1. July 2013

2. Unmet need = target physicians globally,
regionally & locally
Pressure on spend driving development of
common content & service frameworks
Digital is a more measurable & responsive
way to engage the customer
Global services need centralised management
to deliver on their promise
Global clients and audiences
Networks In Health

3. • Alliance of 20 physician communities
• Over 2 million doctors are part of the
Networks in Health communities
• 600,000 doctors in Europe 5

4. Networks in Health: An alliance of 20 physician communities

5. Part of M3 Inc.
Doctor communities
& services
Market Research

6. 6
The Networks in Health Proposition
Networks in Health is one of the most effective channels to maximise
engagement with doctors in primary and secondary care across the globe.
 A single point of access to a global network of authenticated and trusted online
physician communities
 Central management
 Local accuracy - A 'think global, act local' approach
 Ability to target specified profiles
 Brand consistency
 Fast turnaround of campaigns
 Measurable outcomes through detailed, real-time reporting of activity
Simplicity, Efficiency, Measurable Return On Investment

7. A single point of access to a global network

8. Local execution
Local
promotion
Local
adaptation
Local expertise and know how
Central planning
and management
framework
Central Management:
Thinking global, acting local

9. Global reach, ability to target by specialty
GPs Specialists Total
UK 57,345 141,897 199,242
France 24,795 86,108 110,903
Germany, Austria, Switzerland 18,726 58,223 76,949
Austria 6,500 14,860 21,360
Belgium 12,075 20,662 32,737
Netherlands 5,005 2,680 7,685
Luxembourg 242 443 685
Hungary 2,500 5,981 8,481
Turkey 1,461 7,439 8900
Ireland 625 812 1437
Sweden 411 2,125 2536
Finland 3292 12,084 15,376
Russia 1,443 68,487 69930
Italy 38,000 107,000 145000
Spain 2,480 8,334 10814
Portugal 5,604 5,604
Brazil 79,878 261,706 341584
Mexico 16,634 31,438 48072
Argentina 12,346 21,992 34338
Rest of Latin America 33470
Canada 1,515 39,271 40,786
Australia and New Zealand 21,353 11,647 33000
USA 230000
Japan 220000
Korea 80000
China 500000
Total 312,230 903,189 2,278,889

10. Products & Services
 Market research services
 Promotional campaigns
 eDetailing / branded content
 Clin Series x 2 *NEW*
 Solus emails *NEW*
 Client hosted traffic solutions *NEW*
 Display advertising
 Recruitment advertising
 Disease Awareness campaigns
 Arms-length education /conf highlights

11. Thank you

12. Appendix

13. Physician Online
Trends

14. 14
Cegedim strategic data: 2012 – survey of 6,700 doctors
Doctors participation in professional networks

15. 5
Source: Manhattan Research, Taking the Pulse® Europe 2012
From which of the following sources have you accessed pharma product information in the past twelve months?
Sources for Accessing Pharma Product Information
0% 10% 20% 30% 40% 50% 60% 70%
Online professional journals
Colleagues (in person or on the phone)
Offline professional journals
Physician portal websites
Websites from pharma companies
Wikipedia
Email newsletters from pharma companies
Government resources
Electronic health record (EHR) system
Mobile apps from physician portals
Mobile apps from pharma companies
Other
None of these
Online professional journals
Colleagues (in person or on the phone)
Offline professional journals
Physician portal websites
Websites from pharma companies
Wikipedia
Email newsletters from pharma companies
Government resources
Electronic health record (EHR) system
Mobile apps from physician portals

16. 16M3 questionnaire of 1,300 physicians
Physician’s Demand for Online Detailing

17. Medical journals (online or in a paper format)
Independent medical websites/ networks (i.e. not funded
by a pharmaceutical company or the government)
Product websites provided by the manufacturer
General medical websites generated by/ sponsored by a
pharmaceutical company
Electronic/ emailed sales presentations for products
(which you navigate through)
Medical blogs or tweets
1 4 7
Credibility of information source Usefulness of information sources
Credibility of information source vs. Usefulness of information sources
Mean score
Using a rating scale where 1 = not at all credible and 7 = extremely credible, please rate how credible you find the
following information sources for providing medical/ professional information for you?
Using a rating scale where 1 = not at all useful and 7 = extremely useful, please rate how useful you find each of the
following information sources for providing medical/ professional information for you?
Base: All HCV Physicians (50)
What sources of information do doctors trust?

