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Pan-European Health Study 2009



InSites Consulting, Taking Health Research Forward
Magali Geens, Director Health Researc...
PAN-EUROPEAN                    HEALTH STUDY
                       PATIENT STUDY in 7 EUROPEAN COUNTRIES, 2ND EDITION
   ...
2008
                       2008 Edition
                       Content – freely available on request


                  ...
2009
                       2009 Edition
                       Content of this report


                                 ...
2009
                       2009 Edition
                       More on the methodology



                       Fieldwor...
2009
                       2009 Edition
                       How healthy is the European?


                           ...
2008
                       In 2008 we have learned that...




                                                          ...
2009
                       In 2009 we have measured that...




                          89%
                          o...
2009
                          Prevalence
                          Acute and chronic / recurrent




                    ...
2009                                                                                        Headache 22%

                ...
2009                                                                                Headache 25%

                        ...
2009
                       2009 Edition
                       Are all patients alike?


                                ...
2009




                       BUT ARE THEY
                       ALL ALIKE?
© InSites Consulting




                  ...
2009
                       Different patient segments
                       Factor analysis: 3 important segmentation di...
2009
                       Different patient segments
                       Factor analysis: 3 important segmentation di...
2009
                       Different patient segments
                       3-dimensional patient segmentation




     ...
2009
                       Different patient segments
                       3-dimensional patient segmentation




     ...
2009
                       Different patient segments
                       Meet the NON-CONFORMISTS

                  ...
Meet ‘the’ patient
2009
                       Meet the NON-CONFORMISTS

                                                U...
2009
                       Different patient segments
                       Meet the HEALTY LAIDBACK




               ...
Meet ‘the’ patient
2009
                         Meet the HEALTHY LAIDBACK

                            Healthy life-style...
2009
                       Different patient segments
                       Meet the EXPERTS




                       ...
Meet ‘the’ patient
2009
                       Meet the EXPERTS

                       Healthy life-style, healthy eating...
2009
                       Different patient segments
                       Meet the HEDONISTS OF LIFE




             ...
Meet ‘the’ patient
2009
                       Meet the HEDONISTS OF LIFE

                          They do not highly va...
2009
                       Different patient segments
                       Distribution across the countries



       ...
2009
                         Different patient segments
                         What is their typical profile?

        ...
2009
                       Headache 30%                                HEALTHY LAIDBACK
                                 ...
2009
                       Headache 23%                              HEALTHY LAIDBACK
                                   ...
2009
                       2009 Edition
                       What is the patient action flow?


                       ...
2009




                       WHAT DO PATIENTS
                       DO FIRST WHEN
                       THEY ARE SICK...
2009
                       Flow of action
                       What do patients do?

                       Q : What we...
2009
                       Flow of action
                       What do patients do?




                               ...
2009
                       Flow of action
                       What do patients do?

                       Q : What we...
2009
                         Flow of action
                         What do patients do?
                               ...
2009
                       Flow of action
                       What do patients do?



                           Flow ...
2009
                       Flow of action
                       What do patients do?        NON-CONFORMISTS HEALTHY LAID...
2009
                       Flow of action
                       What do patients do in France?



                      ...
2009
                       Flow of action
                       What do patients do in Germany?



                     ...
2009
                       Flow of action
                       What do patients do in Spain?



                       ...
2009
                       Flow of action
                       What do patients do in Italy?



                       ...
2009
                       Flow of action
                       What do patients do in the UK?



                      ...
2009
                       Flow of action
                       What do patients do in the Netherlands?



             ...
2009
                       Flow of action
                       What do patients do in Belgium?



                     ...
2009
                       2009 Edition
                       Where do patients look for information?


