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Digital Health Insight:
The Value of a Specialist
By Neil Cooper of Clinical CURRENT




Digital health is an increasingly important feature of the healthcare market. Whilst many healthcare
companies acknowledge the opportunities offered by online and digital technologies, relatively few
have understood how best to adapt their businesses and leverage digital media to consistently
deliver value.

In seeking to develop a more sophisticated digital presence, a healthcare company is faced with the
need to more clearly understand the digital health market and acquire the knowledge to make
informed commercial decisions. For those wishing to realise the benefits of digital health an insight
specialist with specific expertise in this space is uniquely placed to support them and enable them to
achieve value for their business.




Copyright © 2013 Clinical CURRENT. All Rights Reserved.
digital media activity within     “United giving me headaches yet
THE IMPORTANCE OF                                                    again. But to be fair Chelsea were
                                   the healthcare market, we’d
DIGITAL HEALTH INSIGHT                                               brilliant last 30 mins.
                                   argue that this calls for an      #HighBloodPressure”
                                   insight specialist with
It’s been said enough times
                                   expertise in digital health.          - @HaroonAsh, 10 March 2013
but physicians and patients
are spending an increasing
                                                                     A standard medical term is
amount of time online. They        DIGITAL HEALTH INSIGHT:           thus transformed and it
use online and digital media       ADDING VALUE                      would be important for a
to seek and share
                                                                     brand team to know this
information, to enhance            Understanding the context in      when developing digital
clinical practice and to           which market information          communication materials.
streamline patient                 exists and is to be applied is
management. Treatments             a fundamental requirement         Attention: In 2000 our
are discussed, experiences         for anyone wishing to turn        average online attention
shared, and disease                research into insight and         span was 12 seconds, in 2012
information sought. For a          therefore create value for        it was 8 seconds (that’s 1
healthcare company, if any         their business. A specialist in   second less than a goldfish)
of this activity is taking place   digital health will be able to    and by 2008 17 percent of
in a space where there’s a         scrutinise the market they        web pages were viewed for
corresponding business             are tasked to research and        less than 4 seconds. On the
interest then it’s important to    assess with a critical eye the    average web page (593
know what’s actually going         information they find.            words long) only 28 percent
on if they are to build a full
                                                                     of words are read whilst on a
picture of their market and        Language: It’s worth              page consisting of 111 words
establish how best to              considering how, in the           49 percent are read.
respond.                           online context, the way
                                   language is used can differ       The important issue here is
If one accepts the                 markedly from how it is           not one of a shortening
importance of understanding        interpreted. For example, a       online attention span (there
online and digital health          brand team working in             are plenty of studies that
activity then one must also        hypertension that wants to        show a reduction in our
address how best to find out       understand how patients talk      collective attention span no
what’s actually going on and       about their condition might       matter what the medium)
how this activity relates to       access Twitter and search for     but rather how attention can
their business. The role of        references to 'High Blood         be achieved and maintained.
the specialist has always          Pressure'. On the face of it,     People’s expectations of
been important within the          all returned matches would        online and digital differ from
fields of market insight and       appear relevant but when          traditional media because a
business intelligence. There       people are online ‘High           diversion is only a mouse
are specialists in qual,           Blood Pressure’ is often used     click or screen swipe away.
specialists in quant,              colloquially to make              This immediacy of access
specialists in ethnography,        reference to a stressful          demands that messages be
specialists in patient             situation; as in the following    conveyed rapidly and writing
research and specialists in        example:                          is clear and concise in order
KOL research to name just a
                                                                     to be read. It’s also
few. With the rising
                                                                     important to explore ways of
importance of online and
                                                                     communicating that don’t

