Sep 16 - SWS Survey On Health Care

SWS MEDIA RELEASE: 16 SEPTEMBER 2010
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52 Malingap St., Sikatuna Village, Quezon City Tel: 924-4456, 924-4465

Website: www.sws.org.ph Fax: 920-2181
SWS Survey on Healthcare Services and Financing:

87% expect government to provide healthcare to all
Social Weather Stations
The SWS Survey of Filipinos on Healthcare Services and Financing, conducted from
January 29 to Febuary 1, 2010, found that 87% of adult Filipinos expect the government to
provide healthcare for all, including those who cannot afford to pay for it.
The survey also found that 60% are satisfied with the government in providing quality
health services for all, 25% never consulted a doctor or health facility during sickness, 55% have
no health insurance, and that majority are willing to pay higher premium to cover
dependents/children (67%) and other healthcare costs (55%).
It further found 78% giving importance to the issue of health insurance in choosing their
President in the 2010 elections.
The SWS Survey of Filipinos on Healthcare Services and Financing was commissioned
by the Pharmaceutical and Healthcare Association of the Philippines (PHAP).
Expectation and satisfaction with government in providing health services
The February 2010 survey found that 87% of adults nationwide agree with the test
statement, “it is the duty of the government to provide healthcare for all Filipinos, including
those who cannot afford to pay for it.” Only 5% disagree and 8% are undecided [Table 1].
A majority 78% agree that “health is a basic human right guaranteed by the constitution”.
Eleven percent disagree with the statement, and another 11% are undecided [Table 2].
Three out of five (60%) are satisfied and 30% are dissatisfied with the performance of the
national government in providing quality health services for all the people, for a good net
satisfaction rating (% satisfied minus % dissatisfied) of +30 [Table 3].
Eighty-four percent agree that “the government should aim to provide the same quality of
healthcare, without charge, to everyone, whether rich or poor.” Only 10% disagree, while 6% are
undecided [Table 4].
Access to basic and essential health services
Three-fourths (75%) consulted a doctor when they felt sick, of which 31% during the past
12 months, 19% 1 to 2 years ago, 9% 3 to 4 years ago, and 16% 5 years ago or more. The
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remaining one-fourth (25%) have not gone to a doctor or health facility when they were sick
[Table 5].
Of those who did not who did not go to a doctor or health facility when they were sick,
the most common reason cited was “I knew what medicine to buy in order to cure myself”
(33%), followed by “I couldn't afford it” (24%), “Never consulted a doctor when sick” (17%),
and “There is no doctor or hospital nearby” (4%). Nine percent comprise other answers, while
13% had no answer [Table 6].
Ninety-three percent say they are worried (consisting of 71% saying they are worried a
great deal, and 22% somewhat worried) about getting sick [Table 7]. However, 67% never had a
general check-up when they did not feel sick [Table 8].
Among those who went to the doctor or health facility when they got sick, 72% paid for it
themselves, 16% percent went to a free or public doctor, 8% used PhilHealth, and 5% were
helped by family or friends [Table 9].
The survey also found that 55% do not have any public or private insurance to cover for
their healthcare expenses, with higher proportions coming from the classes E (66%) and D (54%)
compared to class ABC (28%) [Table 10].
Funding healthcare, education and roads
The survey found that 59% agree that “it will be good for the country if part of what the
government spends to build roads is spent for health care instead”. Twenty-eight percent
disagree, and 13% are undecided about this matter [Table 11].
On the other hand, 45% agree and 42% disagree that “it will be good for the country if
part of what is spent for education is spent on healthcare instead”, implying that respondents
consider funding health and funding education as equally important [Table 12].
Willingness to pay higher premium on health insurance
Majority of those paying for their health insurance are willing to pay a higher premium to
cover dependents such as their children (67%) and for additional benefits (55%) [Tables 13 and
14].
Given the test statement, “getting health insurance is a waste of money, since everyone
eventually dies anyway,” 64% disagree and only 25% agree. The remaining 10% are undecided
[Table 15].
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About half (49%) also disagree that “only rich people can afford to buy health
insurance,” 39% agree, and 12% are undecided [Table 16].
Effect of getting hospitalized to the family
To the test statement, “because hospitals charge so much these days, many families get
impoverished when a member gets so sick as to be hospitalized,” 71% agree and 20% disagree.
The remaining 9% are undecided about this matter [Table 17].
Recommended costs and services for health insurance coverage
Among those with health insurance, the most common healthcare costs that they want
covered by health insurance are medicines (37%), laboratory tests (21%), and outpatient
consultations (21%).
Other responses include hospitalization (8%), professional fees (5%), dental (4%),
coverage of other people (3%), surgical/major procedures (2%), and education (2%) [Table 18].
Importance of health insurance in people’s choice of President
Seventy-eight percent of adults nationwide said that an agenda for social health insurance
is important in their choice of President. Only 10% said it is not important, while 9% were
undecided [Table 19].
Survey Background
The SWS Survey of Filipinos on Healthcare Services and Financing, commissioned by
Pharmaceutical and Healthcare Association of the Philippines (PHAP), was conducted from
January 29 to February 1, 2010 using face-to-face interviews of 1,200 adults in Metro Manila,
the Balance of Luzon, Visayas, and Mindanao (sampling error margins of ±2.7% for national
percentages, ±6% for area percentages).
The area estimates were weighted by National Statistics Office medium-population
projections for 2010 to obtain the national estimates.
SWS employs its own staff for questionnaire design, sampling, fieldwork, data-
processing, and analysis, and does not outsource any of its survey operations.
PHAP is a non-stock and non-profit association of companies engaged in the
manufacture, distribution and retail of medicines, over-the-counter products, nutritionals and
medical devices. Its members are also engaged in clinical research, market research and
publication of health references.
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PHAP’s mission is to produce, enhance, market and make accessible quality and safe
medicines to enable Filipinos to live longer and healthier lives. PHAP also advocates for
comprehensive health reform leading to universal healthcare.
For reference, please call the Pharmaceutical and Healthcare Association of the
Philippines at 8141800/08. Log on to www.phap.org.ph for more information.
#
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Table 1
Q3. IT IS THE DUTY OF THE GOVERNMENT TO PROVIDE

