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TGA stakeholder survey 2017

26 April 2018

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Reputation, trust and risk management

Agreement levels on statements focussing on the reputation and trust associated with the TGA show generally strong levels of agreement and low disagreement (Table 7). The strongest outcome is in relation to levels of trust in the TGA, where 85% of respondents Agree or Strongly agree with the statement. Perceptions of the international standing of the TGA are also strong (75% Nett agreement). Both of these measures show very low disagreement, with 5% or less disagreeing on each of the two measures.

Statements relating to proportionate risk management and the balance between risks and benefits also show relatively strong Nett agreement (69% and 71% respectively). These measures are, however, associated with slightly higher levels of Nett disagreement, at 12% for both measures.

Table 7: Reputation, trust and risk management

Please indicate your level of agreement with the following statements:
Statement Nett Disagree Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Nett Agree NA/Not sure N
Australia gets the balance right between the risks associated with therapeutic goods and their benefits 12 2 10 13 54 17 71 4 2519
The TGA manages risks proportionately 12 3 9 14 53 16 69 5 2511
I trust the TGA to perform its role ethically and with integrity 5 2 2 6 44 44 88 1 2515
The TGA is well regarded internationally 4 2 3 12 38 37 75 9 2513

The pattern of responses across the measures of reputation, trust and risk management are consistent with those observed in the 2016 survey. Positively, whilst the differences are small, there is a general trend toward higher levels of Nett agreement and Lower levels of Nett disagreement across all measures (Table 8 and Figure 7).

Table 8: Reputation, trust and risk management – 2016 vs 2017

Please indicate your level of agreement with the following statements:
Statement Nett Disagree Neither Nett Agree Nett Disagree Neither Nett Agree Change Nett agree
2017 2016
Balance right 12 13 71 15 13 68 3
Manages risks 12 14 69 15 15 66 3
I trust the TGA 5 6 88 6 9 85 3
Well regarded 4 12 75 5 13 73 2

Figure 7: Reputation, trust and risk management – 2016 vs 2017 Nett Agreement

Bar chart of Table 8 Nett Agreement data

N=2,511-2,519

Across the range of measures here, there is a slight tendency for lower levels of agreement amongst Community member and Government based respondents (Figures 8-11). The exception to this amongst Government stakeholders is in relation to the trust focussed measure, where Government stakeholders highlighted 89% Nett agreement. For community members, low agreement levels often translated into higher levels of Nett disagreement, however the small number of respondents in this group means that these results should be interpreted with caution.

There is strong agreement and generally low levels of disagreement across Medical product industry, Health professional and Retailer groupings. Media stakeholders also showed strong agreement, however the very small number of respondents (n=2) in this category make these figures unreliable.

Getting the balance right

Retailers, Academics and Medical products industry stakeholders are most likely to identify agreement that TGA gets the balance right between the risks and benefits of therapeutic goods. Community members, consumers or community representatives and Government stakeholders show lower levels of Agreement on this measure, with 62% and 60% Nett agreement respectively. This low agreement is coupled with high levels of Nett disagreement amongst community members, however this pattern is not observed amongst government stakeholders, where disagreement is low (at 9%).

Figure 8: Gets the balance right by stakeholder group (%)

see Figure 8 in tabular format

Health pro: N=215; Community: N=13; Med prod ind: N=1339; Retailer: N=99; Gov: N=55; Academic: N=67; Media: N=2; Other: N=344.

Figure 8: Gets the balance right by stakeholder group (%)
Stakeholder group Nett Disagree Nett Agree
Health professional 12 70
Community member, consumer or community representative 23 62
Medical products industry 12 73
Retailer 9 75
Government 9 60
Academic 12 73
Media 0 100
Other 10 72

Within the Health professionals category there is marked variation, with Complementary healthcare practitioners (n=24; small sample size) and to a lesser extent Dental practitioners (n=8; very small sample size) showing generally lower levels of Nett agreement and higher levels of Nett disagreement than other groups (Figure 9).

