Chronic Care Prevention Congress Spolarich

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Presentation on Chronic Illness and how Americans\' Value Health Care products, programs and services www.healthvaluestudy.com

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Chronic Care Prevention Congress Spolarich

  1. 1. The Spectrum Health Value Study™ Presentation to the Chronic Care & Prevention Congress May 19, 2009
  2. 2. Introductory Remarks “To address both the costs and performance of the health care system, greater consensus will be required on what constitutes value in health care, and how to measure and increase that value.” Institute of Medicine Roundtable on Evidence Based Medicine, March 2009
  3. 3. Purpose and Objectives The purpose of this study is to identify the relative level of importance of health programs, product and services. Specifically, the research objectives were designed to: 1. Gain a better understanding of consumer use of and relationship to health programs, products and services 2. Evaluate the relative value consumers place on different attributes of health programs, products and services 3. Identify key segments of health care consumers such as those with chronic illness 3
  4. 4. Methodology A total of 1,013 respondents in January and 1,012 respondents in April were interviewed for this study for a total of 2,025 respondents to date. 1235 Respondents indicated that they suffered from a chronic illness in the past year 790 Respondents did not suffer from any chronic illness in the past year Respondents were matched to the US population by: Age Gender Census Region Ethnicity 4
  5. 5. Health Care Benefits, Attitudes And Usage
  6. 6. The Chronically Ill by Age; between ages 35 and 54 there are no statistically significant differences in the numbers; however at younger ages, people are more well and at older ages people are chronically ill. The Chronically Ill and Non-Sufferers by Age 18 16 16 15 14 13 12 12 12 12 11 11 10 10 9 9 9 8 8 8 8 8 7 6 6 5 4 4 3 2 2 2 1 - 18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75 or older Sufferers Non-Sufferers
  7. 7. The majority of all respondents currently have health insurance. The percentage of all respondents covered dropped significantly from January to April, there was also change in coverage for persons who reported suffering from chronic illness from 82% in the first quarter to 77 in the second quarter 100 90 82 78 77 80 70 60 50 40 30 20 10 0 Total (n=2025) Q. 1 Sufferers (n=1235) Q. 2 Sufferers (n=790) Base = Total Respondents Q7. Do you currently have health insurance? 7
  8. 8. The number of covered person who believe that insurance coverage is „Absolutely essential‟ is about 68%. Among those who suffer from chronic illness, the number is much higher and is contrasted here with those persons who do not have chronic illness. (Data are for both quarters) 100 90 80 72 68 70 61 60 50 40 30 20 10 0 Total (n=2025) Total Sufferer (n=1235) Total Non Sufferer (n=790) Base = Total Respondents Q7. How important do you think it is to have health insurance? 8
  9. 9. Sufferers seem to have lost some ground, in terms of their coverage over the past three months in terms of what they say is covered by their plans. It should be noted that because this groups uses their coverage more frequently, they are more sensitive to changes in their coverage, than for example, the total respondent group. Q1 Sufferers(n=520) Q2 Sufferers (n=483) Q2 100 92 93 92 88 88 88 88 86 88 Q2 88 Q2 85 84 83 84 82 Q2 80 76 60 55 52 55 54 52 51 37 39 40 20 1 2 - Doctor visits Hospital Emergency Prescriptions Annual Lab tests Outpatient Major Dental Vision Mental Hearing All other stays room visits exams/ procedures Medical health and/ mentions Preventive or substance care abuse Base = Total Have Health Insurance Q11. Which of the following are covered by your current health insurance plan? 9
  10. 10. Overall Ratings of Health Care Services And Programs
  11. 11. Generally, when asking respondents how satisfied they are with service, programs and products they have actually used, non-sufferers tend to give higher satisfaction scores than do sufferers. However, on a few items—which may be considered specialty concerns—the opposite is true with sufferers having greater satisfaction with surgical services, medical and scientific research and emergency care. Physician Services 69 74 Dentist Services 7072 Diagnostic Laboratory Services 68 70 Over The Counter Drugs 61 72 Prescription Drugs 60 69 Health/Personal Care Goods 58 65 41 Non-Sufferers Surgical Services 63 Sufferers Outpatient Services 58 Medical Services At A Hospital 54 57 Pharmaceutical Research 36 55 Medical Research 39 55 Scientific Research 46 51 Emergency Care Services 45 49 n 0 10 20 30 40 50 60 s 70 80 90 100 Base = Total Respondents Q1. In general, how would you rate health care services that are available in the U.S.? For each of the following services please use a scale of 1 to 10, where a 10 means that in general that service is EXCELLENT and a 1 means that in general that service is POOR. 11
