Vision & Reality 9th Edition

Patient Adherence: The Next Frontier in Patient CareMay 2011

Vision & Reality is Capgemini Consulting’s 9th annual thought leadership publication for the Life Sciences industry

Copyright © 2011 Capgemini Consulting. All rights reserved.

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Note: (1) Others include Patient Advocacy Groups, Academic centres and a healthcare consulting group

North America: 48 Europe: 18

- Including: France, Denmark, Germany, Netherlands, Portugal, UK, Spain and Switzerland.

Each year Capgemini Consulting examines a topic critical to the life sciences industry…

This year we have focused on the issue of patients’ adherence to medication

We conducted 66 one-on-one interviews with Life Sciences executives

Additionally, secondary research was conducted by Capgemini’s Life Sciences Strategy Lab

Pharmaceutical/Biotech companies: 49 Payers: 7 Pharmacists: 4 Others1: 6

Geographic Representation

Sector Representation

What is patient adherence?

Adherence is defined as taking a treatment as prescribed (compliance) AND over the prescribed period of time (persistence)

Copyright © 2011 Capgemini Consulting. All rights reserved.

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Source: (1) The Free Dictionary - http://medical-dictionary.thefreedictionary.com 2) Datamonitor: Disease Management and Drug Adherence, 06-2007

AdherenceCompliance

Persistence

Extent to which a patient follows a prescribed treatment

Extent to which a patient consistently continues treatment over a period of time

Extent to which a patient follows a prescribed treatment plan agreed on with the physician

Adherence implies a more collaborative relationship between patients and clinicians and is more respectful of the role of patients in their own treatment

Only about 50% of patients take medications as prescribed and there is a sharp drop in adherence over time on treatment

Copyright © 2011 Capgemini Consulting. All rights reserved.

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Adherence rates across the duration of therapy

Source: (1) Andree Bates, “Ensuring Profitable Patient Adherence Programs”, Eularis, March 2010 (2) Source: Capgemini external interviews - Q2) What in your opinion is the current level of adherence in patients?

Adherence rates of select conditions in US, 20081

Adherence rates to prescribed medicines estimated by respondents2

We analyzed factors of non-adherence, influencers of patient behaviors, and interventions to improve adherence

Dimensions of

Patient Adherence

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Source: Capgemini analysis

Copyright © 2011 Capgemini Consulting. All rights reserved.

Across all respondent groups, patient attitude and therapy complexity were identified as main factors of non-adherence

Copyright © 2011 Capgemini Consulting. All rights reserved.

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Q4) Could you please prioritize the most dominant factors and also identify the top 3 stakeholders who can influence these factors?Source: Capgemini external interviews

Average rating of factors driving adherence across respondent groups

But things are changing and focus on patient adherence improvement will increase

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Healthcare Reforms

Digital Health Media

Technology Advancements

Healthcare Industry Involvement and Collaboration

Levers to

Improve

Adherence

Copyright © 2011 Capgemini Consulting. All rights reserved.

Going forward, we recommend companies adopt a comprehensive and coherent framework to address patient adherence

Copyright © 2011 Capgemini Consulting. All rights reserved.

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Source: Capgemini analysis

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Capgemini Consulting is the strategy and transformation consulting brand of Capgemini Group Copyright © 2011 Capgemini. All rights reserved.

Thank you very much for your attention!

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