Digital Healthcare 2016: #efp reflections Part 2 April 21, 2011
Posted by Kay Wesley in Marketing, Social Media.3 comments
One of the big themes of eyeforpharma eMarketing Europe this year was predicting what the future will look like. Now we’ve got beyond thinking of digital as a “channel” and begun to grasp that it is a ubiquitous part of daily life, we are considering how our lives in general, and healthcare in particular, are changing.
In our Complete Digital presentation we decided not to try to predict, but to travel forward in time and discover the 3 Digital Healthcare Truths of 2016. We jumped up the Digital Maturity Curve (see my last post) and off the top into the future:
TRUTH 1: The Patient is dead, long live the Person
This caused a sharp intake of breath in the audience, perhaps the non-native English speakers who might not know the very “English” phrase that inspired it “The King is dead; long live the King.” But what does it mean?
It is referring to the fact that all patients are people, and all people are patients. We all have health. In the future people will be proactively managing all aspects of their own health, tapping into a variety of services provided by pharmaceutical companies in addition to their medicines.
Healthcare providers and insurance companies will offer lower premiums or co-pays to those of us who join managed health programs and have regular self-checks reported automatically to their healthcare professional.
These self-checks will be using a variety of mobile, personal healthcare devices connected with online information and education resources, integrated with patient records and other services provided for physicians.
The “product” for our industry will become a combination of a drug with a suite of services – most of which will be digital services.
TRUTH 2: Primary Care Physician = Healthcare Broker
The GP will become a “broker” of services for the empowered patient, reaching out to specialists and services all over the country (or world) in response to their patient’s requirements, using digital tools and multiple media including video conferencing to communicate symptoms and find solutions – maybe doing “Skype surgeries” or online chat consultations, and connecting patients with their chosen specialist in real-time.
Healthcare will, of course, be more complex but the physician will have DNA screening and sophisticated diagnostic tools available, as well as a suite of services to support people for whom she prescribes certain drugs. The GP lives in a digital landscape of information, education and peer support, and has everything she needs at her fingertips.
As pharma brand managers it will be our job, not to get “share of voice” with the physician but “share of digital landscape”.
TRUTH 3: Pharma and Health Ambassadors – a partnership
In future we believe that the pharma industry will engage openly with patients, doctors and others about drugs and healthcare issues in the interests of patients.
New KOLs will emerge – patients, doctors, others, who earn credibility through others’ experience of their postings (e.g. like Wikipedia) and lead thinking on health topics – they will become healthcare ambassadors and be recognized as thought-leaders, even though they are not doctors or scientists. What is more, they will partner with us, the pharmaceutical industry, for better patient outcomes.
Can we figure this out do you think? Manage the risk instead of the risk managing us?
Looking back?
Perhaps in 2016 we will look back at 2011 and wonder at the constraints we operated under, that turned out to be perception rather than reality once we figured out how to operate in the world of “participatory healthcare” (thanks for that term, @MeredithRessi):
Let’s start driving the express train that is the digital healthcare revolution, otherwise we might just get hit by it…
The Digital Maturity Curve – where is your brand? #efp reflections Part 1 March 22, 2011
Posted by Kay Wesley in CRM, Marketing, Search, Social Media, Websites.2 comments
There were three themes that emerged for me from this year’s eyeforpharma (#efp) eMarketing Europe in Munich in early March and I’ll write about them in my next 3 posts.
First, there was a sense of “where are we on the digital journey”, what can we learn from where we’ve been and how do we get to the “next level”, whatever that is.
Second, there was looking to the future; the core content of our own Complete Digital presentation, but also featuring heavily in lots of others’.
Third, the angst that surrounds changing company culture. How can we get the behaviour change across our organisation that we need to make that future happen? Not just in marketing, but throughout?
First of all then, let’s look at the digital journey. Several commentators referred to this at eyeforpharma and Peter Hinssen (@Hinssen) in his opening address, The New Normal, asked “are we nearly there yet?” Meredith Ressi (@MeredithRessi) of Manhattan had a nice curve of development over time from “physician-led medicine” to “participatory medicine”.
For the purpose of discussion here I’m going to use my own Digital Maturity Curve. You might like to consider where your brand or business is on the curve:
The first step, that we all went through in the 1990s, is “Visibility” – recognising the potential of digital and sticking up a brochure-ware (in those days) website. In those days we were still in the “push” mindset and these websites did not offer much interaction – the days when the most of the home page of BMJ.com was a picture of the front cover of the BMJ magazine.
