Accenture 2016 Consumer Survey on Patient Engagement Global Report Overview • 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 seven-country survey was conducted by Nielsen on behalf of Accenture between November 2015 and 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 Accenture Doctors Survey to compare the doctor and consumer responses. Copyright © 2016 Accenture. All rights reserved. 2 Method With whom did Accenture work to conduct the quantitative survey? What did we do to ensure balance and a representative sample? Accenture worked with Nielsen, who was responsible for the entire project including recruitment, screening of respondents, questionnaire development, analysis and report development. Data were weighted to be nationally representative of the general 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 income • In Brazil, data were weighted by sex, age, region, income socioeconomic group, internet connection type, and whether an online buyer • In England, data were weighted by region, education, age by sex, and hours online • In Norway, data were weighted by age by gender, education, income, region, and household size • In Saudi Arabia, data were weighted by age by sex, nationality, and region • In Singapore, data were weighted by age by sex, ethnicity, and household income • In the US, data were weighted by education, age by sex, race/ethnicity, region, and income to be nationally representative of the general population. However, because 2014 data were not weighted, all data for trended questions are not weighted. This is indicated on each slide. Who was surveyed? Approximately, n=7840 consumers total, ages 18+, in the US, Australia, Brazil, England, Norway, Saudi Arabia, and Singapore who agreed to take part in the survey. How did Accenture recruit study participants? Respondents were contacted through direct email invitations and notifications; respondents are able to follow a unique link to the survey and complete it anonymously. Are we confident 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. Participants’ details are double verified and were rescreened for this study to ensure participant quality. Was the questionnaire translated into the appropriate native language? Yes, the survey was translated into: Portuguese (Brazil); Norwegian (Norway); Arabic (Saudi Arabia). English (localized) was used for England, Australia, Singapore, and Saudi Arabia (English and Arabic options offered). Copyright © 2016 Accenture. All rights reserved. *Brazil weighted to online population because the internet penetration is still relatively low and with online sample you cannot reach a sufficiently representative sample for general population representation. 3 Research Results: Key Findings 4 Most consumers with EHRs have not accessed their records Have Ever Accessed EHR 14% 9% 14% 30% 13% 13% 25% 33% 31% 27% 25% 27% 44% 86% 45% 91% 86% 70% 87% 87% 75% 67% 69% 73% 75% 56% 73% 55% 2015 2014 2015 2014 2015 2014 2015 2014 2015 2015 2014 2015 2014 2015 Global Australia Brazil England Norway Saudi Arabia Singapore US No Yes BASE: 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 2014 n=617,2016 n=597; US 2014 n=1585,2016 n=1654; Q820. (Q158.) Have you ever accessed your electronic health records? NOTE: unweighted data Copyright © 2016 Accenture. All rights reserved. 5 Among consumers with EHRs, lab work and prescription history are most commonly available EHR Data Have Access To Global Australia Brazil England Norway Saudi Arabia Singapore US 2016 2014 2016 2014 2016 2014 2016 2014 2016 2016 2014 2016 2014 2016 Lab work and blood test results 35% 7% 19% 42% 43% 7% 13% 13% 22% 48% 16% 34% 24% 48% Prescription medication history 32% 10% 18% 26% 33% 10% 22% 15% 25% 35% 16% 33% 23% 44% 26% 8% 11% 15% 27% 7% 11% 7% 17% 36% 16% 33% 15% 36% 26% 8% 14% 20% 25% 7% 13% 14% 23% 40% 14% 31% 15% 33% 25% 7% 13% 12% 17% 6% 12% 13% 20% 30% 8% 26% 16% 37% 26% 8% 19% 28% 30% 5% 11% 12% 21% 38% 15% 34% 13% 29% 24% 9% 14% 16% 17% 4% 7% 8% 13% 33% 22% 37% 18% 35% 1% 44% 1% 79% 1% 66% 0% 33% 2% 35% 1% 79% 1% 62% 0% 74% 2% 58% 3% 20% 1% 56% 2% 36% 1% 61% 0% 35% Personal profile information Physician notes from visits or about my medical condition Immunization status X-rays or nuclear imaging results Billing information Other Don’t know BASE: HAS EHR : Global 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 do you have access to? NOTE: unweighted data Copyright © 2016 Accenture. All rights reserved. 