                                                                                                          2
require the written word as       When asked if they had any         preparing to take steps into
the 166 words read on your        figures on the number of           digital health should account
average web page won’t            major diabetes patient             for regulatory considerations
support much detail.              forums / online communities        across 4 key areas:
                                  Diabetes UK replied “We
Ensuring that an audience         don't unfortunately, mainly        ●   Consult national code(s)
pays attention is an              because there are so many!”.           of conduct for each
important objective when          When even a leading charity            market
developing digital health         can’t give you a reasonable        ●   Consult
initiatives. If the end goal is   idea of all places where their         pharmacovigilance (PV)
to develop an asset that is       patients could be discussing           regulations that apply to
both widely used and highly       their disease it highlights            each market
valued then understanding         how important it is to draw        ●   Consult applicable Data
what will or won’t attract and    on specialists who can help            Protection    laws      that
maintain attention is an          navigate the market                    apply to each market
essential skill-set to possess    intelligently.                     ●   Liaise with local affiliates
for those in the planning                                                to ensure compliance
stages.                           Regulatory compliance: For             with    the     applicable
                                  many healthcare companies,             marketing and clinical
Finding: Knowing how to           concerns over regulatory               regulations for each
seek and find relevant            compliance have been a                 market
information online is a tricky    significant barrier to
business. Search engines are      adoption and innovation            Much has been written about
a great tool but they’ll only     within digital health. And for     what companies need to do
get you some of the way. It’s     those that do choose to            to comply with regulations
been said that Google isn’t       pursue digital initiatives it is   when researching or
actually a search engine at all   fair to say that the most          developing digital health
but a ‘find’ engine and this is   pressing challenges are likely     initiatives. It is true that
very apt when it comes to         going to be regulatory.            digital health is subject to the
digital health where relevant     Different markets will have        same rules as any other
activity can take place across    different regulations and the      healthcare initiative but the
a variety of disparate media.     way international rules (such      challenge comes in
From Facebook and Twitter         as EU directives) are              understanding how existing
to PatientsLikeMe and other       interpreted may also differ.       rules actually apply to digital
disease specific                  If you have a global or            health.
communities, a digital health     regional remit then there are
audience could reside in          inevitably more things to          A useful example would be
many different places. Given      take into consideration than       conversations in an online
insights are by their nature      for those with a single            public forum (for example
unknown at the outset it’s        market focus.                      Twitter or Facebook). Some
important to know enough                                             might say that because these
about your audience and           The encouraging thing is that      conversations take place in
subject matter to firstly focus   regulatory challenges are not      public they should be treated
your search in order to           insurmountable and much            the same as if heard whilst
deliver relevant results and      can be done with digital           walking down the street. But
then be able to interpret         media that is both innovative      because those conversations
what you find when you get        and fully compliant with           have been digitised they
there.                            regulations. Companies             have been turned into data

                                                                                                   3
and for that reason (in the      can engage with their health      Summary: Key areas where a
UK and EU at least) data         which in turn shapes how          digital health specialist can
protection law immediately       digital health programmes         add value:
applies. These laws govern       need to be developed.
how that data must be                                              ■ Language used by patients
treated and will have            The launch of Samsung’s           and healthcare professionals
implications for what can or     Galaxy S4 smartphone could        is different online – knowing
cannot be done with it.          prove to be a watershed           what to look for is crucial in
                                 moment for digital health         order to fully understand
To ensure compliance at all      but understanding how users       what’s going on and to spot
times when researching or        adopt the technology and          emerging opportunities
developing digital health        engage with it will be crucial.
initiatives it is important to   The S4 comes armed with           ■ Attention is different online
always be mindful of the         eye-tracking software to          –     understanding          what
regulatory context in which      pause video when a user           captures it and how long it
work is being carried out. By    looks away and then               lasts could be the key factor
doing so regulations can be      resumes play when their           in determining success or
successfully navigated whilst    attention is back on screen       failure of digital initiatives
driving innovation and           (in healthcare this could be
delivering best practice.        used to pause a digital detail    ■ Finding relevant and
                                 whilst a physician tends to a     insightful information can
Dynamism: Digital health is      patient then resumes at a         emerge in many different
an emerging discipline driven    more appropriate time).           places and forms – a skilled
by developments in a             Samsung’s S Health app is an      specialist will know where to
disparate range of fields        integrated health monitoring      look and how to find it
including software               application that will utilise
engineering, big data and        the upgraded hardware in          ■ Regulatory compliance is a
mobile technology. It’s also     the new phone - speed,            critical business discipline –
subject to macro trends          distance, temperature,            specialists are best placed to
affecting how we relate to       humidity are all trackable        navigate       this     whilst
digital media, how we use        and open a wealth of              maintaining best practice
the internet and what we         opportunities to innovate
expect in terms of healthcare    with digital health apps. And     ■ Dynamism is a defining
provision to name just a few.    such apps will only act to        characteristic digital health –
Developments can take hold       increase public acceptance of     a specialist will understand
quickly and have a profound      using digital technology to       key trends and place insights
effect on how we lead our        engage with their health.         in context to ensure their
lives. Before June 2007 the                                        commercial relevance
iPhone didn’t exist and there    But to innovate in digital
was no concept of the ‘app’.     health it is first necessary to
There are now over 7000          imagine what’s possible and       EXTRACTING INSIGHT
approved medical apps in         then understand how best to       FROM DIGITAL HEALTH
the iTunes store – and apps      implement that vision. A
are just one example of          specialist will understand the    Digital Health is a vast area
digital health. This             trends shaping the market         which makes generating
proliferation of mHealth         and be able to spot               insight into what’s going on
technology is changing public    opportunities that may            all the more important.
perception as to how they        otherwise go untapped.            There are also many


