Presentation on theme: "1 Doctor"— Presentation transcript
Slide1
1
Doctor
- Patient
Global Communication Performance
Insights from the Worldwide Independent Network (WIN™) of Market ResearchFall, 2011 Slide2
2
Contents
1. Background & Research
3
2. Context and Methodology
4
3. Key Findings
6
4. Communication Assessment Tool
7
5. Medication Usage
10Slide3
3
Background
WIN™, the Worldwide Independent Network of Market Research, the largest independent organization of Market Research firms with members in
64 countries, prepared this landmark review of physician-patient communication.
ResearchPhysician-Patient communication critically influences the effectiveness of medical education initiatives, treatment decisions and patient compliance to recommended treatments.WIN™ conducted this ground-breaking study on physician-Patient communication throughout the world to provide the healthcare stakeholders with a better understanding on how patients perceive communication skills of their doctor, how patients engage their physician, how treatment choices are influenced, the frequency and preferred modes of interaction and sources of influential information.
1. Background
& ResearchSlide4
4
2. Context
and Methodology
Methodology and Geographical distribution: In total, the study was carried out in 39 countries
. In each country, the most appropriate interviewing methodology was used given local conditions. Fieldwork dates:Fieldwork was conducted between July 19th 2011 and October
3
rd
2011
.
Sample:
The total size of the sample is
31 577
cases representative of
1 938 990 516
people.
Sample in each country is probabilistic and was designed to represent the general adult population
.
General coverage of the sample is as follows:
75% national
25% urban
Weighting:
The data was
weighted in two steps to
obtain representation by country and worldwide. The data was first weighted to generate data representative of the general
population for
each country. A second weight, according to the size of the population surveyed, was then applied to obtain global and regional totals
.
The margin of error per country is between +/- 2.34% and 5.66%, 19 times out of 20.
The table on the next page presents a summary of the methodology used in each country to conduct this survey.
Each sample is representative of its country’s population in terms of socio-demographic variables. Sample sizes ensure accurate generalizations to the total population and allow a very
precise
interpretation of the results
.Slide5
5
2. Context
and Methodology…
Country
Firm
Method
Sample
Total Population
Sampling
Method
Sample
representation
Population
represented
by
sample
Age
Weighting variables
Fieldwork
dates
Margin
of
error
+/-
Armenia
MPG LLC (Marketing Professional Group)
CATI
1003
7 953 438
Quota Sampling
National
3 356 000
18+
Gender, Age
Aug. 12-25
3.09%
Australia
Colmar Brunton
Online
910
20 000 000
Stratified
National
18 200 000
18+
Gender, Age, Region
Aug. 4-10
3.25%
Austria
Gallup
Austria
Face to Face
532
8 400 000
Random quota sampling
National
7 300 000
14+
Gender, Age, Region,Employment, Income
Jun. 20 - Aug. 3
4.25%
Bosnia
Mareco Index Bosnia
CATI
750
3 850 000
Multistage random sample
National
2 950 000
15+
No
Jul
. 19 -
Aug
.
5
3.58%
Brazil
Ibope Inteligencia
Face to Face
1410
190 000 000
Probabilistic
National
141 248 576
16+
Gender Age, Employment
Aug. 11-15
2.61%
Bulgaria
BBSS
Face to Face
633
7 300 000
Random
National
6 500 000
18+
Gender, Age, Region, Type of settlement
Jul. 28-Aug,04
3.90%
Canada
Leger Marketing
Online
1004
33 739 900
Random
National
24 750 000
18+
Gender, Age, Region, language
Aug. 8-15
3.09%
Chile
IBOPE Inteligencia Chile
CATI
473
15 116 435
Random
Urban
5 408 150
18-60
Gender, Age, Location
Aug. 19- Sep. 5
4.51%
China
Wisdom
Asia
Online
400
1 300 000 000
Random Sampling with online Panel
(
Shanghai, Beijing and Guangzhou)
Urban
51 520 000
15+
No
Aug. 11-17
4.90%
Colombia
CNC (Centro
Nacional
de
Consultoria
)
CATI
612
44 000 000
Two-stage design applied simple random sampling
Urban
13 826 630
18-65
No
Aug. 23-29
3.96%
Czech Republic
Mareco Ltd.