6 Consumers access their EHR to stay informed and satisfy curiosity Primary Reason Access EHR Global To keep me informed Curious to know what is in medical record Make sure medical record is accurate Track the progression of medical illness or disease Help make medical decisions Other Australia Brazil England Norway Saudi Arabia Singapore US 2016 2014 2016 2014 2016 2014 2016 2014 2016 2016 2014 2016 2014 2016 34% 37% 22% 32% 39% 37% 28% 35% 25% 23% 26% 27% 43% 41% 23% 18% 24% 15% 15% 15% 26% 24% 30% 23% 15% 19% 17% 25% 19% 25% 31% 17% 19% 20% 13% 21% 25% 20% 21% 21% 18% 16% 12% 6% 14% 24% 15% 12% 10% 8% 6% 13% 20% 22% 12% 10% 9% 13% 5% 12% 11% 16% 20% 10% 8% 20% 18% 11% 9% 6% 2% 2% 4% 1% 0% 0% 2% 2% 6% 1% 0% 0% 2% 2% BASE: HAS ACCESSED EHR : Global 2016 n=1611;Australia 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 data Copyright © 2016 Accenture. All rights reserved. 7 Lab work and blood test results in EHRs are most helpful for managing health EHR Data that Most Helps Manage Health Global Australia Brazil England Norway Saudi Arabia Singapore US Lab work and blood test results 34% 28% 42% 14% 15% 34% 28% 41% Physician notes from my visits or about my medical condition 26% 22% 23% 22% 34% 27% 34% 24% Prescription medication history 11% 17% 13% 26% 14% 7% 10% 9% Personal profile information 6% 5% 6% 5% 3% 11% 6% 5% Immunization status 5% 7% 5% 3% 9% 4% 4% 5% X-rays or nuclear imaging results 6% 4% 8% 4% 10% 6% 6% 5% Billing information 5% 4% 2% 3% 6% 6% 7% 5% Other 0% 0% 0% 1% 0% 0% 0% 0% Don’t know 7% 12% 1% 22% 10% 5% 5% 6% BASE: 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= 906 Q850. Which of the following types of information in your electronic health record most helps you manage your health? Copyright © 2016 Accenture. All rights reserved. 8 Consumers and doctors agree that patients should have access to EHRs, but consumers want full access, while doctors prefer limited access Level of Access Patient Should Have to EHR Any Access 98% 98% 84% 99% 85% 96% 92% 98% 87% 97% 97% 97% 11% 22% 25% 85% 88% 2% Global 10% 2% 84% 82% 73% 16% Australia 15% 15% 1% Brazil 18% 92% 70% 60% 13% 92% 75% 81% 84% 99% 17% 23% 26% 87% 61% 70% 22% 15% 4% 14% 8% 15% 13% 3% 2% England No access 74% 73% Norway Limited Access 5% Saudi Arabia 14% 2% 7% 1% Singapore 7% US Full Access BASE: 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= 2225 Q830. (D905/710) What level of access should you as a patient have to your electronic health record, created by your physician? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 9 Consumers who want EHR access want to see exactly what the doctor sees, not a summary version Type of Information Patient Should See in EHR 29% 25% 30% 28% 23% 26% 34% 45% 71% 75% 70% 72% 77% 74% 66% 55% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US Exactly what the doctor sees Summary version of what doctor sees BASE: SHOULD HAVE ACCESS TO EHR : Global Total n= 7684; Australia n= 997; Brazil n= 990; England n=981; Norway n= 787; Saudi Arabia n= 825; Singapore n= 901; US n= 2203 Q835. What information should you as a patient see in your electronic health record? Copyright © 2016 Accenture. All rights reserved. 10 Most consumers report having at least limited access to their EHR, although this varies greatly by country Level of Access Patient Does Have to EHR Any Access 64% 46% 50% 45% 28% 23% 26% 64% 81% 79% 57% 61% 76% 40% 41% 49% 18% 19% 27% 24% 23% 27% 54% 24% 18% 19% 21% 24% 54% 49% 37% 36% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US No access Limited Access Full Access BASE: 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= 2225 Q840. (D905/710) What level of access do you as a patient have to your electronic health record, created by your physician? Copyright © 2016 Accenture. All rights reserved. 11 Consumers and doctors agree that patients should update most information in their EHRs Patient Should Update Some or All Information in EHR Global Consumers Demographic Information Personal medical history Family medical history New symptoms Change in symptoms New medications Medication side effects Allergic episodes Lab test results Selfmeasured metrics Australia Consumers Doctors Brazil Consumers England Doctors Consumers Doctors Norway Consumers Doctors Saudi Arabia Consumers Doctors Singapore Consumers Doctors US Consumers Doctors 80% 79% 94% 82% 85% 70% 91% 68% 87% 76% 92% 86% 88% 86% 95% 79% 76% 81% 82% 81% 68% 76% 73% 81% 81% 92% 87% 85% 83% 90% 84% 81% 87% 84% 87% 76% 82% 73% 80% 83% 97% 90% 83% 89% 93% 83% 77% 79% 90% 84% 74% 70% 79% 80% 86% 41% 87% 89% 87% 83% 82% 79% 81% 88% 83% 74% 72% 75% 81% 84% 40% 86% 87% 86% 84% 73% 65% 79% 80% 84% 61% 67% 67% 73% 80% 38% 74% 85% 75% 88% 84% 80% 84% 88% 86% 76% 75% 81% 79% 85% 85% 88% 83% 84% 86% 83% 80% 84% 89% 90% 74% 74% 81% 85% 83% 58% 90% 86% 86% 88% 63% 54% 52% 77% 73% 55% 44% 59% 56% 74% 39% 69% 71% 57% 63% 79% 75% 82% 84% 81% 72% 78% 73% 84% 81% 40% 89% 92% 79% 83% BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Full data available in Appendix Copyright © 2016 Accenture. All rights reserved. 