The BMJ has moved a long way since then, but Jens Monsees of Google challenged us in the pharma industry on this point – many of those old, out-of-date and frankly poor-quality websites are still out there. We should “eat our own dogfood” he said, spend some time reading your own website and see what kind of experience you have…. Even in 2011 “information seeking” is still the most important online activity for healthcare consumers and physicans alike (@MeredithRessi) and I ask you – if your customers are looking for information, what are you doing to provide it in an easily accessible place and relevant format?
We soon figured out that in this medium we can of course “Interact” – buy, sell, recruit, play, ask questions and get answers. For pharma this means the opportunity to offer higher-quality interactive experiences such as eDetailing , eLearning, video and games, interesting content on demand when customers want it. For example, at #efp Mark Petersen showed how gaming can engage people in serious subjects such as the FAS’s Immune Attack game: http://www.fas.org/immuneattack/
The next big leap on the Maturity Curve is to “Personalise” – if we are interacting we can learn more about our customers and offer a more tailored service, Amazon-style. Gareth Thomas of Doctors.net described how they carefully segment physicians on speciality, sub-speciality, seniority, location, medical school (and year of graduation), clinical interests, and, further, on their behaviours in the community.
Supporting our point about information, the top services for Doctors.net are “Email” and “Education” with the Forums coming in close third, but each member will be offered services tailored to his or her preferences.
On to our next big leap – “Multichannel Relationships” – recognising that the person on the website is the same person using the app and having the face-to-face interaction. Tesco, the UK supermarket did a great job of this – merging their “in store points/favourites” with “online points/favourites” first, and now have an iPhone app to update your shopping with. In all cases I am the same consumer with the same profile and Tesco “knows” me. In pharma we often refer to this as “closed loop marketing” – connecting the rep interaction, with subsequent digital follow-up. At #efp Fonny Schenck showed how AZ in the US is supporting Nexium with a combination of self-service digital capabilities from eSampling to eDetailing, combined with customer service helpdesk and telephone account managers, providing a seamless multichannel service to physicians.
The next big leap, of course is social media and networking. At #efp we heard about how Citibank has developed an internal social network for employees, a great way to help people learn how to use these channels effectively (and something we’ve employed here at Complete, too). We heard the term “Chief Listening Officer” from Lucien Engelen of Radboud University (first time I’ve heard the term outside FMCG) and saw a couple of great examples of UGC, such as Janssen’s excellent Living with ADHD YouTube channel (http://www.livingwithadhd.co.uk/ ), that allows comments from anyone about this controversial condition, and is moderated but only to remove comments constrained by regulation or the law, not those critical of the condition or company.
Interestingly at eyeforpharma, a digital-savvy audience you might think, a straw poll showed only 15% of the audience were regular Tweeters and a further 15% had “no interest” in Twitter at all.
You might ask where is Mobile on the Digital Maturity Curve? At #efp repeated speakers warned against “app for apps’ sake” projects given that most smartphone users use just 7 apps frequently and the rest hardly at all. Good apps, like good websites, meet a defined user need, are interactive, engaging, informative and fun to use.
Mobile is, of course, throughout the Curve, which is not really about technology but about behaviour - how we use the different platforms that are available to us. Twitter and facebook can be used as visibility tools at one level. So can mobile – creating your website so it has a user-friendly smartphone version is probably the most important thing you can do right now, since as Manhattan told us that most of the growth in internet use is mobile based – and physicians are now spending 14 hours a week online.
So there it is, the Digital Maturity Curve. You can see my #efp description of it here:
What happens next – at the top of the Digital Maturity Curve – what is the next big leap? The picture shows a fairly woolly “Web 3.0” but does not define it clearly. To answer this question, we leapt off the top of the curve and into the year 2016 to see what “Healthcare 3.0” might look like….that is the subject of my next post.
Why not Wikipedia? October 19, 2010
Posted by Kay Wesley in Search, Social Media, Uncategorized, Websites.add a comment
At the recent Digipharm meeting (29-30 September) in London, I led a discussion about Wikipedia using live Twitter-voting (thanks to the adrenaline-pumped efforts of my colleague Dave Clarke, who made it work on the day!) to see what the audience of pharma marketers and communicators thought about this phenomenon, the largest collection of knowledge the world has ever seen.
Why is Wikipedia important?
It is highly visible in Google for almost all subjects from blast furnaces to the Rolling Stones. This is because (among other things)
- It is content-rich – lots of text about each subject, descriptive headings, images with labels.