                                                                                                   4
different ways that digital       insight is to be applied.        Development: Insight into
health insight can be utilised.   Armed with these skills a        how clinical requirements
Social media monitoring can       specialist can work with         should be translated into a
be deployed to flag threats to    clients to identify the key      digital asset such as an app
commercial activity and act       business questions,              to aid compliance and
as a catalyst for an informed     investigate further and          support improved patient
response. Eye tracking can        generate insight that can be     outcomes … what clinical
support usability testing and     of practical use to the          criteria exist, how are they
help to optimise digital          business.                        defined and what are they
assets.                                                            trying to achieve; how do
                                                                   patients engage with
But the online and digital        AREAS WHERE DIGITAL              mHealth, what metrics
spaces move quickly and           HEALTH INSIGHT IS OF USE         should be used and how can
quite often real insight                                           they best be captured via the
                                  Intelligence: Insight into how
demands observation and                                            app; how can output data on
                                  the market is shaped and
immersion to spot things as                                        compliance be used to
                                  influenced by online activity
they happen and understand                                         demonstrate an outcomes
                                  in order to develop a
their relevance. Thinking of a                                     benefit?
                                  compelling brand
detective working a new case
                                  proposition … how are
is a useful analogy. The                                           Optimisation: Insight into the
                                  patients and physicians
detective’s ultimate objective                                     optimal format, language
                                  talking about a particular
is to find the perpetrator and                                     and execution for a digital
                                  disease, your company and
they have an instinct for                                          asset that is subject to
                                  your competitors; where are
where to look and what                                             competitor pressure … how
                                  these conversations taking
questions to ask. At the                                           is your audience use your
                                  place, who’s involved and
outset there are a lot of                                          asset, those of your
                                  how influential are they;
unknowns and the detective                                         competitors and what are
                                  what can or should you do in
must cast their net wide and                                       their relative advantages &
                                  response?
rely on their instincts to                                         disadvantages; how should
guide them in pursuit of the                                       your asset be developed to
                                  Strategy: Insight into how to
most useful lines of enquiry.                                      offer value, be used widely
                                  build your digital presence
But these aren’t innate                                            and to gain market share?
                                  for optimal effect to support
instincts they are developed
                                  the launch of a new product
through practised behaviour
                                  … what are the key trends in
and acquired expertise.
                                  your market, what’s driving
                                  them and what effect are
A digital health specialist
                                  they having; how does your
must act in a similar way in
                                  audience engage with online
their pursuit of insight.                                          Clinical Current is an insight
                                  and digital, what are their      consultancy specialising in online,
Because so much
                                  expectations and what are        social media and digital health.
information is available it’s
                                  the areas of greatest need;      1st Floor, 4-5 Bonhill St
important to know where to
                                  where can you add value and      London, EC2A 4BX
begin looking and to be
                                  how can you gain a               Web clinicalcurrent.com
familiar with how people
                                  competitive advantage?           Twitter @ClinicalCURRENT
behave online whilst also
understanding the important
healthcare trends and the
commercial context in which

                                                                                                         5

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Digital Health Insight: The Value of a Specialist

