Impact of health system on Health 2.0 & Social Media: Case of France

Impact of Existing Health Care System on Web 2.0 / Social Media

Case Study France

Denise Silber, Medicine 2.0 Maastricht 2010

French Internet Users 69% French Population 425% Growth 2000-10

Obligation for private physicians to computerize since 1996, has lead to 90%+ result. Hospitals: are on their way.

So, it’s a great basis.

Denise.silber@basilstrategies.com

Social Media

Platform Alexa rank

world Alexa rank

France Google 1 1

Facebook 2 2

YouTube 3 3

Wikipedia 7 9

Twitter 10 28

Equivalent, except for Twitter

Web 1.0

Type of Site France

Health Portals Doctissimo

NLM/PubMed Sci. societies

Cismef Sci.societies

Forums Atoute

Same categories

Denise.silber@basilstrategies.com

So, how are Social Media & 2.0 Tools advancing in France in Health Care ?

Health 2.0 Tools ? Cited Wikipedia US France Physician Community

Rating

Sermo

RatingMD

?

? PHR MS Healthvault ?

Patient community

PatientsLikeMe ?

Rx Drug Review iGuard ? Genetic Testing 23 & Me ?

Are there French equivalents?

Health 2.0 Tools Cited Wikipedia US France Physician Community Rating Site

Sermo RatingMd

Eugenol Docatus Desbons

PHR MS Healthvault DP, DMP (State) Sanoia

Patient community

PatientsLikeMe Doctissimo forums

Rx Drug Review iGuard Meamedica.fr Genetic Testing 23 & Me N/A

Quite different

Why ? National specificities •  Regulation, Institutions •  HCP culture •  Different health system

issues •  Ecosystem strength or

not

1 Unique ecosystem

2. Issues of affordability in US lead to greater questioning of quality Denise.silber@basilstrategies.com

Differences in 1) Health system 2) Business "   French Patients almost

unlimited access to HCP’s, (if no waiting list in region)

"   Basic costs reimbursed "   French system not seen as

« broken » "   Legal requirement to

provide certification of health sites

"  Health difficult to run as a business

"  Entrepreneurship outside US not have scale of Silicon Valley

Denise.silber@basilstrategies.com

Certification by HON "  Launched in 11/07 "  900 sites certified in

France, under the new rules

"  Now under debate (among experts)

Cultural, Regulatory Issues PROVIDER SITES "  Many HCP think that

they’re not allowed to create their own site

"  Each « Order » has rules on what content is authorized, how to name the url

"  Cost and time high for HCP

Denise.silber@basilstrategies.com

Cultural, Regulatory Issues PHARMACIES

•  Virtual pharmacy authorized only if owner has physical pharmacy. Monopoly.

•  No medication can be sold online

•  Non-French pharmacies …

Denise.silber@basilstrategies.com

Cultural, Regulatory Issues

RATING SITES •  Comparing HCP’s not

tolerated •  Hospitals: breakthrough in

French press 10 yrs ago to rank them, but still nascent on web, except Yelp.

www.hopital.fr (FHF) www.leguidesante.org

Denise.silber@basilstrategies.com

RATING SITES

Comparing HCP’s not tolerated

Hospitals: breakthrough by French press 10 yrs ago to rank them, but still nascent on web.

www.hopital.fr www.leguidesante.org No patient narratives

Cultural, Regulatory Issues

"  Right to « conceal » data and to « conceal » the concealment

HOME TESTING

No genetic testing in France without judge’s order

Denise.silber@basilstrategies.com

Summary: Health/Medicine 2.0 in France

Institutions "  DMP (soon) "  HAS-HON "   Dossier Pharmaceutique "   Telemedicine (law) "  ARS (regions) sanitary

democracy

"  Social Media platforms leading web use

"  Health 1.0 sites, forums, lists

"  Some 2.0 start-ups

Denise.silber@basilstrategies.com

Specificities of each country must be understood before launching a 2.0 project

www.doctors20.com Paris – June 2011

Denise.Silber@BasilStrategies.com @health20paris +336 74 78 12 36