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Evalua Report EHCI 2009 090925

Evalua Report EHCI 2009 090925

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Published by josemiguel
Evaluación de la Sanidad Europea, elaborado por Health Consumer Powerhouse (http://www.healthpowerhouse.com)
Evaluación de la Sanidad Europea, elaborado por Health Consumer Powerhouse (http://www.healthpowerhouse.com)

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Published by: josemiguel on Oct 10, 2009
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10/20/2011

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Arne Björnberg, Ph.D., Beatriz Cebolla Garrofé, Ph.D. andSonja Lindblad
arne.bjornberg@healthpowerhouse.com beatriz.cebolla@healthpowerhouse.com sonja.lindblad@healthpowerhouse.com 
Health Consumer Powerhouse2009-09-28
 Number of pages: 66 
This report may be freely quoted, referring to the source.© Health Consumer Powerhouse AB, 2009.ISBN 978-91-977879-1-8
Health Consumer Powerhouse
Euro Health Consumer Index2009
Report
 
 
iii
Contents
1. SUMMARY ............................................................................................................................................................ 5
 
1.1
 
S
OME INTERESTING COUNTRIES
........................................................................................................................................ 5
 
1.2
 
BBB;
 
B
ISMARCK
B
EATS
B
EVERIDGE
 –
YET AGAIN
! ................................................................................................................ 9
 
2. INTRODUCTION .................................................................................................................................................... 10
 
2.1
 
B
ACKGROUND
............................................................................................................................................................ 10
 
2.2
 
I
NDEX SCOPE
............................................................................................................................................................. 11
 
2.3
 
A
BOUT THE AUTHORS
.................................................................................................................................................. 11
 
3. COUNTRIES INVOLVED ......................................................................................................................................... 12
 
4. RESULTS OF THE EURO HEALTH CONSUMER INDEX 2009 ...................................................................................... 13
 
4.1
 
R
ESULTS
S
UMMARY
.................................................................................................................................................... 15
 
5. BANG-FOR-THE-BUCK ADJUSTED SCORES ............................................................................................................. 19
 
5.1
 
BFB
ADJUSTMENT METHODOLOGY
.................................................................................................................................. 19
 
5.2
 
R
ESULTS IN THE
BFB
 
S
CORE SHEET
.................................................................................................................................. 20
 
5.3
 
I
NFORMAL PAYMENTS TO DOCTORS
................................................................................................................................. 21
 
6. TRENDS OVER THE FIVE YEARS ............................................................................................................................. 21
 
6.1
 
S
CORE CHANGES
2006
 
-
 
2009...................................................................................................................................... 21
 
6.2
 
C
LOSING THE GAP BETWEEN THE PATIENT AND PROFESSIONALS
.............................................................................................. 23
 
6.3
 
C
LOSING THE GAP BETWEEN
E
AST AND
W
EST
.................................................................................................................... 24
 
6.4
 
T
RANSPARENT MONITORING OF HEALTHCARE QUALITY
......................................................................................................... 24
 
6.5
 
L
AYMAN
-
ADAPTED COMPREHENSIVE INFORMATION ABOUT PHARMACEUTICALS
......................................................................... 25
 
6.6
 
W
AITING LISTS
:
 
W
HO CARES
(
FOR THE PATIENT
)? .............................................................................................................. 25
 
6.7
 
C
HANGE UNDER PRESSURE
............................................................................................................................................ 26
 
6.8
 
W
HY DO PATIENTS NOT KNOW
? ..................................................................................................................................... 26
 
6.9
 
MRSA
SPREAD
.......................................................................................................................................................... 26
 
7. HOW TO INTERPRET THE INDEX RESULTS? ........................................................................................................... 27
 
8. EUROPEAN DATA SHORTAGE ............................................................................................................................... 27
 
8.1
 
M
EDICAL OUTCOMES INDICATORS INCLUDED IN THE
EHCI .................................................................................................... 27
 
9. EVOLVEMENT OF THE EURO HEALTH CONSUMER INDEX ...................................................................................... 29
 
9.1
 
S
COPE AND CONTENT OF
EHCI
 
2005 .............................................................................................................................. 29
 
9.2
 
S
COPE AND CONTENT OF
EHCI
 
2006
 
 –
 
2009 .................................................................................................................. 30
 
9.3
 
EHCI
 
2009 .............................................................................................................................................................. 31
 
9.4
 
N
O INDICATORS TAKEN OUT FROM THE
EHCI
 
2008
SET
....................................................................................................... 31
 
9.5
 
N
EW INDICATORS INTRODUCED FOR
EHCI
 
2009 ............................................................................................................... 31
 
9.6
 
I
NDICATOR AREAS
(
SUB
-
DISCIPLINES
) ............................................................................................................................... 32
 
9.7
 
S
CORING IN THE
EHCI
 
2009......................................................................................................................................... 33
 
9.8
 
W
EIGHT COEFFICIENTS
................................................................................................................................................. 33
 
9.9
 
I
NDICATOR DEFINITIONS AND DATA SOURCES FOR THE
EHCI
 
2008 ......................................................................................... 36
 
9.10
 
T
HRESHOLD VALUE SETTINGS
....................................................................................................................................... 43
 
9.11
 
“CUTS”
DATA SOURCES
............................................................................................................................................. 44
 
9.12
 
C
ONTENT OF INDICATORS IN THE
EHCI
 
2009 .................................................................................................................. 45
 
9.13
 
H
OW THE
E
URO
H
EALTH
C
ONSUMER
I
NDEX
2009
WAS BUILT
............................................................................................ 56
 
9.14
 
P
RODUCTION PHASES
................................................................................................................................................ 56
 
9.15
 
E
XTERNAL EXPERT REFERENCE PANEL
............................................................................................................................. 58
 
10. REFERENCES ....................................................................................................................................................... 58
 
10.1
 
M
AIN SOURCES
........................................................................................................................................................ 58
 
10.2
 
U
SEFUL LINKS
.......................................................................................................................................................... 59
 
A
NNEX
1:
 
S
OURCE DOCUMENT FOR THE
P
ATIENTS
 
R
IGHTS
I
NDICATOR
(
IN ADDITION TO FEEDBACK FROM NATIONAL AUTHORITIES
). ............ 61
 
APPENDIX 1. QUESTIONNAIRE USED IN THE SURVEY COMMISSIONED FROM PATIENT VIEW FOR THE EURO HEALTHCONSUMER INDEX 2008. .......................................................................................................................................... 64
 

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