12 Consumers and doctors agree that patients should update demographic information in EHRs Level of Patient Updating to Electronic Personal Health Record: Demographic information Update Any 80% 47% 79% 94% 45% 82% 85% 47% 70% 91% 32% 37% 56% 45% 35% 21% 21% 6% Global Australia 58% 72% 33% 32% 9% England Patient should not update 28% 26% 33% 30% Brazil 53% 56% 36% 43% 29% 18% 15% 86% 95% 40% 66% 30% 28% 86% 88% 36% 33% 34% 76% 92% 62% 66% 33% 68% 87% 13% Norway Some information 24% 8% Saudi Arabia 23% 13% 12% Singapore 15% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 5% 13 Consumers and doctors agree that patients should update personal medical history in EHRs Level of Patient Updating to Electronic Personal Health Record: Personal medical history Update Any 79% 51% 76% 81% 48% 41% 82% 81% 57% 52% 68% 76% 73% 81% 41% 39% 44% 81% 92% 87% 85% 83% 90% 51% 52% 51% 57% 35% 34% 26% 40% 13% 15% 17% 34% 50% 74% 27% 28% 21% Global 28% 40% 36% 29% 47% 30% 25% 29% 32% 25% 19% 18% 19% Australia Brazil 24% England Patient should not update 27% 18% 19% Norway Some information 19% 8% Saudi Arabia Singapore 10% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 14 Consumers and doctors agree that patients should update family medical history in EHRs Level of Patient Updating to Electronic Personal Health Record: Family medical history Update Any 84% 81% 87% 51% 48% 51% 84% 87% 76% 82% 41% 43% 73% 80% 30% 37% 57% 59% 83% 97% 90% 83% 47% 52% 51% 89% 93% 61% 65% 77% 35% 33% 16% Global 33% 36% 43% 39% 43% 36% 27% 28% 19% 13% 16% 13% Australia Brazil 38% 25% 18% 26% 20% 17% 20% 3% England Patient should not update Norway Some information Saudi Arabia 10% 32% 28% 29% 17% Singapore 10% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 7% 15 Consumers and doctors agree that patients should update new symptoms in EHRs Level of Patient Updating to Electronic Personal Health Record: New symptoms Update Any 83% 55% 77% 79% 49% 90% 84% 43% 74% 46% 67% 70% 79% 80% 49% 33% 28% 16% 22% 21% Global Australia 9% 16% Brazil 60% 30% 59% 34% 40% 27% 15% 12% 11% 14% 17% Singapore US 27% 56% 26% 30% England Patient should not update 46% 44% 30% 26% 23% 53% 49% 41% 14% 28% 28% 36% 87% 83% 36% 37% 58% 87% 89% 86% 21% 20% Norway Some information Saudi Arabia 37% All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 16 Consumers and doctors agree that patients should update changes in symptoms in EHRs Level of Patient Updating to Electronic Personal Health Record: Changes in symptoms Update Any 82% 79% 52% 46% 42% 30% 81% 88% 83% 74% 43% 63% 72% 34% 75% 81% 42% 37% 55% 84% 40% 86% 87% 86% 84% 51% 51% 58% 29% 52% 11% 31% 33% 38% 37% 33% 44% 28% 25% 18% 21% 19% 12% 17% Global Australia Brazil 26% 28% England Patient should not update 43% 25% 19% Norway Some information 41% 32% 60% 35% 36% 28% 16% 13% 13% 14% 16% Singapore US Saudi Arabia All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 17 Consumers and doctors agree that patients should update new medications in EHRs Level of Patient Updating to Electronic Personal Health Record: New medications Update Any 73% 65% 79% 80% 84% 61% 67% 67% 73% 80% 38% 74% 85% 75% 88% 46% 51% 57% 27% 48% 25% 28% Global 43% 49% 39% 40% 27% 39% 33% 21% Australia 25% 27% 24% 27% 35% 19% 16% Brazil 50% 60% 11% 22% 22% 30% 42% 47% 56% 56% England Patient should not update 33% 27% Norway Some information 30% 28% 62% 20% Saudi Arabia 24% 31% 24% 26% 15% Singapore 25% 12% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 18 Consumers and doctors agree that patients should update medication side effects in EHRs Level of Patient Updating to Electronic Personal Health Record: Medication side effects Update Any 84% 80% 84% 55% 50% 49% 29% 88% 86% 76% 75% 46% 43% 65% 61% 23% 20% 16% 12% 14% Global Australia Brazil 88% 83% 84% 86% 54% 55% 55% 58% 33% 28% 26% 34% 51% 49% 45% 30% 26% 17% 85% 85% 69% 30% 32% 30% 36% 81% 79% 31% 16% 37% 24% 25% 20% 21% 15% 15% 12% 17% 16% 14% England Norway Saudi Arabia Singapore US Patient should not update Some information All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 19 Consumers and doctors agree that patients should update allergic episodes in EHRs Level of Patient Updating to Electronic Personal Health Record: Allergic episodes Update Any 83% 80% 84% 54% 49% 55% 89% 90% 74% 74% 81% 85% 83% 58% 90% 86% 86% 88% 45% 46% 48% 51% 53% 47% 56% 55% 59% 53% 34% 31% 27% 35% 10% 14% 14% 12% Singapore US 64% 68% 10% 29% 31% 29% 28% 29% 33% 34% 30% 25% 23% 42% 26% 26% 16% 20% 16% 11% 10% Global Australia Brazil England Patient should not update 20% 15% Norway Some information 17% Saudi Arabia All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 20 Many consumers and doctors say that patients should update lab test results in EHRs, but