Face to Face
1000
10 224 626
Random route sampling
National
8 392 530
18+
Gender, Age, Region, Size of Community
Aug
. 4-15
3.10%
Denmark
DMA Research
Online
510
5 600 000
Random
National
4 200 000
18+
No
Aug. 12-15
4.34%
Finland
Taloustutkimus Oy
Online
522
5 385 000
Random
Nationl
4 577 250
15+
Gender, Age, Region
Aug. 12-19
4.29%
France
BVA
Online
999
65 000 000
Quota
Method
National
50 700 000
18+
Gender, Age, Region,
Occupation
Aug. 1-4
3.10%
Germany
Produkt+Markt
Online
1006
81 800 000
Random
National
56 500 000
18-70
Gender, Age, Region
Jul. 25-Aug. 2
3.09%
Greece
Centrum S.A
CATI
300
10,961,758
Statified
Urban
6,351,506
18-74
Region
Jul. 18-Aug. 3
5.66%
Hong Kong
Consumer Search
CATI
800
7 100 000
Random quota sampling
National
6 130 300
15+
Gender, Age
Jul. 30-Aug. 19
3.46%
Iceland
Capacent
Online
717
320 000
Random from our Web-panel
National
247 437
16+
Gender, Age, Region
Aug. 10-18
3.66%
India
DataPrompt
CATI
803
1 210 193 422
Random
Urban
963 600 000
18+
No
Jul. 23-Aug. 19
3.46%
Ireland
Red C Research
CATI
839
4 580 000
Random digital dial including both
landline
and mobile numbers
National
3 203 814
18+
Gender, Age, Social class and Regio.
Aug. 8-10
3.38%
Italy
Doxa
CATI
882
60 300 000
Random
National
50 000 000
18+
Gender, Age, Region,
Size of Community, Occupation
Jul. 21-24
3.30%
Japan
NRC (Nippon
Research
Center )
Online
1000
126,475,664
Random
National
99,604,610
18-79
No
Aug. 11-15
3.10%
Kenya
Infinite Insight
Face to Face
1003
38 610 097
Random
National
26 254 865
18+
No
Jul. 30-Aug. 8
3.09%
Lebanon
Reach
CATI
1000
3 759 136
Random
National
2 781 760
18+
No
Aug. 1-30
4.38%
Luthuania
UAB RAIT
Face to Face
703
3 200 000
Random Probilty Routine
National
2 625 400
15-74
Gender, Age, Education
Aug. 1-18
3.10%
Macedonia
BRIMA
Face to Face
820
2 052 722
Multi stage stratified random probability
National
1 689 265
15+
Gender, Age, Region size, Nationality
Sept. 1-7
3.42%
Pakistan
Gallup Pakistan
Face to Face
1752
187 342 721
Stratified Probability Sampling
National
88 000 000
18+
Gender, Age, Region, Type of settlement
Aug. 7-13
3.70%
Palestine
PCPO
Face to Face
992
4 170 000
Random
National
1 876 500
18+
No
Jul. 20-Aug. 15
2.34%
Peru
Datum
Face to Face
918
27 412 157
probabilistic, multistage stratified allocation
Urban
16 085 385
18-69
Gender, Region
Aug. 5-8
3.11%
Poland
Mareco
Face to Face
305
38 200 000
Stratified random
Urban
5 100 000
15-65
No
Jul. 28-Aug. 2
3.23%
Romania
TNS CSOP
Face to Face
750
21 431 298
Stratified Probability Sampling
National
18 190 003
18+
Gender, Age, Region
Jul. 24-Aug. 1
5.61%
Russia
Romir
Online
1180
143 000 000
Random
Urban
69 000 000
18-44
Gender, Age, Region
Aug. 5-9
3.58%
Saudi Arabia
PARC
CATI
1155
27 000 000
Random
Urban
13 000 000
15+
No
Jul. 19 - Aug. 24
2.85%
South Africa
TRS (
Topline
Research
Solutions)
Face to Face
400
49 320 000
Random
(
Johannesburg, Durban,
Capetown
)
Urban
33 819 800
18+
Gender, Age, Region
Jul. 29-Aug. 10
2.88%
Korea
Gallup Korea
Online
500
49 773 145
Random Soft Quota
National
40 359 211
18+
Gender, Age
Aug. 9-18
4.90%
Sweden
CMA Research
Online
1049
9 446 812
Statified
National
7 250 000
15-75
No
Aug. 9-13
3.03%
Swizterland
Isopublic
Face to Face
343
7 870 134
Random-quota
National
6 050 314
15-74
Gender, Age, Region
Sept. 21-Oct. 3
5.29%
Tunisia
EMRHOD
CATI
600
9 910 872
Stratified (governorates are strata)
National
732 326
18+
No
Aug. 22-27
4.00%
USA
TRiG
Online
1002
313 232 044
Random
National
234 265 000
18+
Gender, Age, Region, Race
Aug. 8-12
3.10%Slide6
6
3. KEY
FINDINGS
Doctor-Patient
Relationship Around the WorldCommunication effectiveness between doctors and patients is related to being compliant to taking prescribed medication exactly as the doctor directed.
