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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, 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
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
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
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, 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 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
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
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
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 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
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
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
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
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 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
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
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
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
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
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
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
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
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
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
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 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
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
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 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
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
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
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
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
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
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
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
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
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
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
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
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
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 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
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
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
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
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
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 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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Health & Society CSA-Europ Assistance Barometer 2013_full report

  • 1. Health & Society Barometer - Europ Assistance / CSA 2013: 7th wave of the barometer 15 October 2013
  • 2. Context, objectives and methodology Health & Society Barometer - Europ Assistance / CSA. 2
  • 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. 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. 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. Evaluation of the health system and the quality of treatments Health & Society Barometer - Europ Assistance / CSA. 6
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. Confidence in the healthcare authorities Health & Society Barometer - Europ Assistance / CSA. 25
  • 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. 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. 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. Social requirements Health & Society Barometer - Europ Assistance / CSA. 29
  • 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. 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. 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. 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. Cancellation of treatments Health & Society Barometer - Europ Assistance / CSA. 34
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. Healthcare and economy Health & Society Barometer - Europ Assistance / CSA. 45
  • 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. 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. Prevention Health & Society Barometer - Europ Assistance / CSA. 48
  • 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. 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. 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. New technologies Health & Society Barometer - Europ Assistance / CSA. 52
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. Healthcare and travel abroad Health & Society Barometer - Europ Assistance / CSA. 62
  • 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. 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. 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. 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. 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. Provision of care for dependent elderly people Health & Society Barometer - Europ Assistance / CSA. 68
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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