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Why physicians’
social networks will
be crucial for your
marketing strategy
Len Starnes
 Len Starnes
Len Starnes Digital Healthcare
 Head of Digital Marketing & Sales
Research & Consulting
 General Medicine
Agenda

1   Learnings 2009 – 2011

2   USA

3   Europe


4   Asia Pacific
2009   Almost 80% said yes
No significant
2011
       change
Sustained growth
     Membership of
     physicians’
     social networks
3m


2m
                                               Today
1m
                                       > 70 networks
                                     > 3 m members

 2007      2008        2009   2010      2011   2012
Asia Pacific region
dominates
USA & Europe     Asia Pacific
1 m members      2.0 m members
Influence on Rx decisions high
   100
            Influence
            % online HCPs
                                                        Consulting with
    80                                                  Colleagues in person
                                    Offline journals
                                   Online journals
                                                            HCPs-only portals
    60                                                      (social networks)


    40

                                               Sales
    20                                         reps
                                  Pharma
                                  websites                         Weekly/daily use
                                                                    % online HCPs

Manhattan Research,          20           40           60          80           100
Taking the Pulse v11.0, 2011
Inevitable fusion


Pure-play   Medical education
   social   providers,
networks    news aggregators
Collaboration track record
         Observation
         Treatment trends, unmet needs

               Research
               Surveys, opinion

                  Engagement
                  Peer-to-peer dialogue
      Building hybrid models
      Community, content & services
Pharma using as
1-way channel




                  Instead of

2-way engagement platform
Notable inertia by network
owners on P2P engagement
             Reluctant
       to seek communities’
              opinion

Reluctant                Reluctant
because no               to encourage
   revenue               pharma
 generated
What do physicians
  really want from pharma?
                      Fast, simple, reliable answers
                           to product questions




Peer-to-peer interaction                            Rep-like services
and trusted feedback                          but on members’ terms

Source: Joel Selzer, Ozmosis, February 2010
Sermo
                             Physician Connect
                        Student Doctor Network
                                      Healtheva
                                      Relaxdoc
                                      SocialMD
                                       Doximity
                                Clinical Village
                                iMedExchange
                                       Ozmosis
                                Medical Plexus
                                         Within3
USA                                Rad Rounds
                                        MyPacs
Consolidating                         MedTrust
                                   MedicSpeak
                                        Peerclip
Significant shake-out   Syndicom Spineconnect
                                    QuantiaMD
last 2 years                      MDsConnect
                                         MDlinx
HCPs’ acceptance up 10%
                                                                           69%
                                                        Using + very interested
                                                        + somewhat interested

          60%
          Using + very interested
          + somewhat interested


                                                                    2011

                  2008
Manhattan Research, Taking the Pulse v8.0, 2008   Manhattan Research, Taking the Pulse v11.0, 2011
Thought
              leadership


3545 cardiologists 22.9.11
2 most commented
discussions focus on
Boehringer’s Dabigatran
Expert opinion

27 comments
6 countries
doximity.com
                     Mobile
                     community
                            For HCPs on the move
                            using mobile devices
                            (iPhone/Pad, Android)

                            Aims to solve HCPs’
                            communications problems

                            Unique HIPPA-compliant
 Jeff Tangney, CEO          (secure) messaging
(ex CEO Epocrates)
Future may be in   the flow
               The future of physicians’
               social networks lies in
               ‘social content
               management
               and workflow
               optimization’
               Joel Selzer
               CEO Ozmosis
               19 September 2011
Collaborative productivity

    Shifting use from
      nice to have



Seamless collaboration
                             Essential tool in
Increased efficiency         clinical practice
Increased productivity
Improved clinical outcomes               Hospital
Reduced costs                         HC systems
doc2doc (Global)
                       Doctors.net.uk (UK)
                       Coliquio (D,CH,AT)
                        MedUniverse (SE)
                         Medcenter (ES,P)
                         Konsylium24 (PL)
Europe                DocCheck Faces (D)
Heterogeneous            Dooox (D,Global)
                        Esanum (D,AT,CH,
Significant growth                F,ES,IT)
UK and Germany lead          Docactus (F)
                                 Egora (F)
Driving global                iVrach (RU)
alliances
iVrach.com
First in Russia
             50k members
             since July
             2010
             Most popular
             discussions
             - HC system
             - Drugs
             - Homopathy
‘…physicians’ social networks in
Russia will very soon become a major
communication channel for the medical
community.

