Upload
jim-fisher
View
63
Download
3
Embed Size (px)
Citation preview
Healthcare consumers in the United States want a digitally enabled care experience, and they are initiating it with greater use of digital tools and electronic health records.
PATIENTS WANT A HEAVY DOSE OF DIGITAL
The patient experience is going digital, and consumers are leading the way by accessing electronic health records (EHRs) and using digital tools, such as wearables and apps, to manage their health. Patients have firm beliefs about who should access their data—but providers don’t always agree.
To improve patient engagement and customer satisfaction, healthcare organizations must close the gap between what patients demand and what providers deliver by investing in digital tools and strategies.
Healthcare consumers are taking control of their data
01
Source: Accenture 2016
Lab work and blood test results 48%
24%
Prescription medication history 44%
23%
Immunization status 37%
16%
Personal profile information (ie. demographics)
36%
15%
Billing information 35%
18%
Physician notes from visits/condition 33%
15%
X-rays or nuclear imaging results 29%
13%
I do not know what information 35%
61%
Lab work and blood results 41%
Physician notes from visits/condition 24%
Prescription medication history 9%
Billing information 5%
X-rays or nuclear imaging results 5%
Immunization status 5%
Personal profile information (ie. demographics)
5%
None of the above 6%
?
?
Top Users (Ages 65-74)
Least Users (Ages 18-34)
20162014 38% 22%
45%
VS
2014 2016����������27%
Compared to two years ago, healthcare consumers know more about what data they can access in
their EHR. In 2016, 65% with EHRs said they know what data they have access to in their EHR vs.
39% in 2014. However, 35% still don’t know what information they can access (see Figure 3).
Interestingly, those patients who have accessed their EHR are doing so to stay informed (41%),
but not for help with making medical decisions (6%). Among consumers who know what
information they have access to, 41% say accessing lab work and blood test results is most
helpful for managing health, while 24% say having physician notes is most helpful (see Figure 4).
FIGURE 1.More US consumers with electronic health
records are accessing their records
FIGURE 2.Health technology users age 65-74
are most likely to have turned to their EHRs to manage health
FIGURE 3. Consumers know more about what data they can access in their EHR
FIGURE 4. Data that patients with EHRs find
most helpful to health management
More US consumers with EHRs are accessing their records, 45% in 2016 vs. 27% in 2014
(see Figure 1). Health technology users age 65-74 are most likely to have turned to their
EHRs to manage their health (38% did so in 2016 vs. 22% of those 18-34) (see Figure 2).
Consumers of all ages are accessing their EHR, and they know more about the data that is available to them than two years ago
Most (92%) patients believe they should have full access to their records, while only 18% of physicians share this belief. Interestingly, about half (49%) of patients believe they have full access (see Figure 5). The perception gap about EHR access has widened in the past two years, a 42% decline in physicians and a 10% rise in patients.
Doctors and consumers don’t always agree on what a patient should access in his/her EHR
02
�������������� �������My primary doctor 75%
67%
55%
52%
51%
32%
30%
28%
Me
My other doctors/specialists
My pharmacy
Doctors/Specialists performing procedure in other country
Hospitals I visit
Urgent care centers I visit
Anyone I give permission to
22%Family members
20%Caregiver
9%Retail clinics I visit
8%An overseas health expert performing clinical analysis
3%My employer
3%The government
Demographics
Demographic Information
Medical History Symptoms
86%95%
83%90% 89% 93%
87%83% 86% 84%
Personal Medical History
FamilyMedical History
New Symptoms
Change in Symptoms
Consumers Doctors
?
No AccessLimited AccessFull Access
DoctorsConsumers
92%7%
1%
18%74%7%
49%27% 24%
Source: Accenture 2016
Most (77%) patients who favor patient access want to see exactly what the doctor sees—
not a summary. They also want the ability to update their records, such as with their
demographic information (86%), family medical history (89%) and new symptoms (87%).
Healthcare consumers and doctors are in agreement that patients should be able to update
most information in his/her EHR (see Figure 6).
Consumers have strong views on who should access their EHR data. They view their EHR as a
tool for their primary doctor (75%) or themselves (67%), not to be accessed by others, unless
they provide permission (52%). Very few (3%) consumers believe their employer, government
(3%) or a retail clinic (9%) should be able to access their health record (see Figure 7).
Level of access a patient should have to EHR
Level of access patients believe they have access to
FIGURE 6. Consumers and doctors agree that patients
should be able to update their EHR information
FIGURE 7. Consumers view EHR primarily as a tool for their doctors and themselves
FIGURE 5.Most consumers think they should
have full access to their EHR
Use of health apps has doubled in the past two years (33% in 2016 vs. 16% in 2014) among consumers who use technology to manage their health. Use of health wearables has also doubled (21% in 2016 vs. 9% in 2014) (see Figure 8). The use of social media has increased from 14% to 21%.
