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Copyright ©2013 eMarketer, Inc. All rights reserved.
A Growing Demand for Health Information Online 	 2
Where Health Consumers Are Going Online—And Why 	 6
Doctor Still Seems to Know Best 	 8
Conclusions 	 9
eMarketer Interviews 	 10
Related eMarketer Reports 	 10
Related Links 	 10
February 2013
Executive Summary: The internet is an increasingly important source of information for people seeking
information about health and healthcare. But most online health seekers still rely on their doctors to recommend
the best course of treatment.
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Women with children in the household are the primary users of
online health information—they are the “chief medical officers”
of their families. Roughly three-quarters of US women use the
internet for health information, according to the Pew Internet
& American Life Project, and many of them do so nearly daily.
Seniors are another key group accessing the web for health
information, and although they are less web-savvy than
younger users, the characteristics of the age group will shift
rapidly as baby boomers pass age 65.
This report focuses on health information seekers—i.e., people
who go online to learn about specific health conditions and
treatment options. It does not focus on wellness seekers, who
go online for overall wellness information, including information
about fitness, exercise and mental well-being.
Key Questions
■■ How many people use the internet for health information?
■■ How do moms use the internet for health purposes, and how
does their use differ from that of other groups?
■■ What kinds of information are online health seekers
looking for?
■■ What are the online health information needs specific
to seniors?
% of total
Primary Reason that Patients Search for Health
Information Online According to Healthcare
Professionals* in North America, March 2012
To learn about their
health condition
50%
To learn about
available treatment
options
35%
To learn about
a medication
6%
Other
5%
Unknown
4%
Note: *health education specialists, nurse practitioners, registered
dietitians, nurses, certified diabetes educators, patient educators, public
health professionals and social workers
Source: HealthEd Academy, "Healthcare Extender Lens," July 26, 2012
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Richard Meyer
rmeyer@emarkteter.com
Contributors
Danielle Drolet, Cindy Liu
Online Health
Information Seekers:
Internet Use Grows, But Doctors’
Orders Still Apply
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	2
A Growing Demand for Health
Information Online
The use of the internet as a source of health
information has grown in recent years. Women, and
particularly mothers with children at home, are a
major part of that trend.
Comparative Estimates: Health Seekers Online
The number of visitors to US health sites has grown significantly
over the past four years. comScore reported that 157 million
people, or 71.5% of US internet users, visited health-related
websites in 2012. In 2008, that percentage was below 40%.
Estimates of the number of people in the US who access health
information online vary.At the high end, Kantar Media estimated
87% of all US internet users went online for health information in
2012. By contrast, the Pew Internet & American Life Project put
this total at 72%. Several factors may account for the difference,
including the phrasing of survey questions by each research
organization, how they define online health, and how they define
the survey population itself. For example, Harris Interactive
based its results on “all Americans who have ever looked online
for health information,” as opposed to Pew, which limited its
measure to those who had done so in the past year.
% of respondents
Comparative Estimates: US Consumers Who Go Online
for Health Information, 2011 & 2012
2011 2012 Age
Among consumers
Wolters Kluwer Health, May 2012 - 75% 18+
Manhattan Research, Oct 2011 & Oct 2012 73% 73% 18+
Pew Internet & American Life Project, Jan 2013 - 59% 18+
Harris Interactive, Sep 2011 74% - 18+
National Center for Health Statistics, Aug 2012 47% - 18+
Among internet users
Kantar Media, Jan 2013 90% 87% 18+
comScore Inc., April & Aug 2012 68% 72% 2+
Pew Internet & American Life Project, Jan 2013 - 72% 18+
Harris Interactive, Sep 2011 89% - 18+
Source: various, as noted, 2011-2013
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Even with the methodological differences between
researchers, it’s fair to say that well more than half of US
consumers seek health information online. While the growth
rate of online health information seekers is most likely
unsustainable, eMarketer predicts that searches for online
health information will remain high for several reasons.
For one thing, people are going to the doctor less. The US
Census Bureau reported that among working-age adults, the
number of annual doctor visits fell from 4.8 in 2001 to 3.9 in
2010. It seems likely that this trend will lead to more people
using the internet for health purposes.
The other challenge is the rising cost of employer-provided
health insurance. While employers still shoulder a substantial
share of their employees’ healthcare insurance expenses,
employees have been paying a larger portion of the total
amount every year as companies pass costs onto their
workers. In addition, some people with employer-based health
insurance are finding that their co-pays—the money they pay
directly to the doctor for an office visit—are also increasing.
Finally, the baby boom generation is reaching retirement age.
As baby boomers pass age 65, their heavy use of the web will
change usage patterns for the “senior” demographic overall as
the senior population gains a steady influx of more frequent
and more web-savvy internet users.
