EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 1
Citizens’viewsofhealthservices
aroundtheworld
BobbyDuffy
MangingDirector,
IpsosMORISocialResearchInstitute
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 2
Countrieswhichratetheirhealthcaresystemshighly
arealsomostworriedaboutthem
AustraliaBelgium
U.S.
India
GB
Canada
SAfrica
Germany
Sweden
France
Argentina
Spain
Turkey
SKorea
Japan
China
Italy
Brazil
Mexico
PeruRussia
Poland
0
10
20
30
40
50
0 10 20 30 40 50 60 70 80 90 100
Base:18,180adults16-64across23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey
%ratethequalityofhealthcarethattheyandtheirfamilyhaveaccesstointheircountryasgood
%expectthequalityof
healthcarethattheyandtheirfamilywillhave
accesstolocallytogetworseoverthe
comingyears
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 3
Thereissomecorrelationbetweenspendonhealth
andviewsofservices
Base:18,180adults16-64across23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey
%ratethequalityofhealthcarethattheyandtheirfamilyhaveaccesstointheircountryasgood
%oftotalannualGrossDomesticProductisspentonhealth
expenditureeachyear
Australia
Belgium
U.S.
India
GBCanada
SAfrica
Germany
SwedenFrance
Argentina
Spain
Turkey
SKorea
Japan
China
ItalyBrazil
Mexico
Peru
Russia
Poland
0
2
4
6
8
10
12
14
16
18
20
0 10 20 30 40 50 60 70 80
Butlittlelinkbetweenhowworried peopleareandhealthindicators
PERILSOFPERCEPTION|2016 4EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
EXPENDITUREONHEALTHHAVEAGOODSENSEOF
BUTWEKNOWPEOPLEDON’T
PERILSOFPERCEPTION|2016 5EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
SPENTONHEALTHPRODUCTDOYOUTHINKISANNUALGROSSDOMESTIC
WHATPERCENTAGEOFTOTAL
EXPENDITUREEACHYEAR?
6EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
toohighAvg.guess(21)
Actual(8)%pointdifferencetoolowCountry
IndonesiaMalaysiaThailandIndiaPhilippinesCanadaTurkeyBrazilMontenegroSingaporeHongKong*SouthAfricaChinaTaiwan*US*MexicoArgentinaJapanBelgiumPeruIsraelFranceAustralia*Norway*DenmarkSerbia*GreatBritainColombiaSouthKoreaSweden*GermanyVietnamItalyCzechRepublicNetherlandsChileSpainHungaryRussiaPoland
+36+33
+24+23
+19+18+18
+17+17+16+16+16
+15+15
+14+13
+12+12+12+11+11+11+11+11+11+10+10+9+9+9+9+9+9+8+8+8+8
+4+4+4
39 337 430 727 524 528 1023 525 823 621 521 525 921 622 731 1819 617 522 1022 1117 619 822 1221 1020 1021 1120 1019 917 717 720 1120 1116 718 916 719 1116 817 912 711 710 6
WhatpercentageoftotalannualGrossDomesticProductdoyouthinkisspentonhealthexpenditureeachyear?
PERILSOFPERCEPTION|2016
Wethinkwespendmuchmoreonourhealththanweactuallydo.
The‘actual’dataforthisquestionislargelyfromtheWorldBank.Instanceswherethe‘actual’datacomesfromanothersourceareindicatedwithanasterisk(*).Pleaseseehttp://perils.ipsos.com/ forfulldetailsofallsources.
Base:27,250adults16-64across40countries,online,22September– 6November2016
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 7
LookingattheUK
detail…
healthcaresystem
inabitmore
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 8
Wearegenerallyveryhappywithits
currentstate
68%aresatisfiedwiththeNHS
78%sayBritain’sNHSisoneofthebestintheworld
Base:1016adultsinEngland,face-to-face,3November– 17December2014 Source:IpsosMORI/DepartmentofHealthPublicPerceptionsoftheNHSTrackerSurvey
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 9
ButrecordnumbersexpecttheNHStogetworseover
Base:February2017,1044adultsaged18+intheUK,10 – 14February2017 Source:IpsosMORIPoliticalMonitorFebruary2017
0
10
20
30
40
50
60
Mar-02
Sep-02
Mar-03
Sep-03
Mar-04
Sep-04
Mar-05
Sep-05
Mar-06
Sep-06
Mar-07
Sep-07
Mar-08
Sep-08
Mar-09
Sep-09
Mar-10
Sep-10
Mar-11
Sep-11
Mar-12
Sep-12
Mar-13
Sep-13
Mar-14
Sep-14
Mar-15
Sep-15
Mar-16
Sep-16
Mar-17
better
worse
21
57AndthinkingabouttheNHSoverthenextfewyearsdoyouexpectittoget…?
