2016 Health Care in Canada Survey

A National Survey of Health Care Providers, Managers and the Public

Selected Results

September 22, 2016

Disclaimer

2

The information herein being shared is for educational purposes; and, is not intended for

publication without the prior consent of the Health Care in Canada Knowledge Translation

Committee.

Contact coordinate: hcic@mcgill.ca

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•  CanadianCancerSociety(CCS)•  CanadianFounda4onforHealthcareImprovement(CFHI)•  CanadianHomeCareAssocia4on(CHCA)•  CanadianHospicePallia4veCareAssocia4on(CHPCA)•  CanadianMedicalAssocia4on(CMA)•  CanadianNursesAssocia4on(CNA)•  CanadianPharmacistsAssocia4on(CPhA)•  Constance-LethbridgeRehabilita4onCentre,CentreforInterdisciplinaryResearchinRehabilita4on•  HealthChari4esCoali4onofCanada(HCCC)•  HealthCareCAN•  Ins4tuteofHealthEconomics(IHE)•  McGillUniversity•  MerckCanada•  StuderGroupCanada•  POLLARA•  CareNet/Strive

Resultsderivedfromonlinesurveyques4onnaires(POLLARA)-conductedMaytoJune2016- withna4onallyrepresenta4vesamplesof:

- Canadianadultpublic,physicians,nurses,pharmacists,administrators,alliedhealthprofessionals.- Forthepurposeofthissurvey,alliedhealthprofessionals*includednutri4onists/die4cians,occupa4onaltherapists,physicaltherapists,psychologistsandsocialworkers.

Groups SampleSizeEs1mated

MarginofError

Public 1500 +2.5%

Doctors 102 +9.7%

Nurses 102 +9.7%

Pharmacists 100 +9.8%

Administrators 100 +9.8%

AlliedHealthProfessionals 100 NotApplicable

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HCIC Methods

*Newhealthprofessionalgroupincludedinthe2016survey

5

Public

Professionals

Trends in quality and access of care

Trends in quality and access of care

Health / personal values Health / personal values Health status Chronic disease -  Prevalence -  Management -  Patient-centred care -  Future innovations -  Caregiving

Health status / workplace engagement Chronic disease -  Prevalence -  Management -  Patient-centred care -  Future innovations

End of Life Options End of Life Options

2016 Domains

6NOTE:Responseslessthan3%in2016notshownQB2:WhatisthemostimportanthealthcareissuefacingCanadatoday?(n=1500)

36%

13%

11%

10%

7%

6%

6%

4%

3%

3%

3%

Wait4mes

Shortageofdoctors

Availability/Accessibility

Agingpopula4on

Highcostofcare

Lackoffunding

Qualityofcare

Obesity/PersonalCare

Cancercare

Shortageofstaff

Emergencycare

2013 2007 2000 1999 1998

31% 20% 7% 6% 4%

16% 19% 5% 5% 3%

5% NA NA NA NA

8% 8% 5% 5% 5%

8% NA NA NA NA

3% 2% 19% 9% 18%

1% NA NA NA NA

1% NA NA NA NA

3% NA NA NA NA

3% 3% 10% 4% 2%

3% NA NA NA NA

2016

MostImportantCareIssuesPublicPercep1ons

58%

58%

57%

55%

58%

53%

37%

38%

37%

37%

38%

42%

2016

2013

2007

2006

2003

2002

ReceivingQualityHealthCare NotReceivingQualityHealthCare

QualityofCare–InGeneralPublicPercep1ons

7QB1:Overall,wouldyousaythatCanadiansareorarenotreceivingqualityhealthcareservicesrightnow?(n=1500)

8QB1:Overall,wouldyousaythatCanadiansareorarenotreceivingqualityhealthcareservicesrightnow?Doctor(n=102),Nurse(n=102),Pharmacist(n=100),Admin(n=100),AlliedHealthProfessionals(n=100)

77%

46%

75%

69%

52%

Doctors

Nurses

Pharmacists

Administrators

AlliedHealthProfessionals

2013 2007 2006 2003 2002

76% 72% 78% 70% 72%

62% 66% 66% 58% 64%

75% 76% 80% 74% 81%

73% 91% 86% 88% 74%

NA NA NA NA NA

QualityofCare–InGeneralProfessionalPercep1ons

2016

9QB5:WhichofthefollowingdoyouuseregularlytogethealthcareinformaQon?(n=1,500)QB6:WhichInternetsitesspecificallydoyouusetoaccesshealthcareinformaQon.(Internetusersn=857)Websitesunder3%notshown.

SourcesofHealthCareInforma1onPublicPercep1ons

83%

41%

29%

4%

3%

Google

WebMD

Wikipedia

MayoClinicWebsite

VariousWebsites

57%

53%

34%

23%

21%

19%

14%

8%

TheInternet

Myprimarycareprovider

Familymembersorfriends

Printmedialikebooks,journals,newspapersormagazines

Healthcareprovidersotherthanmyprimaryprovider

Broadcastmedia,suchasradioandTV

Fellowpa4entsorotherswithsimilarhealthcondi4ons

Idonotaccesshealthcareinforma4on

SourceofInforma1onaboutHealthCare InternetSitesUsed

For

10

83%

83%

66%

53%

50%

40%

30%

71%

Heartcondi4on

Diabetes

Mentalhealthcondi4on

Osteoporosis

Asthmaandrelated

Arthri4s

Cancer

Anyotherhealthcondi4on

40%TakeRxRegularly

Mean#ofRx’s

3.4

ManagingChronicCare-Medica1onsPublicReali1es

OverallNon-adherenceRate

52%QH1A:DoyoucurrentlytakeanyprescripQonmedicaQonsonaregular(dailyorweekly)basis?(n=1500)QH2:HowmanydifferenttypesofprescripQonmedicaQonsareyoucurrentlytakingintotal?(TakeRxregularlyn=641)

