Reputation of Pharmaceutical Companies, While Still Poor,
Improves Sharply for Second Year in a Row
Reputations of managed care and health insurance companies
also improve, but are still worse than almost all other industries measured
ROCHESTER, N.Y. – May 5, 2006 – Every year, Harris Interactive®
measures the public’s perceptions of approximately 20 industries.
Specifically, we ask people to say if they think each industry is generally
doing a good or a bad job of serving their consumers. It is clear that answers
to this question reflect not just the specific wording, but many general public
feelings about the different industries. If people feel good about an industry,
they tend to say it is doing a good job of serving its consumers and vice versa.
Over the nine years since we first asked these questions in 1997, the overall
ratings of pharmaceutical companies, managed care companies and health insurance
companies have been among the most volatile.
Until last year, most of the news we brought to the healthcare industries
measured was bad. The public seemed to be more hostile to them with each
succeeding year. However, that changed in 2005, when public attitudes toward
drug companies, managed care companies and health insurance companies improved
from what had been their abysmally poor ratings in 2005. These upward trends
have continued this year. Nevertheless, in spite of the improvement in their
reputations, the pharmaceutical industry, the managed care industry and the
health insurance industry are still among the most unpopular of the 21
industries on this year’s list.
The big picture; different industries compared
Several industries are widely perceived by three-quarters or more of adults
to be doing a good job of serving their consumers. These include supermarkets
(91%), banks (80%), computer software companies (79%), packaged food companies
(77%), Internet service providers (76%), online search engines (75%) and
computer hardware companies (75%).
At the other end of the spectrum, two industries are perceived the most
negatively, with only about a third of the public thinking they do a good job of
serving their consumers. These are the tobacco industry (34%) and the oil
industry (36%).
Hospitals
The great majority of adults continue to give hospitals positive ratings,
with 74 percent saying they are doing a good job, and 23 percent saying they are
doing a bad job. This gives them a net positive rating (i.e., good job minus bad
job) of 51 percent.
Over the years, hospitals’ positive ratings have fluctuated between a high
of 59 percent in 2005 and a low of 41 percent in 2001. Therefore this year’s
rating of 51 percent is not particularly high or low. However, it is a decline
of eight percentage points since their highest-ever rating of 59 percent last
year.
Pharmaceutical companies
The ratings of the pharmaceutical industry have been the most volatile of any
industry. Nine years ago, in 1997, the pharmaceutical industry had a net
positive rating of 60 percent. This fell fast over the years until it touched
rock bottom at minus four percent in 2004. However, last year, it jumped up to
13 percent and this year it is up sharply again at 25 percent.
Managed care companies and health insurance companies
Health insurance companies and managed care companies such as HMOs have
always been near the bottom of the list. At their best, their net positive score
was only 13 percent. At the lowest point, the managed care industry had a net
negative score of minus 30 percent in 2001, while the health insurance industry
had a net score of minus 20 percent in 2004.
Over the years the distinction between health insurance and managed care has,
of course, greatly diminished and it now seems that most adults do not
distinguish between. This year both have a net score of minus three percent
which puts them almost at the bottom of the list, above only oil and tobacco
industries.
However, the reputation of the industry has been improving sharply over the
last two years. The net rating of managed care companies rose from minus 23 in
2004 to minus 13 last year and to minus three this year.
The rating of the health insurance industry has risen from minus 19 in 2005
to minus three this year, an improvement of fully 16 percentage points.
What’s going on, and why
These numbers will probably stimulate some debate. Some commentators may even
ask how such unpopular industries, which continue to get a dismal press, can
possibly have improved their reputations. Of course, this survey only measures
their reputations and does not attempt the much harder task of explaining why
their reputations have changed. However, we can speculate as what is going
on.
First of all, it is important to recognize that the pharmaceutical, managed
care and health insurance industries are stilled rated very near the bottom of
the list in terms of public approval. They are not popular, but they have become
less unpopular. A plausible explanation of their upward trend is that they have
been receiving less unfavorable media coverage and publicity over the last two
years than previously.
The lowest numbers for the health insurance and managed care industries came
at a time when they were often portrayed as organizations that frequently
refused to provide coverage for essential, very important medical care. They
"just said no." That kind of media coverage is much less common
nowadays.
In the case of the pharmaceutical industry, the massive decline from plus 60
percent in 1997 to minus four percent in 2004 was surely a direct result of the
constant drumbeat of unfavorable publicity about their prices. While drug prices
are still a major issue for many people, there has probably been less negative
publicity on this issue over the last two years than previously. Another
interesting point is that the bad publicity in relation to drug safety problems
does not seem to have had much impact.
TABLE 1
Industries Doing Good Job/Bad Job of Serving Their Consumers
"Do you think …generally do a good or bad job of
serving their consumers?"
