1 Results from YouGov survey conducted November & December 2013.
Doctors Survey 2015 - Accenture€¦ · • The global survey was conducted online by Nielsen...
Transcript of Doctors Survey 2015 - Accenture€¦ · • The global survey was conducted online by Nielsen...
Doctors Survey 2015
US Report
Copyright © 2015 Accenture All rights reserved. 2
• Accenture commissioned a six-country survey of 2,619 doctors to assess their
adoption and attitudes toward electronic health records and healthcare IT.
• The online survey included doctors across six countries: Australia (510),
Brazil (504), England (502), Norway (302), Singapore (200) and the
United States (601).
• The global survey was conducted online by Nielsen between December 2014
and January 2015. (The US survey was conducted online between December
2 and December 8, 2014.)
• The analysis provided comparisons by country, sector, age and use.
Overview
Copyright © 2015 Accenture All rights reserved. 3
Method: Data Collection
US
Number of Completed Interviews 601
Field Start Date Dec. 2, 2014
Field End Date Dec. 8, 2014
Average Interview Length (in minutes) 15 min
Language English
Copyright © 2015 Accenture All rights reserved. 4
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 and secondary/specialist care 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.
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
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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
Copyright © 2015 Accenture All rights reserved. 7
US doctors overwhelmingly agree that they are more
proficient using electronic health records in their clinical
practices today than two years ago.
Base: All Qualified Respondents (n=601)
Q810 How much do you agree or disagree with the following statements?
79%
21%
Agree Disagree
“I am more proficient using electronic health records in
my clinical practice today than I was two years ago”
Copyright © 2015 Accenture All rights reserved. 8
US doctors use functions that help them provide quality
care: electronic patient notes and e-prescribing.
Base: All Qualified Respondents Q705 How frequently do you use/perform the following functions/activities? [Note: unweighted data] (Percentages displayed are those who use each function
routinely, sometimes, or rarely).
Base: Doctors Who Use Function Routinely, Sometimes, or Rarely Q710 Please indicate the top 3 electronic functions that help you provide quality care to your patients. [Note: weighted data]
Doctors’ Use of
Electronic Functions (Use Routinely, Sometimes, or Rarely)
Help Provide Quality
Patient Care (Percent Ranking in Top 3)*
89%
83%
83%
78%
75%
74%
67%
64%
63%
61%
57%
Enter patient notes
e-Prescribing
Clinical results to populate patients' EMR
Send order requests to labs
Alerts/reminders while seeing patients
Access patient clinical data from different organization
Send or receive referrals
Computerized clinical decision support systems
Communicate electronically with clinicians in other organizations
Communicate electronically with patients
Notified of patients’ interactions with other organizations
62%
50%
34%
31%
6%
33%
7%
5%
9%
7%
10%
*Includes responses for those who selected fewer than 3 functions and said function helped provide quality patient care.
Copyright © 2015 Accenture All rights reserved. 9
Note: Unweighted Data. Base: All Qualified Respondents Q705. How frequently do you use/perform the following functions/activities?
(Percentages displayed are those who use each function routinely ONLY).
Routine use of all surveyed functions on the rise.
USE ROUTINELY 2012 2015 Percentage Change
2012-2015
Communicate electronically with patients (e.g., via secure email) 13% 30% 131%
Electronically notified of my patients’ interactions with other health
organizations 19% 32% 68%
Use computerized clinical decision support systems 24% 34% 42%
Communicate electronically with clinicians in other organizations 23% 31% 35%
Electronic referrals to/from health professionals in other organizations 32% 43% 34%
Electronic tools to reduce the administrative burden for delivering
health care 55% 63% 15%
Electronic access to clinical data about a patient who has been seen by a
different health organization 45% 51% 13%
Electronically send prescriptions to pharmacies (e-Prescribing) 65% 72% 11%
Receive electronic alerts/reminders while I am seeing my patients 45% 50% 11%
Electronically send order requests to laboratories 57% 62% 9%
Receive clinical results electronically that populate my patients’ EMR 62% 65% 5%
Electronically enter patient notes either during or after consultations 78% 82% 5%
Copyright © 2015 Accenture All rights reserved. 10
According to doctors, availability of electronic functions for
patients has increased since 2012. Services for accessing
records and results online had particularly large jumps.
Services Available to Patients Electronically
Base: All Qualified Respondents (Reduced Base, Excludes Don’t Know)
Q925/Q740. Are the following functions available to your patients electronically? Can they (...)?
43%
41%
30%
36%
37%
31%
24%
23%
27%
24%
8%
6%
58%
56%
55%
55%
53%
46%
46%
42%
36%
33%
24%
14%
Request prescription refills
Communicate with you through secure email
Access their medical information
Receive reminders when it is time for preventative or follow up care
Access health information to help them manage their conditions
Book/change/cancel appointments
Download an electronic summary of their medical records
View personal /family member’s test results on secure website
View health-related information during consultation
Review patient chart
Use tele-monitoring devices to monitor/record their health indicators
Communicate with you through video conferencing
2012
2015
Percentage
Change
(2012-2015)
+35%
+37%
+83%
+53%
+43%
+48%
+92%
+83%
+33%
+38%
+200%
+133%
Copyright © 2015 Accenture All rights reserved. 11
Majority say it also helps patient satisfaction, understanding of health conditions,
patient/physician communication, and accuracy of record.
US doctors say patient updating of personal electronic medical records helps patient engagement.
Base: All Qualified Respondents (n=601)
Q930 When you allow a patient to update his or her electronic medical record, does it help or hurt the following?
18% 19% 28% 29%
40%
82% 81% 72% 71%
60%
Patient engagementwith own health
Patient satisfaction Understanding of theirhealth condition
Patient/ Physiciancommunication
Accuracy of record
Helps
Hurts
Impact of Patient Electronic Medical Record Updating
Copyright © 2015 Accenture All rights reserved. 12
90%
90%
88%
86%
80%
80%
77%
76%
73%
68%
Better functionality
Easy to use data entry system
Data entry system that ensure accuracy
Interoperability
Improving data security
Better customer services support
Better training for staff
Lowering the cost to myorganization/practice
Better training for me
Upgrading current EMR system
Importance for Improving Quality of Patient Care
through Healthcare IT (Percent Saying Important or Very Important)
Nearly all US doctors (90%) say that better functionality and an easy-to-use data entry
system are important for improving the quality of patient care through healthcare IT.
Interoperability remains an unmet need.
Many doctors find their organizations’ electronic health records systems hard to use and see opportunities for improvement.
Base: All Qualified Respondents (n=601)
Q810 How much do you agree or disagree with the following statements?
Q725 How important do you think each of the following is for improving the quality of patient care through healthcare IT?
58%
42%
Agree Disagree
“The electronic health records system in my
organization is hard to use.”
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For most US doctors, healthcare IT means
less time with patients.
29%
71%
Increased the amount of time spent with patients
Decreased the amount of time spent with patients
The use of healthcare IT has…
Base: All Qualified Respondents
Q735 Has the use of healthcare IT…
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EMR has limits. Fewer US doctors see positive impact on treatment
decisions, medical errors, and health outcomes than in the past;
reducing medical errors still viewed as main benefit.
Improved quality of treatment decisions
Note: Unweighted Data
Base: All Qualified Respondents (Reduced Base, Excludes Don’t Knows)
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
4%
16%
30%
38%
62%
46%
2012 2015
5% 12%
19%
23%
72% 64%
2012 2015
4% 14%
32%
40%
58%
46%
2012 2015
Reduction in medical errors Improved health outcomes
for patients
Impact of Electronic Medical Records and Health Information Exchange (HIE)