The population that seeks health information online has
certain clearly defined characteristics. Importantly, it is
predominantly female. Women, who are sometimes referred
to as “the chief medical officers” of their families, are using
the internet for health information more than men. According
to Pew, nearly 8 in 10 US female internet users went online
for health information in the year ended in September 2012,
compared to 65% of US male internet users.
Older consumers are generally less active users of the
internet, and that goes for their health information searching
as well. Pew found a significant 58% of US internet users
ages 65 and older tapped into health resources online. Those
searchers were in the minority, though, as less than one-third
of all US consumers in that age group went online for health
information, Pew noted.
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	3
% of respondents in each group
Demographic Profile of US Internet Users vs. Total
Consumers Who Look Online for Health Information,
Sep 2012
Internet users
Gender
Female 79%
Male 65%
Age
18-29 76%
30-49 75%
50-64 71%
65+ 58%
Race/ethnicity
White 73%
Black 69%
Hispanic 66%
Household income
<$30K 65%
$30K-$50K 71%
$50K-$75K 81%
$75K+ 80%
Education level
Some high school 57%
High school 63%
Some college 74%
College graduate 81%
Total 72%
Total
64%
53%
72%
67%
54%
30%
60%
51%
48%
45%
61%
77%
78%
27%
45%
67%
78%
59%
Note: in the past year
Source: Pew Internet & American Life Project, "Health Online" sponsored
by California HealthCare Foundation, Jan 15, 2013
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It is also worth noting that the Pew study pointed up
significant differences tied to income and education levels. It
found that wealthier and better educated internet users were
far more likely to access the internet for health information.
The reasons for this vary, but the complexity and depth of
online health information, especially for complicated health
conditions like cancer, are likely factors. The National Network
of Libraries of Medicine found that patients who used the
internet for health information faced “complex information
and treatment decisions” that require a number of skills, such
as computer literacy, to correctly use the health information
they find. Similarly, complexity of language can be a barrier.
Loyola University Medical Center in 2012 examined 62
websites that focused on prostate cancer and found that only
three of them had treatment information written below a
9th-grade reading level.
Data from Manhattan Research adds to the profile of online
health information seekers. Its “Cybercitizen Health 2012”
report found that the mean annual income of online health
seekers was $52,400 and that 33% were parents with one or
more children under the age of 18 in the household.
For healthcare marketers, there are several key demographic
groups to consider: women, seniors and caregivers (who
may also be part of the first two groups). Their search for
health information online varies according to income, level of
education and ethnicity, as explored in the following sections.
Women: The ‘Chief Medical Officer’ of the Family
Women play an outsized role in the world of online health.
They not only are likely to be the “Chief Household Officer,” but
also the “Chief Medical Officer,” with the internet a key tool to
help them manage their families’ health.
In a 2011 survey by BabyCenter, a pregnancy and parenting
website, 86% of women said they made the decisions about
the healthcare treatments their families used. While most said
they trusted their doctors, they still went online before and
after office visits to learn more about prescribed treatments
and diagnosed health conditions.
Women are not light internet users, either. Enspektos, a
company that provides marketing services to healthcare
organizations, found in January 2012 that 60% of mom internet
users accessed the internet for health content “frequently” or
“very frequently”—and nearly one-third searched the internet
for health information once a day or every few days.
% of respondents
Frequency with Which US Mom Internet Users
Consult Select Digital Channels for Health Content,
Jan 2012
Internet
33% 27% 25% 8% 7%
Very frequently
Frequently
Somewhat frequently
Infrequently
Very infrequently
Note: n=573 with children ages 6 months-18 living in their household
Source: Enspektos, "Digging Beneath the Surface: Understanding the Digital
Health Mom," May 9, 2012
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Social networks
9% 19% 19% 47%6%
Mobile
3% 4%
10% 12% 71%
Twitter
2% 3%
6% 8% 81%
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Erin Byrne, executive vice president, managing partner and
chief engagement officer at healthcare communications
agency Grey Healthcare Group, said the connection between
moms and the internet is hard to overstate. She quoted a
focus group participant as saying, “I am the family doctor, and
the internet is my nurse.”
Kate Drummond, media partner at Greater Than One, an online
agency specializing in healthcare digital marketing, underscored
that relationship, calling women online “Dr. Moms.”
Moms are not just seeking information.They are using technology
A Growing Demand for Health Information Online
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to help manage their families’ health.An October 2012 eMarketer
report,“The Mobile-Social Mom: Speeding the Trend Toward
‘Mobile First,’” noted that “moms have long been on the leading
edge of social network use, and they are also ahead of the curve
when it comes to smartphone and tablet ownership.”To that
point, Enspektos found that among moms who had apps on their
mobile devices, nearly half had downloaded health apps.And
Pew reported that among US smartphone owners, women were
more likely than men to use health apps.