Consumers’ use of apps and wearables has doubled, and both doctors and patients agree there are benefits
03
Mobile phone/tablet app
Wearable technology
��������������CONSUMERS DOCTORS
Has no e�ect HurtsHelps
Fitness Diet/nutrition
52%
Symptom navigator
36%
Patient portal app
28%
Health/condition tracker
25%
Medication tracker/
reminder/manager
12%
Chronic condition/
disease management
10%
85%
3%12%
77 %
4%19%
59%
20162014
�����21%
�����
�����9%
16% �����33%
Source: Accenture 2016
Individuals aged 18-34 are the most prevalent users of both apps (48%) and wearables (26%). The most popular among all app users are Fitness (59%) and Diet/Nutrition (52%) apps (see Figure 9).
Both US consumers (77%) and doctors (85%) agree that using wearables helps a patient engage in their health (see Figure 10).
FIGURE 8. Use of health apps and wearables has doubled in the
past two years among health technology users
FIGURE 10. Consumers and doctors agree that using
wearables helps patient engagement
Engagement with own health
FIGURE 9. The most popular health apps are
Fitness and Diet/Nutrition
04
The majority (78%) of healthcare consumers wear or are willing to wear technology to track their lifestyle and/or vital signs (see Figure 11). Of consumers who were asked by a doctor to wear technology to track their fitness and lifestyle (18%) or vital signs (19%), roughly three-fourths (76%) of patients followed the physician’s recommendation (see Figure 12).
Most consumers are willing to share wearable or app data with a doctor (90%) or nurse (87%)—and 40% of health app users have already done so. Willingness to share wearable or app data drops when it comes to health plans (63%) or employers (31%) (see Figure 13).
Consumers are willing to track their health using digital tools, and share the data with healthcare professionals
15% 12%
Vital signs (only)
51%
BothFitness and lifestyle (only)
Doctor
90%
Nurse/Other HCP
87%
Friend/Family
Member
72%
Health Insurance
Plan
63%
Online community/
Other app users
38%
Employer
31%
Yes, 76%
78%
No, 24%
Source: Accenture 2016
Willingness to wear health technology can also o�er data to be used in virtual visits—visits that are increasing in popularity due to convenience and cost advantages
Healthcare consumers and US doctors agree that virtual visits o�er lower costs (58% of consumers vs. 62% of doctors) and convenience (52% consumers vs. 80% doctors) for patients, but patients perceive quality of care as a main advantage of in-person visits. Twenty-nine percent of healthcare consumers now say they prefer remote to in-person visits, a small increase from 23% in 2014.
FIGURE 11.
Most US consumers wear, or would be willing to wear, technology for health-tracking
FIGURE 13. Most consumers are willing to share wearable
or app data with a doctor or nurse
FIGURE 12. When recommended by a doctor,
3 in 4 consumers followed advice to wear technology to track health
Consumers’ speed of digital adoption in the past two years is significant, illustrating that patients are leading the way in using digital tools to manage their health. Access to EHRs is increasing significantly, however there is a gap between physician and patient expectations on the level of access to this information. There is an opportunity for physicians to increase the level of transparency and improve communications with patients.
Providers that invest in digital tools and develop strategies to adapt to consumers’ expectations will close the gap between what patients demand, and what providers deliver.
PREPARE FOR THE FUTURE BY CLOSING THE GAP
https://www.accenture.com/us-en/insight-accen-ture-doc-
tors-survey-2015-healthcare-it-pain-progress.aspx https://twitter.com/AccentureHealth?ref_src=tws-rc^google|twcamp^serp|twgr^author
For more information:
Kaveh Safavi, M.D., [email protected]
Rick Ratli�richard.ratli�@accenture.com
Kip Webb, M.D., [email protected]
Linda [email protected]
Accenture 2016 Consumer Survey on Patient Engagement
Accenture commissioned a seven-country
survey of 7,840 consumers ages 18+ to assess
their attitudes toward health, the healthcare
system, electronic health records, healthcare
technology and their healthcare providers’
electronic capabilities. The online survey
included consumers across seven countries:
Australia (1013), Brazil (1006), England (1009),
Norway (800), Saudi Arabia (852), Singapore
(935) and the United States (2225). The survey
was conducted by Nielsen on behalf of
Accenture between November 2015 and
January 2016. The analysis provided
comparisons by country, sector, age and use.
Where relevant, the survey uses select findings
from the 2016 Accenture Doctors Survey to
compare the doctor and consumer responses.
* Numbers in the figures may not add to 100% due to rounding.
About Accenture
Accenture is a leading global professional
services company, providing a broad range
of services and solutions in strategy,
consulting, digital, technology and
operations. Combining unmatched
experience and specialized skills across
more than 40 industries and all business
functions—underpinned by the world’s
largest delivery network—Accenture works
at the intersection of business and
technology to help clients improve their
performance and create sustainable value
for their stakeholders. With approximately
373,000 people serving clients in more than
120 countries, Accenture drives innovation
to improve the way the world works and
lives. Visit us at www.accenture.com
Follow us on Twitter:
@AccentureHealth
Copyright © 2016 Accenture All rights reserved.