18. Case Studies

19. 1 - The strategic challenge
Client: Pharma company
Target: GPs and Cardiologists
Objectives:
 Digital platform for a key drug launch to support
traditional marketing and education tactics
 Ability for rapid content change
 Engage at a local level within a centralised framework
2 - Addressing the challenges
 12 month campaign
 Brand/disease-focused resource centre
 Complementary services (news feeds, links to 3rd party
sites and existing relevant educational content etc.)
 Traffic driven through targeted specialist bulletins and
onsite promotions
 Customised and flexible targeting of the key specialties
 Centralised reporting dashboard gave global and local
teams access to real time data.
3 - Process
 Commissioned & funded by global
brand team
 Content: Existing client content
used, translated by client
 Approval done locally
 Management: Central NIH
management
4 - Key learnings
Fundamental elements for timely
launch and campaign success:
 Local market kick off
meetings, briefing and ownership
 Central management
 High quality of content
NIH case study 1 - summary

20. Case study 1 - results
Client’s objective
To reach as many Cardiologists and GPs as
possible across the UK, Mexico and Brazil.
*Campaign in UK started June 2012, Mexico Jan 2013, Brazil May 2013
Total number of doctors visited: 58,099
UK: 22,224 (35% GPs, 15% GIM, 35% GPs, 13% anaesthetists)
Mexico: 28,248 (85% cardiologists)
Brazil: 3,622 (3 days of campaign to date)
Total Campaign Visits : 44,950 (38% Mexico, 61% UK)
Doctorsvisited

21. 1 - The strategic challenge
Client: Pharma company
Target: GPs, Endos, Paeds in UK, FR, GER
Objective:
 ‘Proof of concept’ campaign
 Gain a better insight into physician knowledge of their
therapy area of interest
 Provide value through education and develop
‘relationships’ with niche areas of the clinical community
2 - Addressing the challenges
 Six month campaign
 Resource Center on the therapy area
 Client sponsorship of relevant patient resources
including an educational quiz
 Customised & flexible targeting of the key specialties
 Reporting dashboard gave access to real time data (total
programme data and eCME learning needs analysis –
including % increase in knowledge).
3 - Process
 Commissioned & funded by global
brand team
 Content translated by client
 Approved locally
 Central management
4 - Key learnings
Fundamental elements for timely launch
and campaign success:
 Local market kick off
meetings, briefing and ownership
 Central management
NIH case study 2 - summary

22. Client’s objective
To reach GPs, Endocrinologists and Paediatricians
across the UK, France and Germany
Total doctors visited: 5,115
UK: 3,663 (10% endocrinology, 55% paediatrics)
Germany: 1,050 (80% child health, 20% others)
France: 409 (62% general medicine, 18% others)
Total Campaign Visits : 10,358 (77% UK, 18% Ger, 5% FR)
Learning needs analysis (UK)
 26,503 doctors visited
 240 completed (75% paeds, 12% endo’s, 7% GPs)
 26% improvement in knowledge
Doctorsvisited
Case study 2 - results

23. 1 - The strategic challenge
Client: Medium-size pharma company
Target: Cardios and GPs in key strategic markets
Had achieved success with a UK digital programme:
• 3 year campaign
• Good sales growth, dramatic reduction in sales force spend.
Objective:
 To replicate successful UK campaign in strategic markets
2 - Addressing the challenges
 1 year + campaign
 Resource Centre
 Programme included educational elements alongside promotional
content to target groups of doctors
 The centralised reporting dashboard gave global and local teams
access to real time data
 Centralised reporting dashboard gave global and local teams
access to real time data
3 - Process
 Commissioned & funded by
global brand team
 Content: Successful UK
content translated for
German market. Existing
client Belux content used to
meet local requirements
 Approved locally
4 - Key learnings
 Repurposing of existing local
client content = efficient
solution
 Central management
fundamental
NIH case study 3 - summary

24. Client’s objective
To reach Cardios and GPs in key strategic markets
Total doctors visited: 3,880
Germany: 3,166 (38% child health, 9% gen
medicine, 12% urology)
Belux: 714
Total Campaign Visits : 9,734 (89% Germany,
11% Belux)
Case study 3 - results
Doctorsvisited Germany

25. Networks in Health
Partners - Overview

26. Fast facts:
 The largest and most active network for doctors in the UK
 Membership of over 198,000 comprises the vast majority of UK doctors.
 Each day over 45,000 doctors use the service (25% of practicing physicians)
 Extensive clinical content including online education, conference
highlights, news feeds, clinical advisory bulletins, discussion fora)
 97% of members of the community say that Doctors.net.uk is their most
trusted source of information
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research
• Display advertising
Membership: 198,752
• Primary Care: 57,130
• Secondary Care: 141,590
United Kingdom

27. Fast facts:
 Owned by publishing house, Global Média Santé
 Egora: Online division of the weekly medical magazine, Panorama
du Médecin. Provides daily medical news, articles and discussion
forums. More than 110,000 members.
 La Revue du Praticien: Leading magazine on general medical
practice. Traditional and digital content including educational
resources and accredited CME. 40,000 subscribers.
Membership: 110,903
• Primary Care: 24,795
• Secondary Care: 86,108
France
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