% of respondents in each group
Demographic Profile: US Smartphone Owners Who
Use Health Apps, Sep 2012
Female 23%
Male 16%
18-29 24%
30-49 19%
50-64 16%
65+ 10%
Black 21%
White 19%
Hispanic 15%
<$30K
Gender
Race/ethnicity
Age
Income
14%
$30K-$50K 21%
$50K-$75K 21%
$75K+ 23%
Total 19%
Note: apps used to track or manage health
Source: Pew Internet & American Life Project, "Mobile Health 2012"
sponsored by California HealthCare Foundation, Nov 8, 2012
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Online Seniors: Seeking Age-Specific Information
Seniors are less likely to be online than younger groups,but they
are catching up.And,as Pew reported,once older adults are online,
“the internet becomes a fixture in their lives.”Pew found that 70%
of internet users ages 65 and older were online every day.
eMarketer projects there will be 22.9 million seniors (ages 65
and older) online in 2013, increasing to 24.5 million in 2014.
According to Pew, the percentage of US adults ages 65 and
over who use the internet or email passed the 50% threshold
in 2012, a significant uptick from August 2011, when just 41%
of seniors were using the internet.
Seniors have special needs when it comes to health
information. The National Network of Libraries of Medicine
said, for example, that “older adults use more medical services
and acquire more chronic illnesses than other population
segments.” Yet the American Academy of Family Physicians
found that half of the US seniors it surveyed in March 2012
felt there wasn’t a single online resource where they could
find highly credible health information. Survey respondents
identified certain subjects as especially difficult to locate, such
as information about prescription drugs for the elderly (14%)
and preventative medical care for seniors (13%).
% of respondents
Top 5 Types of Hard-to-Find Health Information
According to US Seniors, March 2012
Prescription drug information for the elderly
14%
Preventative medical care for seniors
13%
Sexuality in later life
12%
Helping older adults deal with life-changing events
11%
Assisted living and other housing options for seniors
9%
Note: n=448 ages 65+
Source: American Academy of Family Physicians (AAFP), "Seniors and
Caregivers" conducted by Harris Interactive, April 24, 2012
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According to healthcare marketing agency Smith & Jones,
seniors research all options, challenge assumptions and
rely on conversations with their doctors to make healthcare
choices. Interestingly, while seniors are not active social
media users, Smith & Jones found they were increasingly
willing to consider reviews and rating systems when choosing
healthcare providers and specialists.
The transformation in seniors seeking online health
information is being driven by the changing demographics and
psychographics of people in the 65-and-over cohort. AARP
estimates that each day for the next 17 years about 8,000
baby boomers will turn 65. Boomers historically have tended
to pride themselves on challenging the status quo. Smith
& Jones found that boomers were inclined to follow their
physicians’ advice while researching their options at the same
time—a stance that might be described as “trust, but verify.”
The Caregiver’s Challenge: Help Me Manage My Caring
Caregivers form a special group of online health information
seekers. Like the overall internet health-seeker group, they are
most likely to be women, but with a different set of concerns
and needs, especially around emotional support.
The nonprofit Family Caregiver Alliance reported that in 2012,
66% of caregivers were women and that more than one-third
took care of two or more people. The older the caregiver, the
more likely it was that the caregiver was a woman: For those
A Growing Demand for Health Information Online
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	5
ages 50 and over, 69% were women. In the 18-to-49 age group,
the split was closer to even, with women making up 53% of
the total. The Family Caregivers Alliance said that “research
suggests that the number of male caregivers may continue to
increase for a variety of social and economic factors.”
A Pew report released in June 2012 but featuring data from
September 2010 found that roughly “one-third of US adults
are performing some sort of caregiver role, such as helping a
family member with household chores or managing finances.”
Overall, 79% of caregivers had access to the internet, Pew
said, and of those, 88% looked online for health information.
“Caregivers not only care for their loved one’s physical and
emotional needs, but their information needs as well,” said
Susannah Fox, an associate director at the Pew Research
Center and lead author of the study.
Caregivers have different online needs than people who are
looking for health information for themselves. According to
Kantar Media’s March 2012 “MARS Consumer” health study,
caregivers relied on the internet for both health and wellness
information. The study showed the No. 1 reason caregivers
had gone online to look for health and wellness information
in the previous year was to find information about health
insurance (31%), followed by advice on living with a chronic
condition or managing chronic pain (22%).