with some more resistance from doctors than on other types of information Level of Patient Updating to Electronic Personal Health Record: Lab test results Update Any 63% 54% 52% 44% 36% 77% 73% 55% 44% 36% 59% 27% 29% 41% 52% 18% 45% Brazil 45% 38% 42% 33% 24% 33% 15% 30% 24% 21% 61% 56% 41% 44% 23% 27% Australia 57% 63% 10% 18% 19% 46% 48% 69% 71% 29% 19% 18% 50% 23% 28% Global 74% 39% 22% 24% 38% 59% 56% 26% England Patient should not update Norway Some information Saudi Arabia 32% 29% Singapore 42% 37% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 21 Consumers and doctors agree that patients should update self-measured metrics in EHRs Level of Patient Updating to Electronic Personal Health Record: Self-measured metrics Update Any 79% 75% 82% 49% 45% 43% 84% 81% 72% 78% 73% 84% 42% 41% 41% 40% 81% 40% 89% 92% 79% 83% 53% 52% 50% 46% 28% 30% 58% Global 25% 18% Australia 54% 12% 30% 37% 30% 39% 26% 21% 51% 32% 30% 16% 19% 28% 22% Brazil England Patient should not update 27% 44% 16% Norway Some information 27% 60% 19% Saudi Arabia 29% 36% 36% 40% 11% 8% Singapore 21% 17% US All information BASE: 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=2225 Q880. (D910/712) How much of each of the following types of information should you, as a patient be able to update in your electronic personal health record? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 22 Consumers see EHRs as tools for their doctors and themselves, not to be shared with others (i.e., government, employers) Who should have access to your EHR? Global Australia Brazil England Norway Saudi Arabia Singapore US My primary doctor 69% 79% 65% 71% 80% 51% 57% 75% Me 60% 63% 63% 56% 61% 47% 50% 67% Hospitals I visit 52% 59% 40% 59% 67% 42% 48% 51% 49% 56% 46% 50% 51% 40% 35% 55% 41% 47% 30% 35% 34% 27% 45% 52% Urgent care centers I visit 32% 35% 33% 32% 44% 24% 23% 32% A doctor performing a procedure in another country 29% 37% 31% 31% 30% 19% 22% 30% My pharmacy 22% 24% 13% 22% 19% 23% 13% 28% Family members 20% 16% 30% 10% 9% 22% 30% 22% Caregiver 15% 15% 14% 10% 8% 17% 15% 20% Retail clinics I visit 13% 10% 35% 6% 4% 8% 19% 9% An overseas health expert performing clinical analysis 13% 15% 20% 11% 11% 18% 13% 8% The government 6% 5% 4% 3% 2% 16% 12% 3% My employer 4% 1% 7% 3% 3% 8% 5% 3% Other doctors or specialists Anyone I give permission to BASE: 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= 2225 Q825. Who should have access to your electronic health records? Copyright © 2016 Accenture. All rights reserved. 23 Consumers using technology to manage their health rely on websites in particular; in some countries use of apps and wearables is up from 2014 Technology or Electronic Health Management Tools Used (Past Year) Global Australia Brazil England Norway Saudi Arabia Singapore US 2016 2014 2016 2014 2016 2014 2016 2014 2016 2016 2014 2016 2014 2016 52% 50% 50% 58% 62% 45% 44% 57% 40% 44% 61% 50% 55% 57% 36% 15% 29% 30% 37% 13% 36% 33% 30% 40% 40% 44% 16% 33% 27% 11% 17% 29% 40% 9% 21% 22% 22% 41% 29% 26% 14% 21% 19% 6% 21% 29% 15% 6% 20% 15% 19% 14% 17% 23% 9% 21% 19% 19% 10% 20% 14% 13% 34% 56% 30% 20% 10% 17% 14% 12% 14% 30% 11% 15% 25% 16% 27% 40% 19% 18% 10% 32% 13% 27% 16% 8% 11% 18% 22% 10% 17% 11% 11% 16% 17% 18% 10% 12% 15% 5% 8% 19% 21% 10% 10% 18% 16% 24% 8% 10% 12% 12% Remote monitoring* 10% N/A 5% N/A 16% N/A 6% N/A 8% 12% N/A 10% N/A 8% Other 2% 3% 2% 2% 2% 2% 2% 3% 4% 1% 1% 1% 2% 2% None 10% 34% 17% 3% 8% 32% 12% 8% 17% 6% 4% 7% 22% 10% Websites Mobile phone/tablet app Social media Wearable technology Smart scales EHRs Online support communities Remote consultation *Added in 2016 BASE: USES TECHNOLOGY TO MANAGE HEALTH: Global 2016 n=5130;Australia 2014 n=1011,2016 n=551; Brazil 2014 n=894,2016 n=916; England 2014 n=1013,2016 n=466; Norway 2014 n=380,2016 n=421; Saudi Arabia 2016 n=680; Singapore 2014 n=567,2016 n=662; US 2014 n=1605,2016 n=1434 Q625. (Q126.) Which of the following technology or electronic health management tools have you used to manage your health in the past year? NOTE: unweighted data Copyright © 2016 Accenture. All rights reserved. 24 Fitness and diet/nutrition apps are the most popular among health app users Type of App(s) Used Global Australia Brazil England Norway Saudi Arabia Singapore US Fitness 55% 66% 55% 52% 39% 46% 54% 59% Diet/Nutrition 53% 48% 68% 44% 52% 54% 42% 52% Symptom navigator 24% 18% 25% 8% 11% 24% 20% 36% Health or condition tracker 24% 20% 27% 21% 18% 28% 25% 25% Patient portal app 22% 15% 32% 15% 22% 19% 12% 28% Medication tracker/reminder/manager 18% 15% 33% 12% 19% 18% 16% 12% Chronic condition or disease management 11% 10% 14% 9% 15% 17% 7% 10% Something else 9% 12% 4% 13% 15% 10% 14% 6% BASE: USED APPS IN PAST YEAR TO MANAGE HEALTH: Global Total n= 1824; Australia n= 160; Brazil n= 337; England n= 166; Norway n= 125; Saudi Arabia n= 271; Singapore n= 291; US n= 474 Q630. What type of app(s) have you used? Copyright © 2016 Accenture. All rights reserved. 