelled or postponed routine medical treatments on account of f...
Cancellations of intensive treatments - Developments

Have cancelled or postponed intensive medical treatments on account ...
Cancellations of medication - Developments

Have cancelled or postponed the purchase of medication on account of financial...
Cancellations of dental treatments - Developments

Have cancelled or postponed dental treatments on account of financial d...
Cancellation of the purchase of corrective glasses/lenses Developments

Have cancelled or postponed the purchase of correc...
Healthcare and economy

Health & Society Barometer - Europ Assistance / CSA.

45
Contribution of the healthcare sector to the economy in
2013
Would you say that the healthcare sector, which includes all ...
Contribution of the healthcare sector to the economy Developments
Would you say that the healthcare sector, which includes...
Prevention

Health & Society Barometer - Europ Assistance / CSA.

48
Use of the health check in 2013
During the past 5 years, have you undergone a general health check?
As a % of "have underg...
Use of the health check - Developments
During the past 5 years, have you undergone a general health check?

Significantly ...
Healthcare programmes at work in 2013
Do you or do you not think that, within a work context, you require healthcare progr...
New technologies

Health & Society Barometer - Europ Assistance / CSA.

52
Information via the Internet
Do you consult health-related information on the Internet: regularly, occasionally, rarely or...
Information via the Internet - Development
Do you consult health-related information on the Internet: regularly,
occasiona...
Healthcare and social networks
Do you share and exchange information, opinions or comments regarding your health with
othe...
Continual home monitoring by mobile telephone
Are you more in favour of or against the development of means of continual m...
Continual home monitoring by telephone - Development 2010-2013
Are you more in favour of or against the development of mea...
Medical consultation via the Internet
If it were offered to you, would you or would you not consult your GP remotely by me...
Medical consultation via the Internet - Development

If it were offered to you, would you or would you not accept the offe...
Genome mapping in 2013
Everyone will soon be able to access their genome map and this will enable them to predict the gene...
Genome mapping - Developments
Everyone will soon be able to access their genome map and this will enable them to predict t...
Healthcare and travel abroad

Health & Society Barometer - Europ Assistance / CSA.

62
The benefits of repatriation for medical reasons
For each of the following trends concerning healthcare and travel, would ...
The benefits of repatriation to save lives
For each of the following trends concerning healthcare and travel, would you sa...
The benefits of repatriation to travel as a family
For each of the following trends concerning healthcare and travel, woul...
The benefits of repatriation to discover distant and lesser known
countries
For each of the following trends concerning he...
The most important thing when it comes to work-related
expatriation
If your employer were lead to offer you a position in ...
Provision of care for dependent
elderly people

Health & Society Barometer - Europ Assistance / CSA.

68
Evaluation of provision of care for the elderly in 2013
In your opinion, is the organisation and provision of care to elde...
Evaluation of the provision of care for the elderly - Developments
In your opinion, is the organisation and provision of c...
Evaluation of the financing of dependence by public aid in 2013
Is public financial aid for home care for elderly or depen...
Evaluation of the financing of dependence by public aid - Developments
2013 significantly
higher than 2012

Is public fina...
Measures to be prioritised regarding the provision of care to elderly and
dependent people in 2013
In view of the problems...
Priority given to home care in the provision of care to elderly and
2013 significantly
dependent people - Developments
hig...
Source of support for home care in 2013

Outside of their family, from which organisation can elderly and dependent people...
Home carers in 2013

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

99%

98%

8...
Home carer jobs - Developments
2013 significantly
higher than 2012
2013 significantly lower
than 2012

Priority given to h...
Telemonitoring - Developments
2013 significantly
higher than 2012
2013 significantly lower
than 2012

Priority given to te...
Robotics - Developments

Priority given to robotics in order to perform daily tasks
Development of opinions regarding home...
Preference towards telemonitoring to make home life safer in in 2013

Are you prepared to equip your elderly relatives wit...
Preference towards telemonitoring to make home life safer in in 2013 Developments
Are you prepared to equip your elderly r...
The financing of home care in 2013

Who should pay for the services and support in order to meet the daily needs of elderl...
Awareness of the issue of dependency - Developments

In your opinion, are the public authorities in your country fully awa...
Find out more: www.csa.eu - @InstitutCSA
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Health & Society CSA-Europ Assistance Barometer 2013_full report

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Health & Society CSA-Europ Assistance Barometer 2013_full report