                ...
2009
© InSites Consulting




                       Pan-European Health Study, © InSites Consulting, 2009.   46
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
Pan European Health Study 2009 InSites Consulting
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Transcript of "Pan European Health Study 2009 InSites Consulting"

  1. 1. Pan-European Health Study 2009 InSites Consulting, Taking Health Research Forward Magali Geens, Director Health Research Magali.Geens@insites.eu, T +32 9 269 16 04, M +32 497 523 526 May 2009
  2. 2. PAN-EUROPEAN HEALTH STUDY PATIENT STUDY in 7 EUROPEAN COUNTRIES, 2ND EDITION Edition 2008: 1.400 consumers (18+), representative total country population. Data collected on proprietary research panels from InSites Consulting, field in the summer of 2008. Edition 2009: 2.800 consumers (18+), representative total country population. Data collected on proprietary research panels from InSites Consulting, field in the spring of 2009. Online data collection on proprietary research panels by InSites Consulting © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 2
  3. 3. 2008 2008 Edition Content – freely available on request Do we manage to control our Patients have massively discovered weight? What happened to sports? the internet as a source for health- How many suffer chronic pain? Is related information. Do patients act depression a problem in Europe? as doctor now with the help of How healthy are we actually? ... Doctor Google? ... I have stress, you have stress, we Are we on prescription drugs? What all have stress!!!!!!!!!! And we about generic alternatives? What mainly blame our jobs. How close is medication do we keep in our Europe to a total burn-out? What do home pharmacy? Which medication people do to relax these days? ... do we pack to go on holiday? ... Are we too fat? Or are some too „And me‟ is all about personal skinny maybe? And if people face hygiene. What products do we weight problems, are they also use, do we buy them in the acknowledged? Learn about popular supermarket or the pharmacy, how diets across Europe and more ... much do we spend on them ... Do we all have a personal general Do you want us to tell the story live? physician? What is (s)he like? Have we raised certain questions How often do visit them? Do you would like to ask us? Our Europeans trust their GP? And how contact details are included and well do GP‟s know their patients? ... we are happy to pay you a visit. © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 2008. 3
  4. 4. 2009 2009 Edition Content of this report 89% of the 2.841 participants report On average 1 in 5 patients does not having been ill during the past year. follow any kind of treatment. What is the prevalence of Mostly treatment also involves various acute and chronic disorders medication. Also diets are adapted across Europe? In which countries... and physical exercise increased.... Obviously not all patients are alike. What is the relationship with the By means of factor analysis and a physician like? Do different patient three-dimensional segmentation, 4 segments have a different level of distinct patient segments confidence in their GP? were brought alive. We present... Do patients follow the advice?... When people get sick, they can do When do patients go the pharmacy? different things: look in the home How do they make choices? What is pharmacy, visit the GP, address an the influence of a pharmacist? SP, go to the pharmacy, etc. Learn Do patients ask for the pharmacist‟s about the patient action flow... advice? Do pharmacists actively... The obvious first step for patients is What are drivers and barriers for to look for information. The compliance to treatment? internet, friends and family, health Does compliance differ between encyclopedia... The sources are patient segments? What is the diverse and usage differs between... © InSites Consulting influence of health professionals... Pan-European Health Study, © InSites Consulting, 2009. 4
  5. 5. 2009 2009 Edition More on the methodology Fieldwork Countries: UK, Germany, France, Italy, Spain, Netherlands, Belgium Online quantitative survey Data collection period: March 2009 Sample size +/- 400 respondents per country Recruited from the InSites Consulting consumer panel (TalkToChange Panel, > 2.5 million consumers) Error margin results: 4% Sample composition Screener criteria: adults Quota criteria: representative for the total population in terms of gender and age per country Word version of the questionnaire (English version): Icon legend used throughout the report Significant difference (95% confidence): Be careful with interpretation: counts in a sub-cell are below 30: © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 5