11QH5:Howmuchwouldyousayyouunderstandabouteachofthefollowing?(TakeRxregularlyn=641)

91%

87%

77%

66%

7%

11%

20%

27%

1%

2%

3%

7%

Howandwhentotakemedicine

Thereasonswhymedica4on(s)wereprescribed

Whatmedica4on(s)aresupposedtodo

Poten4alsideeffectsofmedicine

Understandverywell Understandabit Donotunderstand

ManagingChronicCareMedica1onAdherence-PublicPercep1ons

12

3%

4%

5%

5%

16%

6%

11%

9%

23%

8%

9%

82%

55%

82%

72%

Takeanyofyourmedsmorefrequentlythanprescribed(e.g.,2Xdailyvsonce)

Takeanyofyourmedica4onslessfrequentlythanRx(e.g.,2Xdailyvs34mes)

TakeahigherdoseofanyofyourmedsthanRx(e.g.,2pillsperdosevs1)

Takealowerdoseofanyofyourmedica4onsthanRx(e.g.,2pillsperdoseinsteadof4)

Always Oien Some4mes Rarely Never

PaWernsofNon-Adherence

ManagingChronicCare-Medica1onAdherencePublicPercep1ons

QH3:DoyoudoanyofthefollowingwhenitcomestotakingyourprescribedmedicaQon?(TakeRxregularlyn=641)

OverallNon-adherenceRate

52%

13

Iforgettotakepills

TakedependingonhowIfeel

Sideeffects/reac4ons

Costofmedica1on/Can'taffordmedica1on

Doesnotwork/noteffec4ve

Other

Nothing

Don'tknow

Refused

13%

37%

1%

7%

29%

8%

3%

2%

56%

14%

7%

3%

14%

3%

2%

1%

13%

34%

13%

7%

2%

19%

2%

7%

1%

5%

56%

1%

1%

21%

10%

4%

2%

TakeMoreFrequently(n=100)

TakeLessFrequently(n=289)

TakeHigherDosage(n=103)

TakeLowerDosage(n=162)

ReasonsforNon-Adherence

ManagingChronicCare–Medica1onAdherencePublicPercep1ons

QH4:WhydoyouatleastoccasionallydothefollowingwhenitcomestotakingyourprescribedmedicaQon?

Priori1esforEnhancingPa1ent-CentredCarePublicPercep1ons

QM2:Whichthreea]ributeswouldyoumoststronglysupport?Chooseonlythree.(n=1,500)

76%

60%

38%

35%

29%

17%

16%

12%

Carethatisreadily,and4mely,accessed

Carethatisbasedonneedandnotontheabilitytopay

Carethatisprovidedinacaring,respeckulcontext

Caredecisionsthataremadeinpartnershipbetweeninformedpa4entsandtheirproviders

Carethatissupportedbycurrentresearchandexpertopinion

Carethatisguided,andtransparentlycommunicated,byproviders

Careandsystemoutcomesthataremeasured(evaluated)andpresentedinamanner

meaningfultomostCanadians

Carepolicythatisshapedbyinterac4onwith,andlearningfrom,pa4ents

14

2013/14

72%

NA

55%

46%

32%

25%

24%

26%

Carethatissupportedbycurrentresearchandexpertopinion

Carethatisreadily,and4mely,accessed

Carethatisprovidedinacaring,respeckulcontext

Caredecisionsthataremadeinpartnershipbetweeninformedpa4ents

andtheirproviders

Carethatisbasedonneedandnotontheabilitytopay

Carethatisguided,andtransparentlycommunicated,byproviders

Careandsystemoutcomesthataremeasured(evaluated)andpresentedinamannermeaningfultomostCanadians

Carepolicythatisshapedbyinterac4onwith,andlearningfrom,pa4ents

QM2:Whichthreea]ributeswouldyoumoststronglysupport?Doctor(n=102),Nurse(n=102),Pharmacist(n=100),Admin(n=100),AlliedHealthProfessional(n=100)

59%

58%

44%

39%

34%

25%

20%

14%

Doctors Nurses Pharmacists Administrators

42%

76%

30%

43%

37%

26%

25%

19%

37%

72%

35%

46%

51%

20%

18%

14%

48%

74%

39%

52%

42%

17%

19%

8%

AlliedHealthProfessionals

48%

61%

36%

60%

55%

13%

18%

10%

3

2

1

1

2

3

1

2

3

1

2

3 2

1

3

Priori1esforEnhancingPa1ent-CentredCareProfessionalPercep1ons

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N5.Inthefuture,ifyouwereevertobepersonallyinvolvedinfacilitaQngtheprovisionofmedicallyassisteddeathinyourcurrentrole,towhatextentwouldyoufearlegalorregulatoryreprisalsevenifthefederalgovernmenthaspassedlegislaQonexpresslyallowingfortheprovisionofsuchservices?Pleaseuseascalefromoneto10,whereonemeans'notatall'itand10means'agreatdeal'Doctor(n=102),Nurse(n=102),Pharmacist(n=100),Admin(n=100),AlliedHealthProfessional(n=100)

24%15% 13%

20%30%

13%17%

14%11%

14%10%

8% 12%18%

16%16%19% 21%

11%

17%20% 27% 27% 24%

9%

19% 15% 13% 16% 14%

Doctor Nurse Pharmacist Administrator AlliedHealthProfessional

Greatdeal(9-10)

Somewhat(7-8)

Neutral(5-6)

Notmuch(3-4)

Notatall(1-2)

Don'tknow

LegalReprisalsMedicallyAssistedDeath–ProfessionalPriori1es

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