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1、Accenture 2016 Consumer Survey onPatient EngagementGlobal ReportOverviewAccenture 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

2、 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 seven-country survey was conducted by Nielsen on behalf of Accenture between November 2015 and

3、January 2016 (The US survey was conducted online between November 13 and December 2, 2015).The analysis provided comparisons by country, sector, age and use.Where relevant, the survey uses select findings from the 2015 AccentureDoctors Survey to compare the doctor and consumer responses.Copyright &#

4、169; 2016 Accenture.2MethodWhat did we do to ensure balance and arepresentative sample?Data were weighted to be nationally representative of tWith whom did Accenture work to conduct thequtative survey?eralAccenture worked with Nielsen, who was responsible for the entire project including recruitment

5、, screening of respondents, questionnaire development, analysis and report development.population in each country (or the online population in the case of Brazil*).In Australia, data were weighted by education, age by sex, region, and incomeIn Brazil, data were weighted by sex, age, region, income s

6、ocioeconomic group, internet connection type, and whether an online buyerIn England, data were weighted by region, education, age by sex, and hours onlineIn Norway, data were weighted by age by gender, education, income, region, and household sizeIn Saudi Arabia, data were weighted by age by sex, na

7、tionality, and regionIn Singapore, data were weighted by age by sex, ethnicity, and household incomeIn the US, data were weighted by education, age by sex, race/ethnicity, region, and income to be nationallyWho was surveyed?Approximately, n=7840 consumers total, ages 18+, in the US, Australia, Brazi

8、l, England, Norway, Saudi Arabia, and Singapore who agreed to take part in the survey.How did Accenture recruit study participants?Respondents were contacted through directinvitations andnotifications; respondents are able to follow a unique link to the survey and complete it anonymously.Are we conf

9、ident in the quality of the respondents and that they meet the study criteria?All participants are consumers, ages 18+, residing in the countries specified and nationally representative on age and gender.representative of teral population. However, because2014 data were not weighted, all data for tr

10、ended questions are not weighted. This is indicated on each slide.Participantss are double verified and were rescreened forthis study to ensure participant quality.Was the questionnaire translated into the appropriate native language?Yes, the survey was translated into: Portuguese (Brazil); Norwegia

11、n (Norway); Arabic (Saudi Arabia). English (localized) was used for England, Australia, Singapore, and Saudi Arabia (English and Arabic options offered).*Brazil weighted to online population because the internet penetration is still relatively low and with online sample you cannot reach a sufficient

12、ly representative sample for general population representation.Copyright © 2016 Accenture.3Research Results:Key Findings4Most consumers with EHRs have not accessed their recordsHave Ever Accessed EHR9%13%13%14%14%25%25%27%27%30%31%33%44%45%91%87%87%86%86%75%75%73%73%70%69%67%56%55%2015201420152

13、0142015201420152014201520152014201520142015GlobalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUSNoYesBASE: HAS EHR: Global 2016 n=5408;Australia 2014 n=764,2016 n=657; Brazil 2014 n=804,2016 n=647; England 2014 n=811,2016 n=677; Norway 2014 n=669,2016 n=632; Saudi Arabia 2016 n=544; Singapore 20

14、14 n=617,2016 n=597; US 2014 n=1585,2016 n=1654;Q820. (Q158.) Have you ever accessed your electronic health records? NOTE: unweighted dataCopyright © 2016 Accenture.5Among consumers with EHRs, lab work and prescription history are most commonly availableEHR Data Have Access ToBASE: HAS EHR : Gl

15、obal 2016 n=5408;Australia 2014 n=1020,2016 n=657; Brazil 2014 n=1015,2016 n=647; England 2014 n=1019,2016 n=677; Norway 2014 n=806,2016 n=632; Saudi Arabia 2016 n=544; Singapore 2014 n=806,2016 n=597; US 2014 n=2011,2016 n=1654;Q845. (Q160.) Which of the following data in electronic health records

16、do you have access to? NOTE: unweighted dataCopyright © 2016 Accenture.6GlobalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUS20162014201620142016201420162014201620162014201620142016Lab work and blood test results35%7%19%42%43%7%13%13%22%48%16%34%24%48%Prescription medication history32%10%18

17、%26%33%10%22%15%25%35%16%33%23%44%al profile information26%8%11%15%27%7%11%7%17%36%16%33%15%36%Physician notes from visits or about my medical condition26%8%14%20%25%7%13%14%23%40%14%31%15%33%Immunization status25%7%13%12%17%6%12%13%20%30%8%26%16%37%X-rays or nuclear imaging results26%8%19%28%30%5%1

18、1%12%21%38%15%34%13%29%Billing information24%9%14%16%17%4%7%8%13%33%22%37%18%35%Other1%1%1%0%2%1%1%0%2%3%1%2%1%0%Dont know44%79%66%33%35%79%62%74%58%20%56%36%61%35%Consumers access thei satisfy curiosityR to stay informed andPrimary Reason Access EHRBASE: HAS ACCESSED EHR : Global 2016 n=1611;Austra