25 Consumers and doctors in Australia agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health Doctor* Perspective 22% 3% 75% 25% 4% 70% 33% Patient/physician communication 27% 4% 68% 34% Patient satisfaction 28% 5% 67% 19%2% 79% 21% 2% 77% Accuracy of medical record Understanding of health condition Overall quality of care 22% 3% 28% 75% 4% Reduction in cost of healthcare 46% Monitoring the health of a loved one 24% 4% 13% 1% 67% 5% 3% 64% 5% 61% 29% 2% 49% 46% 69% 19% 35% N/A 72% Has no effect 86% Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=1013) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 26 Consumers and doctors in Brazil agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health 7%6% Accuracy of medical record 87% Doctor* Perspective 3% 3% 94% 14% 6% 79% 19% 6% Patient/physician communication 12% 8% 80% 16%5% Patient satisfaction 12%5% Understanding of health condition 8%7% Overall quality of care Reduction in cost of healthcare 15% 7% 25% Monitoring the health of a loved one 9%5% 75% 79% 83% 12%4% 84% 85% 11% 4% 85% 78% 10% 65% 16%5% 34% 79% 20% 46% N/A 85% Has no effect Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=1006) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 27 Consumers and doctors in England agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health 28% 7% Accuracy of medical record 34% Patient/physician communication 32% Patient satisfaction Understanding of health condition Overall quality of care Reduction in cost of healthcare Monitoring the health of a loved one 7% 62% 8% 55% 8% 37% 65% 6% 51% 31% 12% 2% 60% 6% 38% 27% 65% 7% 30% 86% 8% 38% 62% 9% 53% 19% 4% 77% 22% 6% 56% 7% Doctor* Perspective 33% 41% 4% 44% 63% 25% 31% N/A 62% Has no effect 72% Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=1009) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 28 Consumers and doctors in Norway agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health 33% 7% 60% Doctor* Perspective 26% 4% 70% Accuracy of medical record 40% 7% 53% 35% Patient/physician communication 37% 10% 53% 38% 50% 24% 5% 71% 24% 3% 73% Patient satisfaction Understanding of health condition Overall quality of care Reduction in cost of healthcare Monitoring the health of a loved one 41% 31% 9% 8% 43% 55% 49% 61% 8% 49% 9% 6% 39% 36% 60% 5% 57% 2% 56% 59% 18% 26% N/A 45% Has no effect 5% Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=800) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 29 Consumers and doctors in Saudi Arabia agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health Accuracy of medical record Patient/physician communication Patient satisfaction 18% 8% 24% 6% 18% 6% 24% 5% Understanding of health condition 12%6% Overall quality of care Reduction in cost of healthcare Monitoring the health of a loved one 71% 76% 71% 83% 19% 7% 24% 74% 12% 18% 7% 73% 64% Doctor* Perspective 5%11% 5% 6% 84% 89% 6%8% 87% 5%13% 82% 6%7% 87% 4% 6% 90% 1% 14% 85% 74% Has no effect Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=852) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 30 Consumers and doctors in Singapore agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health Accuracy of medical record Patient/physician communication Patient satisfaction 16% 6% 78% 72% 26% 68% 32% 6% Understanding of health condition 12%5% Overall quality of care 11%8% 23% 6% 6% 23% Reduction in cost of healthcare 33% Monitoring the health of a loved one 14%5% 62% 82% 7% Doctor* Perspective 40% 35% 12% 63% 8% 67% 72% 7% 33% 56% 43% 76% 5% 73% 21% 39% N/A 81% Has no effect 8% 22% 5% 27% 71% 81% Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=935) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 31 Consumers and doctors in the US agree that wearable health devices help patient engagement Effect of Wearables On… Consumer Perspective Engagement with own health 19% 4% Accuracy of medical record 29% Patient/physician communication 26% Patient satisfaction Understanding of health condition Overall quality of care Reduction in cost of healthcare Monitoring the health of a loved one 77% 4% 31% 4% 20% 4% 29% 12% 3% 67% 5% 41% 22% 4% 85% 40% 69% 35% 64% 22% 5% 76% 4% Doctor* Perspective 27% 67% 8% 57% 73% 7% 43% 66% 5% 62% 21% 36% N/A 74% Has no effect 52% 8% 33% 51% 8% Hurts Helps BASE: ALL QUALIFIED RESPONDENTS (2016 n=2225) Q660 (D1070) Do you think the use of wearable health devices (for monitoring glucose, heart rate, physical activity, sleep, or weight) helps, hurts or has no effect on …? *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 