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Doctors Survey 2015 Six-Country Report
Copyright © 2015 Accenture All rights reserved. 2
• Summary • Method • Demographics • Key Findings
Table of Contents
Copyright © 2015 Accenture All rights reserved. 3
Now in its third year, Accenture’s multi-country Doctors Survey takes an in-depth look at healthcare IT as it relates to quality of care, and patient and physician engagement.
The 2015 global study was fielded in six countries: Australia, Brazil, England, Norway, Singapore, and the US.
This report includes findings for all six countries. Trended data for 2012 are included where applicable for Australia, England, Singapore, and the US. Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries.
Summary
Copyright © 2015 Accenture All rights reserved. 4
Method: Data Collection
Australia Brazil England Norway Singapore US
Number of Completed Interviews 510 504 502 302 200 601
Field Start Date 3-Dec-14 11-Dec-14 3-Dec-14 18-Dec-14 16-Dec-14 2-Dec-14
Field End Date 28-Dec-14 15-Jan-15 23-Dec-14 19-Jan-15 19-Jan-15 8-Dec-14
Average Interview Length (in minutes) 20 min 25 min 16 min 21 min 17 min 15 min
Language English Portuguese English Norwegian English English
Copyright © 2015 Accenture All rights reserved. 5
With whom did Accenture work to conduct the quantitative survey?
• Accenture worked with Nielsen Consumer Insights (formerly Harris Interactive), who was responsible for the entire project including recruitment and screening of doctors from a variety of trusted panel partners located in each country.
What kinds of doctors/doctors were surveyed?
• Primary care and secondary/specialist doctors in Australia, Brazil, England, Norway, Singapore, and the US, who have registered to take part in market research. All work on a full time basis in a mix of private and public practice settings.
• Primary care doctors include general and family medicine practitioners. Secondary care doctors include specialists in a number of fields including surgery, neurology, endocrinology, rheumatology, oncology and cardiology.
How did Accenture recruit doctors for the study?
• Doctors were contacted through a web mail out, whereby they were able to follow a unique link to the survey and complete it anonymously. To maximize participation up to two email reminders were sent. Given some cultural nuances in Singapore, doctors (approximately one-third) were recruited via phone and could request assistance to complete the survey in their office, on a tablet, provided by an interviewer. The interviewer only “assisted” if the doctors had (technical) questions while completing the survey.
Method
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Are we confident in the quality of the respondents and that they meet the study criteria?
• All doctors’ details are double verified when they join the panel and were rescreened for this study to ensure participant quality.
What did we do to ensure balance and a representative sample across regions, specialties, etc.?
• Regular quota updates ensured that all subsequent mail outs and recruitment contacts were targeted to the relevant demographic sectors in order to maintain a fair and representative split of geographies, settings and specialties.
Were the data weighted?
• Data for the US were weighted by years in practice by gender, region and specialty to be representative of doctors in the US. Data for Australia, Brazil, England and Norway were weighted by age, gender and specialty to be representative of the physician population in each country. Data for Singapore were not weighted as information about the physician population was not available. Questions trended from 2011 (Q705, Q805), however, were not weighted.
Method (cont.)
Demographics
Copyright © 2014 Accenture All rights reserved. 8
Global Total
(n=2619)
Gender
Male 67%
Female 33%
Age
Under 30 5%
30-39 29%
40-49 28%
50-59 25%
60+ 12%
Physician Type
Primary Care/General Practice/Family Physician 48%
Secondary Care/Specialist 52%
Average # of Years Practicing Medicine 18 yrs.