  6. 6. 2009 2009 Edition How healthy is the European? 89% of the 2.841 participants report On average 1 in 5 patients does not having been ill during the past year. follow any kind of treatment. What is the prevalence of Mostly treatment also involves various acute and chronic disorders medication. Also diets are adapted across Europe? In which countries... and physical exercise increased.... Obviously not all patients are alike. What is the relationship with the By means of factor analysis and a physician like? Do different patient three-dimensional segmentation, 4 segments have a different level of distinct patient segments confidence in their GP? were brought alive. We present... Do patients follow the advice?... When people get sick, they can do When do patients go the pharmacy? different things: look in the home How do they make choices? What is pharmacy, visit the GP, address an the influence of a pharmacist? SP, go to the pharmacy, etc. Learn Do patients ask for the pharmacist‟s about the patient action flow... advice? Do pharmacists actively... The obvious first step for patients is What are drivers and barriers for to look for information. The compliance to treatment? internet, friends and family, health Does compliance differ between encyclopedia... The sources are patient segments? What is the diverse and usage differs between... © InSites Consulting influence of health professionals... Pan-European Health Study, © InSites Consulting, 2009. 6
  7. 7. 2008 In 2008 we have learned that... NOT WE ARE SOHEALTHY Less than 50% says to have a HEALTHY life-style At least 40% admits to have OVERWEIGHT On average 30% indicates CHRONIC PAIN Around 20% is DEPRESSED occasionally Up to 10% is DIABETIC © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 2008. 7
  8. 8. 2009 In 2009 we have measured that... 89% of all participants has been sick during the past year © InSites Consulting N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 8
  9. 9. 2009 Prevalence Acute and chronic / recurrent 89% of all participants has been sick during the past year Headache 22% Headache 27% Allergy 19% Influenza 14% CHRONIC / Hypertension 17% RECURRENT Muscle ache 14% Stress 14% CHRONIC / AND Allergy 12% RECURRENT ACUTE ACUTE Sleeping disorder 13% Stress 12% Muscle ache 13% Obesity 12% 16% 66% 6% Sleeping disorder 11% Heartburn 10% Migraine11% Migraine 9% Depression 10% High blood Influenza 10% pressure 7% Heartburn 9% Stomach problems 7% High cholesterol 9% Herpes labialis 6% © InSites Consulting Anxiety 8% ... ... N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 9
  10. 10. 2009 Headache 22% Allergy 22% Headache 22% Influenza 16% Allergy 22% High blood pressure 21% Muscle ache12% High blood pressure 22% Depression 20% High blood pressure 11% Influenza 16% Stress 15% Stress 19% Headache 13% Asthma 17% N United Kingdom = 401 N Netherlands = 401 N Belgium = 405 Heartburn 17% Overview chronic Headache 16% N Germany diseases CHRONIC / = 400 Allergy 15% RECURRENT High blood pressure 12% Obesity 12% 82% Allergy 23% N France High blood pressure 19% N Italy = 408 = 417 Influenza 15% Headache 25% Allergy 21% High cholesterol 14% Heartburn 20% Muscle ache 18% Headache 13% Allergy 17% Obesity 16% Sleeping disorder 16% Heartburn 16% N Spain Sleeping disorder 16% Muscle ache 16% © InSites Consulting = 409 N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 10
  11. 11. 2009 Headache 25% Influenza 20% Headache 24% Muscle ache17% Headache 33% Stress 11% Allergy 13% Influenza 19% Muscle ache 8% Stress 10% Stress 13% Sleeping disorder 8% Allergy 13% Heartburn 8% High blood pressure 10% N United Kingdom = 401 N Netherlands = 401 N Belgium = 405 Headache 22% Overview acute diseases Heartburn 20% N Germany = 400 Stress 17% ACUTE Muscle ache 15% Allergy 13% 72% Influenza 29% N France Headache 20% N Italy = 1073 408 = 417 Muscle ache 14% Headache 35% Muscle ache 24% Migraine 12% Heartburn 22% Heartburn 23% Allergy 10% Muscle ache 19% Allergy 19% Sleeping disorder 15% Headache 19% N Spain Stress 16% Stress 13% © InSites Consulting = 409 N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 11
  12. 12. 2009 2009 Edition Are all patients alike? 89% of the 2.841 participants report On average 1 in 5 patients does not having been ill during the past year. follow any kind of treatment. What is the prevalence of Mostly treatment also involves various acute and chronic disorders medication. Also diets are adapted across Europe? In which countries... and physical exercise increased.... Obviously not all patients are alike. What is the relationship with the By means of factor analysis and a physician like? Do different patient three-dimensional segmentation, 4 segments have a different level of distinct patient segments confidence in their GP? were brought alive. We present... Do patients follow the advice?... When people get sick, they can do When do patients go the pharmacy? different things: look in the home How do they make choices? What is pharmacy, visit the GP, address an the influence of a pharmacist? SP, go to the pharmacy, etc. Learn Do patients ask for the pharmacist‟s about the patient action flow... advice? Do pharmacists actively... The obvious first step for patients is What are drivers and barriers for to look for information. The compliance to treatment? internet, friends and family, health Does compliance differ between encyclopedia... The sources are patient segments? What is the diverse and usage differs between... © InSites Consulting influence of health professionals... Pan-European Health Study, © InSites Consulting, 2009. 12