32 Many consumers wear or would be willing to wear health tracking technology Wears or Would Be Willing to Wear Technology to Track… Global Australia Brazil England Norway Saudi Arabia Singapore US 2016 2014 2016 2014 2016 2014 2016 2014 2016 2016 2014 2016 2014 2016 Fitness and lifestyle only 17% 11% 15% 26% 19% 12% 14% 19% 16% 24% 18% 18% 11% 15% Vital signs only 16% 12% 11% 18% 20% 15% 15% 18% 19% 23% 20% 16% 15% 12% Both 45% 56% 49% 51% 55% 54% 44% 36% 27% 31% 49% 48% 50% 51% Neither 22% 21% 25% 5% 6% 18% 27% 27% 38% 21% 13% 19% 24% 21% BASE: ALL QUALIFIED RESPONDENTS: Global 2016 n=7840;Australia 2014 n=1020,2016 n=1013; Brazil 2014 n=1015,2016 n=1006; England 2014 n=1019,2016 n=1009; Norway 2014 n=806,2016 n=800; Saudi Arabia 2016 n=852; Singapore 2014 n=806,2016 n=935; US 2014 n=2011,2016 n=2225 Q645. (Q151). Do you or would you be willing to wear technology that measures and tracks…? NOTE: unweighted data Copyright © 2016 Accenture. All rights reserved. 33 Some app users have discussed or shared app data with their doctors (particularly in Brazil) Discussed or Shared app Data with Doctor 16% 29% 30% 40% 30% 40% 43% 63% 84% 71% 70% 60% 70% 60% 57% 37% 2015 2015 2015 2015 2015 2015 2015 2015 Global Australia Brazil England Norway Saudi Arabia Singapore US No Yes BASE: USED APPS IN PAST YEAR TO MANAGE HEALTH: Global Total n= 1824; Australia n= 160; Brazil n= 337; England n= 166; Norway n= 125; Saudi Arabia n= 271; Singapore n= 291; US n= 474 Q635. Have you discussed or shared data from your app with your doctor or other medical provider? Copyright © 2016 Accenture. All rights reserved. 34 Across all countries, fewer than half of consumers report that a doctor recommended wearable technology to track health Doctor Has Recommended Wearable Technology to Track… 47% 43% 37% 31% 24%23% 19% 15% 16%16% 24% 20% 22%22% 19%18% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US Vital signs Fitness and lifestyle BASE: 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=2225 Q650. Has a doctor ever recommended that you wear technology to measure and track the following? Copyright © 2016 Accenture. All rights reserved. 35 Among consumers whose doctor recommended wearable technology, the majority took their doctor’s advice Took Doctor’s Advice to Use Wearable Technology 66% 74% 77% 80% 87% 34% 26% 23% 20% 13% 74% 70% 26% 30% 76% 24% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US No Yes BASE: DOCTOR RECOMMENDED WEARABLE: Global Total n= 2279; Australia n= 217; Brazil n= 524; England n= 224; Norway n= 208; Saudi Arabia n= 372; Singapore n= 225; US n= 461 Q655. Did you take your doctor’s advice to wear technology to measure and track your fitness and lifestyle or vital signs? Copyright © 2016 Accenture. All rights reserved. 36 The majority of consumers are willing to share wearable and app data with their doctors… Willingness to Share Wearable or Mobile App Data With… Your doctor Willing 85% 51% 89% 89% 52% 58% 84% 76% 50% 45% 76% 40% 87% 90% 35% 60% 35% 31% 35% 37% 31% 51% 34% 29% 7% 12% 17% 8% 6% 6% 5% 7% 4% 9% 11% 7% 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Not at all willing Not very willing 2016 10% 3% 2016 2016 Saudi Arabia Singapore US Somewhat willing 5% 5% Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 37 …their nurses or other healthcare professionals Willingness to Share Wearable or Mobile App Data With… Your nurse or other healthcare professional Willing 80% 37% 81% 80% 33% 41% 79% 67% 67% 82% 28% 24% 25% 39% 48% 42% 39% 43% 47% 40% 87% 57% 40% 39% 17% 12% 10% 14% 9% 6% 10% 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Not very willing 15% 4% 6% 7% 2016 2016 2016 Saudi Arabia Singapore US 16% 8% Not at all willing 23% 11% 10% Somewhat willing Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 38 Many consumers are willing to share wearable or app data with their health insurance plan, more so in certain countries (i.e., Brazil) Willingness to Share Wearable or Mobile App Data With… Your health insurance plan Willing 56% 18% 47% 11% 71% 40% 11% 43% 62% 23% 30% 23% 31% 45% 38% 39% 44% 23% 26% 25% 19% 28% 37% 40% 24% 23% 21% 63% 10% 12% 27% 36% 55% 33% 18% 33% 10% 13% 12% 18% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US Not at all willing Not very willing Somewhat willing Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 39 Consumers are willing to share wearable and app data with friends or family members Willingness to Share Wearable or Mobile App Data With… Friend or family member Willing 69% 70% 26% 25% 79% 62% 22% 51% 16% 67% 78% 24% 25% 37% 72% 30% 35% 40% 43% 43% 45% 53% 41% 42% 26% 19% 17% 21% 17% 12% 19% 15% 17% 23% 13% 13% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US 12% 8% Not at all willing Not very willing