HEALTHCARE FOR ALL FILIPINOS, INCLUDING
THOSE WHO CANNOT AFFORD TO PAY FOR IT,
BY ECONOMIC CLASS AND EDUCATIONAL
ATTAINMENT
Non- Elem HS grad/
elem grad/ Voc/ Coll.
RP ABC D E grad Some HS Some coll. grad+
Agree (A) 87% 93% 87% 86% 84% 85% 88% 91%
Undecided 8 1 8 8 10 8 7 6
Disagree (B) 5 6 5 6 6 7 5 3
Net (A-B) +82 +87 +81 +81 +77 +78 +84 +88
Q3. Test Statement : “It is the duty of the government to provide healthcare for
all Filipinos, including those who cannot afford to pay for it.”
Survey of Filipinos on Healthcare Financing

January 29 – February 1, 2010 National Survey 15
Table 2
Q7. HEALTH IS A BASIC HUMAN RIGHT GUARANTEED BY

THE CONSTITUTION, BY ECONOMIC CLASS AND
EDUCATIONAL ATTAINMENT
Non- Elem HS grad/
Agree (A) 78% 67% 79% 75% 73% 70% 81% 91%
Undecided 11 15 10 11 15 14 8 3
Disagree (B) 11 18 10 14 10 15 10 6
Don't know enough 1 0 1 0 2 1 0 0
Net (A-B) +67 +50 +70 +62 +64 +56 +71 +85
Q7. Test Statement: “Health is a basic human right guaranteed by the

constitution.”

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Table 3
Q18a. PROVIDING QUALITY HEALTH SERVICES FOR ALL

THE PEOPLE, BY AGE GROUP
RP 18-24 25-34 35-44 45-54 55-64 65&Above
Satisfied (A) 60% 66% 69% 59% 59% 49% 47%

Undecided 10 9 7 9 7 16 15
Dissatisfied (B) 30 25 24 32 33 32 37
Net (A-B) +30 +41 +45 +27 +25 +18 +10
Q18. Providing quality health services for all the people

Table 4
Q5. THE GOVERNMENT SHOULD AIM TO PROVIDE THE

SAME QUALITY OF HEALTHCARE TO ALL, RICH OR
POOR, BY ECONOMIC CLASS AND EDUCATIONAL
ATTAINMENT
Non- Elem HS grad/

Agree (A) 84% 92% 84% 83% 80% 83% 86% 83%
Undecided 6 2 6 8 12 7 4 5
Disagree (B) 10 6 10 9 8 10 9 12
Net (A-B) +74 +86 +74 +74 +73 +72 +77 +71
Q5.Test Statement: “The government should aim to provide the same quality of
healthcare, without charge, to everyone, whether rich or poor.”