Figure 9: Gets the balance right – Health professionals (%)

see Figure 9 in tabular format

Comp health: N=24; Dental: N=8; Med pro: N=46; Nurse: N=17; Pharmacist: N=29; Other: N=90.

Health professional category Nett Disagree Nett Agree
Complementary healthcare practitioner 25 58
Dental practitioner 25 63
Medical practitioner 13 70
Nurse 6 71
Pharmacist 0 76
Other health professional 12 70

Medical products industry participants are generally consistent in their view on this measure, with Nett agreement at or above 73% across Manufacturers, Sponsors and Regulatory affairs consultants. In contrast, the views of Industry association representatives (n=14; small sample) are far more negative on this measure and are the only group within all survey categories to show higher Nett disagreement (57%) compared to agreement (29%).

Figure 10: Gets the balance right – Medical products industry (%)

see Figure 10 in tabular format

Sponsor: N=765; Manufacturer: N=397; Reg Affairs Con: N=115; Ind Assoc Rep: N=14; Other: N=44.

Medical products industry category Nett Disagree Nett Agree
Product sponsor (or you work for a company that is a sponsor) 12 75
Product manufacturer (or you work for a company that is a manufacturer) 11 73
Regulatory affairs consultant 10 77
Industry association representative 57 29
Other 7 66

Managing risk

Agreement that the TGA manages risk proportionately is generally high across Retailer, Medical products industry Health professional, Academic and Community groups (Figure 11). Notably, whilst the level of nett agreement is strong for community members (69%), a substantial minority (31%) indicate disagreement on this statement.

The lowest levels of agreement on this measure are observed in relation to Government stakeholders (53%). However this did not translate into high levels of disagreement, with a low 10% of this group holding a negative view.

Within the Health professionals category, agreement tends to be lower amongst Complementary healthcare and Dental practitioners, although disagreement amongst these groups is similar to those in other health professional categories.

Figure 11: Manages risk by stakeholder group (%)

see Figure 11 in tabular format

Health pro: N=215; Community: N=13; Med prod ind: N=1339; Retailer: N=99; Gov: N=55; Academic: N=67; Media: N=2; Other: N=344.

Stakeholder group Nett Disagree Nett Agree
Health professional 12 71
Community member, consumer or community representative 31 69
Medical products industry 13 71
Retailer 14 74
Government 15 53
Academic 10 69
Media 0 100
Other 8 69

Figure 12: Manages risk – Health professionals (%)

see Figure 12 in tabular format

Comp health: N=24; Dental: N=7; Med pro: N=46; Nurse: N=17; Pharmacist: N=29; Other: N=89.

Health professional category Nett Disagree Nett Agree
Complementary healthcare practitioner 13 67
Dental practitioner 14 57
Medical practitioner 11 76
Nurse 6 76
Pharmacist 10 79
Other health professional 13 67

Consistent with the pattern observed across this question set, participants in the medical products industry category hold generally positive views (Figure 13). The exception again is Industry association representatives (n=14; small sample), where Low agreement (36%) and high disagreement (43%) is evident.

Figure 13: Manages risk – Medical products industry (%)

see Figure 13 in tabular format

Sponsor: N=764; Manufacturer: N=396; Reg Affairs Con: N=115; Ind Assoc Rep: N=14; Other: N=44.

Medical products industry category Nett Disagree Nett Agree
Product sponsor (or you work for a company that is a sponsor) 13 70
Product manufacturer (or you work for a company that is a manufacturer) 10 74
Regulatory affairs consultant 13 77
Industry association representative 43 36
Other 11 70

Trust in the TGA

Consistent with results in 2016, trust in the TGA is strong amongst all groupings in the survey, with more than seven in ten respondents across all of the major industry categories highlighting agreement that they trust the TGA to act ethically and with integrity (Figure 14). Agreement on this statement is particularly strong amongst those in the Medical products industry, Health professionals, Academics and Government categories. Community members highlight slightly lower agreement levels (77%) and a significant level of disagreement (23%) – although the sample size here is small.