…the social media format addresses the
existing challenges of medical information
exchange between professionals in the
best way possible.’
Oxana Kolosova
Managing Partner iVrach.com
25 August 2011
konsylium24.pl
Largest in Poland
Aim is ‘collaboration,
discussion, exchange
of opinion’
30% of Polish HCPs
using
Most discussed topic:
clinical issues
Network of networks
           May 2011
Global network August 2011
Opportunities
                   UK, France, Germany, Austria,
                     Switzerland, France, Spain,
    Formidable
                         Sweden, Portugal, USA,
      reach
                           China, Korea, Japan,
                         Australia, Latin America

         Community              P2P dialogue on
         engagement               specialist fora


                  Medical             Meded +
                 education          CME + P2P
Barriers to P2P engagement

   1            2            3           4
 Closed      No internal No community Regulatory
marketing   engagement engagement uncertainty
 mindset     guidelines    guidelines
1        How do I brand?

            Involves cross-
            functional
 Closed     collaboration
marketing   Too many
 mindset    unknowns
2          Secure support
               from Medical

               Develop
               guidelines with
 No internal   Medical & Legal
engagement
 guidelines    Think globally
Familiar with
 Medical       SM etiquette

               Pharmacovigilance

    2
               training

               Compliance
               training

 No internal
                  Above all
engagement
                 Has capacity
 guidelines
Guidelines     Dealing with off-label
               questions
               Use SOP

    2          Dealing with AEs
               Use SOP

               Approvals for posts
 No internal   4-eyes principle
engagement
 guidelines    Open identities
               Affiliation & CV
Global

    2          Is the SN global?
               Consider labelling &
 No internal   compliance issues
engagement     Consult Legal in markets
 guidelines    impacted
               Inform co-marketing partners
3
               ‘Permission’ for pharma
               to participate?
No community
               Agreement with spirit
 engagement    and letter of pharma’s
  guidelines   internal engagement
               guidelines?
Has pharma
              consulted
              regulators?

    4         Has SN owner
              consulted
              regulators?
              Have engagement
Regulatory    guidelines been
uncertainty   agreed to by
              regulators?
Good Doctor’s Forum (CN)
                     China Asthma Alliance (CN)
                                   dxy.com (CN)
                           China obgyn.net (CN)
                                Orthochina (CN)
                     Public networks (BBS) (CN)
                         Indiaheartbeat.com (IN)
                            Doctors Hangout (IN)
                                  Doctor.VG (IN)
Asia Pacific                       Medtitans (IN)
                                Protomedica (IN)
Emerging                             HelloDr (IN)
                                   Smartdoc (IN)

opportunities                       M3.com (JP)
                                   MedPeer (JP)
                                    Carenet (JP)
                                 NM Online (JP)
Breakneck growth                     MT Pro (JP)
                                  Medigate( KR)
Gargantuan                    eHealthspace (AU)
membership numbers    New Media Medicine (NZ)
10k members in 1 year
                              Combining
                              community
                              with medical
                              education

                              2 pharmas
                              preparing to
                              engage

Co-founder Stephen Barnett
haoyisheng.com
         1.9 m members
                      Meded & CME
                      Aligning
                      services to
                      government
                      needs
                      Multichannel
                      options for
CEO Gao Zhan          pharma
40% of Chinese physicians
    Medical technicians                       Hospital doctors
                108,422                       890,313




Senior nurses
792,641                                       Pharmacists
Haoyisheng membership status September 2011   117,765
The future

‘Education, clinical experience
sharing and communication
with patients will be the
main areas…’
Felix Shan
Haoyisheng
19 September 2011
dxy.cn
2.4 m members
          Focus on
          community
          and R&D
          Over 100
          speciality
          areas
          Founded
          2000
Unique opportunities to develop
authenticated networks
               39%
               prefer

                                     65%
                                     prefer

61%
indifferent
+ prefer      35 %
no login      indifferent
              + prefer
                                 Manhattan Research,
              no login      Taking the Pulse Asia v10,
                                                 2010
Increase trust…
increase value
          Speciality communities
        addressing needs of HCPs
          & Chinese HC Reform
                            Medical
Peer-2-peer                 education
engagement                  & CME