19、lia 2014 n=106,2016 n=95; Brazil 2014 n=357,2016 n=214; England 2014 n=75,2016 n=89; Norway 2014 n=89,2016 n=159; Saudi Arabia 2016 n=166; Singapore 2014 n=165,2016 n=150; US 2014 n=434,2016 n=738;Q821. (Q169. What is the primary reason you access your electronic health records? NOTE: unweighted dat

20、aCopyright © 2016 Accenture.7GlobalAustraliaBrazilEnglandNorwaySaudiArabiaSingaporeUS20162014201620142016201420162014201620162014201620142016To keep me informed34%37%22%32%39%37%28%35%25%23%26%27%43%41%Curious to know what is in medical record23%18%24%15%15%15%26%24%30%23%15%19%17%25%Make sure

21、medical record is accurate19%25%31%17%19%20%13%21%25%20%21%21%18%16%Track the progression of medical illness or disease12%6%14%24%15%12%10%8%6%13%20%22%12%10%Help make medical decisions9%13%5%12%11%16%20%10%8%20%18%11%9%6%Other2%2%4%1%0%0%2%2%6%1%0%0%2%2%Lab work and blood test results in EHRs are m

22、ost helpful for managing healthEHR Data that Most Helps Manage HealthBASE: KNOWS WHAT DATA HAVE ACCESS TO IN EHR, HAVE ACCESS TO MULTIPLE TYPES OF DATA: Global Total n= 2309; Australia n= 161; Brazil n= 314;England n= 138; Norway n= 199; Saudi Arabia n= 306; Singapore n= 285; US n= 906Q850. Which of

23、 the following types of information in your electronic health record most helps you manage your health?Copyright © 2016 Accenture.8GlobalAustraliaBrazilEnglandNorwaySaudiArabiaSingaporeUSLab work and blood test results34%28%42%14%15%34%28%41%Physician notes from my visits or about my medical co

24、ndition26%22%23%22%34%27%34%24%Prescription medication history11%17%13%26%14%7%10%9%al profile information6%5%6%5%3%11%6%5%Immunization status5%7%5%3%9%4%4%5%X-rays or nuclear imaging results6%4%8%4%10%6%6%5%Billing information5%4%2%3%6%6%7%5%Other0%0%0%1%0%0%0%0%Dont know7%12%1%22%10%5%5%6%Consumer

25、s and doctors agree that patients should have access to EHRs, but consumers want full access, while doctors prefer limited accessLevel of Access Patient Should Have to EHRAny Access98%98%84%99%85%96%92%98%87%97%97%97%87%99%92%11%17%18%23%22%25%26%75%81%84%84%82%92%73%70%60%74%61%70%73%22%15%15%14%15

26、%16%15%14%13%7%1%8%7% 5% 4%3%2%2%2%2%1%GlobalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUSNo accessLimited AccessFull AccessBASE: ALL QUALIFIED RESPONDENTS: Global Total n= 7840; Australia n= 1013; Brazil n= 1006; England n= 1009; Norway n= 800; Saudi Arabia n= 852; Singapore n= 935; US n= 222

27、5Q830. (D905/710)What level of access should you as a patient have to your electronic health record, created by your physician?*2015 Accenture Doctors SurveyCopyright © 2016 Accenture.988%10%85%13%Consumers who want EHR access want to see exactly what the doctor sees, not a summary versionType

28、of Information Patient Should See in EHR23%25%26%28%29%30%34%45%77%75%74%72%71%70%66%55%20162016201620162016201620162016GlobalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUSExactly what the doctor seesSummary version of what doctor seesBASE: SHOULD HAVE ACCESS TO EHR : Global Total n= 7684; Aust

29、ralia n= 997; Brazil n= 990; England n=981; Norway n= 787; Saudi Arabia n= 825; Singapore n= 901; US n= 2203Q835. What information should you as a patient see in your electronic health record?Copyright © 2016 Accenture.10Most consumers report having at least limited access totheiR, although thi

30、s varies greatly by countryLevel of Access Patient Does Have to EHRAny Access64%64%46%50%45%81%79%76%23%28%26%40%41%49%57%61%19%18%27%24%23%27%24%18%54%54%49%37%36%24%21%19%20162016201620162016201620162016GlobalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUSNo accessLimited AccessFull AccessBASE

31、: ALL QUALIFIED RESPONDENTS: Global Total n= 7840; Australia n= 1013; Brazil n= 1006; England n= 1009; Norway n= 800; Saudi Arabia n= 852; Singapore n= 935; US n= 2225Q840. (D905/710) What level of access do you as a patient have to your electronic health record, created by your physician?Copyright

32、© 2016 Accenture.11Consumers and doctors agree that patients shouldupdate most information in theiRsPatient Should Update Some or All Information in EHRBASE: ALL QUALIFIED RESPONDENTS: Global 2016 n=7840;Australia 2016 n=1013; Brazil 2016 n=1006; England 2016 n=1009; Norway 2016 n=800; Saudi Ar