- Its link popularity. It has lots of links to it and from it and what’s more the links are to and from related content.
- It is updated regularly. Google likes websites that get updated frequently.
The reason we all love Google is that it has a pretty good algorithm for putting the most relevant and up-to-date content as the top search results, so we trust Wikipedia because Google does.
What about the pharmaceutical industry?
But for our industry, Wikipedia is “The Elephant in the Room”. It is big, obvious, can’t be ignored, and yet we continue to behave as though it isn’t there. Why?
Perhaps our customers don’t use Wikipedia – can doctors and patients really trust it? Studies suggest they do – according to Manhattan’s latest research (Taking the Pulse and Cybercitizen 2010), 75% of physicians use it regularly and it is the top patient information resource in all countries surveyed.
Are they getting a good service from Wikipedia? Generally, no. A peer-reviewed study (2008) compared Wikipedia to Medscape Drug Reference (MDR), by looking for answers to 80 different questions covering eight categories of drug information, including adverse drug events, dosages, and mechanism of action. The results are shown in the graph – more than 80% success with MDR but only 40% for Wikipedia.
None of the answers from Wikipedia were determined factually inaccurate, while they found four inaccurate answers in MDR. But the researchers found 48 errors of omission in the Wikipedia entries, compared to 14 for MDR.
Why are drug pages on Wikipedia so incomplete?
The answer to this was provided by the Digipharm audience. We found that only 18% of them had updated a Wikipedia drug page, and almost 90% of the pharmaceutical companies present had no policy or strategy to keep Wikipedia up to date:

Why doesn’t the industry do something?
To get to the bottom of this question we asked a few more, and the answers we got were quite encouraging.
First, the perception that Wikipedia is a free-for-all without any control is gradually being countered:

Second, we know (it seems) that neither industry regulation nor Wikipedia’s own rules preclude us from updating Wikipedia pages:
For example, the APBI Code says “reference material for prescription only medicines may be included on the Internet and be accessible by members of the public provided that they are not presented in such a way as to be promotional in nature”. What about Wikipedia itself? Here’s what the audience thought:
Wikipedia’s guidelines simply say you should “Avoid, or exercise great caution when editing articles related to your organisation, or its competitors, as well as projects and products they are involved with” and ensure you adhere to the guiding principles:
So, the industry code and Wikipedia guidance are consistent – content should be referenced, unbiased and non-promotional.
So why don’t we update pages about our drug products?
Maybe because there is still some uncertainty about accountability:
In fact Wikipedia has robust version controls and it can be clearly identified who has updated what. Provided you edit pages whilst logged-in, your edits can be attributed to you, but others are not. Furthermore, if a page is vandalized or inadvertently made inaccurate by another user, it is easy to revert to the accurate version in a couple of clicks, as a full page history is stored.
For an industry that is both information- and expertise-rich and comfortable with manuscripts written from an unbiased point of view with good citation, it seems an anomaly that we have not embraced this platform, a generally-considered-successful experiment in information democratization.
Perhaps, as one physician colleague said, it is because it is not “peer-reviewed”. But that depends who you consider your “peers” to be, doesn’t it?
This is a resource for everyone, so in this case everyone – doctors, patients, caregivers, the general public – are the peers. Wikipedia works as an encyclopaedia because generally people only update topics they are interested in and have some knowledge of. A patient’s contribution about a health condition, provided it is factual, is as valid as a physician’s.
Surely as an industry that values transparency, medical accuracy and high quality information standards we should be dealing with this dominant presence in the information landscape of all our customers?
In other words… can we at least acknowledge “The Elephant in the Room” and start talking about how to address it, in the interests of better patient care?
Everyone else is doing it – can pharma communicate in 140 characters? November 20, 2009
Posted by Kay Wesley in Social Media.add a comment
This week I attended @jeffpulver‘s 140Conf in London. It was a one-day event dedicated to Twitter, as the name implies.
The day consisted of 35 short sharp presentations, with presenters hurried off the stage to loud music at the end of their 10 or 15 minute slot. There were advantages and disadvantages to this format. On the one hand, you got to hear a lot of different examples and didn’t get bored. On the negative side, some of the sessions (such as panel discussions) were not able to go into sufficent depth to tease out some of the issues people had faced and how they had dealt with them.
The whole thing was enriched by guest speaker Stephen Fry (@stephenfry) in his usual witty and engaging style, concluding that this Twitter thing is “not business-shaped or technology-shaped, it is human-shaped”.