Communication Assessment Tool (CAT™) showed the communication between
doctor and
patients is poor with a very low score of 22
%.
Asian markets are amongst the lowest on communication
effectiveness.
Directionally, comparing results from prior years, communication
effectiveness between doctors and
patients on a global level trended downward.Slide7
7
5
. Doctor
Communication Assessment Tool
Q. Thinking of your most recent visit, please rate the doctor’s communication with you.Compared to last year, fewer citizens rated their doctor as excellent this year in all of the
15 communication assessment
categories asked in the survey.
Only a quarter or less rate
their doctor as excellent in all of the
categories
.
Only 18% of respondents felt their doctor encouraged them to ask question.
With only 25%, “talk in terms I could understand” this is the attribute that received the rating of excellent most frequently.
7
*Global totals represent the averages of the top boxes scores in every surveyed
country
**In 2010, 23 countries participated in the survey. IN 2011, 39 countries participated in the survey of which only 15 were recurrences from 2010.
CAT (
Comunnication
Assessment
Tool
)
Attributes
2011
%
2010
%
Talked in terms I could understand
25
â
32
How would you rate the care provided by your doctor
24
â
30
Paid attention to me (looked at me, listened carefully)
24
â
32
Treated me with respect
24
â34Greeted me in a way that made me feel comfortable 23â29Showed care and concern 23â30Understood my main health concerns23â30Discussed next steps, including any follow-up plans 22â29Gave me as much information as I wanted 22â30Let me talk without interruptions 22â31Showed interest in my ideas about my health 22â29Spent the right amount of time with me 22â30Checked to be sure I understood everything21â27Involved me in decisions as much as I wanted19â25Encouraged me to ask questions18â23 Total22â29
Key Finding:
A
quarter or less of citizens rate their doctor as excellent in all of the categories. Slide8
8
5
. CAT
(Communication Assessment Tool)
Overall, the CAT score in the 39 surveyed countries is at a low of 22.The country with the highest CAT score is Ireland with a score of 66. On the other hand, Pakistan continues to record a low CAT score with the lowest this year at 5 (Pakistan scored a 7 in 2010).Of the countries that participated in the survey for the past two years, Austria’s CAT score most decreased (-19) while Italy (+10), Lebanon (+8), Korea (+7), China (+7) most increased.
8
Key Finding:
On average, citizens throughout the world give their doctor a low CAT score.