  1. 1. Health & Society Barometer - Europ Assistance / CSA 2013: 7th wave of the barometer 15 October 2013
  2. 2. Context, objectives and methodology Health & Society Barometer - Europ Assistance / CSA. 2
  3. 3. Objectives of the study 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, 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. 3
  4. 4. 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 • 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 • 500 for the European countries •1000 for the USA 2013 •Germany • France • Italy • United Kingdom • Sweden • Poland • USA • Austria • Spain • 500 for the European countries •1000 for the USA Health & Society Barometer - Europ Assistance / CSA. 4
  5. 5. The scope of the barometer 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. Total population Sample in millions Source: Eurostat 2011 European Union 27 countries Average age years 502 m 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 41.2 372.8 4000 40.9 Total of 8 countries studied The 8 countries surveyed represent 74% of the whole of the EU in millions Source: CIA Factbook 2011 United States: 50 states Health & Society Barometer - Europ Assistance / CSA. 313 m years 1000 37.2 5
  6. 6. Evaluation of the health system and the quality of treatments Health & Society Barometer - Europ Assistance / CSA. 6
  7. 7. Opinion on the healthcare system 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 AUS 6,3 UK 5,2 FR 5,1 GER 5 SPA 4,8 SWE 4,8 ITA POL 3,2 2,8 EU USA Health & Society Barometer - Europ Assistance / CSA. 4,7 4,5 7
  8. 8. Opinion on the healthcare system – Development 2006-2013 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 Excellent = 10 AUS 6,5 6,5 6,3 6,2 UK FR 5,7 5,6 5,1 5,1 5,3 5,6 5,1 4,8 GER 5,5 4,9 5,5 5,4 5,0 4,7 5,0 4,5 4,2 4,5 4,3 4,6 5,3 5,1 5,0 4,7 4,7 5,2 5,1 5,0 4,8 4,8 4,7 4,5 ITA 3,7 3,8 3,6 USA 4,3 4,2 4,1 3,9 SPA SWE EU POL 3,4 3,3 3,2 3,0 2,9 2,6 2013 significantly higher than 2012 2,8 2013 significantly lower than 2012 2,5 Poor = 1 2006 2007 2009 2010 Health & Society Barometer - Europ Assistance / CSA. 2011 2012 2013 8
  9. 9. 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 AUS 6,5 SPA 6 UK 5,8 FR 5,7 SWE 5,6 GER 5,5 ITA 4,8 POL 4,7 EU USA Health & Society Barometer - Europ Assistance / CSA. 5,6 6,8 9
  10. 10. Opinion regarding the technical competence of doctors: development 2010-2013 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 Very good = 7.75 7,0 7,1 USA 6,9 6,8 6,7 6,6 6,5 6,3 6,2 6,1 6,0 6 5,7 5,6 5,6 6,0 5,9 5,8 5,55,6 5,5 5,4 6,5 5,8 5,7 5,6 5,5 AUS SPA UK FR SWE EU GER 5,1 4,9 4,6 4,8 ITA POL 4,7 4,1 2013 significantly higher than 2012 Average = 3.25 2013 significantly lower than 2012 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 10
  11. 11. 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 USA ITA EU POL Medical errors Waiting times before receiving treatment Increase of direct cost for individuals FR SWE AUS GER Unequal access to health care Note de lecture : - Scale going from 30% to 90%. - Each radian is equivalent to 10% of response. SPA Health & Society Barometer - Europ Assistance / CSA. 11
  12. 12. Perceived threats to the future of the healthcare systems Medical errors Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Very important UK ITA POL Somewhat important SWE GER Not really important SPA 82% 75% 74% 70% FR 37% 45% AUS It is not a threat EU USA 37% 61% 70% 78% 33% 31% 45% 11% 4% 3% 18% 19% 15% 21% 5% 2% 5% 3% 7% 2% 8% 2% 24% 24% 26% 5% 9% 6% 6% 10% 4% 17% 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 Health & Society Barometer - Europ Assistance / CSA. 12
  13. 13. Perceived threats to the future of the healthcare systems - Development 2009-2013 Medical errors Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Development of "Very important" UK 90% 84% 86% USA 79% 82% 78% 76% 78% 75% 70% 69% 68% 70% 78% 71% 70% 65% 65% 75% 74% 73% 70% 66% 66% 63% 52% SPA 70% SWE EU 61% 63% 58% 57% ITA POL 54% 47% 48% 43% 45% GER 37% AUS 40% 35% 33% 36% 37% FR 2013 significantly higher than 2012 2013 significantly lower than 2012 21% 10% 2009 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 13
  14. 14. Perceived threats to the future of the healthcare systems Waiting times prior to receiving treatment Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Very important POL ITA UK Somewhat important SPA SWE Not really important GER FR AUS 43% 45% 42% 75% 87% 40% 66% 40% 33% 21% USA 78% 44% 25% EU 62% 59% 72% It is not a threat 29% 17% 11% 1%1% 2% 1% 2% 2% 3% 2% 6% 1% Very / Somewhat important 98% 97% 96% 95% 92% Average 9.5 9.0 9.0 9.1 8.5 Health & Society Barometer - Europ Assistance / CSA. 28% 8% 6% 14% 4% 6% 3% 4% 2% 87% 85% 82% 91% 94% 7.9 7.7 7.6 8.5 8.0 11% 2% 14