  13. 13. 2009 BUT ARE THEY ALL ALIKE? © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 13
  14. 14. 2009 Different patient segments Factor analysis: 3 important segmentation dimensions Factor analysis What is it? Factor analysis is a procedure for data simplification through reducing the rating scales to a smaller set of factors or composite variables by identifying dimensions underlying the data. How was it measured? In the survey we asked each respondent to rate 11 statements regarding health on a scale from 1 to 5. Via factor analysis, we reduced the total set of over 11 statements to 3 underlying factors. How to interpret? On the next slide you will see the extracted factors and the different items belonging to each factor. The “alpha- scores” assess the reliability of the different items that measure each underlying factor. The α-scores are values between 0 and 1. The higher the α-scores, the more reliable the underlying factor is. © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 14
  15. 15. 2009 Different patient segments Factor analysis: 3 important segmentation dimensions Q :To what extent do you agree with the following statements? Healthy life-style (alpha = .81) I have a healthy lifestyle I have healthy eating habits I get sufficient physical exercise Friends see me as a person who highly values a healthy way of life Health involvement (alpha = .72) I go to the doctor every year for a check-up I regularly enquire about health-related matters I collect health-related information I influence my family and friends when it comes to health-related matters Alternative viewpoint (alpha = .59) I think natural products are better I believe prevention is better than cure I would more likely change my eating habits and lifestyle than take medication to tackle medical problems © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 15
  16. 16. 2009 Different patient segments 3-dimensional patient segmentation Clustering What is it? Cluster analysis is an explorative classification method to sort respondents into a limited number of groups (= clusters), so that the degree of association is strong between members of the same cluster and weak between members of different clusters. To determine the ideal number of groups, hierarchical cluster analysis (Ward‟s mean) was used. To allocate each respondent to a cluster, we used K-Means clustering. Note that standardized scores were used. As they are hard to interpret, color codes are reported instead. How was it measured? As input for our segmentation we used the scores of all respondents on the 3 different factors (created via a factor analysis on the 11 statements of health). The factors were standardized to eliminate the response behavior of the respondents. How to interpret? Via cluster analysis, we discovered 4 segments. On the next slide we mapped our 4 segments on the 3 factors that are the most discriminating between the segments in a 3-dimensional field. Each bubble stands for a particular segment. The percentage within the bubble indicates the segment size. On the next slides, we described the different segments on their factor scores and other relevant variables (e.g. socio-demographic profile). © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 16
  17. 17. 2009 Different patient segments 3-dimensional patient segmentation Healthy Laidback 21% Health Conscious Alternative Non-Conformist 24% NonConfirmist Expert 29% Expert Involvement Hedonist 25% Hedonist of life © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 17
  18. 18. 2009 Different patient segments Meet the NON-CONFORMISTS Non-Conformist 24% Healthy Laidback 21% Health Conscious Alternative 24% NonConfirmist Expert 29% Expert Involvement Hedonist 25% Hedonist of life © InSites Consulting N Non-Conformists= 634 Pan-European Health Study, © InSites Consulting, 2009. 18