Average Time Spent Face-to-Face with Patients 74.4%
Doctor Demographics (2015) Global Total
(n=2619)
Organization Status
Public 46%
Private not-for-profit/charitable 9%
Private for profit 44%
Primary Work Setting
Mostly office - or clinic-based 59%
Exclusively hospital - or lab-based 13%
Mostly hospital - or lab-based 13%
Equally hospital-based and office/clinic-based 11%
Mostly long-term care facility-based 1%
Mostly hospice-based 1%
Practice Size (Office or Clinic Based) (n=1852)
Solo practice 18%
Single-specialty partnership or group (2 or more doctors) 42%
Multi-specialty partnership or group (2 or more doctors) 40%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 9
Australia Total (n=510)
Gender
Male 71%
Female 29%
Age
Under 30 0%
30-39 15%
40-49 32%
50-59 34%
60+ 19%
Physician Type
Primary Care/General Practice/Family Physician 50%
Secondary Care/Specialist 50%
Average # of Years Practicing Medicine 24 yrs.
Average Time Spent Face-to-Face with Patients 79.4%
Australia Doctor Demographics (2015) Australia
Total (n=510)
Organization Status
Public 27%
Private not-for-profit/charitable 6%
Private for profit 67%
Primary Work Setting
Mostly office - or clinic-based 70%
Exclusively hospital - or lab-based 7%
Mostly hospital - or lab-based 11%
Equally hospital-based and office/clinic-based 11%
Mostly long-term care facility-based 0%
Mostly hospice-based 1%
Practice Size (Office or Clinic Based) (n=414)
Solo practice 20%
Single-specialty partnership or group (2 or more doctors) 49%
Multi-specialty partnership or group (2 or more doctors) 31%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 10
Brazil Total (n=504)
Gender
Male 57%
Female 43%
Age
Under 30 11%
30-39 42%
40-49 18%
50-59 21%
60+ 8%
Physician Type
Primary Care/General Practice/Family Physician 50%
Secondary Care/Specialist 50%
Average # of Years Practicing Medicine 17 yrs.
Average Time Spent Face-to-Face with Patients 78.1%
Brazil Doctor Demographics (2015) Brazil Total (n=504)
Organization Status
Public 34%
Private not-for-profit/charitable 3%
Private for profit 62%
Primary Work Setting
Mostly office - or clinic-based 55%
Exclusively hospital - or lab-based 5%
Mostly hospital - or lab-based 16%
Equally hospital-based and office/clinic-based 19%
Mostly long-term care facility-based 1%
Mostly hospice-based 1%
Practice Size (Office or Clinic Based) (n=374)
Solo practice 28%
Single-specialty partnership or group (2 or more doctors) 22%
Multi-specialty partnership or group (2 or more doctors) 50%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 11
England Total (n=502)
Gender
Male 66%
Female 34%
Age
Under 30 4%
30-39 38%
40-49 33%
50-59 21%
60+ 5%
Physician Type
Primary Care/General Practice/Family Physician 50%
Secondary Care/Specialist 50%
Average # of Years Practicing Medicine 17 yrs.
Average Time Spent Face-to-Face with Patients 72.1%
England Doctor Demographics (2015) England
Total (n=502)
Organization Status
Public 95%
Private not-for-profit/charitable 1%
Private for profit 3%
Primary Work Setting
Mostly office - or clinic-based 54%
Exclusively hospital - or lab-based 24%
Mostly hospital - or lab-based 15%
Equally hospital-based and office/clinic-based 4%
Mostly long-term care facility-based 0%
Mostly hospice-based 3%
Practice Size (Office or Clinic Based) (n=292)
Solo practice 4%
Single-specialty partnership or group (2 or more doctors) 57%
Multi-specialty partnership or group (2 or more doctors) 39%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 12
Norway Total (n=302)
Gender
Male 67%
Female 33%
Age
Under 30 1%
30-39 16%
40-49 34%
50-59 33%
60+ 16%
Physician Type
Primary Care/General Practice/Family Physician 33%
Secondary Care/Specialist 67%
Average # of Years Practicing Medicine 22 yrs.
