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


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


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


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


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”


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.


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%


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%


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.


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


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.


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.”


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…


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)

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