  12. 12. Services Used On A Regular Basis
  13. 13. Chronically ill people use statistically significantly more drugs, both prescription and OTC, than their uninsured counterparts on a regular basis. They also use more of other health care services and programs on a regular basis. There is no program, product or service that is more used on a regular basis by non-sufferers than by those with chronic illness. Sufferers Non-Sufferers Prescription Drugs 35 71 Over The Counter Drugs 41 61 Physician Services 30 55 Dentist Services 39 46 Health/Personal Care Goods 14 23 Outpatient Services 6 18 Diagnostic Laboratory Services 8 20 Preventive Health Services 8 14 Wellness Services 9 12 Medical Services At A Hospital 5 11 Family Social/Health Services 6 6 Nutrition Services 4 6 Emergency Care Services 3 5 Surgical Services 1 3 0 10 20 30 40 50 60 70 80 Base = Total Respondents Q3. Which, if any, of the following health care services and programs do you use on a regular basis? 13
  14. 14. When we look at all respondents, the percent of people using products and services on a regular basis has generally fallen between January 2009 and April 2009. Total Q2 (n=1012) Total Q1 (n=1013) Q2 Prescription drugs 61 53 Q2 Over the counter drugs 58 49 48 Q2 Physician services 43 47 Q2 Dentist services 40 Q2 Health/personal care goods 23 16 Diagnostic laboratory services 17 14 Outpatient services 13 14 Preventive Health Services 12 11 Wellness services 11 10 Medical services at a hospital 9 8 Family social/health services 4 8 Q1 Mental health services 4 7 Q1 Psychiatric services 4 7 Q1 Individual social/health services 5 5 - 10 20 30 40 50 60 70 80 Base = Total Respondents 14 Q3. Which, if any, of the following health care services and programs do you use on a regular basis?
  15. 15. When we look at just respondents who reported having a chronic illness (n=1235), the use of some products have increased and others have decreased between January 2009 and April 2009. Question: Are the services in the red circle more, economically, elastic than the other services? 100 90 80 76 70 67 66 60 60 56 50 51 50 42 40 27 30 18 20 8 8 9 10 10 4 4 4 6 1 3 1 3 - n ch es es s s e es s gs es io od ug ov ce ar ic ic at ic ru ic go rv rv dr vi Ab se rv rv il it rd er se se se se n re ab e e te ts ti o ar th l th lth eh n al un ri c ti s lc ip ia ti c of ea ea lr at cr co en na ic eu na /h e hi es lh ys D on so he al yc ac ti o ta Pr Ph ci er N rt Ps en m ca so /p ve ar M Vo l th O i ly Ph ea m Fa H January April 09 Base = Total Respondents 15 Q3. Which, if any, of the following health care services and programs do you use on a regular basis?
  16. 16. Max-Diff
  17. 17. Max-Diff Max-Diff was chosen over other techniques because: 1. It is easy to administer to respondents 2. 2. It is easy to implement and to analyze 3. 3. And, it provides extremely discriminating data 17
  18. 18. The three most important health care services have to do with “access”: physician services, medical services at a hospital and emergency care services, prescription drugs are not far behind. Total Apr Total Jan Physician Services 91 95 Medical Services At A Hospital 89 91 Emergency Care Services 89 Q2 90 Prescription Drugs 83 87 Dentist Services 72 81 Outpatient Services 71 Q2 75 Diagnostic Laboratory Services 66 75 Q2 68 Surgical Services 71 Q2 Preventive Health Services 64 Q2 69 Over The Counter Drugs 53 Q2 60 F Medical Research 57 Q2 60 Wellness Services 49 52 Q2 Health/personal Care Goods 54 51 F 0 20 40 60 Q1 80 100 M F Base = Total Respondents Q5. Recognizing that health care costs vary, depending on your level of insurance coverage and other health benefits that you either purchase or receive through an employer or other source, and thinking about the actual dollars that are spent, listed below are four health care services 18 with costs that you and other individuals ultimately pay for either directly or indirectly. Of these four, which is the most important and which is the least important for you and your family as you spend your health care dollars.