  19. 19. Meet ‘the’ patient 2009 Meet the NON-CONFORMISTS Un-healthy life-style, bad eating habits, little to no physical exercise No regular doctor‟s visit, no health reference for friends and family They say they would rather change habits than take medication 24% Healthy Laidback 21% Health Conscious They are more likely ... Alternative 24% NonConfirmist 29% Expert Gender 56% Female Age <34 Country France / Italy Income Lower Income Household size Average Involvement BMI Overweight Smokers Smokers Stress Level High Visit Frequency GP Only if necessary Hedonist 25% Hedonist of life © InSites Consulting N Non-Conformists= 634 Pan-European Health Study, © InSites Consulting, 2009. 19
  20. 20. 2009 Different patient segments Meet the HEALTY LAIDBACK 21% 21% Health Conscious Healthy Laidback Alternative Non-Conformist 24% NonConfirmist Expert 29% Expert Involvement Hedonist 25% Hedonist of life © InSites Consulting N Healthy Laidback = 654 Pan-European Health Study, © InSites Consulting, 2009. 20
  21. 21. Meet ‘the’ patient 2009 Meet the HEALTHY LAIDBACK Healthy life-style and eating habits and lots of physical exercise But they are little involved in health because they have no need to worry Prevent is better rather than cure 21% and natural products are better 21% Health Conscious Healthy Laidback They are more likely ... Alternative Non-Conformist 24% NonConfirmist Expert 29% Expert Gender 59% Male Age Equal Spread Country Netherlands / France / UK Income Higher Income Household size Average Involvement BMI Normal Smokers Mix Stress Level Low Visit Frequency GP Only if necessary Hedonist 25% Hedonist of life © InSites Consulting N Healthy Laidback = 654 Pan-European Health Study, © InSites Consulting, 2009. 21
  22. 22. 2009 Different patient segments Meet the EXPERTS Healthy Laidback 21% Health Conscious 29% Alternative Non-Conformist 24% NonConfirmist 29% Expert Expert Involvement Hedonist 25% Hedonist of life © InSites Consulting N Experts = 835 Pan-European Health Study, © InSites Consulting, 2009. 22
  23. 23. Meet ‘the’ patient 2009 Meet the EXPERTS Healthy life-style, healthy eating habits, physically active and go to the doctor for a yearly check-up Highly involved in health, inquire about health and collect health information Believe in prevention, but natural product are not necessarily better Healthy Laidback 21% Health Conscious 29% They are more likely ... Alternative Non-Conformist 24% NonConfirmist Gender 58% Female 29% Expert Age 55+ Expert Country Germany / Spain / Italy Income Higher Income Household size Small Involvement BMI Normal Smokers Non Smokers Stress Level Average Visit Frequency GP Frequent Hedonist 25% Hedonist of life © InSites Consulting N Experts = 835 Pan-European Health Study, © InSites Consulting, 2009. 23
  24. 24. 2009 Different patient segments Meet the HEDONISTS OF LIFE Healthy Laidback 21% Health Conscious Alternative Non-Conformist 24% NonConfirmist Expert 29% Expert Involvement Hedonist Hedonist of life 25% © InSites Consulting N Hedonists of Life = 714 Pan-European Health Study, © InSites Consulting, 2009. 24
  25. 25. Meet ‘the’ patient 2009 Meet the HEDONISTS OF LIFE They do not highly value a healthy way of living, but they do not feel particularly unhealthy either They are not a health reference for their surroundings, but do search for health info when needed They are not prevention-oriented and take medication whenever necessary to feel better Healthy Laidback 21% Health Conscious Alternative Non-Conformist 24% NonConfirmist They are more likely ... Expert 29% Expert Gender Male/Female Age <34 Country Netherlands/Germany Income Lower Income Involvement Household size Small BMI Normal / Overweight Smokers Smokers Stress Level Average Visit Frequency GP Only if necessary Hedonist Hedonist of life 25% © InSites Consulting N Hedonists of Life = 714 Pan-European Health Study, © InSites Consulting, 2009. 25
  26. 26. 2009 Different patient segments Distribution across the countries Belgium 21% 24% 29% 26% Netherlands 10% 37% 32% 20% France 27% 25% 20% 27% Germany 21% 16% 36% 28% Span 25% 20% 19% 36% Italy 28% 16% 21% 35% UK 23% 28% 24% 25% NON-CONFORMISTS HEALTHY LAIDBACK HEDONISTS OF LIFE Nonconformist Health conscious Hedonist Health Expert EXPERTS © InSites Consulting 2 9 % Significant differences between the countries (95%). Pan-European Health Study, © InSites Consulting, 2009. 26
  27. 27. 2009 Different patient segments What is their typical profile? Where are the Non-conformists Healthy laidback Hedonists of life Experts older people? (24%) (21%) (25%) (29%) Where are the smokers?... Find out here: Gender 56% Female 59% Male Equal spread 58% Female Age < 34 Equal spread < 34 55+ Country France / Italy Netherlands / France / UK Netherlands / Germany Germany / Spain / Italy Income Lower income Higher income Lower income Higher income Household size Average Average Small Small BMI Overweight Normal Normal / Overweight Normal Smokers Smokers Mix Smokers Non-smokers Stress level High Low Average Average © InSites Consulting Visit frequency GP Only if necessary Only if necessary Only if necessary Frequent Pan-European Health Study, © InSites Consulting, 2009. 27