Communication
Assessment
Tool
(CAT)
Country
2011
%
2010
%
Ireland
66
NA
Armenia
66
NA
Chile
59
NA
Macedonia
56
NA
Bosnia
51
NA
Australia
49
NA
USA
48
â
52
Lebanon48á40Saudi Arabia45â51Canada43â47Sweden37 NAGermany36 NAFrance35â39Switzerland33NAGreece32 NAColombia28 NAIceland27â30
South Africa
25
NA
Bulgaria
24
-
25
Brazil
23â30Lithuania23NARussia23 -22Tunisia22 NAKorea22á15Austria21â40Denmark21 NAItaly21á11Czech Rep.20NARomania20 NAFinland19 NAIndia16 -17Kenya15 NAPalestine14 NAHong Kong13NAPoland11 NAChina11á4Japan10 -11Peru6 NAPakistan5â7Total22â29
Communication Assessment Tool (CAT)The Communication Assessment Tool (CAT), developed by Makoul et al, assesses patient perceptions of physicians’ interpersonal and communication skills.The CAT is a 15-item survey that is easily administered in a paper-and-pencil format, via the phone or Internet. The CAT asks respondents to rate different dimensions of the communication and interpersonal skills of the physician using a 5-point rating scale (1=poor, 2=fair, 3=good, 4=very good, 5=excellent). Makoul et al found that scoring the CAT based on the proportion of items rated as excellent was more meaningful than summarizing the scores using means. Their psychometric analysis of response scales indicated that “a rating of ‘excellent’ was akin to ‘yes’, while even ‘very good’ was closer to ‘no’ than ‘yes.’” Data for the present study were analyzed using the sum of the items scored as excellent divided by the number of items answered.* *Source: http://www.stfm.org/fmhub/fm2010/September/Linda567.pdf (2010)
Q. Thinking of your most recent visit, please rate the doctor’s communication with you.
**
In 2010, 23 countries participated in the survey. IN 2011,
39
countries participated in the survey of which only
15
were recurrences from 2010. Slide9
9
High CAT scores
Citizens in
Armenia, Australia, Bosnia, Canada, Chile, Columbia, France, Germany, Greece, Ireland, Lebanon, Macedonia, Saudi Arabia, Sweden, Switzerland, and the USA
are very satisfied with their communication with their doctors with CAT scores above average
.
Low CAT scores
Citizens in
China, Hong Kong, India Japan, Kenya, Pakistan, Palestine, Peru, Poland and are
the least satisfies with their doctor with below average CAT scores.
Average CAT scores
Respondents in
Austria, Brazil, Bulgaria, Czech republic, Denmark, Finland, Iceland, Italy, Korea, Lithuania, Romania, Russia, South Africa and Tunisia have
average CAT scores.
5
. Global
Communication Assessment Tool (CAT) Summary Summer 2010
Doctor-Patient
Relationship around the world
*The data for this graph is based on questions presented on slides
12.
For the definitions of
CAT
(communication Assessment Tool) please refer to
slide 12.
Key Finding:Slide10
10
39%
of individuals currently have a medication that was prescribed by a doctor.
Just over half (57%) of respondents take the medication exactly according to the doctor’s directions and another 31% take the medication according to the doctor’s direction most of the time.
While Bulgarians are most likely to take prescription medication exactly according to direction (91%), citizens of Peru and Czech Republic are the least likely to do so with 29% who answered that they only some of the time or rarely take the medication according to direction. Key Finding:Just over half (57%) of citizens on prescribed medication take it exactly according to the doctor’s directions.
10
6. Medication
Usage
Q.
Do you currently have a medication that was prescribed by the doctor with whom you most recently met?
Q. How often would you say you have taken this prescription medication exactly according to the doctor’s direction?
Yes
%
All the
time
%
Most of the
time
%
Only some of the
time/Rarely
%
China
80
43
55
3
Korea
68
36
54
10
USA
63
70
21
8
Australia
62 67303Palestine58 342838Canada57 72235Austria57 68321South Africa55 582517Bosnia53 8479France5373
23
3
Bulgaria
52
91
6
3
Colombia52 701514Romania50 75187Denmark50à 79183Germany50 64323Sweden49 75186Czech Rep.48 442629Japan48 55423Italy48 76203Poland47 77192Ireland4778139Macedonia47 85104Lithuania46 72198Hong Kong4441
4314Brazil
43
à
78
14
8
Tunisia
41
50
27
23
Switzerland
40
68
23
8
Iceland
39
61
34
6
Armenia
39
43
18
38
Pakistan
38
41
47
11
Lebanon
38
74
16
10
Saudi Arabia
37
58
20
20
Finland
37
73
24
3Greece
35
68725Chile35
652113Russia32 50
427
Peru
31 531829India26
443422Kenya
24
60
19
20
Total39
573112Of those on prescribed medicaton, taken medication according to doctor's direction