28. Fast facts:
 More than 75,000 members
 One of the largest and most active online communities of physicians in
the German speaking countries of Austria, Switzerland and Germany.
Founded in 2007.
 Through Coliquio, physicians can:
 Access expert information, e.g. articles, medical guidelines and clinical studies
 Discuss current medical issues and cases and exchange their experiences across
different specialties through discussion fora
Membership: 76,949
• Primary Care – 18,726
• Secondary Care – 58,223
Germany, Austria, Switzerland
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

29. Fast facts:
 medONLINE is part of Medizin Medien, Austria’s leading medical
publisher in Austria with print journals such as Medical
Tribune, Clinicum and others
 Austria's newest and already largest physician (and apothecaries)
community
 medONLINE reaches roughly 20,000 of Austria’s 35,000 physicians.
 Provides educational content, medical information, guidelines, a
news services and discussion fora.
Membership: 21,360
• Primary Care: 6,500
• Secondary Care: 14,860
Austria
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research
• Display advertising

30. Fast facts:
 MediQuality is the leading portal for healthcare professionals in
Belgium.
 Also offers physician services in the Netherlands and Luxembourg.
 Can deliver programmes by Country or sub Region of BeNeLux
 72,500 members across BeNeLux
Membership
Bel: 32,737 NL: 7685 Lux: 685
• Primary Care: 12,075 / 5,005 /
242
• Secondary Care: 15,925 / 2680/
439
Belgium, Netherlands, Lux
umbourg Supports:
• Disease awareness
•Accredited education
•Branded learning
• Promotion
• Market research
•Display advertising

31. Fast facts:
 One of the leading independent networks in Hungary.
 Used by 35% of Hungary’s physicians
 Offers a wide range of professional information and educational
resources.
Membership: 8,481
• Primary Care: 2,500
• Secondary Care: 5,981
Hungary
Supports:
• Disease awareness
•Accredited education
•Branded learning
• Promotion
• Market research
•Display advertising

32. Fast facts:
 The leading health portal in Turkey connecting patients, doctors and
pharma with each other.
 Health database of 850,000+ answered questions, ability to search for
doctors by city and specialty
 Approx 2 million unique visitors per month – of these 1.2 million+ are
registered users
 Physician network, patient network, healthcare content, pharma
services, corporate advertising
Membership: 8,900
• Primary Care: 1,461
• Secondary Care: 5,981
Turkey
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research
• Display advertising

33. Fast facts:
 An Irish healthcare publishing house
 Online publications include the Medical
Independent, MediLearning.ie, Pharmacist CPD
 Membership of 625 GPs gives a reach of approximately 25% of the
Irish GP population
Membership: 1,437
• Primary Care: 625
• Secondary Care: 834
Ireland
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

34. Fast facts:
 Sweden's leading network of medical professionals
 An independent community where physicians can share knowledge
and discuss important clinical issues with colleagues
 Members have the opportunity to start their own networks, share
documents and exchange advice, search medical sites, build their
own digital profile and maintain contact with colleagues
Membership: 3,600
(database* of 16,000)
• Primary Care: 411
• Secondary Care: 3,189
Sweden
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research
• Display advertising
* Database: A mix of members that are registered to their site and non-members (communicated with via email).

35. Fast facts:
 Finland’s largest online community of doctors (77% of Finland’s
practicing physicians)
 10 years of history in the Finnish media market
 15,000 registered doctors / 5,000 unique visitors per week / 12,000
unique visitors per month
 100% of registered physicians get the weekly newsletter, 62% to the
video newsletter, 59% to the daily newsletter.
 Structured into 4 sections: Professional, Social/leisure, Community
‘Docbook’, Services. Content published by therapy area
Supports:
• Sponsored education
• Promotion
• Market research
• Display advertising
Membership: 15,376
Primary Care: 3292
Secondary Care: 12084
Finland

36. Fast facts:
 Access to Italy’s largest and most active community providers*
 Extensive clinical content including online education, conference
highlights, news feeds, clinical advisory bulletins, discussion fora)
Membership: 145,000
• Primary Care: 38,000
• Secondary Care:
107,000
Italy
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research
• Display advertising
Merqurio

37. Fast facts:
 A professional online community for Russian-speaking physicians.
 Strong presence in the area of Medical Educational activities and
discussion fora.
 Enhances physician to physician interactions, facilitates effective
dialogue between HCP community and the industry.
Membership: 79,193
• Primary Care: 28,718
• Secondary Care: 50,475
Russia
Supports:
• Disease awareness
• Education initiatives
• Branded learning
• Promotion
• Market research

