Your Voice, New Vision


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Findings from public opinion surveys relating to health reform, presented at the Mayo Clinic National Symposium on Health Care Reform

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Your Voice, New Vision

  1. 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. 2. <ul><li>Learn about the health care consumer and their views on: </li></ul><ul><ul><li>Health care today </li></ul></ul><ul><ul><li>American reform options </li></ul></ul><ul><ul><li>Health care and the 2008 election </li></ul></ul><ul><ul><li>Importance of reform </li></ul></ul><ul><ul><li>Prospects for change </li></ul></ul>Research Goals
  3. 3. <ul><li>1,018 online surveys </li></ul><ul><li>U.S. residents, ages 25-75 </li></ul><ul><li>All health care decision makers </li></ul>Methodology
  4. 4. Health Care Consumer Profile <ul><li>More than Half of Americans Reported A Chronic Health Condition </li></ul>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. 5. <ul><li>Health Status — 19 Percent with Fair/Poor Health </li></ul>(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. 6. <ul><li>1 in 8 Americans Uninsured </li></ul>(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. 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. 8. (p) (q) (n=896) (n=120) (n=1018) Cost of Health Care State of American Health Care
  9. 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. 10. <ul><li>About Half of Respondents Rated Quality, Coordination and Value of Care as Fair or Poor </li></ul>(n=1018) Ratings of Quality, Coordination, Value and Access to Care Total Respondents (n=1018) State of American Health Care
  11. 11. <ul><li>The views of the uninsured and sick differ from those who are healthier and have insurance </li></ul>(n=1018) State of American Health Care
  12. 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. 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. 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. 15. <ul><li>No new taxes to pay for reform </li></ul>(n=1018) Health Care Reform Options
  16. 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. 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. 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. 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. 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. 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. 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. 23. <ul><li>American consumers are: </li></ul><ul><ul><li>Frustrated with health care </li></ul></ul><ul><ul><li>Interested in getting more involved in their own care </li></ul></ul><ul><ul><li>Distressed with the high cost of health care </li></ul></ul><ul><ul><li>Opposed to new taxes </li></ul></ul><ul><ul><li>Believe quality, coordination and access can be improved </li></ul></ul>(n=1018) Take Aways