Base:March2002– August2016,AdultsinBritain(c.1000perwave) Source:IpsosMORIGovernmentDeliveryIndex
thenextfewyears
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 10
Wearemoreworriedaboutitthananyotherissue
Base:997Britishadults18+,5– 15May2017 Source:IpsosMORIIssuesIndex
61%
45%
27%
25%
20%
15%
15%
12%
12%
10%
NHS/Hospitals/Healthcare
Common Market/Brexit/EU/Europe
Education/Schools
Immigration/immigrants
Economy
Poverty/Inequality
Housing
Ageing population/social care
Unemployment
Crime/Law and Order/ASB
+13
-3
-4
+7
-2
+1
-1
+1
-2
-2
% Position
-1
-1
+3
+1
+2
-1
-1
+3
Whatdoyouseeasthemost/otherimportantissuesfacingBritaintoday?
Top mentions % Change since April
11EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
42
43
22
16
12
12
9
42
31
21
18
17
14
10
7
47
24
35
19
16
9
Europe/EU/Brexit
Healthcare/NHS/hospitals
Education/schools
Managingtheeconomy/economicsituation
Asylumandimmigration
Taxation
Don’tKnow
May-17 Apr-17 Apr-15
…andwesaidtheNHSwouldbeimportantindecidinghowtovote
tovotelastThursdayLookingaheadtotheGeneralElection,which,ifany,issuesdoyouthinkwillbeveryimportanttoyouinhelpingyoudecide whichpartytovotefor?*(UNPROMPTED)
§ Base:1,053Britishadults18+,21st – 25th April2017 Source:IpsosMORIPoliticalMonitor
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 12
0
20
40
60
80
100
disagree
agree
7
85
Pleasetellmewhetheronthewholeyouagreeordisagreewitheachofthefollowingstatements…TheNHSwillfaceaseverefundingprobleminthefuture
Base:c1000adultsinEnglandperwave Source:IpsosMORI/DepartmentofHealthPublicPerceptionsoftheNHSTrackerSurvey
Ourconcernsarelargelyaboutfunding
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 13
Thereis,ofcourse,courseforconcern
Just30yearsago,youcouldalmostfiteveryAustralianagedover100intothesamebus.Bymid-century,wewillhavearound40,000centurions–enoughtofillafootballstadium.
Source:OECDhttp://www.oecd.org/health/healthcarecostsunsustainableinadvancedeconomieswithoutreform.htm
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 14
Base:1985adultsaged15+inGreatBritain,5– 15May2017 Source:IpsosMORIpollforTheHealthFoundation
PeoplearemoreprotectiveoverNHSspendingthanany
otherformofspendingWhichTWOorTHREE,ifany,ofthefollowingmainareasofpublicspendingdoyouthinkshouldbeprotectedfromanycuts?
88%
56%
40%
31%
20%
12%
11%
11%
4%
*
1%
TheNHS/healthcare
Schools
Care fortheelderly
ThePolice
Socialservices
Defence
Benefitpayments
Localauthorityservices
Overseasaid
None
Don’tknow
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 15
59%21%
7%
12%
Base:1792adultsaged15+inGreatBritain,13– 23March2015(excludingthosewhosaid‘don’tknow’) Source:IpsosMORIpollforTheHealthFoundation
Thereisappetitetopaymoreintaxinordertohelp
theNHSManyexpertsarguethatitisbecomingmoreexpensivetofundtheNHSbecauseofincreasingcostsoftreatments,anageingpopulationandseveralotherfactors.Thismeansthateveninordertomaintainthecurrentlevelofcareandservicesprovidedforfreebythe NHS,spendingontheNHSwouldhavetoincrease. Withthatinmind,which,ifany,ofthefollowingwouldyoumostliketosee?
Reducespendingonotherservices suchaseducationandwelfareinordertomaintainthelevelofspendingneededtokeepthecurrentlevelofcareand
servicesprovidedbytheNHS
IncreasetaxesinordertomaintainthelevelofspendingneededtokeepthecurrentlevelofcareandservicesprovidedbytheNHS
ReducethelevelofcareandservicesprovidedbytheNHSsothatyoudonotneedtoincreasethecurrentleveloftaxationandspendingon
theNHS
Noneoftheabove
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 16
Base:978adultsinEngland,March2014 Source:IpsosMORI
Itis,afterall,the“closestthingEnglishpeoplehaveto
areligion”
52%
47%
33%
26%
22%
7%
7%
7%
4%
3%
9%
BBCBritishbusiness
TeamGBTheRoyalFamily
HousesofParliament
TheNHSTheArmedForces
Oxfam
Noneofthese/Don’tknow
JohnLewisMarks&Spencer
Whichtwoorthreeofthefollowing,ifany,wouldyousaymakesyoumostproudtobeBritish?