Figure 14: Trust in the TGA by stakeholder group (%)

see Figure 14 in tabular format

Health pro: N=216; Community: N=13; Med prod ind: N=1339; Retailer: N=99; Gov: N=55; Academic: N=67; Media: N=2; Other: N=345.

Stakeholder group Nett Disagree Nett Agree
Health professional 6 84
Community member, consumer or community representative 23 77
Medical products industry 4 90
Retailer 3 85
Government 4 89
Academic 1 90
Media 0 100
Other 3 88

Levels of trust are very high amongst industry stakeholders in the Medical practitioner, Nurse and Pharmacist categories. In contract, agreement was lower amongst Complementary Healthcare and dental practitioner categories (Figure 15).

Figure 15: Trust in the TGA - Health professionals (%)

see Figure 15 in tabular format

Comp health: N=24; Dental: N=8; Med pro: N=46; Nurse: N=17; Pharmacist: N=29; Other: N=89.

Health professional category Nett Disagree Nett Agree
Complementary healthcare practitioner 13 58
Dental practitioner 13 75
Medical practitioner 7 87
Nurse 6 94
Pharmacist 3 93
Other health professional 4 87

As with other questions in this grouping, Industry association representatives are less positive on the trust measure than other groups in the industry category (Figure 16).

Figure 16: Trust in the TGA – Medical products industry (%)

see Figure 16 in tabular format

Sponsor: N=764; Manufacturer: N=396; Reg Affairs Con: N=115; Ind Assoc Rep: N=14; Other: N=44.

Medical products industry category Nett Disagree Nett Agree
Product sponsor (or you work for a company that is a sponsor) 4 90
Product manufacturer (or you work for a company that is a manufacturer) 4 89
Regulatory affairs consultant 3 92
Industry association representative 21 64
Other 7 89

International reputation

Around three in four Medical products industry and Retailer respondents highlight agreement that the TGA is well regarded internationally. Government stakeholders are less positive, however they do not indicate higher levels of disagreement.

Figure 17: International reputation by stakeholder group (%)

see Figure 17 in tabular format

Health pro: N=215; Community: N=13; Med prod ind: N=1339; Retailer: N=99; Gov: N=55; Academic: N=67; Media: N=2; Other: N=344.

Stakeholder group Nett Disagree Nett Agree
Health professional 4 70
Community member, consumer or community representative 0 69
Medical products industry 5 78
Retailer 5 75
Government 2 64
Academic 4 73
Media 0 100
Other 4 72

In contrast to other questions in this set, Complementary healthcare and Dental practitioners show generally high levels of Nett agreement and low disagreement. Nurses and (to a lesser extent) Medical practitioners show relatively low agreement.

Figure 18: International reputation – Health professionals (%)

see Figure 18 in tabular format

Comp health: N=24; Dental: N=8; Med pro: N=46; Nurse: N=17; Pharmacist: N=29; Other: N=88.

Health professional category Nett Disagree Nett Agree
Complementary healthcare practitioner 8 79
Dental practitioner 13 88
Medical practitioner 2 67
Nurse 6 47
Pharmacist 3 79
Other health professional 3 69

Agreement that the TGA is well regarded internationally across medical products industry categories is generally positive, ranging from 71% amongst Industry association representatives to 89% amongst regulatory affairs consultants. There is low disagreement across all categories here.

Figure 19: International reputation – Medical products industry (%)

see Figure 19 in tabular format

Sponsor: N=764; Manufacturer: N=397; Reg Affairs Con: N=114; Ind Assoc Rep: N=14; Other: N=44.

Medical products industry category Nett Disagree Nett Agree
Product sponsor (or you work for a company that is a sponsor) 5 78
Product manufacturer (or you work for a company that is a manufacturer) 5 78
Regulatory affairs consultant 3 89
Industry association representative 7 71
Other 2 75

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