  15. 15. Perceived threats to the future of the healthcare systems - Development 2009-2013 Waiting times prior to receiving treatment Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Development of "Very important" 100% SPA 93% 89% 90% 88% 87% UK ITA 88% 78% 77% EU SWE 76% 75% 72% 70% 75% 71% 72% 70% 69% 70% 66% 61% 57% 57% 59% 45% 42% GER 2013 significantly higher than 2012 51% 52% 47% AUS 62% 58% 52% USA FR 68% 65% 64% 54% POL 45% 43% 2013 significantly lower than 2012 43% 42% 40% 39% 34% 30% 2009 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 15
  16. 16. Perceived threats to the future of the healthcare systems The increase in personal financing Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Very important SPA ITA POL Somewhat important GER UK Not really important AUS FR 49% SWE 48% It is not a threat EU USA 35% 47% 58% 59% 55% 70% 76% 74% 39% 39% 47% 40% 9% 3% 8% 4% 30% 38% 26% 20% 35% 21% 22% 3% 1% 2% 2% 3% 1% 5% 6% 5% Very / Somewhat important 96% 96% 96% 94% 89% 88% Average 9.1 8.6 8.9 8.0 8.0 8.0 Health & Society Barometer - Europ Assistance / CSA. 4% 7% 3% 3% 2% 88% 74% 90% 95% 8.0 7.1 8.0 9.0 16
  17. 17. Perceived threats to the future of the healthcare systems - Development 2010-2013 The increase in personal financing Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Development of "Very important" 90% 85% SPA 76% 73% 73% 69% 67% 66% 63% 53% 52% 49% 47% 56% 55% 54% 52% 51% 48% 43% 68% USA 74% POL 70% 67% 67% 58% 55% 54% 51% 47% 43% 39% UK 59% 58% 55% ITA EU 49% 48% AUS FR GER SWE 47% 35% 2013 significantly higher than 2012 21% 2013 significantly lower than 2012 10% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 17
  18. 18. Perceived threats to the future of the healthcare systems Inequalities in access to treatments Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Very important ITA 71% UK 73% SPA 73% SWE Not really important GER FR AUS 50% 67% POL Somewhat important 53% It is not a threat 50% 63% 38% 34% EU 63% 28% 24% 19% 19% 2% 1% 4% 1% 4% 3% 4% 4% 9% 2% Very / Somewhat important 96% 95% 92% 92% 89% 88% 87% Average 8.9 8.9 8.9 8.0 8.5 8.1 8.0 Health & Society Barometer - Europ Assistance / CSA. 10% 2% 7% 6% 70% 36% 26% 29% USA 10% 4% 23% 6% 3% 4% 3% 86% 91% 93% 4.9 8.5 8.0 18
  19. 19. Perceived threats to the future of the healthcare systems - Development 2009-2013 Inequalities in access to treatments 90% Do you think this threat is very significant, quite significant, somewhat significant or not at all significant? Development of "Very important" 84% UK 78% 73% 73% 71% 72% 70% 73% 71% 69% 66% 63% 72% 68% 63% 66% 65% 58% USA ITA 63% 62% 62% POL 67% 63% 60% SPA SWE EU 57% 54% 54% 53% FR 55% 53% 50% 51% 49% 48% 50% AUS 49% GER 2013 significantly higher than 2012 38% 2013 significantly lower than 2012 30% 2009 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 19
  20. 20. 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 treatment 98% 85% 87% 97% 82% 95% 92% 96% 91% 94% The increase in personal financing 96% 88% 94% 96% 88% 96% 74% 89% 90% 95% Inequalities in access to treatments 95% 87% 88% 96% 86% 92% 89% 92% 91% 93% Health & Society Barometer - Europ Assistance / CSA. 20
  21. 21. 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 21% 32% 32% 30% 28% 38% 41% 30% 50% 69% 28% 28% 24% 28% 39% 41% 29% 29% 26% 15% 16% 40% 24% 42% 31% 30% taxation or compulsory contributions 51% 44% 30% private, supplementary or optional mutual insurance policies, Health & Society Barometer - Europ Assistance / CSA. 33% a higher excess for each medical procedure 21
  22. 22. Increasing of the taxations or compulsory contributions to cover the healthcare expenses – Evolution of the perception since 2010 In order to cover the increase in healthcare expenses, what do you consider to be the best financing solution? 2013 significantly higher than 2012 2013 significantly lower than 2012 80% 73% 69% 69% SWE 65% 55% 52% 48% 42% 39% 38% 41% 40% 34% 32% 30% 50% 41% 39% 38% 37% 33% 32% 31% 29% 38% 32% 30% 28% 25% 23% 25% UK GER EU FR SPA USA AUS POL 25% 21% ITA 12% 10% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 22
  23. 23. Increasing of the private, supplementary or optional mutual insurance policies to cover the healthcare expenses – Evolution of the perception since 2010 In order to cover the increase in healthcare expenses, what do you consider to be the best financing solution? 2013 significantly higher than 2012 55% 2013 significantly lower than 2012 51% 46% 43% 42% 42% 41% 38% 37% 41% 39% POL AUS 35% 30% 29% 28% 25% 27% 24% SWE 29% 28% 27% 24% 22% GER EU ITA FR USA UK SPA 15% 30% 29% 28% 26% 23% 21% 18% 15% 13% 10% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 23