  28. 28. 2009 Headache 30% HEALTHY LAIDBACK Headache 23% Muscle ache 19% Influenza 12% Stress 17% Muscle ache 11% Sleeping disorder 14% Heartburn 10% Heartburn 14% 21% Allergy 9% 21% Health Conscious 29% 24% Alternative 24% NonConfirmist 29% Expert EXPERTS NON-CONFORMISTS Allergy 23% Involvement High blood pressure 21% Headache 19% Muscle ache 15% HEDONISTS OF LIFE Stress 12% Headache 28% CHRONIC / Allergy 18% 25% Hedonist RECURRENT N Non Conformist = 634 N healthy laidback = 654 25% High blood pressure 18% 82% © InSites Consulting N Hedonist of Life = 714 Stress 16% N Expert =835 F = No filter applied Migraine 16% Pan-European Health Study, © InSites Consulting, 2009. 28
  29. 29. 2009 Headache 23% HEALTHY LAIDBACK Headache 17% Stress 19% Allergy 17% High blood pressure 18% High blood pressure 17% Obesity 18% Sleeping disorder 10% Allergy 17% 21% Stress 9% 21% Health Conscious 29% 24% Alternative 24% NonConfirmist 29% Expert EXPERTS NON-CONFORMISTS Allergy 23% Involvement High blood pressure 21% Headache 19% Allergy 14% HEDONISTS OF LIFE Stress 12% Headache 30% Influenza 14% ACUTE 25% Hedonist N Non conformist = 634 N healthy laidback = 654 25% Allergy 13% 72% © InSites Consulting N Hedonist of Life = 714 Migraine 12% N Expert =835 F = No filter applied Stress 12% Pan-European Health Study, © InSites Consulting, 2009. 29
  30. 30. 2009 2009 Edition What is the patient action flow? 89% of the 2.841 participants report On average 1 in 5 patients does not having been ill during the past year. follow any kind of treatment. What is the prevalence of Mostly treatment also involves various acute and chronic disorders medication. Also diets are adapted across Europe? In which countries... and physical exercise increased.... Obviously not all patients are alike. What is the relationship with the By means of factor analysis and a physician like? Do different patient three-dimensional segmentation, 4 segments have a different level of distinct patient segments confidence in their GP? were brought alive. We present... Do patients follow the advice?... When people get sick, they can do When do patients go the pharmacy? different things: look in the home How do they make choices? What is pharmacy, visit the GP, address an the influence of a pharmacist? SP, go to the pharmacy, etc. Learn Do patients ask for the pharmacist‟s about the patient action flow... advice? Do pharmacists actively... The obvious first step for patients is What are drivers and barriers for to look for information. The compliance to treatment? internet, friends and family, health Does compliance differ between encyclopedia... The sources are patient segments? What is the diverse and usage differs between... © InSites Consulting influence of health professionals... Pan-European Health Study, © InSites Consulting, 2009. 30
  31. 31. 2009 WHAT DO PATIENTS DO FIRST WHEN THEY ARE SICK? © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 31
  32. 32. 2009 Flow of action What do patients do? Q : What were the consecutive actions you undertook after you discovered you suffered from your disorder? Please drag and drop the consequent actions you undertook in the order you undertook the actions. Of course it is possible to use the actions multiple times. I waited some time without doing a thing 1 I looked for information myself 2 I looked in the home pharmacy 3 I went to the pharmacy 4 I went to the general physician (GP) 5 I went to the specialist physician (SP) I did something else (I‟ll specify later) 6 I did nothing ... © InSites Consulting N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 32
  33. 33. 2009 Flow of action What do patients do? Before undertaking any action, they FIRST WAIT FOR A WHILE… The large majority of patients waits! In the action flows that are outlined on the following pages, “waiting” is not reported as it is not distinguishing between segments, countries or ages. © InSites Consulting N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 33
  34. 34. 2009 Flow of action What do patients do? Q : What were the consecutive actions you undertook after you discovered you suffered from your disorder? Looked for information This flow shows – for each step, the action with the highest frequency. General Practitioner We have considered on an overall level all frequencies of Pharmacy each action in each step, and retained the action with the highest frequency in each step. General Practitioner E.g. “information search” received the highest frequency score in step 1 if „waiting‟ was not taken into account. Special Practitioner More information in the Excel file below: Flow of actions EU total Something Else © InSites Consulting N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 34