  Unique partnering opportunities
            for pharma
Sincere thanks to the following for their help
and advice in developing this presentation
        • Kristina Ahlström, MedUniverse, Sweden
        • Richard Allcorn, Amiculum Ltd, UK
        • Dr Stephen Barnett, e-healthspace, Australia
        • Sam Flemming, CIC, China
        • Kamalesh Goswani, e-media, Australia
        • T R Harrington, Darwin Marketing, China
        • Ross Homer, QuantiaMD, USA
        • Oxana Kolosova, iVrach, Russia
        • Dan Lepko, Sermo, USA
        • Felix Rademacher, Coliquio, Germany
        • Kathy Ruggeri, Within3, USA
        • Joel Selzer, Ozmosis, USA
        • Felix Shan, Haoyisheng, China
        • Jason Smith, Doximity, USA
        • Gareth Thomas, doctors,net.uk, UK
        • Gao Zhan, Haoyisheng, China
        • Rachel Zhang, CIC, China
Len Starnes


lenstarnes@googlemail.com
T: + 49 30 781 5513
M: + 49 172 1788253
Skype: lenstarnes
Lkn: www.linkedin.com/in/lenstarnes
Twt: www.twitter.com/lenstarnes
Ssh: www.slideshare.net/lenstarnes

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Mobile hc ps sn october 2011