Base: All respondents assigned (variable base)
| |
|
Good Job |
Bad Job |
Not Sure/Refused |
Good Job Minus Bad Job |
|
Supermarkets |
% |
91 |
8 |
1 |
83 |
|
Banks |
% |
80 |
19 |
1 |
61 |
|
Computer software companies |
% |
79 |
12 |
8 |
67 |
|
Packaged food companies |
% |
77 |
18 |
5 |
59 |
|
Internet service providers |
% |
76 |
14 |
10 |
62 |
|
Online search engines |
% |
75 |
8 |
17 |
67 |
|
Computer hardware companies |
% |
75 |
11 |
15 |
64 |
|
Hospitals |
% |
74 |
23 |
3 |
51 |
|
Online retailers |
% |
69 |
13 |
17 |
56 |
|
Telephone companies |
% |
67 |
29 |
3 |
38 |
|
Airlines |
% |
66 |
24 |
9 |
42 |
|
Electric and gas utilities |
% |
66 |
32 |
2 |
34 |
|
Life insurance companies |
% |
64 |
22 |
13 |
42 |
|
Car manufacturers |
% |
62 |
31 |
6 |
31 |
|
Cable companies |
% |
61 |
33 |
5 |
28 |
|
Pharmaceutical and drug companies |
% |
61 |
36 |
3 |
25 |
|
Investment and brokerage firms |
% |
59 |
19 |
21 |
40 |
|
Health insurance companies |
% |
46 |
49 |
5 |
-3 |
|
Managed care companies, such as HMOs |
% |
41 |
44 |
15 |
-3 |
|
Oil companies |
% |
36 |
60 |
3 |
-24 |
|
Tobacco companies |
% |
34 |
59 |
7 |
-25 |
Note: Percentages may not add up exactly to 100% due to rounding.
TABLE 2
Difference Between Good Job/Bad Job By Industry
"Do you think each of the following generally do a good
or bad job of serving their consumers?"
Base: All adults
|
|
|
Changes |
|
1997 |
1998 |
2000 |
2001 |
2002 |
2003 |
2004 |
2005 |
2006 |
1997-2006 |
2005-2006 |
|
% |
% |
% |
% |
% |
% |
% |
% |
% |
% |
% |
|
Supermarkets |
N/A |
N/A |
N/A |
N/A |
N/A |
74 |
79 |
84 |
83 |
N/A |
-1 |
|
Computer software companies |
71* |
71 |
71 |
72 |
48 |
57 |
62 |
67 |
67 |
-4 |
- |
|
Online search engines |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
68 |
67 |
N/A |
-1 |
|
Computer hardware companies |
71* |
70 |
70 |
71 |
49 |
57 |
64 |
74 |
64 |
-7 |
-10 |
|
Internet service providers |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
51 |
62 |
N/A |
+11 |
|
Banks |
52 |
46 |
49 |
46 |
54 |
50 |
52 |
57 |
61 |
+9 |
+4 |
|
Packaged food companies |
N/A |
N/A |
N/A |
N/A |
N/A |
58 |
62 |
67 |
59 |
N/A |
-8 |
|
Online retailers |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
51 |
56 |
N/A |
+5 |
|
Hospitals |
57 |
50 |
48 |
41 |
56 |
53 |
49 |
59 |
51 |
-6 |
-8 |
|
Life insurance companies |
35 |
39 |
39 |
36 |
34 |
29 |
27 |
44 |
42 |
+7 |
-2 |
|
Airlines |
N/A |
66 |
45 |
15 |
47 |
40 |
61 |
62 |
42 |
-24 |
-20 |
|
Investment and brokerage firms |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
35 |
40 |
N/A |
-5 |
|
Telephone companies |
61 |
53 |
32 |
27 |
22 |
20 |
17 |
42 |
38 |
-23 |
-4 |
|
Electric and gas utilities |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
50 |
34 |
N/A |
-16 |
|
Car manufacturers |
44 |
44 |
40 |
40 |
41 |
38 |
44 |
34 |
31 |
-13 |
-3 |
|
Cable companies |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
28 |
28 |
N/A |
- |
|
Pharmaceutical and drug companies |
60 |
50 |
24 |
20 |
30 |
4 |
-4 |
13 |
25 |
-35 |
+12 |
|
Managed care companies such as HMOs |
13 |
3 |
-27 |
-30 |
-12 |
-23 |
-23 |
-13 |
-3 |
-16 |
+10 |
|
Health insurance companies |
13 |
1 |
-15 |
-19 |
13 |
-12 |
-20 |
-19 |
-3 |
-16 |
+16 |
|
Oil companies |
24 |
38 |
-13 |
-39 |
-6 |
-6 |
-25 |
-36 |
-24 |
-48 |
+12 |
|
Tobacco companies |
-28 |
-28 |
-34 |
-37 |
-36 |
-32 |
-30 |
-28 |
-25 |
-3 |
+3 |
Notes:
(1) *In 1997 "computer companies" were rated together (i.e.,
hardware and software companies were not measured separately).
N/A= Not Asked
(2) The trends for airlines are from 1998, as they were not included in the
1997 survey.
Methodology
The Harris Poll® was conducted by telephone within the United
States between April 4 and 10, 2006 among a nationwide cross section of 1,016
adults (aged 18 and over). Figures for age, sex, race, education, and region
were weighted where necessary to align them with their actual proportions in the
population.
All surveys are subject to several sources of error. These include: sampling
error (because only a sample of a population is interviewed); measurement error
due to question wording and/or question order, deliberately or unintentionally
inaccurate responses, nonresponse (including refusals), interviewer effects
(when live interviewers are used) and weighting.
With one exception (sampling error) the magnitude of the errors that result
cannot be estimated. There is, therefore, no way to calculate a finite
"margin of error" for any survey and the use of these words should be
avoided.
With pure probability samples, with 100 percent response rates, it is
possible to calculate the probability that the sampling error (but not other
sources of error) is not greater than some number. With a pure probability
sample of 1,016 adults one could say with a 95 percent probability that the
overall results have a sampling error of +/- 3 percentage points. However that
does not take other sources of error into account.
These statements conform to the principles of disclosure of the National
Council on Public Polls.
J27129A
Q506
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Harris Interactive Inc. 05/06
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