Somewhat willing 5% 13% Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 40 Willing Most consumers are hesitant to share data with other app users or online community members Willingness to Share Wearable or Mobile App Data With… Online community/other app users 38% 11% 30% 7% 61% 27% 6% 24% 21% 23% 22% 4% 50% 13% 38% 6% 32% 27% 37% 24% 37% 11% 17% 28% 29% 38% 26% 23% 27% 41% 31% 23% 35% 47% 41% 54% 39% 17% 19% 21% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US Not at all willing Not very willing Somewhat willing Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 41 Consumers are not willing to share wearable and app data with their employers Willingness to Share Wearable or Mobile App Data With… Your employer Willing 34% 10% 54% 22% 7% 17% 16% 26% 8% 18% 24% 44% 24% 8% 11% 38% 7% 31% 10% 17% 32% 21% 32% 37% 30% 27% 27% 26% 29% 33% 40% 27% 47% 46% 37% 49% 43% 19% 23% 21% 2016 2016 2016 2016 2016 2016 2016 2016 Global Australia Brazil England Norway Saudi Arabia Singapore US Not at all willing Not very willing Somewhat willing Very willing BASE: 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=2225 Q670. How willing would you be to share information from your wearable technology or mobile app (e.g., activity throughout the day, heart rate) with each of the following? Copyright © 2016 Accenture. All rights reserved. 42 Consumers and doctors in Australia associate virtual visits with convenience and lower costs, but in-person visits with quality care Advantages of Virtual or In-Person Visits: Australia Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients 69% 11% 51% Diagnosing problems faster Engaging patients in their health/healthcare decisions 30% 50% 19% 29% 35% Providing timely care to patients Reducing potential (or number of) adverse events 19% Accommodating physicians' schedules 19% Providing quality care to patients Diagnosing problems faster 82% 56% 11% 54% 20% 42% 9% Accommodating physicians' schedule 27% 31% 24% Providing timely care to patients 46% 41% 16% 60% Virtual 8% Engaging patients in decisions Reducing adverse events 28% 28% Accommodating patients' schedules Reducing medical costs to patients In-Person Virtual 52% Accommodating patients' schedules 5% Reducing medical costs to patients 5% 80% 72% BASE: ALL QUALIFIED RESPONDENTS (n=1013) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 43 Consumers and doctors in Brazil associate virtual visits with convenience and lower costs, but in-person visits with quality care Advantages of Virtual or In-Person Visits: Brazil Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Engaging patients in their health/healthcare decisions Virtual 68% 10% 59% 13% 44% Diagnosing problems faster Reducing potential (or number of) adverse events Accommodating physicians' schedules 31% 37% 18% Reducing medical costs to patients 15% Providing timely care to patients 14% Engaging patients in decisions Reducing adverse events 54% 50% 54% Accommodating physicians' schedule Virtual 88% 4% 59% 12% 54% 12% 53% 17% 17% Providing timely care to patients 42% 16% Providing quality care to patients Diagnosing problems faster 20% Accommodating patients' schedules In-Person 42% 11% 66% Accommodating patients' schedules 6% Reducing medical costs to patients 5% 73% 63% BASE: ALL QUALIFIED RESPONDENTS BASE: ALL QUALIFIED RESPONDENTS (n=1006) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 44 Doctors in England are more likely to see reducing adverse events as a top advantage of in-person visits vs. patients Advantages of Virtual or In-Person Visits: England Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Virtual 61% 13% 49% Diagnosing problems faster Engaging patients in their health/healthcare decisions 30% 46% 22% 35% 30% Providing timely care to patients Reducing potential (or number of) adverse events 20% Accommodating physicians' schedules 20% Reducing medical costs to patients Providing quality care to patients 83% 63% 15% 53% Engaging patients in decisions 20% 46% 7% Accommodating physicians' schedule 41% 50% 15% 46% 27% 43% 14% Providing timely care to patients Accommodating patients' schedules Reducing medical costs to patients Virtual 5% Diagnosing problems faster Reducing adverse events 26% 30% Accommodating patients' schedules In-Person 54% 5% 81% 3% 59% BASE: ALL QUALIFIED RESPONDENTS (n=1009) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 45 Although consumers and doctors in Norway associate virtual visits with scheduling convenience, many see timely care as an advantage of in-person visits Advantages of Virtual or In-Person Visits: Norway Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Virtual Providing quality care to patients Reducing medical costs to patients 69% Diagnosing problems faster 14% 39% 39% 