Impact of Existing Health Systems on Social Media Adoption in France
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How does the existing health system impact the development of Health 2.0 & Social Media ? Here is the case of France.
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Impact of Existing Health Systems on Social Media Adoption in France
- 1. Impact of Existing Health Care System on Web 2.0 / Social Media Case Study France Denise Silber, Medicine 2.0 Maastricht 2010
- 2. 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
- 3. 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
- 4. 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
- 5. So, how are Social Media & 2.0 Tools advancing in France in Health Care ?
- 6. 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?
- 7. 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
- 8. 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 qualityDenise.silber@basilstrategies.com
- 9. 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
- 10. Certification by HON " Launched in 11/07 " 900 sites certified in France, under the new rules " Now under debate (among experts)
- 11. 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
- 12. 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
- 13. 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
- 14. 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.orgNo patient narratives
- 15. 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
- 16. 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
- 17. www.doctors20.com Paris – June 2011