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Table 5
Q31. & Q32. TIME OF LAST DOCTOR’S CONSULTATION

WHEN SICK, BY ECONOMIC CLASS AND
Non- Elem HS grad/
During the past 12 months 31% 39% 30% 30% 35% 29% 28% 40%
1-2 years ago 19 20 20 17 15 20 20 21
3-4 years ago 9 9 9 11 10 6 10 13
5 or more years ago 16 15 17 11 14 18 16 9
Never consulted a doctor 25 17 24 31 26 27 26 16
Q31. Have you ever consulted a doctor as a result of feeling sick?

Q32. IF YES: When did you have your last consultation (SHOWCARD)?

Table 6
Q34a. REASONS WHY YOU DID NOT CONSULT A DOCTOR,

BY ECONOMIC CLASS AND EDUCATIONAL ATTAINMENT
Base: Total who did not consult a doctor as a result of getting sick
Non- Elem HS grad/

I knew what medicine to buy 33% 43% 34% 30% 20% 29% 36% 56%
in order to cure myself
I couldn't afford it 24 0 25 26 35 28 21 10
Never consulted a doctor 17 0 14 24 21 19 15 10
when sick
Refused/No answer 13 8 15 11 15 11 15 8
Others 9 49 8 7 2 6 11 25
There is no doctor or 4 0 5 3 7 8 1 0
hospital nearby
Q34. IF NO: Was it for any of the following reasons (SHOWCARD)?

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Table 7
Q23a. WORRY ABOUT GETTING SICK,

BY AGE GROUP
RP 18-24 25-34 35-44 45-54 55-64 65&Above
Worried a great deal 71% 59% 72% 70% 73% 75% 82%
Somewhat worried 22 31 22 21 22 17 13
Not worried too much 6 9 6 7 4 6 5
Not worried at all 1 1 1 2 0 3 1
Q23. How worried are you about getting sick?

Table 8
Q27. & Q28. TIME OF LAST DOCTOR’S GENERAL CHECK UP

WHEN NOT SICK, BY ECONOMIC CLASS AND
Non- Elem HS grad/
During the past 12 months 15% 21% 17% 8% 9% 10% 17% 30%
1-2 years ago 8 13 9 3 3 4 9 17
3-4 years ago 3 0 3 5 0 4 3 4
5 or more years ago 7 0 7 7 8 7 6 5
Never had a general check-up
or physical examination 67 65 64 78 80 74 64 45
Q27. Have you ever been to a doctor for a Regular General Physical
Examination or check-up, at a time when you did not feel sick?
Q28. IF YES: When did you have your last General Physical Examination or
Check-up (SHOWCARD)?

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Table 9
Q33a. WHO PAID FOR RESPONDENTS LAST

CONSULTATION, BY ECONOMIC CLASS AND
Base: Total who consulted a doctor as a result of getting sick
Non- Elem HS grad/
My own/my family's 72% 65% 72% 74% 80% 73% 70% 71%
Free or a public doctor 16 9 16 19 16 18 18 8
Medicare/Philhealth 8 14 8 5 6 7 9 10
Relatives/friends 5 5 4 9 6 7 5 1
Employer-based health 3 12 3 1 1 0 4 10
maintenance
organization (HMO)
Community/cooperative 2 0 1 3 2 3 1 1
health financing scheme
Private health insurance 1 5 1 0 0 0 1 6
Q33. May I please know who paid for this consultation?

Table 10
Q36a. PROVIDER OF HEALTH INSURANCE, BY ECONOMIC

CLASS AND EDUCATIONAL ATTAINMENT
Non- Elem HS grad/

Government (Philhealth) 33% 57% 32% 29% 28% 26% 33% 50%
Private 9 10 10 4 4 7 9 17
Both 3 5 4 0 1 1 4 9
No health insurance 55 28 54 66 68 65 53 24
Q36. IF HAS HEALTH INSURANCE: Is your health insurance government

(Philhealth) or private?

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Table 11
Q9. IT WILL BE GOOD FOR THE COUNTRY IF PART OF

WHAT THE GOVERNMENT SPENDS TO BUILD ROADS IS
SPENT FOR HEALTHCARE INSTEAD, BY ECONOMIC
Non- Elem HS grad/
Agree (A) 59% 62% 58% 61% 67% 60% 58% 51%
Undecided 13 10 13 13 14 11 12 17
Disagree (B) 28 28 29 25 20 29 30 32
Net (A-B) +31 +34 +29 +36 +47 +32 +28 +20
Q9. Test Statement: “It will be good for the country if part of what the
government spends to BUILD ROADS is spent for HEALTHCARE instead.”