32% Engaging patients in decisions 25% Engaging patients in their health/healthcare decisions Accommodating patients' schedules 83% 3% 49% 32% Providing timely care to patients Accommodating physicians' schedules Virtual 67% 10% Diagnosing problems faster Reducing potential (or number of) adverse events In-Person 37% 28% 36% 26% Providing timely care to patients 33% Reducing adverse events 18% 19% 33% 10% Accommodating physicians' schedule 39% 16% 50% 10% 58% 24% 38% Accommodating patients' schedules 3% Reducing medical costs to patients 3% 80% 79% BASE: BASE: ALL QUALIFIED RESPONDENTS (n=800) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 46 Consumers and doctors in Saudi Arabia associate in-person visits with quality care; consumers see virtual as cost-effective Advantages of Virtual or In-Person Visits: Saudi Arabia Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Diagnosing problems faster Engaging patients in their health/healthcare decisions In-Person Virtual 48% 21% 47% 26% 36% 28% Engaging patients in decisions Providing timely care to patients 33% 33% Diagnosing problems faster Reducing potential (or number of) adverse events 32% 29% Reducing medical costs to patients Accommodating patients' schedules 25% Accommodating physicians' schedules 25% Reducing medical costs to patients Providing timely care to patients 37% Accommodating physicians' schedule 37% 23% 50% 55% 22% 43% 35% Providing quality care to patients Reducing adverse events Accommodating patients' schedules Virtual 41% 23% 35% 33% 32% 33% 29% 51% 25% 34% 22% 47% BASE: BASE: ALL QUALIFIED RESPONDENTS (n=852) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 47 Consumers and doctors in Singapore associate virtual visits with convenience and lower costs, but inperson visits with quality care and patient engagement Advantages of Virtual or In-Person Visits: Singapore Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Diagnosing problems faster Engaging patients in their health/healthcare decisions Virtual 64% 13% 55% 23% 53% 19% Reducing potential (or number of) adverse events 29% 22% Providing timely care to patients 28% Accommodating physicians' schedules 16% Reducing medical costs to patients 16% Providing quality care to patients Diagnosing problems faster Engaging patients in decisions Reducing adverse events 41% Providing timely care to patients 40% Accommodating physicians' schedule 19% Accommodating patients' schedules In-Person 56% 58% Virtual 62% 14% 61% 21% 46% 21% 43% 23% 32% 38% 26% 40% Reducing medical costs to patients 15% Accommodating patients' schedules 14% 67% 68% BASE: BASE: ALL QUALIFIED RESPONDENTS (n=935) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 48 Consumers and doctors in the US associate virtual visits with convenience and lower costs, but in-person visits with quality care Advantages of Virtual or In-Person Visits: US Percent Ranking Top 3 for In-Person and Virtual Consumers Doctors* In-Person Providing quality care to patients Engaging patients in their health/healthcare decisions Virtual 68% 11% 50% 17% 48% Diagnosing problems faster Reducing potential (or number of) adverse events Providing timely care to patients Accommodating physicians' schedules Accommodating patients' schedules Reducing medical costs to patients 29% 32% In-Person Providing quality care to patients Diagnosing problems faster 25% 81% 7% 54% 15% 50% Engaging patients in decisions Reducing adverse events 20% 20% 43% 12% 30% 37% Accommodating physicians' schedule 42% 21% 22% Providing timely care to patients 41% 18% 52% 15% 58% Virtual 49% Accommodating patients' schedules 8% Reducing medical costs to patients 7% 80% 62% BASE: BASE: ALL QUALIFIED RESPONDENTS (n=2225) Q760. (D1035) From the list below, please select the top three advantages of in-person patient visits and the top three advantages of remote or virtual visits. *2015 Accenture Doctors Survey Copyright © 2016 Accenture. All rights reserved. 49 Overall, the majority of consumers continue to prefer inperson visits over remote Prefer Remote or In-Person Visits 58% 70% 71% 86% 82% 65% 76% 76% 24% 24% 80% 42% 30% 29% 14% 18% 35% 20% 23% 2016 2014 2016 2014 2016 2014 2016 2014 2016 Global Australia Brazil England Norway Remote 67% 77% 2016 33% 72% 28% 2014 2016 Saudi Arabia Singapore 77% 23% 71% 29% 2014 2016 US In-person BASE: ALL QUALIFIED RESPONDENTS: Global 2016 n=7840;Australia 2014 n=1020,2016 n=1013; Brazil 2014 n=1015,2016 n=1006; England 2014 n=1019,2016 n=1009; Norway 2014 n=806,2016 n=800; Saudi Arabia 2016 n=852; Singapore 2014 n=806,2016 n=935; US 2014 n=2011,2016 n=2225 Q750. (Q199). Which of the following is closer to your view? NOTE: unweighted data Copyright © 2016 Accenture. 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