The e-Patient: Empowered, enabled and electronic

Changing lives through healthcare engagement

THE e-PATIENT: EMPOWERED, ENABLED AND ELECTRONIC

Paul GrantHead of Strategy Implementation

Changing lives through healthcare engagement

Insurer

Patient

Doctor

Specialist

Media

Hospital

Pharmacist

The Internet

Changing lives through healthcare engagement

Global internet access

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010*0

10

20

30

40

50

60

70

80

71.6

30.1

21.1

Internet users per 100 inhabitants, 2000-2010*

Developed World Developing

Per 1

00 in

habi

tant

s

*EstimatesSource: ITU World Telecommunication /ICT Indicators database

Changing lives through healthcare engagement

1996: “Web 1.0”

250,000 websites

45 million global users

Published content User Generated Content (UGC)

The Internet

Source: Adapted from http://socialcomputingjournal.com

Changing lives through healthcare engagement

2006: “Web 2.0”

> 80 million websites

> 1 billion global users

Published content User Generated Content (UGC)

The InternetCollective

intelligence

Source: Adapted from http://socialcomputingjournal.com

Changing lives through healthcare engagement

The Internet for health

Source: “The State of eHealth: Trends of Today’s eHealth Consumer” Manhattan Research, 2008

36% in

crea

se

33% in

crea

se

27% in

creas

e

23% increase

18-34 years 35-44 45-54 55+

2004 2008

Changing lives through healthcare engagement

0%

5%

10%

15%

20%

25%

30%

35%32% 31%

16%

13%

8%

Reasons for discussing health• Find other people's

experiences regarding treatment

• Find other people's experiences regarding an illness

• Share own experiences regarding an illness

• Share own experiences regarding treatments

• Other

N=642; UK, France, Germany, Spain, Italy Source: IMR International (Australia) Pty Ltd “Social Media and Healthcare” (March 2010)

Changing lives through healthcare engagement

The 90-9-1 Principle

Source: Ant’s Eye View & 90-9-1.com

Changing lives through healthcare engagement

The ‘e’ in e-Patient• Equipped with the skills to manage their own condition• Enabled to make choices about self-care and those choices are

respected• Empowered• Engaged in their own care• Equals in their partnerships with the various physicians involved

in their care• Emancipated• Expert patients can improve their self-rated health status, cope

better with fatigue and other generic features of chronic disease such as role limitation, and reduce disability and their dependence on hospital care

Source: E-Patient, //en.wikipedia.org/w/index.php?title=E-Patient&oldid=437847665 (last visited Oct. 4, 2011).

Changing lives through healthcare engagement

Sharing can be very personal

Changing lives through healthcare engagement

Changing lives through healthcare engagement

Can UGC = clinical data?

Changing lives through healthcare engagement

Changing lives through healthcare engagement

Health

Changing lives through healthcare engagement

Changing lives through healthcare engagement

Impact of health searches• 4 in 5 Internet users search online for health

information. Of these so-called ‘e-Patients’;– 1 in 3 consumers compared doctors before choosing one– 6 in 10 say the information found online affected a decision

about how to treat an illness or condition– 1 in 2: it led them to ask a doctor new questions, or to get a

second opinion from another doctor– 1 in 2: it changed the way they think about diet, exercise, or

stress management– 1 in 3: it affected a decision about whether to see a doctor– 1 in 3 consumers compared prescription treatment options

Source: Susannah Fox, Sydney Jones “The Social Life of Health Information” Pew Internet, June 2009

Changing lives through healthcare engagement

Source: Manhattan Research, Cybercitizen Health® Europe v10.0 (2010)

Discussed online info at appointment

Used Internet instead of doctor

Said online info influences health decisions

Asked doctor to prescribe Rx/change Tx because of online info

Challenged physician's diagnosis b/c of online info

Actions taken by e-Patients

50 m

> 76m European e-Patients

Changing lives through healthcare engagement

The new “Second Opinion”

Source: Health Influence in the Era of Public Engagement. Edelman, (January 2009)

Changing lives through healthcare engagement

Participatory role in outcomes

• It is also largely accepted that when patients play a role in their care, there are benefits:– Improved experience and thus better overall

outcomes • (Stewart et al., The Impact of Patient-Centred Care on Outcomes,

Journal of Family Practice, September 2000, Vol. 49, No. 9)

– Improved adherence • (Robinson et al., Patient-centered care and adherence: definitions

and applications to improve outcomes, J Am Acad Nurse Pract. 2008 Dec;20(12):600-7)

Changing lives through healthcare engagement

People >> technology

“...patients are arguably the greatest untapped

resource…”

Source: Corrigan P, DIY doctors: patients can boost NHS’s value, Health Service Journal 30 April 2009, pp12–13

Changing lives through healthcare engagement

Doctors seek online information

Source: Manhattan Research, Taking the Pulse® Europe v10.0 (2010)

Professional info sources used among physicians

Double digit % growth since 2007

Source: Manhattan Research, Taking the Pulse® Europe v10.0 (2010)

Changing lives through healthcare engagement

Changing channels for HCPs

Pharma Reps

Pharma Sources

New Technologies

Colleagues

Smartphones and other mobile

devices

Print and Online Journals

Social Media

Online networksSource: Meredith Ressi, President, Manhattan Research

Changing lives through healthcare engagement

Two-way impact on healthNearly half of EU Physicians recommend websites to patients;

Source: “Cybercitizen Health Europe” Manhattan Research, 2009

Changing lives through healthcare engagement

Participatory Medicine

Physician-directedMedicine

Static Content

2020Real-time Information, Tools, Data

2000

2011

A rapidly changing landscape

Source: Meredith Ressi, President, Manhattan Research

Changing lives through healthcare engagement

Insurer

Patient

Doctor

Specialist

Media

Hospital

Pharmacist

The Internet

Pharma

Pharma

Pharma Pharma

Pharma

Changing lives through healthcare engagement

Changing lives through healthcare engagement

The content available from the Johnson & Johnson health channel is for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Reliance on any information provided herein is solely at your own risk. 

Some producers have received nominal compensation for use of their videos on this channel. Their views and opinions are their own, and not those of the Johnson & Johnson Family of Companies. Dr. Nancy Snyderman was formerly employed by Johnson & Johnson Services, Inc.Comments are subject to approval. Comments which are off-topic, offensive, or promotional, will not be posted.

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Changing lives through healthcare engagement

Changing lives through healthcare engagement

Changing lives through healthcare engagement

Changing lives through healthcare engagement

Opportunities for Pharma

• Empower consumers to shift from online health information seeking to online health management and participation

• Creating tools to bridge the ‘digital divide’ between patients and providers

• Beyond social media: ‘Engaging’ with customers• A holistic view of healthcare delivery• Service as marketing

Source: Meredith Ressi, President, Manhattan Research

Changing lives through healthcare engagement

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