33、abia 2016 n=852; Singapore 2016 n=935; US 2016 n=2225Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic*2015 Accenture Doctors SurveyFull data available in Appendixal health record?Copyright © 2016 Accenture.12Gl

34、obalAustraliaBrazilEnglandNorwaySaudi ArabiaSingaporeUSConsumersConsumersDoctorsConsumersDoctorsConsumersDoctorsConsumersDoctorsConsumersDoctorsConsumersDoctorsConsumersDoctorsDemographicInformation80%79%94%82%85%70%91%68%87%76%92%86%88%86%95%al medical history79%76%81%82%81%68%76%73%81%81%92%87%85%

35、83%90%Family medical history84%81%87%84%87%76%82%73%80%83%97%90%83%89%93%Newsymptoms83%77%79%90%84%74%70%79%80%86%41%87%89%87%83%Change in symptoms82%79%81%88%83%74%72%75%81%84%40%86%87%86%84%Newmedications73%65%79%80%84%61%67%67%73%80%38%74%85%75%88%Medication side effects84%80%84%88%86%76%75%81%79

36、%85%85%88%83%84%86%Allergic episodes83%80%84%89%90%74%74%81%85%83%58%90%86%86%88%Lab test results63%54%52%77%73%55%44%59%56%74%39%69%71%57%63%Self- measured metrics79%75%82%84%81%72%78%73%84%81%40%89%92%79%83%Consumers and doctors agree that patients should update demographic information in EHRsLeve

37、l of Patient Updating to Electronical Health Record: Demographic informationUpdate Any88%80%79%82%94%85%70%91%68%87%76%92%86%95%86%32%37%40%45%47%45%47%56%53%56%58%62%66%66%72%36%33%36%34%33%35%43%30%33%28%32%29%26%28%33%23%30%24%21%21%18%15%15%13%13%12%9%8%6%5%GlobalAustraliaBrazilEnglandNorwaySing

38、aporeUSSaudi ArabiaPatient should not updateSome informationAll informationBASE: ALL QUALIFIED RESPONDENTS: Global 2016 n=7840;Australia 2016 n=1013; Brazil 2016 n=1006; England 2016 n=1009; Norway 2016 n=800; Saudi Arabia 2016 n=852; Singapore 2016 n=935; US 2016 n=2225Q880. (D910/712) How much of

39、each of the following types of information should you, as a patient be able to update in your electronic*2015 Accenture Doctors Surveyal health record?Copyright © 2016 Accenture.13Consumers and doctors agree that patients shouldupdateal medical history in EHRsLevel of Patient Updating to Electr

40、onical Health Record:al medical historyUpdate Any81%81%76%81%87% 85%90%79%76%82%68%73%81%83%92%34%41%41%39%44%48%50%51%51%51%52%52%57%57%74%27%47%36%29%28%40%28%30%29%34%25%35%26%40%18%32%27%25%24%21%19%18%19%19%19%17%15%13%10%8%GlobalAustraliaBrazilEnglandNorwaySingaporeUSSaudi ArabiaPatient should

41、 not updateSome informationAll informationBASE: ALL QUALIFIED RESPONDENTS : Global 2016 n=7840;Australia 2016 n=1013; Brazil 2016 n=1006; England 2016 n=1009; Norway 2016 n=800; Saudi Arabia 2016 n=852; Singapore 2016 n=935; US 2016 n=2225Q880. (D910/712) How much of each of the following types of i

42、nformation should you, as a patient be able to update in your electronic*2015 Accenture Doctors Surveyal health record?Copyright © 2016 Accenture.14Consumers and doctors agree that patients should update family medical history in EHRsLevel of Patient Updating to Electronical Health Record: Fami

43、ly medical historyUpdate Any87%87%82%80%97%83%93%84%81%84%76%73%83%90%89%30%37%41%43%47%48%51%51%51%52%57%59%61%65%77%43%35%43%39%33%36%32%33%36%27%38%28%28%29%26%20%25%20%19%18%17%17%16%16%13%13%10%10%7%3%GlobalAustraliaBrazilEnglandNorwaySingaporeUSSaudi ArabiaPatient should not updateSome informa

44、tionAll informationBASE: ALL QUALIFIED RESPONDENTS : Global 2016 n=7840;Australia 2016 n=1013; Brazil 2016 n=1006; England 2016 n=1009; Norway 2016 n=800; Saudi Arabia 2016 n=852; Singapore 2016 n=935; US 2016 n=2225Q880. (D910/712) How much of each of the following types of information should you,

45、as a patient be able to update in your electronic*2015 Accenture Doctors Surveyal health record?Copyright © 2016 Accenture.15Consumers and doctors agree that patients should update new symptoms in EHRsLevel of Patient Updating to Electronical Health Record: New symptomsUpdate Any79%84%70%80%89%83%83%77%90%74%79%86%41%87%87%27%36%37%43%46%46%49%49%49%56%53%55%58%60%14%67%33%44%28%36%28%30%37%40%28%30%26%59%34%27%23%30%26%22%21%