In short, my bottom-line takeaways were
1. An incredible number of useful applications of Twitter are out there, from the Police to flower shops to X Factor.
2. Everyone is learning as they go along, there is no established best-practice, just a lot of people who have tried stuff and succeeded or failed.
3. Where is the phenomenen going? We don’t know.
I am grateful to J P Rangaswarmi (@jobsworth) and Jeffrey Hayzlett (@jeffreyhayzlett), because they gave us, respectively, the 3′A’sand the 4 ‘E’s of Twitter. Something to do with the way my mind works, I like these alliterative lists of things. Here they are with some examples from the event and beyond:
What is Twitter for? The 3 ‘A’s – Alerts, Advice and Assistance
Alerts – a great example of this is #iranelection (thanks @mazi) – the world learned what was really happening in Iran’s general election first through Twitter, resulting in a huge freedom movement personified by Neda, the girl shot by police, becoming a global symbol of the voice of freedom.
Advice – a fun example from @jobsworth who asked “how do I rescue the hamster from under the floorboards” and got the answer very quickly from Twitter (broccoli and a knitted tie, apparently). Could he have got that from Google? I don’t think so.
Assistance – BT, the UK telecoms group(@BTCare) tracks the twittersphere for their customers complaining and steps in with “how can I help you”? and yes, actually solves problems (thanks @wiggled)
What should we be doing withTwitter? The 4 ‘E’ s: Engage, Excite, Educate and Evangelise
Engage – for example, Radio 1 in the UK – the presenters themselves (e.g. @Fearnecotton) Tweet, as themselves, not as “Radio 1″. They get very high levels of engagement – more requests come through Twitter than email. (Thanks, @raypaulbbc)
Excite - a great example from @jeffreyhayzlett - Kodak wanted to rename the Zi8 pocket video camera, so they ran a Twitter contest. Thousands of responses were received and a new name (soon to be launched) was chosen. I leave you to imagine the relative cost of this exercise versus traditional brand-naming technques.
Educate - this is nearly always us being educated by our customers, not the other way round. For example – the mental health charity Rethink Tweeted that the Sun Newspaper had published an inappropriate headline “Fury at escape of killer schizo”. Within days of a Twitter-led online protest the Sun revised the headline.
Evangelise – a lovely example of this from the 3 young men of @buyacredit. These moviemakers need to raise £1 million to make their film, so they have launched a website and Twitter account asking people to pay £1 towards the movie in order to get their name in the end credits. It was picked up by @stephenfry (who else?) and thence passed through on to other influencers in the entertainment and movie world. They have recently met Gordon Brown and appeared on UK national TV, and are well on the way to their target.
How does all this apply to healthcare? Well, healthcare is the most networked market of all, with doctors, patients, carers, nurses, policymakers and others in the mix. Further, it is an information-rich environment, with some players (such as pharma companies) in possession of a great deal of information and others wanting and needing information. It is also a field that is continually changing, with new information coming up all the time. This must be a field where Alerts, Assistance and Advice are required all the time.
It’s our job to figure out the best way to do this. Sadly, so far our efforts have not been very inspiring. The few pharma-sponsored healthcare Twitterers (such as @racewithinsulin) out there are providing information, but are they really exciting and engaging us? By and large, they feel like a monologue rather than a conversation.
We all know why this is – we don’t yet know the “rules”, we are in a difficult legal and regulatory debate, but we just have to figure it out. The conversation is happening, whether we are in it or not. “Twitter is like a freight train, you either get on it or you get hit by it” (@lawscomm). The FDA conclusions from the recent public hearings may help, but this is still going to be a moving feast and we can’t wait for it to stop moving while someone writes the rule book – it ain’t going to happen. How difficult can it be to engage customers, listen to them and discuss important healthcare issues – isn’t that what pharma has always done?
To help us think about this I’ve distilled some key learnings from @140Conf into my very own alliterative list.
5 Twitter Tips (Twips):
Tips: Share useful informatin versus your own promotion in a ratio of 10:1.
Tone: if you wouldn’t say it in print/on air/to my face, don’t say it in Twitter.
Talk: Listen to, respond and retweet others, this is a conversation not a broadcast.
True: Be yourself, not your brand. Don’t use those automatic direct messages! Really talk to me.
Topical: Look at trending topics and, where relevant, join in the discussion .
I discovered (through our Tweets of course) that my colleague at CMG Mike White (@Mike2U) was at @140Conf too so we hooked up and had a good day together, and came home with lots of ideas we might apply to client projects.
Were you there? What were your takeaways?
You can find out more about the event at 140Conf .