Average Time Spent Face-to-Face with Patients 55.1%
Norway Doctor Demographics (2015) Norway
Total (n=302)
Organization Status
Public 71%
Private not-for-profit/charitable 0%
Private for profit 29%
Primary Work Setting
Mostly office - or clinic-based 47%
Exclusively hospital - or lab-based 31%
Mostly hospital - or lab-based 15%
Equally hospital-based and office/clinic-based 5%
Mostly long-term care facility-based 1%
Mostly hospice-based 0%
Practice Size (Office or Clinic Based) (n=157)
Solo practice 26%
Single-specialty partnership or group (2 or more doctors) 47%
Multi-specialty partnership or group (2 or more doctors) 27%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 13
Singapore Total (n=200)
Gender
Male 77%
Female 24%
Age
Under 30 28%
30-39 39%
40-49 23%
50-59 10%
60+ 2%
Physician Type
Primary Care/General Practice/Family Physician 50%
Secondary Care/Specialist 50%
Average # of Years Practicing Medicine 10 yrs.
Average Time Spent Face-to-Face with Patients 65.4%
Singapore Doctor Demographics (2015) Singapore
Total (n=200)
Organization Status
Public 56%
Private not-for-profit/charitable 3%
Private for profit 31%
Primary Work Setting
Mostly office - or clinic-based 35%
Exclusively hospital - or lab-based 22%
Mostly hospital - or lab-based 18%
Equally hospital-based and office/clinic-based 21%
Mostly long-term care facility-based 2%
Mostly hospice-based 2%
Practice Size (Office or Clinic Based) (n=111)
Solo practice 14%
Single-specialty partnership or group (2 or more doctors) 28%
Multi-specialty partnership or group (2 or more doctors) 59%
Note: Unweighted Data Base: All Qualified Respondents
Copyright © 2014 Accenture All rights reserved. 14
US Total (n=601)
Gender
Male 68%
Female 32%
Age
Under 30 1%
30-39 27%
40-49 29%
50-59 28%
60+ 15%
Physician Type
Primary Care/General Practice/Family Physician 50% Secondary Care/Specialist 50% Average # of Years Practicing Medicine 16 yrs.
Average Time Spent Face-to-Face with Patients 81.7%
Organization Status
Public 13%
Private not-for-profit/charitable 30%
Private for profit 55%
US Doctor Demographics (2015) US
Total (n=601)
Region
East 33%
Midwest 22%
South 27%
West 17%
Primary Work Setting
Mostly office - or clinic-based 72%
Exclusively hospital - or lab-based 4%
Mostly hospital - or lab-based 9%
Equally hospital-based and office/clinic-based 12%
Mostly long-term care facility-based 1%
Mostly hospice-based 1%
Practice Size (Office or Clinic Based) (n=504)
Solo practice 18%
Single-specialty partnership or group (2 or more doctors) 43%
Multi-specialty partnership or group (2 or more doctors) 40%
Note: Unweighted Data Base: All Qualified Respondents
Research Results: Key Findings
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80% 85% 70%
86% 79% 86% 79%
Doctors are more proficient using electronic health records in their clinical practices today than two years ago
“I am more proficient using electronic health records in my clinical practice today than I was two years ago”
Global Total Australia Brazil England Norway Singapore US
Base: All Qualified Respondents Total (n=2619);Australia(n=510);Brazil(n=504);England(n=502);Norway(n=302);Singapore(n=200);US(n=601) Q810 How much do you agree or disagree with the following statements?