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 17
Thereissomesupportforthepreventionagenda
“IntheUK,webelievethatfurtherandgreaterinvestmentintheNHSwillimprovethehealthofthepeopleandthetruthisthatitwon’t,certainlynotonitsown.”
DuncanSelbie,ChiefExecutive,PublicHealthEngland
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 18
Thereissomesupportforthepreventionagenda
Butwemayfacechallengesasthereare
demographicpressuresotherthanageing
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 19
GenerationXatsameage…tobeoverweightthanMillennialsaremorelikely
MYTH OR REALITY…?
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 21
Millennialsarethefirstyounggenerationwhereover
halfareoverweight
%withahealthyweight,UK
0%10%20%30%40%50%60%70%80%90%
1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014
Prewar(probablybornpre1945) Babyboomers(probablyborn1945-1965) GenerationX(probablyborn1966-1979) Millennials(probablyborn1980-1995)
Millennialsataverageage26:Healthyweight=48%
GenXataverageage26:healthyweight=53%
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 22
…andtheyconsumemoresugarthantherestofus
Millennialsnow(2012)age18- 32
GenerationXnow(2012)age33- 46
GenerationXthen(2000)age21- 34
Babyboomersnow(2012)age47- 67
75g55g65g53g
Dailysugarconsumption
Source:NationalDietandNutritionSurvey
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 23
atsameage…tosmoke thanGenerationXMillennialsaremorelikely
MYTH OR REALITY…?
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 25
0%
5%
10%
15%
20%
25%
30%
35%
40%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014Prewar(bornbefore1945) BabyBoomers(born1945-1965) GenerationX(born1966-1979) Millennials(born1980onwards)
Smokingrateshavedeclinedinthelast15yearsbutat
lowerratesamongMillenials
%currentsmoker (smokeeveryday/somedays),EnglandMillennialsataverageage26:currentsmoker=29%
GenXataverageage26:currentsmoker=36%
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 26
MYTH
howhealthyweare…Therearelots ofmythsaboutButhowsurprising isthis?
27PERILSOFPERCEPTION |EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
OUTOFEVERY100PEOPLEAGED20YEARSOROVERHOWMANYDOYOUTHINKAREEITHEROVERWEIGHTOROBESE?
28PERILSOFPERCEPTION |EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
+21+9+6
0-8-9-9
-11-11-11-12-13-13-14-14-15-16-16-17-17-17-17-18-19-19-20-20-20-24-26
-33-33
-43
IndiaJapanChina
SouthKoreaSouthAfricaNetherlands
BrazilSerbia
AustraliaHungary
ArgentinaCanadaChileItaly
IrelandPeru
MexicoUnitedStates
BelgiumFrance
GermanyPoland
GreatBritainSweden
NewZealandColombia
SpainNorway
MontenegroRussiaIsraelTurkey
SaudiArabia
Thepublicgenerallyunderestimatetheproportionofoverweightorobesepeopleintheircountry.
41 2032 2334 2832 3247 5540 4947 5642 5351 6249 6040 5243 5653 6636 5044 5841 5653 6950 6636 5332 4940 5740 5744 6233 5247 6635 5538 5833 5335 5931 5724 5732 6528 71
Q.Outofevery100peopleaged20yearsorover],howmanydoyouthinkareeitheroverweightorobese?
%pointdifference toolow|toohigh Avg.guess Actual
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 29
Sowhatsortofpublichealthinterventions
areacceptabletopeople?
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 30
Nudgesaremorepopularthanshoves
Base:c.500- 1,000residentsaged16-64(18-64intheUSandCanada)ineachcountry,August2015andNovember2010 Source:IpsosGlobal@visor
85%
82%
77%
55%
55%
Provideinformation abouthealthyeating
Provideincentives,suchashealthfoodvouchers
Makecompaniespromotehealthychoices
Makeunhealthyfoodsmoreexpensive
Ban unhealthyfoods
Thinkingaboutwhatpeoplechoosetoeat.What,ifanything,doyouthinkgovernmentshoulddo?