  35. 35. 2009 Flow of action What do patients do? Flow of actions Q : What were the consecutive actions you undertook after you discovered you suffered from your disorder? Country split Looked for Home Looked for General Looked for Looked for information/ Home Pharmacy Pharmacy information Practitioner information information Home Pharmacy Special General General Special General Practitioner / Pharmacy Pharmacy Practitioner Practitioner Practitioner Practitioner Pharmacy Special General General Special Looked for Practitioner / Pharmacy Pharmacy practitioner Practitioner Practitioner information Pharmacy Special General Special Looked for Pharmacy Pharmacy Something Else Practitioner Practitioner Practitioner information Special Special General Special Something Else Something Else Pharmacy Practitioner Practitioner Practitioner Practioner Special Special Something Else Pharmacy Something Else Something Else Something Else Practitioner Practitioner © InSites Consulting N Belgium = 405 / N Netherlands = 401/ N France = 408/ N Germany = 400 / N Spain = 409 / N Italy = 417 / N United Kingdom = 401 Pan-European Health Study, © InSites Consulting, 2009. 35
  36. 36. 2009 Flow of action What do patients do? Flow of actions 18-24 25-34 35-44 45-54 55-64 65+ Age split Looked for Looked for Looked for Looked for Looked for Looked for General information information information information information information Practitioner General General General General General General Pharmacy Practitioner / Practitioner Practitioner Practitioner Practitioner Practitioner Pharmacy Special General Pharmacy Pharmacy Pharmacy Pharmacy Pharmacy practitioner practitioner General Special Special General General General Practitioner Pharmacy practitioner / practitioner Practitioner Practitioner Practitioner Pharmacy Special I did something Special Special Special Special Special practitioner else practitioner practitioner practitioner practitioner practitioner Something Special Something else Something else Something else Something else Something else © InSites Consulting else practitioner N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 36
  37. 37. 2009 Flow of action What do patients do? NON-CONFORMISTS HEALTHY LAIDBACK HEDONISTS OF LIFE EXPERTS Flow of actions Segment split Looked for Looked for Looked for information information information Home Pharmacy Looked for information General Pharmacy / Practitioner General General General General Practitioner Practitioner Practitioner Practitioner Pharmacy General Information / Pharmacy Pharmacy Pharmacy Practitioner / Specialist General General General Pharmacy Pharmacy Practitioner Practitioner Practitioner Specialist / Specialist Specialist Specialist Special Something Else practitioner Something Specialist Specialist Something Else Something Else © InSites Consulting else N Europe = 2841 / Filter = None Pan-European Health Study, © InSites Consulting, 2009. 37
  38. 38. 2009 Flow of action What do patients do in France? TOTAL General Looked for General practitioner Home Pharmacy Home Pharmacy information Practitioner General practitioner General General Pharmacy Pharmacy Practitioner Practitioner General General General General practitioner Home Pharmacy Practitioner Practitioner Practitioner Pharmacy Pharmacy Pharmacy Waited some time Pharmacy Something Else Something Else Specialist Specialist Something else Special Specialist Waited some time Something Else Something Else © InSites Consulting practitioner N Non conformist = 116 / N Healthy Laidback =92 / N Hedonist of Life = 68 / N Expert = 130 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 38
  39. 39. 2009 Flow of action What do patients do in Germany? TOTAL Looked for information/ General Looked for Home Pharmacy Home Pharmacy Pharmacy Practitioner information Pharmacy General Home Pharmacy Pharmacy Pharmacy Practitioner Pharmacy Looked for Something Else Something Else Pharmacy Information / Pharmacy General General General General Pharmacy Practitioner Practitioner Practitioner practitioner Looked for Specialist Specialist Specialist Special information practitioner Something Else Waited some time Something Else Something Else Something else © InSites Consulting N Non conformist = 90 / N Healthy Laidback = 61 / N Hedonist of Life = 149 / N Expert = 100 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 39
  40. 40. 2009 Flow of action What do patients do in Spain? TOTAL Home Pharmacy Looked for Home Pharmacy Home Pharmacy Specialist information Pharmacy General General Practitioner Pharmacy Pharmacy Practitioner / Specialist Special Looked for Practitioner Specialist Waited some time Specialist information General General Something Else Specialist Something else Practitioner Practitioner General Looked for Specialist Specialist Practitioner information General Practitioner Special Pharmacy / Specialist Something Else Waited some time Specialist © InSites Consulting Practitioner N Non conformist = 108 / N Healthy Laidback = 76 / N Hedonist of Life = 77 / N Expert = 149 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 40