Agree Disagree
Copyright © 2014 Accenture All rights reserved. 17
Routine use of electronic functions and activities
Percent Who Use Routinely (2015)
GLOBAL Australia Brazil England Norway Singapore US Electronically enter patient notes either during or after consultations 72% 70% 61% 68% 97% 45% 82% Receive clinical results electronically that populate my patients’ EMR 57% 72% 24% 70% 58% 42% 65% Electronic access to clinical data about a patient who has been seen by a different health organization
51% 55% 27% 66% 64% 46% 51%
Electronic tools to reduce the administrative burden for delivering healthcare
49% 63% 38% 40% 33% 49% 63%
Electronically send order requests to laboratories 44% 16% 19% 61% 68% 43% 62% Receive electronic alerts/reminders while I am seeing my patients 43% 54% 16% 55% 39% 40% 50% Electronically send prescriptions to pharmacies (e-Prescribing) 36% 10% 9% 30% 54% 45% 72% Electronic referrals to/from health professionals in other organizations 34% 22% 9% 41% 72% 25% 43% Use computerized clinical decision support systems 28% 25% 24% 28% 27% 28% 34% Electronically notified of my patients’ interactions with other health organizations
27% 32% 6% 41% 28% 21% 32%
Communicate electronically with clinicians in other organizations 26% 24% 18% 38% 21% 19% 31% Communicate electronically with patients (e.g., via secure email) 16% 8% 23% 7% 10% 12% 30%
Base: All Qualified Respondents Total(n=2619);Australia(n=510);Brazil(n=504);England((n=502);Norway(n=302);Singapore(n=200);US(n=601) Note: Unweighted Data. Q705. How frequently do you use/perform the following functions/activities?
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Routine use of electronic functions increased since 2012
*Note: Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries. Base: All Qualified Respondents Australia (2015 n=510, 2012 n=500); England (2015 n=502, 2012 n=500); Singapore (2015 n=200, 2012 n=200);US (2015 n=601, 2012 n=500), Unweighted Data Q705. How frequently do you use/perform the following functions/activities?
Routine Use of Electronic Functions 2012 and 2015*
Electronic patient notes
Electronic clinical results to automatically populate EMR
Electronic access to external clinical data about a patient
Electronic tools to reduce the administrative burden for delivering healthcare
Electronically send order requests to laboratories
Receive electronic alerts/reminders while I am seeing my patients
Electronically send prescriptions to pharmacies (e-Prescribing)
Electronic referrals to/from health professionals in other organizations
Use computerized clinical decision support systems
Electronically notified of my patients’ interactions with other health organizations
Communicate electronically with clinicians in other organizations
Communicate electronically with patients (e.g., via secure email)
2012 2015 Percent Change
64% 70% +9%
67% 72% +7%
42% 55% +31%
50% 63% +26%
12% 16% +33%
44% 54% +23%
6% 10% +67%
15% 22% +47%
15% 25% +67%
20% 32% +60%
13% 24% +85%
5% 8% +60%
2012 2015 Percent Change
64% 68% +6%
60% 70% +17%
54% 66% +22%
29% 40% +38%
46% 61% +33%
46% 55% +20%
12% 30% +150%
33% 41% +24%
24% 28% +17%
29% 41% +41%
31% 38% +23%
6% 7% +17%
2012 2015 Percent Change
52% 45% -13%
49% 42% -14%
49% 46% -6%
57% 49% -14%
56% 43% -23%
35% 40% +14%
49% 45% -8%
21% 25% +19%
26% 28% +8%
19% 21% +11%
29% 19% -34%
19% 12% -37%
2012 2015 Percent Change
78% 82% +5%
62% 65% +5%
45% 51% +13%
55% 63% +15%
57% 62% +9%
45% 50% +11%
65% 72% +11%
32% 43% +34%
24% 34% +42%
19% 32% +68%
23% 31% +35%
13% 30% +131%
Ranked on 2015 global total
Copyright © 2014 Accenture All rights reserved. 19
Services available to patients electronically
Percent with service available to their patients (2015)
GLOBAL Australia Brazil England Norway Singapore US Receive reminders when it is time for preventative or follow up care 41% 43% 43% 30% 28% 58% 47%
Communicate with you through secure email 41% 40% 55% 30% 15% 43% 52%
Book/change/cancel appointments 37% 18% 39% 43% 36% 58% 41%
Request prescription refills 34% 16% 28% 36% 33% 40% 53%
Access health information to help them manage their conditions 32% 26% 30% 30% 20% 40% 45%
View health-related information during consultation 31% 34% 32% 24% 26% 42% 31%
Access their medical information 27% 13% 24% 12% 39% 28% 49% Download an electronic summary of their medical records 19% 10% 19% 10% 5% 30% 39%
View personal /family member’s test results on secure website 19% 6% 26% 7% 8% 24% 38%
Use tele-monitoring devices to monitor/record their health indicators 16% 11% 23% 11% 3% 28% 21%
Review patient chart 16% 8% 12% 8% 13% 31% 30% Communicate with you through video conferencing 13% 20% 19% 5% 2% 16% 12%
Base: All Qualified Respondents (Reduced Base, Excludes Don’t Know) Total(n=2619);Australia(n=510);Brazil(n=504);England(n=502);Norway(n=302);Singapore(n=200);US(n=601) Q925/Q740. Are the following functions available to your patients electronically? Can they (...)?