  • 1. Digital Health Insight: The Value of a Specialist By Neil Cooper of Clinical CURRENT Digital health is an increasingly important feature of the healthcare market. Whilst many healthcare companies acknowledge the opportunities offered by online and digital technologies, relatively few have understood how best to adapt their businesses and leverage digital media to consistently deliver value. In seeking to develop a more sophisticated digital presence, a healthcare company is faced with the need to more clearly understand the digital health market and acquire the knowledge to make informed commercial decisions. For those wishing to realise the benefits of digital health an insight specialist with specific expertise in this space is uniquely placed to support them and enable them to achieve value for their business. Copyright © 2013 Clinical CURRENT. All Rights Reserved.
  • 2. digital media activity within “United giving me headaches yet THE IMPORTANCE OF again. But to be fair Chelsea were the healthcare market, we’d DIGITAL HEALTH INSIGHT brilliant last 30 mins. argue that this calls for an #HighBloodPressure” insight specialist with It’s been said enough times expertise in digital health. - @HaroonAsh, 10 March 2013 but physicians and patients are spending an increasing A standard medical term is amount of time online. They DIGITAL HEALTH INSIGHT: thus transformed and it use online and digital media ADDING VALUE would be important for a to seek and share brand team to know this information, to enhance Understanding the context in when developing digital clinical practice and to which market information communication materials. streamline patient exists and is to be applied is management. Treatments a fundamental requirement Attention: In 2000 our are discussed, experiences for anyone wishing to turn average online attention shared, and disease research into insight and span was 12 seconds, in 2012 information sought. For a therefore create value for it was 8 seconds (that’s 1 healthcare company, if any their business. A specialist in second less than a goldfish) of this activity is taking place digital health will be able to and by 2008 17 percent of in a space where there’s a scrutinise the market they web pages were viewed for corresponding business are tasked to research and less than 4 seconds. On the interest then it’s important to assess with a critical eye the average web page (593 know what’s actually going information they find. words long) only 28 percent on if they are to build a full of words are read whilst on a picture of their market and Language: It’s worth page consisting of 111 words establish how best to considering how, in the 49 percent are read. respond. online context, the way language is used can differ The important issue here is If one accepts the markedly from how it is not one of a shortening importance of understanding interpreted. For example, a online attention span (there online and digital health brand team working in are plenty of studies that activity then one must also hypertension that wants to show a reduction in our address how best to find out understand how patients talk collective attention span no what’s actually going on and about their condition might matter what the medium) how this activity relates to access Twitter and search for but rather how attention can their business. The role of references to 'High Blood be achieved and maintained. the specialist has always Pressure'. On the face of it, People’s expectations of been important within the all returned matches would online and digital differ from fields of market insight and appear relevant but when traditional media because a business intelligence. There people are online ‘High diversion is only a mouse are specialists in qual, Blood Pressure’ is often used click or screen swipe away. specialists in quant, colloquially to make This immediacy of access specialists in ethnography, reference to a stressful demands that messages be specialists in patient situation; as in the following conveyed rapidly and writing research and specialists in example: is clear and concise in order KOL research to name just a to be read. It’s also few. With the rising important to explore ways of importance of online and communicating that don’t 2
  • 3. require the written word as When asked if they had any preparing to take steps into the 166 words read on your figures on the number of digital health should account average web page won’t major diabetes patient for regulatory considerations support much detail. forums / online communities across 4 key areas: Diabetes UK replied “We Ensuring that an audience don't unfortunately, mainly ● Consult national code(s) pays attention is an because there are so many!”. of conduct for each important objective when When even a leading charity market developing digital health can’t give you a reasonable ● Consult initiatives. If the end goal is idea of all places where their pharmacovigilance (PV) to develop an asset that is patients could be discussing regulations that apply to both widely used and highly their disease it highlights each market valued then understanding how important it is to draw ● Consult applicable Data what will or won’t attract and on specialists who can help Protection laws that maintain attention is an navigate the market apply to each market essential skill-set to possess intelligently. ● Liaise with local affiliates for those in the planning to ensure compliance stages. Regulatory compliance: For with the applicable many healthcare companies, marketing and clinical Finding: Knowing how to concerns over regulatory regulations for each seek and find relevant compliance have been a market information online is a tricky significant barrier to business. Search engines are adoption and innovation Much has been written about a great tool but they’ll only within digital health. And for what companies need to do get you some of the way. It’s those that do choose to to comply with regulations been said that Google isn’t pursue digital initiatives it is when researching or actually a search engine at all fair to say that the most developing digital health but a ‘find’ engine and this is pressing challenges are likely initiatives. It is true that very apt when it comes to going to be regulatory. digital health is subject to the digital health where relevant Different markets will have same rules as any other activity can take place across different regulations and the healthcare initiative but the a variety of disparate media. way international rules (such challenge comes in From Facebook and Twitter as EU directives) are understanding how existing to PatientsLikeMe and other interpreted may also differ. rules actually apply to digital disease specific If you have a global or health. communities, a digital health regional remit then there are audience could reside in inevitably more things to A useful example would be many different places. Given take into consideration than conversations in an online insights are by their nature for those with a single public forum (for example unknown at the outset it’s market focus. Twitter or Facebook). Some important to know enough might say that because these about your audience and The encouraging thing is that conversations take place in subject matter to firstly focus regulatory challenges are not public they should be treated your search in order to insurmountable and much the same as if heard whilst deliver relevant results and can be done with digital walking down the street. But then be able to interpret media that is both innovative because those conversations what you find when you get and fully compliant with have been digitised they there. regulations. Companies have been turned into data 3