  41. 41. 2009 Flow of action What do patients do in Italy? TOTAL Looked for Looked for Looked for Looked for information information information Home Pharmacy information Special Practitioner General General Specialist Something Else Practitioner Practitioner Pharmacy Pharmacy Pharmacy Pharmacy Specialist General Looked for Practitioner / Pharmacy Special Specialist information Something Else Practitioner Looked for Something Else Specialist Specialist Special information practitioner Something Else Waited some time Something Else Something Else Something else © InSites Consulting N Non conformist = 116 / N Healthy Laidback = 57 / N Hedonist of Life = 96 / N Expert = 148 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 41
  42. 42. 2009 Flow of action What do patients do in the UK? TOTAL Looked for Looked for Looked for Looked for Looked for information information information information information General Practitioner General General Looked for Specialist Practitioner information Practitioner Looked for Looked for information Home Pharmacy Specialist Pharmacy information Looked for Specialist Something Else Looked for Pharmacy information information General Pharmacy Pharmacy Specialist Practitioner Pharmacy Looked for Specialist Specialist Something Else Something else information © InSites Consulting N Non conformist = 232 / N health conscious = 299 / N Hedonist= 249 / N Expert = 268 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 42
  43. 43. 2009 Flow of action What do patients do in the Netherlands? TOTAL Looked for Looked for Looked for General information information information Home Pharmacy Practitioner General Looked for Practitioner Looked for General Home Pharmacy information / information Practitioner Specialist Special Practitioner/ General Looked for Specialist Pharmacy Pharmacy Practitioner information General Pharmacy Something Else Pharmacy Pharmacy Practitioner General General Something Else Practitioner / Something Else Practitioner Something else Specialist Pharmacy Specialist Waited some time Pharmacy Pharmacy © InSites Consulting N Non conformist = 39 / N Healthy Laidback = 149 / N Hedonist of Life = 130 / N Expert = 82 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 43
  44. 44. 2009 Flow of action What do patients do in Belgium? TOTAL Home General Pharmacy Home Pharmacy Home Pharmacy Home Pharmacy Practitioner Special Practitioner/ General Pharmacy Pharmacy Specialist Pharmacy Practitioner General General General General Practitioner Pharmacy Practitioner Practitioner Practitioner Special Something else Specialist Specialist Specialist Practitioner Specialist Something Else Something Else Something Else Special Practitioner General Specialist Pharmacy Something Else Something else Practitioner © InSites Consulting N Non conformist = 80 / N Healthy Laidback = 99 / N Hedonist of Life = 100 / N Expert = 126 / F = No filter applied Pan-European Health Study, © InSites Consulting, 2009. 44
  45. 45. 2009 2009 Edition Where do patients look for information? 89% of the 2.841 participants report On average 1 in 5 patients does not having been ill during the past year. follow any kind of treatment. What is the prevalence of Mostly treatment also involves various acute and chronic disorders medication. Also diets are adapted across Europe? In which countries... and physical exercise increased.... Obviously not all patients are alike. What is the relationship with the By means of factor analysis and a physician like? Do different patient three-dimensional segmentation, 4 segments have a different level of distinct patient segments confidence in their GP? were brought alive. We present... Do patients follow the advice?... When people get sick, they can do When do patients go the pharmacy? different things: look in the home How do they make choices? What is pharmacy, visit the GP, address an the influence of a pharmacist? SP, go to the pharmacy, etc. Learn Do patients ask for the pharmacist‟s about the patient action flow... advice? Do pharmacists actively... The obvious first step for patients is What are drivers and barriers for to look for information. The compliance to treatment? internet, friends and family, health Does compliance differ between encyclopedia... The sources are patient segments? What is the diverse and usage differs between... © InSites Consulting influence of health professionals... Pan-European Health Study, © InSites Consulting, 2009. 45
  46. 46. 2009 © InSites Consulting Pan-European Health Study, © InSites Consulting, 2009. 46
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