Copyright © 2014 Accenture All rights reserved. 20
More doctors are reporting availability of electronic services for their patients compared with 2012
*Note: Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries. Base: All Qualified Respondents Australia (2015 n=510, 2012 n=500); England (2015 n=502, 2012 n=500); Singapore (2015 n=200, 2012 n=200);US (2015 n=601, 2012 n=500), Q925/Q740. Are the following functions available to your patients electronically? Can they (...)?
Services Available to Patients Electronically 2012 and 2015*
Receive reminders when it is time for preventative or follow up care
Communicate with you through secure email
Book/change/cancel appointments
Request prescription refills
Access health information to help them manage their conditions
View health-related information during consultation
Access their medical information
Download an electronic summary of their medical records
View personal /family member’s test results on secure website
Use tele-monitoring devices to monitor/record their health indicators
Review patient chart
Communicate with you through video conferencing
2012 2015 Percent Change
26% 43% +65%
33% 40% +21%
14% 18% +29%
12% 16% +33%
27% 26% -4%
29% 34% +17%
7% 13% +86%
7% 10% +43%
3% 6% +100%
4% 11% +175%
7% 8% +14%
21% 20% -5%
2012 2015 Percent Change
26% 30% +15%
32% 30% -6%
37% 43% +16%
30% 36% +20%
36% 30% -17%
27% 24% -11%
10% 12% +20%
9% 10% +11%
4% 7% +75%
9% 11% +22%
8% 8% 0%
2% 5% +150%
2012 2015 Percent Change
58% 58% 0%
45% 43% -4%
57% 58% +2%
33% 40% +21%
43% 40% -7%
42% 42% 0%
29% 28% -3%
19% 30% +58%
18% 24% +33%
19% 28% +47%
24% 31% +29%
21% 16% -24%
2012 2015 Percent Change
36% 55% +53%
41% 56% +37%
31% 46% +48%
43% 58% +35%
37% 53% +43%
27% 36% +33%
30% 55% +83%
24% 46% +92%
23% 42% +83%
8% 24% +200%
24% 33% +38%
6% 14% +133%
Ranked on 2015 global total
Copyright © 2014 Accenture All rights reserved. 21
Doctors say that patient updating of EHR’s helps patient satisfaction, engagement, understanding, and communication
GLOBAL Australia Brazil England Norway Singapore US
Patient satisfaction 84% 84% 87% 86% 83% 79% 81%
Patient engagement 82% 78% 83% 88% 69% 87% 82%
Understanding of health condition 71% 66% 69% 78% 62% 78% 72%
Patient/Physician communication 69% 64% 75% 70% 63% 67% 71%
Accuracy of records 54% 46% 56% 55% 48% 56% 60%
Patient Updating of EHR Helps…
Base: All Qualified Respondents Total (n=2619); Australia (n=510);Brazil (n=504);England (n=502);Norway (n=302);Singapore (n=200);US (n=601) Q930 When you allow a patient to update his or her electronic medical record, does it help or hurt the following?
