Evalua Report EHCI 2009 090925

i

ii

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