  24. 24. Increasing of the excess for each medical procedure to cover the healthcare expenses – Evolution of the perception since 2010 In order to cover the increase in healthcare expenses, what do you consider to be the best financing solution? 2013 significantly higher than 2012 60% 2013 significantly lower than 2012 56% 52% 52% 51% ITA 50% 44% 42% 40% 35% 34% 34% 32% 29% 28% 24% 24% UK SWE 33% 27% 24% 31% 30% EU AUS POL GER 16% 32% 25% 21% 20% 18% USA FR 35% 30% 29% SPA 18% 16% 14% 10% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 24
  25. 25. Confidence in the healthcare authorities Health & Society Barometer - Europ Assistance / CSA. 25
  26. 26. 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 81% 72% UK 76% 65% SWE 63%66% SPA 58% 51% ITA 65% 50% AUS Health & Society Barometer - Europ Assistance / CSA. 59% 50% 56% 46% 56% 42% FR GER POL 65% 55% 64% 58% EU USA 26
  27. 27. Confidence in the healthcare authorities developments 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? Significantly higher than in 2012 % of "yes" responses - developments since 2011 2011 2012 Significantly lower than in 2012 2013 72% 65% 63% 85% 51% 55% 50% 50% 46% 42% 58% 63% 61% 67% 62% 66% 68% 55% 52% 53% 53% 47% 41% 58% 58% 53% 59% 50% EU USA 35% 35% UK SWE SPA ITA AUS Health & Society Barometer - Europ Assistance / CSA. FR GER POL 27
  28. 28. Confidence in the healthcare authorities developments Do you or do you not have confidence in the controls put in place by the healthcare authorities to limit risks associated with the use of medical prostheses, probe implants and endoscope equipment...? % of "yes" responses - developments since 2012 2012 Significantly higher than in 2012 2013 Significantly lower than in 2012 81% 76% 66% 65% 58% 66% UK 66% SWE 69% 58% SPA ITA 65% 59% 56% 56% 66% 54% AUS Health & Society Barometer - Europ Assistance / CSA. FR 57% 48% GER 64% 65% 48% POL EU USA 28
  29. 29. Social requirements Health & Society Barometer - Europ Assistance / CSA. 29
  30. 30. Evaluation of the equality of access to treatments In your opinion, does the current healthcare system guarantee equal access to medical treatments for all citizens? Yes No 100% 80% 33% 40% 52% 56% 59% 65% 60% 56% 44% 72% 59% 41% EU USA 72% 50% 40% 67% 59% 48% 20% 44% 41% 35% 28% 28% ITA POL 0% SPA UK AUS FR SWE Health & Society Barometer - Europ Assistance / CSA. GER 30
  31. 31. Evaluation of the equality of access to treatments - Development since 2007 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) 80% 76% 60% 54% 53% 55% 48% 40% 54% 49% 52% 43% 41% 47% 42% 44% 43% 48% 38% 41% 38% 35% 35% 34% 35% 28% 24% 48% 33% SWE POL ITA 34% 31% 29% 29% 44% 43% 41% 41% 34% 28% 44% 38% UK AUS EU FR 59% 57% 45% SPA 67% 67% 29% 28% USA GER 25% 20% 23% 22% 2013 significantly higher than 2012 19% 2013 significantly lower than 2012 2007 2009 2010 Health & Society Barometer - Europ Assistance / CSA. 2011 2012 2013 31
  32. 32. 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? In favour Not in favour 100% 20% 80% 45% 56% 57% 58% 57% 74% 60% 59% 43% 64% 41% EU USA 80% 50% 40% 80% 55% 44% 20% 43% 42% 36% 26% 20% 0% SWE UK FR AUS GER Health & Society Barometer - Europ Assistance / CSA. POL SPA ITA 32
  33. 33. 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. 2013 significantly higher than 2012 2013 significantly lower than 2012 81% 80% 80% 77% 80% 72% 73% 67% 61% 57% 60% 56% 55% 2009 2010 2011 2012 40% 2013 57% 51% 48% 42% 44% 37% 53% 51% 43% 43% 39% 42% 38% 38% 43% 43% 40% 44% 39% 37% 37% 36% 39% 26% 24% 42%41% 43% 40% 25% 20% 20% 12% 28% SWE UK FR AUS Health & Society Barometer - Europ Assistance / CSA. GER POL SPA ITA EU USA 33
  34. 34. Cancellation of treatments Health & Society Barometer - Europ Assistance / CSA. 34
  35. 35. 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% 18% 11% POL FR GER ITA AUS Health & Society Barometer - Europ Assistance / CSA. 7% 6% 4% SPA SWE UK 23% EU USA 35
  36. 36. 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. 2009 2010 2011 2012 Significantly higher than in 2012 2013 Significantly lower than in 2012 39% 33% 41% 24% 25% 13% 23% 27% FR 18% 25% 30% 17% 15% 12% 11% POL 20% 29% 36% 23% 27% GER 11% 18% 13% 19% 10% 10% ITA 22% 10% AUS Health & Society Barometer - Europ Assistance / CSA. 7% 5% SPA 8% 6% 10% 8%6% 6% 6% 5% 4% SWE 4% 9% UK 17% EU 24% 21% USA 36