  19. 19. Between January and April, some products and services seemed to gain ground such as family social/health services. The least valued services did not change. Total Apr Total Jan Individual Social/health Services 51 50 Care For The Elderly 47 45 Pharmaceutical Research 43 44 Any ratings Scientific Research 40 lower than 50 44 mean those Family Social/health Services 50 43 features lost 39 out to another Nursing Care Services 36 feature more Home Health Services 33 Q1 than half the 29 time Nutrition Services 29 27 Health Relief Services (such As … 32 26 Mental Health Services 25 19 Psychiatric Services 21 Q1 15 Vocational Rehabilitation 15 Q1 12 Mental Retardation Services 9 Q1 6 Substance Abuse Services 6 11 0 20 40 60 Q1 Base = Total Respondents Q5. Recognizing that health care costs vary, depending on your level of insurance coverage and other health benefits that you either purchase or receive through an employer or other source, and thinking about the actual dollars that are spent, listed below are four health care services 19 with costs that you and other individuals ultimately pay for either directly or indirectly. Of these four, which is the most important and which is the least important for you and your family as you spend your health care dollars.
  20. 20. For the top five „access‟ services, only emergency care services did not differ significantly between the chronically ill and non-sufferers. Interestingly, non-sufferers value medical research significantly more than do the chronically ill. Sufferers Non-Sufferers Physician Services 91 94 Medical Services At A Hospital 89 90 Emergency Care Services 89 Q2 90 Prescription Drugs 79 87 79 Dentist Services 73 Q2 Outpatient Services 69 75 Q2 Diagnostic Laboratory Services 67 72 Q2 67 Surgical Services 71 Q2 Preventive Health Services 66 Q2 66 F 58 Q2 Over The Counter Drugs 56 60 Q2 Medical Research 57 Wellness Services 52 49 F Health/personal Care Goods 57 Q1 50 M 0 20 40 F 60 80 100 Base = Total Respondents Q5. Recognizing that health care costs vary, depending on your level of insurance coverage and other health benefits that you either purchase or receive through an employer or other source, and thinking about the actual dollars that are spent, listed below are four health care services 20 with costs that you and other individuals ultimately pay for either directly or indirectly. Of these four, which is the most important and which is the least important for you and your family as you spend your health care dollars.
  21. 21. Non-sufferers value both individual social/health services and family social/health services more than do persons with chronic illness. They also value health relief services more. The chronically ill value Care for the Elderly much more than do person who do not suffer from a chronic illness. Sufferers Non-sufferers Individual Social/health Services 53 50 Care For The Elderly 42 49 Pharmaceutical Research 44 43 Scientific Research 44 40 Family Social/health Services 50 46 39 Nursing Care Services 36 Home Health Services 33 32 Nutrition Services 32 27 Any ratings Health Relief Services 32 lower than 50 29 21 mean those Mental Health Services 23 features lost Psychiatric Services 18 out to another 19 Q1 feature more Vocational Rehabilitation 15 than half the 14 time Mental Retardation Services 8 8 Substance Abuse Services 89 0 20 40 60 Base = Total Respondents Q5. Recognizing that health care costs vary, depending on your level of insurance coverage and other health benefits that you either purchase or receive through an employer or other source, and thinking about the actual dollars that are spent, listed below are four health care services 21 with costs that you and other individuals ultimately pay for either directly or indirectly. Of these four, which is the most important and which is the least important for you and your family as you spend your health care dollars.
  22. 22. Thank You. • To view our complete information on the Spectrum Health Value Study, including methodology and additional findings go to: www.healthvaluestudy.com • We are continuing quarterly data collection, with the next collection in July 2009 and the next release of data and reports in August. • For more information contact Audrey Spolarich at 202-587-2532 or aspolarich@spectrumscience.com 22

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