Impact of Existing Health Care System
on Web 2.0 / Social Media
Case Study France
Denise Silber, Medicine 2.0
Maastricht 2...
French Internet Users
69% French Population
425% Growth 2000-10
Obligation for private
physicians to computerize
since 199...
Social Media
Platform
Alexa rank
world
Alexa rank
France
Google 1 1
Facebook 2 2
YouTube 3 3
Wikipedia 7 9
Twitter 10 28
E...
Web 1.0
Type of Site France
Health Portals Doctissimo
NLM/PubMed
Sci. societies
Cismef
Sci.societies
Forums Atoute
Same ca...
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
co...
Health 2.0 Tools
Cited Wikipedia US France
Physician
Community
Rating Site
Sermo
RatingMd
Eugenol
Docatus
Desbons
PHR MS H...
Why ?
National specificities
•  Regulation, Institutions
•  HCP culture
•  Different health system
issues
•  Ecosystem str...
Differences in 1) Health system
2) Business
"   French Patients almost
unlimited access to HCP’s,
(if no waiting list in r...
Certification by HON
"   Launched in 11/07
"   900 sites certified in
France, under the new
rules
"   Now under debate
(am...
Cultural, Regulatory Issues
PROVIDER SITES
"   Many HCP think that
they’re not allowed to
create their own site
"   Each «...
Cultural, Regulatory Issues
PHARMACIES
•  Virtual pharmacy
authorized only
if owner has physical
pharmacy. Monopoly.
•  No...
Cultural, Regulatory Issues
RATING SITES
•  Comparing HCP’s not
tolerated
•  Hospitals: breakthrough in
French press 10 yr...
RATING SITES
Comparing HCP’s not tolerated
Hospitals: breakthrough by French
press 10 yrs ago to rank them,
but still nasc...
Cultural, Regulatory Issues
"   Right to « conceal »
data and to « conceal »
the concealment
HOME TESTING
No genetic testi...
Summary: Health/Medicine 2.0 in France
Institutions
"   DMP (soon)
"   HAS-HON
"   Dossier Pharmaceutique
"   Telemedicine...
www.doctors20.com
Paris – June 2011
Denise.Silber@BasilStrategies.com
@health20paris
+336 74 78 12 36
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Impact of health system on Health 2.0 & Social Media: Case of 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 health system on Health 2.0 & Social Media: Case of France

  1. 1. Impact of Existing Health Care System on Web 2.0 / Social Media Case Study France Denise Silber, Medicine 2.0 Maastricht 2010
  2. 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. 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. 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. 5. So, how are Social Media & 2.0 Tools advancing in France in Health Care ?
  6. 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. 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. 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. 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. 10. Certification by HON "   Launched in 11/07 "   900 sites certified in France, under the new rules "   Now under debate (among experts)
  11. 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. 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. 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. 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. 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. 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. 17. www.doctors20.com Paris – June 2011
  18. 18. Denise.Silber@BasilStrategies.com @health20paris +336 74 78 12 36

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