  • 4. and for that reason (in the can engage with their health Summary: Key areas where a UK and EU at least) data which in turn shapes how digital health specialist can protection law immediately digital health programmes add value: applies. These laws govern need to be developed. how that data must be ■ Language used by patients treated and will have The launch of Samsung’s and healthcare professionals implications for what can or Galaxy S4 smartphone could is different online – knowing cannot be done with it. prove to be a watershed what to look for is crucial in moment for digital health order to fully understand To ensure compliance at all but understanding how users what’s going on and to spot times when researching or adopt the technology and emerging opportunities developing digital health engage with it will be crucial. initiatives it is important to The S4 comes armed with ■ Attention is different online always be mindful of the eye-tracking software to – understanding what regulatory context in which pause video when a user captures it and how long it work is being carried out. By looks away and then lasts could be the key factor doing so regulations can be resumes play when their in determining success or successfully navigated whilst attention is back on screen failure of digital initiatives driving innovation and (in healthcare this could be delivering best practice. used to pause a digital detail ■ Finding relevant and whilst a physician tends to a insightful information can Dynamism: Digital health is patient then resumes at a emerge in many different an emerging discipline driven more appropriate time). places and forms – a skilled by developments in a Samsung’s S Health app is an specialist will know where to disparate range of fields integrated health monitoring look and how to find it including software application that will utilise engineering, big data and the upgraded hardware in ■ Regulatory compliance is a mobile technology. It’s also the new phone - speed, critical business discipline – subject to macro trends distance, temperature, specialists are best placed to affecting how we relate to humidity are all trackable navigate this whilst digital media, how we use and open a wealth of maintaining best practice the internet and what we opportunities to innovate expect in terms of healthcare with digital health apps. And ■ Dynamism is a defining provision to name just a few. such apps will only act to characteristic digital health – Developments can take hold increase public acceptance of a specialist will understand quickly and have a profound using digital technology to key trends and place insights effect on how we lead our engage with their health. in context to ensure their lives. Before June 2007 the commercial relevance iPhone didn’t exist and there But to innovate in digital was no concept of the ‘app’. health it is first necessary to There are now over 7000 imagine what’s possible and EXTRACTING INSIGHT approved medical apps in then understand how best to FROM DIGITAL HEALTH the iTunes store – and apps implement that vision. A are just one example of specialist will understand the Digital Health is a vast area digital health. This trends shaping the market which makes generating proliferation of mHealth and be able to spot insight into what’s going on technology is changing public opportunities that may all the more important. perception as to how they otherwise go untapped. There are also many 4
  • 5. different ways that digital insight is to be applied. Development: Insight into health insight can be utilised. Armed with these skills a how clinical requirements Social media monitoring can specialist can work with should be translated into a be deployed to flag threats to clients to identify the key digital asset such as an app commercial activity and act business questions, to aid compliance and as a catalyst for an informed investigate further and support improved patient response. Eye tracking can generate insight that can be outcomes … what clinical support usability testing and of practical use to the criteria exist, how are they help to optimise digital business. defined and what are they assets. trying to achieve; how do patients engage with But the online and digital AREAS WHERE DIGITAL mHealth, what metrics spaces move quickly and HEALTH INSIGHT IS OF USE should be used and how can quite often real insight they best be captured via the Intelligence: Insight into how demands observation and app; how can output data on the market is shaped and immersion to spot things as compliance be used to influenced by online activity they happen and understand demonstrate an outcomes in order to develop a their relevance. Thinking of a benefit? compelling brand detective working a new case proposition … how are is a useful analogy. The Optimisation: Insight into the patients and physicians detective’s ultimate objective optimal format, language talking about a particular is to find the perpetrator and and execution for a digital disease, your company and they have an instinct for asset that is subject to your competitors; where are where to look and what competitor pressure … how these conversations taking questions to ask. At the is your audience use your place, who’s involved and outset there are a lot of asset, those of your how influential are they; unknowns and the detective competitors and what are what can or should you do in must cast their net wide and their relative advantages & response? rely on their instincts to disadvantages; how should guide them in pursuit of the your asset be developed to Strategy: Insight into how to most useful lines of enquiry. offer value, be used widely build your digital presence But these aren’t innate and to gain market share? for optimal effect to support instincts they are developed the launch of a new product through practised behaviour … what are the key trends in and acquired expertise. your market, what’s driving them and what effect are A digital health specialist they having; how does your must act in a similar way in audience engage with online their pursuit of insight. Clinical Current is an insight and digital, what are their consultancy specialising in online, Because so much expectations and what are social media and digital health. information is available it’s the areas of greatest need; 1st Floor, 4-5 Bonhill St important to know where to where can you add value and London, EC2A 4BX begin looking and to be how can you gain a Web clinicalcurrent.com familiar with how people competitive advantage? Twitter @ClinicalCURRENT behave online whilst also understanding the important healthcare trends and the commercial context in which 5