28%
31%
66%
78%
62%
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 31
Peoplearenotconsistentintheirviewsthoughthough
Base:c.500- 1,000residentsaged16-64(18-64intheUSandCanada)ineachcountry,August2015andNovember2010 Source:IpsosGlobal@visor
68%agreethat“governmentshouldintroducelawstoban
unhealthyfoodsORshouldintroducelawstomakeitmoreexpensivetomake
unhealthyfoods”
56%agreethat“governmentshouldnotgetinvolvedinwhatpeoplechoose
toeat”
35%
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 32
Butthereispotentialtonudgetoahealthierpopulation
SouthernCrossStation,Melbourne,140%increaseinuseofstairsduringpeakhours
TheBlueZoneProject,Iowa,Increasingaccesstopedestrianwalkwaystoencouragewalkinginandaroundtowns
DocName|Month2016|Version1|Public|InternalUseOnly|Confidential|StrictlyConfidential(DELETECLASSIFICATION) 33EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
Connectedhealthcouldbeapotentialgamechanger
EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
Doyoucurrently,orhaveyouever,usedaconnectedhealthdeviceortooltomanageyourhealth?
Base:18,180adultsacross23countries,online,12thSep– 11thOct2016
Yes,currentlyuse Formerlyused
…butpeople don’tusedevicesforlong
12% 12%Overall
USA
Sweden
6%
10%
Russia
14% 15%11% 7%
21%
7%GreatBritain
DocName|Month2016|Version1|Public|InternalUseOnly|Confidential|StrictlyConfidential(DELETECLASSIFICATION) 35EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
Healthprofessionalshavesignificantinfluence
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 36
Thepowerofdoctorsinpromotingconnectedhealth
issignificant,butmanyneedconvincing
85%
58%
52%
agreeiftheirdoctorrecommendedtheyuseaconnectedhealthdeviceaspartoftheirtreatmentplantheywould
ofdoctorsareconcernedabouthowpatientdataishandled andsecured
ofdoctorsareconvincedthatconnectedhealthdevicesarehelpingtoimprovehealthoutcomes
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 37
Butpublicacceptanceofchangeisslow- thereisn’tmuchappetiteformuchappetiteforvirtualdoctorsanytimesoon
LesspositivereactionsMorepositivereactions
FutureCitiesDialogue
PORTABLE BATTERYPACK
FutureCitiesDialogue
DRIVERLESSCARS
FutureCitiesDialogue
VIRTUALDOCTOR
FutureCitiesDialogue
DRONES
FutureCitiesDialogue
SMARTHOUSEWARE
FutureCitiesDialogue
PERSONALHEALTHTRACKERS
FutureCitiesDialogue
SMALLSCALENUCLEAR REACTORS
FutureCitiesDialogue
SYNTHETICMEAT
FutureCitiesDialogue
BIOMETRICTRANSPORTCARDS
FutureCitiesDialogue
3DPRINTERS
Basedonqualitativeexerciseindicatingtop-of-mindconsumerreactions&preferences Source:IpsosMORI/InnovateUK
38EuropeanHealthcareDesignCongress|12June2017|Version1|Public|
Insummary…
• Thereiswidevariationabouthowweratehealthcareservicesacrosstheglobe
• Somecountriesaremoreworriedthanothers
• Thosewhoarehappywiththeircurrenthealthcaresystemsaremostworried,probablybecausetheyarekeentopreservethem
• Butwedofacechallengesgoingforwards:thecostofhealthcareisincreasingandyoungergenerationsarenotnecessarilyhealthierthanbefore
• Itseemsnudgeswillworkbetterthanshoves
• Youngpeoplearestartingtouseconnectedhealthdevices,butthereisrecognitiontheycanonlygosomeway
• Theremaybesomehopethough…
EuropeanHealthcareDesignCongress|12June2017|Version1|Public| 39
T
1234567
891011121314151617181920212223
Base:18,180adultsacross23countries,online,12September– 11October2016 Source:IpsosMORIGlobalTrendsSurvey
…ashalfofusthinkthateventuallyallmedicaldiseases
willbecurable50%
74%
71%
71%
66%
60%
60%
55%
55%
54%
52%
50%
49%
48%
47%
45%
43%
42%
39%
36%
35%
34%
33%
33%
38%
21%
24%
23%
28%
31%
26%
41%
28%
35%
37%
34%
44%
31%
40%
34%
39%
43%
50%
48%
54%
49%
53%
55%
TotalIndonesia
IndiaTurkeyPeruBrazilChina
MexicoRussia
ArgentinaSAfrica
ItalySKoreaPoland
U.S.Japan
AustraliaCanadaSpain
GBGermanyFrance
BelgiumSweden
%Eventuallyallmedicalconditionsanddiseaseswillbecurable
Agree Disagree