  37. 37. 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? Significant cross-tabulations for "% yes" More postponements or cancellations of treatments Less postponements or cancellations of treatments Gender: Female (41%) Gender: Male (23%) Age: 18 to 39 (40%) Age: 60 years old and above (22%) Status: Active (36%) Status: Inactive (27%) ++ -- Gender: Male (30%) Gender: Female (19%) Age: 18 to 39 (36%) Age: 60 years old and above (12%) Status: Active (32%) Status: Inactive (15%) ++ -- Gender: Female (25%) Gender: Male (20%) Age: 18 to 39 (28%) Age: 60 years old and above (16%) Status: Active (25%) Status: Inactive (18%) Health insurance coverage: Not Insured (60%) Health insurance coverage: Employer-based (18%) Health insurance coverage: Not insured (55%) ++ Gender: Female (23%) Health insurance coverage: Insured (19%) -Gender: Male (16%) ++ Gender: Female (14%) -Gender: Male (8%) ++ Health insurance coverage: No health insurance coverage (13&) -Age: 60 years old and above (2%) No major difference No major difference No major difference Health & Society Barometer - Europ Assistance / CSA. 37
  38. 38. The cancellation of treatments in 2013 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 All % Yes Employerbased Self-purchased / Self-insured Medicare Medicaid Not Insured Military 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 Health & Society Barometer - Europ Assistance / CSA. 38
  39. 39. The cancellation of treatments in 2013 : detail What type of treatment was it? Several answers possible Basis: spontaneous answers POL FR GER ITA AUS SPA SWE UK EU USA Routine treatments: 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 lenses 12% 17% 10% 4% 5% 2% 1% 1% 6% 10% Health & Society Barometer - Europ Assistance / CSA. 39
  40. 40. Cancellations of routine treatments - Developments Have cancelled or postponed routine medical treatments on account of financial difficulties Development since 2011 Significantly higher than in 2012 2011 2012 Significantly lower than in 2012 2013 23% 18% 12% 9% 19% 13% POL 12% 5% 9% FR 3% 7% GER 7% 4% 12% 4% 2% 4% ITA AUS Health & Society Barometer - Europ Assistance / CSA. 2% 2% SPA 2% 2% 1% 2% SWE 1% 4% UK 2% 13% 4% 16% 8% EU USA 40
  41. 41. Cancellations of intensive treatments - Developments Have cancelled or postponed intensive medical treatments on account of financial difficulties Development since 2011 Significantly higher than in 2012 2011 2012 Significantly lower than in 2012 2013 16% 13% 7% 7% 11% 12% 5% 5% POL FR 3% 5% GER 6% 8% 9% ITA 5% 3% 3% AUS Health & Society Barometer - Europ Assistance / CSA. 0% 1% SPA 2% 1% 1% SWE 0% 0% 2% UK 2% 5% 4% 5% EU 7% 9% USA 41
  42. 42. Cancellations of medication - Developments Have cancelled or postponed the purchase of medication on account of financial difficulties Development since 2012 Significantly higher than in 2012 2011 16% Significantly lower than in 2012 2013 13% 10% 7% 16% 17% 6% 4% POL 2012 FR 6% 5% 3% 10% 3% 3% 4% GER ITA 1% 2% AUS Health & Society Barometer - Europ Assistance / CSA. 1% 1% SPA 2% 0% 1% 1% SWE 1% 2% UK 1% 12% 3% 5% EU 7% USA 42
  43. 43. Cancellations of dental treatments - Developments Have cancelled or postponed dental treatments on account of financial difficulties Development since 2012 Significantly higher than in 2012 2012 Significantly lower than in 2012 2013 25% 17% 14% 14% 10% 15% 19% 16% 8% POL FR 10% 7% GER ITA 3% 6% AUS Health & Society Barometer - Europ Assistance / CSA. 3% SPA 3% 3% SWE 6% 2% UK 9% EU 13% USA 43
  44. 44. Cancellation of the purchase of corrective glasses/lenses Developments Have cancelled or postponed the purchase of corrective glasses/lenses on account of financial difficulties Development since 2012 Significantly higher than in 2012 2012 Significantly lower than in 2012 2013 17% 12% 10% 10% 10% 10% 2% POL FR GER 5% 4% 13% ITA 6% 3% AUS Health & Society Barometer - Europ Assistance / CSA. 1% 2% SPA 1% 1% SWE 3% 1% UK 5% EU 8% USA 44
  45. 45. Healthcare and economy Health & Society Barometer - Europ Assistance / CSA. 45
  46. 46. 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 85% 85% 83% 81% Contributes to the economic growth of the country 76% 15% 15% 17% 19% 24% ITA SPA SWE UK AUS Health & Society Barometer - Europ Assistance / CSA. 66% 59% 34% 41% GER FR 58% 60% 74% 42% 40% 26% POL EU USA 46
  47. 47. Contribution of the healthcare sector to the economy Developments 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: ... Significantly higher than in 2012 Significantly lower than in 2012 Development from 2006 to 2012 as a percentage of responses stating "contributes to the economic growth of the country" 85% 83% 81% 77% 72% 75% 72% 73% 70% 68% 63% 69% 67% 71% 68% 63% 61% 60% 59% 58% 52% 66% 62% 59% 57% 65% 62% 61% 58% 63% 59% ITA SPA SWE UK 76% 74% AUS EU 66% GER 60% 59% 58% USA FR POL 69% 67% 62% 61% 60% 57% 53% 49% 43% 2006 2007 2009 2010 Health & Society Barometer - Europ Assistance / CSA. 2011 2012 2013 47
  48. 48. Prevention Health & Society Barometer - Europ Assistance / CSA. 48