Table 12
Q10. IT WILL BE GOOD FOR THE COUNTRY IF PART OF

WHAT THE GOVERNMENT SPENDS FOR EDUCATION IS
SPENT FOR HEALTHCARE INSTEAD, BY ECONOMIC
Non- Elem HS grad/

Agree (A) 45% 42% 44% 52% 56% 49% 44% 28%
Undecided 13 13 13 13 15 14 10 17
Disagree (B) 42 45 44 34 29 36 45 56
Net (A-B) +4 -3 0 +18 +28 +13 -1 -28
Q10. Test Statement: “It will be good for the country if part of what the
government spends for EDUCATION is spent for HEALTHCARE instead”

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Table 13
Q43a. INTEREST IN PAYING A HIGHER PREMIUM TO ALSO
COVER DEPENDENTS/CHILDREN, BY AREA AND LOCALE
Base: Total who pay for their health insurance themselves

Bal
RP NCR Luz Vis Min Urban Rural
Yes, interested 67% 57% 59% 73% 89% 62% 74%
Not interested 29 38 35 24 11 36 20
No answer 1 0 3 0 0 0 3
Don't know 2 4 3 2 0 1 4
Q43. IF YOU ARE THE ONE PAYING FOR IT: Are you interested in paying a
higher premium in order to cover not only yourself but also dependents
such as your children?
Table 14
Q42a. INTEREST IN PAYING A HIGHER PREMIUM TO COVER

COSTS EXCLUDED FROM CURRENT HEALTH INSURANCE,
BY AREA AND LOCALE
Base: Total who pay for their health insurance themselves
Bal
Yes, interested 55% 47% 43% 61% 81% 46% 64%

Not interested 42 47 54 35 19 52 32
No answer 1 0 1 0 0 0 1
Don't know 2 6 1 3 0 2 3
Q42. IF YOU ARE THE ONE PAYING FOR IT: Are you interested in paying a
higher premium in order to cover the costs you mentioned that are not
covered?

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Table 15
Q12b. GETTING HEALTH INSURANCE IS A WASTE OF

MONEY, SINCE EVERYONE EVENTUALLY DIES
ANYWAY, BY ECONOMIC CLASS AND
Non- Elem HS grad/

Agree (A) 25% 16% 23% 32% 33% 32% 20% 16%
Undecided 10 15 10 11 15 8 11 8
Disagree (B) 64 69 67 56 52 59 69 76
Net (A-B) -39 -53 -43 -24 -18 -27 -49 -60
Q12. Test Statement: “Getting health insurance is a waste of money, since

everyone eventually dies anyway”

Table 16
Q16a. ONLY RICH PEOPLE CAN AFFORD TO BUY HEALTH

INSURANCE, BY ECONOMIC CLASS AND
Non- Elem HS grad/
Agree (A) 39% 38% 38% 42% 51% 40% 35% 38%
Undecided 12 10 11 14 10 13 12 9
Disagree (B) 49 53 50 44 38 47 53 53
Net (A-B) -10 -15 -12 -1 +14 -6 -18 -15
Q16.Test Statement: “Only rich people can afford to buy health insurance.”

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Table 17
Q15a. BECAUSE HOSPITALS CHARGE SO MUCH, MANY

FAMILIES GET IMPOVERISHED WHEN A MEMBER IS
HOSPITALIZED, BY ECONOMIC CLASS AND
Non- Elem HS grad/

Agree (A) 71% 82% 72% 65% 74% 68% 70% 79%
Undecided 9 3 8 13 9 10 9 5
Disagree (B) 20 15 20 22 17 22 21 17
Net (A-B) +51 +66 +52 +43 +56 +46 +49 +62
Q15. Test Statement: Because hospitals charge so much these days, many
families get impoverished when a member gets so sick as to be
hospitalized.”
Table 18
Q40a. COST AND SERVICES NOT COVERED BY

HEALTH INSURANCE BY AREA AND LOCALE
Base: Total with health insurance
Bal
Medicines 37% 49% 35% 41% 28% 44% 29%
Laboratory/diagnostic test 21 39 21 16 17 28 14
Outpatient consultation 21 26 17 23 24 22 20
Hospitalization/confinement 8 7 11 3 8 7
Professional fee 5 5 6 3 5 5 4
Dental 4 1 5 3 6 3 4
Coverage of other people 3 1 3 5 1 3 2
Surgical/major procedures 2 1 4 - 2 2 2
Education 2 - - 1 6 1 2
None/no answer 21 15 26 17 24 17 26
Note: Figures 1% and below not shown
Q40. What are the costs not covered by your health insurance, that you would
like to be covered (OPEN-ENDED, ALLOW MULTIPLE RESPONSE)?
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Table 19
Q44a. IMPORTANCE OF HEALTH INSURANCE IN CHOOSING