  • 1. Why physicians’ social networks will be crucial for your marketing strategy Len Starnes Len Starnes Len Starnes Digital Healthcare Head of Digital Marketing & Sales Research & Consulting General Medicine
  • 2. Agenda 1 Learnings 2009 – 2011 2 USA 3 Europe 4 Asia Pacific
  • 3. 2009 Almost 80% said yes
  • 5. Sustained growth Membership of physicians’ social networks 3m 2m Today 1m > 70 networks > 3 m members 2007 2008 2009 2010 2011 2012
  • 6. Asia Pacific region dominates USA & Europe Asia Pacific 1 m members 2.0 m members
  • 7.
  • 8. Influence on Rx decisions high 100 Influence % online HCPs Consulting with 80 Colleagues in person Offline journals Online journals HCPs-only portals 60 (social networks) 40 Sales 20 reps Pharma websites Weekly/daily use % online HCPs Manhattan Research, 20 40 60 80 100 Taking the Pulse v11.0, 2011
  • 9. Inevitable fusion Pure-play Medical education social providers, networks news aggregators
  • 10. Collaboration track record Observation Treatment trends, unmet needs Research Surveys, opinion Engagement Peer-to-peer dialogue Building hybrid models Community, content & services
  • 11. Pharma using as 1-way channel Instead of 2-way engagement platform
  • 12. Notable inertia by network owners on P2P engagement Reluctant to seek communities’ opinion Reluctant Reluctant because no to encourage revenue pharma generated
  • 13. What do physicians really want from pharma? Fast, simple, reliable answers to product questions Peer-to-peer interaction Rep-like services and trusted feedback but on members’ terms Source: Joel Selzer, Ozmosis, February 2010
  • 14. Sermo Physician Connect Student Doctor Network Healtheva Relaxdoc SocialMD Doximity Clinical Village iMedExchange Ozmosis Medical Plexus Within3 USA Rad Rounds MyPacs Consolidating MedTrust MedicSpeak Peerclip Significant shake-out Syndicom Spineconnect QuantiaMD last 2 years MDsConnect MDlinx
  • 15. HCPs’ acceptance up 10% 69% Using + very interested + somewhat interested 60% Using + very interested + somewhat interested 2011 2008 Manhattan Research, Taking the Pulse v8.0, 2008 Manhattan Research, Taking the Pulse v11.0, 2011
  • 16. Thought leadership 3545 cardiologists 22.9.11 2 most commented discussions focus on Boehringer’s Dabigatran
  • 18. doximity.com Mobile community For HCPs on the move using mobile devices (iPhone/Pad, Android) Aims to solve HCPs’ communications problems Unique HIPPA-compliant Jeff Tangney, CEO (secure) messaging (ex CEO Epocrates)
  • 19. Future may be in the flow The future of physicians’ social networks lies in ‘social content management and workflow optimization’ Joel Selzer CEO Ozmosis 19 September 2011
  • 20. Collaborative productivity Shifting use from nice to have Seamless collaboration Essential tool in Increased efficiency clinical practice Increased productivity Improved clinical outcomes Hospital Reduced costs HC systems
  • 21. doc2doc (Global) Doctors.net.uk (UK) Coliquio (D,CH,AT) MedUniverse (SE) Medcenter (ES,P) Konsylium24 (PL) Europe DocCheck Faces (D) Heterogeneous Dooox (D,Global) Esanum (D,AT,CH, Significant growth F,ES,IT) UK and Germany lead Docactus (F) Egora (F) Driving global iVrach (RU) alliances
  • 22. iVrach.com First in Russia 50k members since July 2010 Most popular discussions - HC system - Drugs - Homopathy
  • 23. ‘…physicians’ social networks in Russia will very soon become a major communication channel for the medical community. …the social media format addresses the existing challenges of medical information exchange between professionals in the best way possible.’ Oxana Kolosova Managing Partner iVrach.com 25 August 2011
  • 24. konsylium24.pl Largest in Poland Aim is ‘collaboration, discussion, exchange of opinion’ 30% of Polish HCPs using Most discussed topic: clinical issues
  • 27. Opportunities UK, France, Germany, Austria, Switzerland, France, Spain, Formidable Sweden, Portugal, USA, reach China, Korea, Japan, Australia, Latin America Community P2P dialogue on engagement specialist fora Medical Meded + education CME + P2P
  • 28. Barriers to P2P engagement 1 2 3 4 Closed No internal No community Regulatory marketing engagement engagement uncertainty mindset guidelines guidelines
  • 29. 1 How do I brand? Involves cross- functional Closed collaboration marketing Too many mindset unknowns
  • 30. 2 Secure support from Medical Develop guidelines with No internal Medical & Legal engagement guidelines Think globally
  • 31. Familiar with Medical SM etiquette Pharmacovigilance 2 training Compliance training No internal Above all engagement Has capacity guidelines
  • 32. Guidelines Dealing with off-label questions Use SOP 2 Dealing with AEs Use SOP Approvals for posts No internal 4-eyes principle engagement guidelines Open identities Affiliation & CV
  • 33. Global 2 Is the SN global? Consider labelling & No internal compliance issues engagement Consult Legal in markets guidelines impacted Inform co-marketing partners
  • 34. 3 ‘Permission’ for pharma to participate? No community Agreement with spirit engagement and letter of pharma’s guidelines internal engagement guidelines?
  • 35. Has pharma consulted regulators? 4 Has SN owner consulted regulators? Have engagement Regulatory guidelines been uncertainty agreed to by regulators?
  • 36. Good Doctor’s Forum (CN) China Asthma Alliance (CN) dxy.com (CN) China obgyn.net (CN) Orthochina (CN) Public networks (BBS) (CN) Indiaheartbeat.com (IN) Doctors Hangout (IN) Doctor.VG (IN) Asia Pacific Medtitans (IN) Protomedica (IN) Emerging HelloDr (IN) Smartdoc (IN) opportunities M3.com (JP) MedPeer (JP) Carenet (JP) NM Online (JP) Breakneck growth MT Pro (JP) Medigate( KR) Gargantuan eHealthspace (AU) membership numbers New Media Medicine (NZ)
  • 37. 10k members in 1 year Combining community with medical education 2 pharmas preparing to engage Co-founder Stephen Barnett
  • 38. haoyisheng.com 1.9 m members Meded & CME Aligning services to government needs Multichannel options for CEO Gao Zhan pharma
  • 39. 40% of Chinese physicians Medical technicians Hospital doctors 108,422 890,313 Senior nurses 792,641 Pharmacists Haoyisheng membership status September 2011 117,765
  • 40. The future ‘Education, clinical experience sharing and communication with patients will be the main areas…’ Felix Shan Haoyisheng 19 September 2011
  • 41. dxy.cn 2.4 m members Focus on community and R&D Over 100 speciality areas Founded 2000
  • 42. Unique opportunities to develop authenticated networks 39% prefer 65% prefer 61% indifferent + prefer 35 % no login indifferent + prefer Manhattan Research, no login Taking the Pulse Asia v10, 2010
  • 43. Increase trust… increase value Speciality communities addressing needs of HCPs & Chinese HC Reform Medical Peer-2-peer education engagement & CME Unique partnering opportunities for pharma
  • 44. Sincere thanks to the following for their help and advice in developing this presentation • Kristina Ahlström, MedUniverse, Sweden • Richard Allcorn, Amiculum Ltd, UK • Dr Stephen Barnett, e-healthspace, Australia • Sam Flemming, CIC, China • Kamalesh Goswani, e-media, Australia • T R Harrington, Darwin Marketing, China • Ross Homer, QuantiaMD, USA • Oxana Kolosova, iVrach, Russia • Dan Lepko, Sermo, USA • Felix Rademacher, Coliquio, Germany • Kathy Ruggeri, Within3, USA • Joel Selzer, Ozmosis, USA • Felix Shan, Haoyisheng, China • Jason Smith, Doximity, USA • Gareth Thomas, doctors,net.uk, UK • Gao Zhan, Haoyisheng, China • Rachel Zhang, CIC, China
  • 45. Len Starnes lenstarnes@googlemail.com T: + 49 30 781 5513 M: + 49 172 1788253 Skype: lenstarnes Lkn: www.linkedin.com/in/lenstarnes Twt: www.twitter.com/lenstarnes Ssh: www.slideshare.net/lenstarnes