  49. 49. 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 88% 94% 81% 80% 80% 77% 73% 72% 58% SPA SWE UK GER POL Health & Society Barometer - Europ Assistance / CSA. AUS FR 51% ITA EU USA 49
  50. 50. Use of the health check - Developments During the past 5 years, have you undergone a general health check? Significantly higher than in 2011 development from 2009 to 2012 as a % of "have undergone a health check in the last 5 years" responses Significantly lower than in 2011 94% 88% 81% 80% 80% 77% 73% 72% 2009 58% 2010 81% 80% 2011 2012 85% 84% 74% 67% 83% 82% 74% 71% 82% 78% 82% 2013 51% 73% 75% 79% 77% 71% 72% 75% 83% 72% 94% 92% 91% 57% 55% 55% 63% 59% 58% 69% 47% 58% SPA SWE UK GER POL Health & Society Barometer - Europ Assistance / CSA. AUS FR ITA EU USA 50
  51. 51. 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 GER 17% 49% 39% 22% FR SWE 37% AUS 65% 42% 51% 37% 27% SPA 49% 35% 32% 40% USA 30% 36% 58% 71% 77% The screening of serious illnesses The prevention of obesity 70% 55% 58% 56% 59% 35% 35% 75% 65% 47% 47% 48% POL EU Stress management 52% 36% 22% 23% Back pain 61% 53% 35% 33% 29% 44% UK 66% 62% 53% 35% 33% ITA 54% The prevention of risks associated with the consumption of tobacco, alcohol or drugs 63% 45% 44% Health & Society Barometer - Europ Assistance / CSA. 51
  52. 52. New technologies Health & Society Barometer - Europ Assistance / CSA. 52
  53. 53. Information via the Internet Do you consult health-related information on the Internet: regularly, occasionally, rarely or never? Yes, regularly SWE 26% Yes, occasionally POL GER UK AUS 19% 17% 17% 20% ITA FR SPA EU 10% 14% 16% 17% 45% 44% 31% 25% 41% 40% 46% 57% 37% 38% 39% 40% 50% 55% 59% 42% 25% 18% Yes, regularly / occasionally 83% USA 29% 40% 44% No, never 63% 62% 61% Health & Society Barometer - Europ Assistance / CSA. 60% 50% 45% 41% 58% 75% 53
  54. 54. Information via the Internet - Development Do you consult health-related information on the Internet: regularly, occasionally, rarely or never? Significantly higher than in 2012 Significantly lower than in 2012 Development in the "Yes, regularly" and "Yes, occasionally" sub-total. 2006 2007 2009 2010 2011 2012 2013 SWE POL AUS UK GER Health & Society Barometer - Europ Assistance / CSA. ITA FR SPA EU USA 54
  55. 55. Healthcare and social networks Do you share and exchange information, opinions or comments regarding your health with other people on social networks? Yes, regularly Yes, occasionally GER SWE AUS POL FR 5% 5% 2% 12% 3% 7% 21% 21% 6% 10% ITA 1% 9% No, never SPA UK EU USA 2% 6% 2% 5% 3% 12% 6% 85% 74% Yes, regularly / occasionally 26% 74% 26% 84% 16% 86% 90% 14% Health & Society Barometer - Europ Assistance / CSA. 10% 90% 10% 92% 8% 93% 7% 15% 15% 79% 21% 55
  56. 56. 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)? More in favour SWE 80% 20% SPA ITA UK POL 75% 70% 70% 69% 25% 30% 30% 31% Health & Society Barometer - Europ Assistance / CSA. More against AUS FR GER 62% 61% USA 60% 74% 38% 39% 40% 26% EU 68% 32% 56
  57. 57. 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% SWE SPA USA 79% 74% 75% 71% 68% 61% 60% 57% 56% 68% 65% 62% 63% 59% 55% 47% UK ITA POL 80% 72% 69% 68% 67% 65% 63% 60% 57% 55% 75% 74% 70% 70% 69% 68% EU AUS FR 62% 61% 60% GER 46% 2012 significantly higher than 2011 2012 significantly lower than 2011 30% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 57
  58. 58. 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)? Yes, certainly SWE SPA POL Yes, probably UK 19% 28% 33% ITA 14% No, probably not FR 15% 28% GER AUS 7% 4% 11% 20% USA 18% 20% 15% 28% 21% 28% 22% 22% 18% 13% 29% EU 18% 17% 24% No, certainly not 19% 23% 17% 25% 23% 20% 70% 51% 48% 32% 53% 42% 36% 27% 27% 18% Yes 62% 52% 50% 39% 42% Health & Society Barometer - Europ Assistance / CSA. 32% 25% 15% 39% 48% 58
  59. 59. Medical consultation via the Internet - Development 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" 2013: Total of responses "Yes, certainly" + "Yes, probably" POL SWE SPA UK FR Health & Society Barometer - Europ Assistance / CSA. GER ITA AUS EU USA 59
  60. 60. 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 Total aware Yes and I have the intention to use it SWE GER ITA SPA UK FR POL EU USA 77% 75% 68% 47% 52% 44% 26% 27% 52% 67% 30% 28% 33% 21% 19% 26% 53% 47% 47% 23% 25% 47% 23% 18% 26% 42% No, I have never heard of it Don’t know 20% 26% Yes but I have no intention to use it 32% 10% 16% 47% 29% 48% 56% 74% Health & Society Barometer - Europ Assistance / CSA. 16% 11% 34% 72% 60
  61. 61. 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) 77% 75% AUS SWE 68% GER 67% USA 65% 60% 58% 63% 58% 55% 54% 57% 53% 52% SPA EU 47% ITA 48% 43% 42% 37% 44% UK 38% 32% 31% 29% 30% 26% 26% 2011 Health & Society Barometer - Europ Assistance / CSA. 28% 2012 26% 2013 POL FR 2013 significantly higher than 2012 2013 significantly lower than 2012 61