A CANDIDATE FOR PRESIDENT, BY AREA AND LOCALE
Bal
Important (A) 78% 84% 80% 75% 75% 80% 76%
Undecided 9 7 8 10 13 8 11
Not important (B) 10 7 9 14 10 9 10
Don't know 2 3 2 2 2 2 2
Net (A-B) +68 +77 +71 +61 +64 +71 +65
Q44. How important is health insurance in choosing for a candidate for

President in the 2010 election (SHOWCARD)?

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SWS MEDIA RELEASE: 16 SEPTEMBER 2010

52 Malingap St., Sikatuna Village, Quezon City Tel: 924-4456, 924-4465

SWS Survey on Healthcare Services and Financing:

Q3. IT IS THE DUTY OF THE GOVERNMENT TO PROVIDE

Survey of Filipinos on Healthcare Financing

Q7. HEALTH IS A BASIC HUMAN RIGHT GUARANTEED BY

Q7. Test Statement: “Health is a basic human right guaranteed by the

Survey of Filipinos on Healthcare Financing

Q18a. PROVIDING QUALITY HEALTH SERVICES FOR ALL

RP 18-24 25-34 35-44 45-54 55-64 65&Above

Satisfied (A) 60% 66% 69% 59% 59% 49% 47%

Net (A-B) +30 +41 +45 +27 +25 +18 +10

Q18. Providing quality health services for all the people

Survey of Filipinos on Healthcare Financing

Q5. THE GOVERNMENT SHOULD AIM TO PROVIDE THE

Non- Elem HS grad/

Survey of Filipinos on Healthcare Financing

Q31. & Q32. TIME OF LAST DOCTOR’S CONSULTATION

Q31. Have you ever consulted a doctor as a result of feeling sick?

Survey of Filipinos on Healthcare Financing

Q34a. REASONS WHY YOU DID NOT CONSULT A DOCTOR,

Non- Elem HS grad/

Q34. IF NO: Was it for any of the following reasons (SHOWCARD)?

Survey of Filipinos on Healthcare Financing

Q23a. WORRY ABOUT GETTING SICK,

RP 18-24 25-34 35-44 45-54 55-64 65&Above

Q23. How worried are you about getting sick?

Survey of Filipinos on Healthcare Financing

Q27. & Q28. TIME OF LAST DOCTOR’S GENERAL CHECK UP

Survey of Filipinos on Healthcare Financing

Q33a. WHO PAID FOR RESPONDENTS LAST

Survey of Filipinos on Healthcare Financing

Q36a. PROVIDER OF HEALTH INSURANCE, BY ECONOMIC

Non- Elem HS grad/

Q36. IF HAS HEALTH INSURANCE: Is your health insurance government

Survey of Filipinos on Healthcare Financing

Q9. IT WILL BE GOOD FOR THE COUNTRY IF PART OF

Survey of Filipinos on Healthcare Financing

Q10. IT WILL BE GOOD FOR THE COUNTRY IF PART OF

Non- Elem HS grad/

Net (A-B) +4 -3 0 +18 +28 +13 -1 -28

Survey of Filipinos on Healthcare Financing

Base: Total who pay for their health insurance themselves

Yes, interested 67% 57% 59% 73% 89% 62% 74%

Q42a. INTEREST IN PAYING A HIGHER PREMIUM TO COVER

Base: Total who pay for their health insurance themselves

Yes, interested 55% 47% 43% 61% 81% 46% 64%

Survey of Filipinos on Healthcare Financing

Q12b. GETTING HEALTH INSURANCE IS A WASTE OF

Non- Elem HS grad/

Q12. Test Statement: “Getting health insurance is a waste of money, since

Survey of Filipinos on Healthcare Financing

Q16a. ONLY RICH PEOPLE CAN AFFORD TO BUY HEALTH

Net (A-B) -10 -15 -12 -1 +14 -6 -18 -15

Survey of Filipinos on Healthcare Financing

Q15a. BECAUSE HOSPITALS CHARGE SO MUCH, MANY

Non- Elem HS grad/

Q40a. COST AND SERVICES NOT COVERED BY

Note: Figures 1% and below not shown

Q44a. IMPORTANCE OF HEALTH INSURANCE IN CHOOSING

Important (A) 78% 84% 80% 75% 75% 80% 76%

Not important (B) 10 7 9 14 10 9 10