Copyright © 2014 Accenture All rights reserved. 22
Some doctors say patient updating of EHR hurts accuracy of records
GLOBAL Australia Brazil England Norway Singapore US
Accuracy of records 46% 54% 44% 45% 52% 44% 40%
Patient/Physician communication 31% 36% 25% 30% 37% 34% 29%
Understanding of health condition 29% 34% 31% 22% 38% 22% 28%
Patient engagement 18% 22% 17% 12% 31% 14% 18%
Patient satisfaction 16% 16% 13% 14% 17% 22% 19%
Patient Updating of EHR Hurts…
Base: All Qualified Respondents Total (n=2619); Australia (n=510);Brazil (n=504);England (n=502);Norway (n=302);Singapore (n=200);US (n=601) Q930 When you allow a patient to update his or her electronic medical record, does it help or hurt the following?
Copyright © 2014 Accenture All rights reserved. 23
49% 47% 45% 47% 46% 42% 58%
Some doctors find their organizations’ electronic health records systems hard to use
“The electronic health records system in my organization is hard to use”
Global Total Australia Brazil England Norway Singapore US
Base: All Qualified Respondents Total(n=2619);Australia(n=510);Brazil(n=504);England((n=502);Norway(n=302);Singapore(n=200);US(n=601) Q810 How much do you agree or disagree with the following statements?
Agree Disagree
Copyright © 2014 Accenture All rights reserved. 24
58% 45%
63% 55% 56% 45%
71%
42% 55%
37% 45% 44% 56%
29%
According to doctors, healthcare IT has decreased time with patients
The use of healthcare IT has…
Global Total Australia Brazil England Norway Singapore US
Increased the amount of time spent with patients Decreased the amount of time spent with patients
Base: All Qualified Respondents Total(n=2619);Australia(n=510);Brazil(n=504);England((n=502);Norway(n=302);Singapore(n=200);US(n=601) Q735 Has the use of healthcare IT…
Copyright © 2014 Accenture All rights reserved. 25
Most doctors see positive impact of EMR and HIE on the quality of treatment decisions
6% 3% 5% 1% 1% 3% 3% 4% 3% 4% 16%
21% 27% 20%
10% 20% 19% 17% 14% 12%
30%
38%
74% 70% 76% 90%
79% 77% 79% 83% 85%
62%
46%
2015 2012 2015 2015 2012 2015 2015 2012 2015 2012 2015
Impact of EMR and HIE: Improved quality of treatment decisions
Global Total Australia Brazil England Norway Singapore US
Note: Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries. Base: All Qualified Respondents (Reduced Base, Excludes Don’t Knows), Unweighted Data Q805. To what extent is the use of electronic medical records and health information exchange (HIE) enabling the following benefits?
Impacts positively No impact Impacts negatively
Copyright © 2014 Accenture All rights reserved. 26
Most doctors see positive impact of EMR and HIE on health outcomes for patients
23% 25% 20%
8% 21% 19% 27% 23% 18%
32%
40%
72% 72% 76% 92%
76% 78% 71% 74% 80%
58% 46%
2015 2012 2015 2015 2012 2015 2015 2012 2015 2012 2015
Impact of EMR and HIE: Improved health outcomes for patients
Note: Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries. Base: All Qualified Respondents (Reduced Base, Excludes Don’t Knows), Unweighted Data Q805. To what extent is the use of electronic medical records and health information exchange (HIE) enabling the following benefits?
Global Total Australia Brazil England Norway Singapore US
Impacts positively No impact Impacts negatively
Copyright © 2014 Accenture All rights reserved. 27
Most doctors say EMR and HIE have had a positive impact on reducing medical errors
16% 19% 15% 14% 19% 13% 17% 13%
7% 19%
23%
78% 77% 80% 85% 79% 83% 78% 78% 88%
72% 64%
2015 2012 2015 2015 2012 2015 2015 2012 2015 2012 2015
Impact of EMR and HIE: Reduction in Medical Errors
Note: Trended data are not available for Brazil and Norway, as this is the first year collecting data in these countries. Base: All Qualified Respondents (Reduced Base, Excludes Don’t Knows), Unweighted Data Q805. To what extent is the use of electronic medical records and health information exchange (HIE) enabling the following benefits?
Global Total Australia Brazil England Norway Singapore US
Impacts positively No impact Impacts negatively
Copyright © 2013 Accenture. All rights reserved. 28