  62. 62. Healthcare and travel abroad Health & Society Barometer - Europ Assistance / CSA. 62
  63. 63. 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 % GB 60% SWE 44% POL EU 75% 53% 72% Travelling as a family 68% 43% 39% GER FR Saving lives 46% 31% ITA 80% 49% 34% SPA AUS 81% 76% 39% 29% 26% 21% 39% 50% 60% Discovering distant and lesser known countries 54% 37% 37% USA Health & Society Barometer - Europ Assistance / CSA. 48% 66% 76% 76% 74% 63
  64. 64. 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? Very significant GER Somewhat significant 36% 68% 5%1% 81% AUS 13% 72% SWE 21% 80% FR 11% 54% 37% SPA USA 3% 1% 27% UK EU It is not an improvement 60% ITA POL Somewhat insignificant 15% 32% 66% 15% Health & Society Barometer - Europ Assistance / CSA. 6% 3% 4% 6% 16% 24% 76% 4% 3% 6% 3% 75% 37% 3%3% 6% 4% 19% 3%2% 64
  65. 65. The benefits of repatriation to travel as a family 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? Very significant Somewhat significant UK 13% 29% 49% 29% 26% 34% 48% Health & Society Barometer - Europ Assistance / CSA. 11% 18% 20% 34% 76% 5% 16% 36% 53% SWE 11% 40% 46% SPA 7% 1% 45% 43% AUS 5% 3% 43% 39% ITA USA 16% 50% FR EU It is not an improvement 76% GER POL Somewhat insignificant 2% 5% 8% 5% 20% 12% 18% 6% 3% 3% 65
  66. 66. The benefits of repatriation to discover distant and lesser known countries 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? Very significant Somewhat significant UK Somewhat insignificant 60% GER 23% 39% ITA 39% SPA AUS POL EU USA 21% 17% 40% Health & Society Barometer - Europ Assistance / CSA. 9% 24% 33% 74% 7% 29% 32% 37% 11% 29% 31% 4% 11% 19% 30% 31% 2% 21% 28% 34% 8% 16% 36% 29% SWE 9% 43% 44% FR It is not an improvement 23% 21% 19% 9% 4% 3% 66
  67. 67. 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 GER 58% 14% SWE 52% 19% POL 51% 10% 2% AUS 50% 11% 7% ITA 41% SPA 31% FR 11% 31% UK 17% 13% 24% 22% 12% 8% 7% 27% 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 16% 18% 16% 16% 10% 18% 22% 10% 9% 23% 14% 10% 13% 30% 10% 12% 18% 15% 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 EU USA 43% 20% 12% 14% 24% Health & Society Barometer - Europ Assistance / CSA. 11% 17% 24% 14% 20% 67
  68. 68. Provision of care for dependent elderly people Health & Society Barometer - Europ Assistance / CSA. 68
  69. 69. 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: Excellent AUS 5% GER 1% 7% SWE 1% 7% 26% 39% 34% FR 5% 4% 28% Very good Good UK 3% 7% SPA 2% 7% 25% Average POL ITA 1% 1% 1% 1% 11% 19% 26% 24% Poor EU USA 2% 7% 6% 18% 28% 34% 42% 45% 36% 21% 37% 43% 37% 39% 35% 63% 18% 21% 21% 29% 27% 37% 27% 27% 15% 3% 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 Health & Society Barometer - Europ Assistance / CSA. 69
  70. 70. 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 5,6 5,5 2013 significantly higher than 2012 2013 significantly lower than 2012 5,7 AUS 5,2 4,8 4,3 4,2 4,0 3,9 3,6 3,5 5,0 4,7 4,3 4,9 4,4 4,0 3,9 3,8 4,2 3,7 3,6 3,7 3,6 3,8 3,2 2,8 2,6 2,8 2,8 USA 4,1 3,9 3,7 3,6 GER SWE FR EU SPA UK 2,9 POL 4,8 2,9 4,0 3,8 3,5 2,9 2,9 2,5 ITA 2,2 2006 2007 2009 Health & Society Barometer - Europ Assistance / CSA. 2010 2011 2012 2013 70
  71. 71. Evaluation of the financing of dependence by public aid in 2013 Is public financial aid for home care for elderly or dependent people… Completely satisfactory Somewhat satisfactory SWE UK AUS FR SPA 4% 7% 3% 4% Somewhat unsatisfactory 3% 29% 54% 49% 48% GER 26% ITA POL EU USA 2% 17% 1% 13% 3% 9% 35% 41% 34% 39% Completely unsatisfactory 55% 47% 50% 40% 28% 37% 42% 42% 48% 29% 16% 5% Satisfied 58% 56% 6% 45% 23% 22% 12% 51% 32% Health & Society Barometer - Europ Assistance / CSA. 26% 25% 39% 19% 14% 38% 12% 64% 71
  72. 72. Evaluation of the financing of dependence by public aid - Developments 2013 significantly higher than 2012 Is public financial aid for home care for elderly or dependent people sufficient? 2013 significantly lower than 2012 Development between 2010 and 2013 in the % of "public aid is satisfactory" responses 64% 58% 56% 52% 2010 46% 2011 2012 2013 38% 56% 47% 51% 52% 58% 51% 49% 47% 46% 31% 40% 44% 40% 61% 53% 60% 27% 55% 49% 50% 19% 31% 30% 14% 32% 21% SWE UK AUS FR SPA Health & Society Barometer - Europ Assistance / CSA. GER 25% ITA 19% 37% 37% 14% POL 12% EU USA 72
  73. 73. Measures to be prioritised regarding the provision of care to elderly and dependent people in 2013 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? Home care 10% 90% ITA 15% 85% UK 17% 83% FR 18% 82% GER 19% 81% AUS Health & Society Barometer - Europ Assistance / CSA. Retirement homes 25% 75% POL 22% 34% 41% 78% 66% SPA 14% 86% 59% SWE EU USA 73