38. Fast facts:
 The leading provider of online eCME and pharmaceutical marketing
in Latin America and Iberia
 > 250 medical associations and institutions endorse Medcenter's
educational activities.
 Provides its physicians network with access to updated news, peer
reviewed journals and other information sources on a daily basis
 > 480,000 active physicians across Iberia and Latin America
 Access to more than 50% of all the physicians across Iberia/Latam
Membership: 10,814
• Primary Care: 2,480
• Secondary Care: 8,334
Spain
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

39. Fast facts:
 The leading provider of online eCME and pharmaceutical marketing
in Latin America and Iberia
 > 250 medical associations and institutions endorse Medcenter's
educational activities.
 Provides its physicians network with access to updated news, peer
reviewed journals and other information sources on a daily basis
 > 480,000 active physicians across Iberia and Latin America
 Access to more than 50% of all the physicians across Iberia/Latam
Membership: 5,604
• Primary Care: 5,604
Portugal
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

40. Fast facts:
 The leading provider of online eCME and pharmaceutical marketing
in Latin America and Iberia
 > 250 medical associations and institutions endorse Medcenter's
educational activities.
 Provides its physicians network with access to updated news, peer
reviewed journals and other information sources on a daily basis
 > 480,000 active physicians across Iberia and Latin America
 Access to more than 50% of all the physicians across Iberia/Latam
Membership: 341,584
• Primary Care: 79,878
• Secondary Care:
261,706
Brazil
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

41. Fast facts:
 The leading provider of online eCME and pharmaceutical marketing
in Latin America and Iberia
 > 250 medical associations and institutions endorse Medcenter's
educational activities.
 Provides its physicians network with access to updated news, peer
reviewed journals and other information sources on a daily basis
 > 480,000 active physicians across Iberia and Latin America
 Access to more than 50% of all the physicians across Iberia/Latam
Membership: 48,072
• Primary Care: 16,634
• Secondary Care: 31,438
Mexico
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

42. Fast facts:
 The leading provider of online eCME and pharmaceutical marketing
in Latin America and Iberia
 > 250 medical associations and institutions endorse Medcenter's
educational activities.
 Provides its physicians network with access to updated news, peer
reviewed journals and other information sources on a daily basis
 > 480,000 active physicians across Iberia and Latin America
 Access to more than 50% of all the physicians across Iberia/Latam
Membership: 34,338
• GPs: 12,346
• Primary Care: 21,992
Argentina
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

43. Fast facts:
 Primary Canadian medical education providers delivering case
reviews and Continuing Medical Education (CME) for registered
users. Free access to case studies.
 Delivers promotional resources as case studies, resource centers
and advertorials
 Membership is 75% of the Canadian HCP population
Membership: 44,263
• Primary Care: 25,517
• Secondary Care: 18,746
Canada
Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

44. Fast facts:
 mdBriefcase: Largest provider of free online accredited medical
education for Australia & New Zealand health professionals.
 Member database reflects 87% of all GPs in Australia.
 In 2011, an average of 1,500 doctors participated in accredited on-line
learning programs with mdBriefcase
 All mdBriefCase programs measure attitude shift as a direct result of
the program. The programs have seen shifts from +35% to +800%.
 Ehealthspace: 20,000 GPs. 40% are active weekly.
mdBriefcase
Membership: 33,000
• Primary Care: 21,353
• Secondary Care:
11,647
Ehealthspace
Membership: 20,000 GPs
Australia and NZ Supports:
• Disease awareness
• Accredited education
• Branded learning
• Promotion
• Market research

45. Fast facts:
 Online portal for Japanese health workers - the largest of its kind
 Membership of approx. 220,000 physicians is 75% of physician
community
 1,650,000 log-ins / month
 Provides various services and information useful to doctors -
medical news, research tools, medical legal services, job
listings, discussion fora, information from the pharmaceutical
industry
Supports:
• eDetailing
• Email blast
• Banner ads
• Sponsored article/
Advertorial
• Market research
Membership: 220,000
Japan

46. Fast facts:
 Online portal for Korean health workers - the largest of its kind
 Provides various services and information useful to doctors -
medical news, research tools, medical legal services, job listings,
discussion fora, information from the pharmaceutical industry
Supports:
• eDetailing
• Email blast
• Banner ads
• Sponsored article/
Advertorial
• Market research
Membership: TBC
Korea

47. Fast facts:
 Online portal for Chinese health workers - the largest of its kind
 Provides various services and information useful to doctors -
medical news, research tools, medical legal services, job
listings, discussion fora, information from the pharmaceutical
industry
Supports:
• eDetailing
• Email blast
• Banner ads
• Sponsored article/
Advertorial
• Market research
Membership: 500,000
China
M3China