  74. 74. Priority given to home care in the provision of care to elderly and 2013 significantly dependent people - Developments higher than 2012 2013 significantly lower 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 90% 85% 83% 82% 86% 81% 78% 75% 66% 2009 59% 2010 2011 2012 74% 78% 82% 82% 84% 82% 77% 76% 77% 80% 80% 78% 77% 74% 2013 80% 78% 76% 71% 72% 72% 71% 62% 70% 77% 74% 69% 70% 83% 81% 79% 41% 54% 40% 49% ITA UK FR GER AUS Health & Society Barometer - Europ Assistance / CSA. POL SPA SWE EU USA 74
  75. 75. 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? GER AUS 15% 19% POL 25% 12% UK FR SPA ITA SWE EU USA 23% 32% 33% 42% 17% 33% 44% 59% 20% 19% 19% 14% 21% 73% 37% 15% 64% 54% Public organisations 39% 49% Private organisations 43% 47% 35% 30% 39% 26% Organisations within the voluntary or private non-profit sectors Health & Society Barometer - Europ Assistance / CSA. 75
  76. 76. Home carers in 2013 In order to prolong the home care of elderly and dependent people, what is the priority? 99% 98% 88% Home care jobs 98% 89% 78% 97% 89% 75% 96% 93% 81% 77% 96% 93% 96% 92% 92% 90% 83% 81% 75% 77% 71% 59% Telemonitoring enabling home life to be made safer 61% 50% 42% 41% 28% Robotics enabling the performance of daily tasks FR ITA SPA POL Health & Society Barometer - Europ Assistance / CSA. UK GER SWE AUS EU USA 76
  77. 77. Home carer jobs - Developments 2013 significantly higher than 2012 2013 significantly lower than 2012 Priority given to home carer jobs Development of opinions regarding home care workers since 2010 % of "YES" responses 100% 98% 97% 98% 97% 97% 96% 95% 94% 93% 91% 90% 99% 93% 96% 95% 94% 90% ITA SPA UK POL EU GER 93% 91% FR 92% SWE AUS USA 91% 89% 84% 80% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 77
  78. 78. Telemonitoring - Developments 2013 significantly higher than 2012 2013 significantly lower than 2012 Priority given to telemonitoring in order to make home life safer Development of opinions regarding home care workers since 2010 % of "YES" responses 100% 94% 92% 92% 93% 89% 88% 86% 87% 86% 87% 83% 80% 80% 79% 75% 74% 75% 89% FR EU 83% 81% POL 74% 77% 75% SWE 71% 79% 73% 63% 93% 90% 89% 88% UK USA ITA SPA AUS 70% 66% 65% 64% GER 50% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 78
  79. 79. Robotics - Developments Priority given to robotics in order to perform daily tasks Development of opinions regarding home care workers since 2010 % of "YES" responses 100% 76% 72% 73% 69% 68% 72% 71% 61% 62% 63% 53% 52% 50% 52% 81% 78% 77% 75% 61% 59% 36% 26% USA EU 55% 50% 41% 29% 28% UK ITA POL SPA 42% 41% FR GER SWE 36% 29% 28% AUS 18% 14% 0% 2010 2011 Health & Society Barometer - Europ Assistance / CSA. 2012 2013 79
  80. 80. 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% SPA 91% UK 88% FR 87% SWE 83% AUS Health & Society Barometer - Europ Assistance / CSA. 81% 80% ITA POL 85% 87% EU USA 77% GER 80
  81. 81. 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% 85% 87% 77% 2011 2012 2013 74% 71% 83% 82% 81% 78% 82% 81% 78% 76% 83% 80% 86% 85% 74% 73% 74% 74% 61% 57% SPA UK FR SWE AUS Health & Society Barometer - Europ Assistance / CSA. ITA POL GER EU USA 81
  82. 82. 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? SWE SPA Financement public par la collectivité publique avec des impôts ou des cotisations obligatoires Financement mixte avec davantage de financement public Financement privé par les personnes concernées et leurs familles GER ITA UK 48% 37% 40% AUS FR 24% 26% EU 19% 12% 36% 39% USA 51% 22% 28% 38% Financement mixte à la fois par la collectivité publique et par les personnes concernées Financement mixte avec davantage de financement personnel POL 47% 33% 36% 33% 34% 29% 23% 38% 18% 16% 23% 24% 28% 18% 12% 3% 1% 27% 3% 5% 2% 7% 4% 7% 1% 5% 4% 5% 4% 6% 16% 22% 11% 4% 4% 5% 23% Total Public financing Public financing by the public government with taxes or compulsory contributions + Mixed financing with an emphasis on public financing 2013 84% 74% 73% 73% 70% 68% 62% 47% 70% 34% 2012 84% 67% 70% 68% 74% 68% 62% 56% 69% 35% Health & Society Barometer - Europ Assistance / CSA. 82
  83. 83. 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) Significantly higher than in 2012 Significantly lower than in 2012 37% AUS 30% 33% 32% 31% USA FR 28% 26% 23% 21% 18% 14% 13% 9% 8% 2011 Health & Society Barometer - Europ Assistance / CSA. 18% 17% UK EU GER 11% SPA SWE 20% 18% 15% 13% 11% 9% 9% 7% 2012 ITA POL 2013 83
  84. 84. Find out more: www.csa.eu - @InstitutCSA 10, rue Godefroy - 92800 Puteaux Tel. : 01.57.00.58.00 - Fax: 01.57(00.58)01 Health & Society Barometer - Europ Assistance / CSA. 84

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