% of respondents
Reasons that US Caregivers Go Online for Health and
Wellness Information, March 2012
To find information about health insurance, including private
insurance, Medicare or Medicaid
31%
To look for advice on living with a chronic condition or managing
chronic pain
22%
To gather information on long-term care for an elderly or
disabled person
11%
To learn about anti-aging procedures or products
10%
To research joint replacement options (e.g., knee or hip
replacement)
5%
Note: ages 18+; among those who go online for health and wellness
information
Source: Kantar Media, "MARS 2012 Online Behavior Study," June 1, 2012
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The American Academy of Family Physicians found the
internet was playing a more important information role for
caregivers than were family and friends or subspecialists,
but hadn’t yet surpassed the importance of primary care or
other physicians. While there is a wealth of health information
available to them, online caregivers still rely on doctors to help
them sort out what is best for the people under their care.
% of respondents
Sources of Health Information According to US
Caregivers, March 2012
Physician 63%
Primary care physician 60%
Internet 57%
Family/friends 43%
Subspecialist 18%
Note: n=241 ages 18+
Source: American Academy of Family Physicians (AAFP), "Seniors and
Caregivers" conducted by Harris Interactive, April 24, 2012
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The American Academy of Family Physicians also found that
caregivers had a hard time finding information about how
to balance work with caregiving (21%), and likewise found it
difficult to locate information about depression in older adults
(20%) and about how being a caregiver affected their own
health (19%), among other topics.
% of respondents
Top 5 Types of Hard-to-Find Health Information
According to US Caregivers, March 2012
Balancing work and caregiving
21%
Depression in older adults
20%
Caregiver health
19%
Prescription drug information for the elderly
17%
Assisted living and other housing options for seniors
16%
Note: n=241 ages 18+
Source: American Academy of Family Physicians (AAFP), "Seniors and
Caregivers" conducted by Harris Interactive, April 24, 2012
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A Growing Demand for Health Information Online
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	6
Where Health Consumers Are
Going Online—And Why
HealthEd Academy, in a survey of healthcare
professionals about their patients, found in March
2012 that the top two reasons patients searched for
health info online were to learn about their health
condition (50%) and available treatment options (35%).
Learning about health problems and researching
treatments allow patients to become partners with
their doctors as they discuss treatment options.
% of total
Primary Reason that Patients Search for Health
Information Online According to Healthcare
Professionals* in North America, March 2012
To learn about their
health condition
50%
To learn about
available treatment
options
35%
To learn about
a medication
6%
Other
5%
Unknown
4%
Note: *health education specialists, nurse practitioners, registered
dietitians, nurses, certified diabetes educators, patient educators, public
health professionals and social workers
Source: HealthEd Academy, "Healthcare Extender Lens," July 26, 2012
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Publisher Wolters Kluwer Health found in March 2012 that
across all demographic segments, the No. 1 reason people
used the internet to seek health information was because they
wanted to be better informed about a condition before they
visited their physician.
The Wolters Kluwer data pointed up some differences among
age groups. Younger users, accustomed to accessing content
for free and on demand, were more likely than other groups
to cite that kind of accessibility as a reason to go online for
medical information.
% of respondents in each group
Reasons for Using the Internet vs. Visiting a Doctor to
Seek Medical Information According to US Consumers,
by Age, March 2012
To be informed about a condition
before doctor's visit
Accessibility (free, no office wait times)
Internet offers more opinions and
treatment options
Internet provides just as sound
medical advice
Would never rely on the internet to
diagnose or to treat an illness
18-34
47%
38%
24%
14%
35%
35-54
53%
24%
23%
9%
39%
55+
43%
23%
20%
18%
51%
Total
48%
29%
23%
13%
41%
Source: Wolters Kluwer Health, "Q1 Poll: Self-Diagnosis," May 16, 2012
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Wolters Kluwer also found that a majority of consumers (67%)
believed that online medical information had made them
better-informed consumers of healthcare. Only 25% said it had
no impact, and a very small percentage, 3%, said it made them
less informed. The results suggest a significant level of trust in
the information being accessed online.
% of total
Impact of Access to Online Medical Information
According to US Consumers, March 2012
Better informed
67%
Less informed
3%
Misinformed
4%
No impact
25%
Don't know
1%
Note: ages 18+
Source: Wolters Kluwer Health, "Q1 Poll: Self-Diagnosis," May 16, 2012
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When it comes to finding specific health information—in
this case prescription drug information—US internet users
turned to general health sites (66%), but also to nonprofit or
government sites (66%), according to a survey by publisher
Rodale Inc. Interestingly, Wikipedia was a popular resource for
prescription drug information for 44% of respondents, despite
the fact that many pharmaceutical companies have chosen
not to post information on Wikipedia because of regulatory
and legal considerations.
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	7
% of respondents
Most Useful Sites for Online Prescription Medicine
Information According to US Internet Users, May 2012
General health site
66%
Nonprofit or government site
66%
Wikipedia
44%
Rx brand site
44%
Patient community sites
40%
Medicine rating site
36%
Video site (such as YouTube)
32%
Health forums, message boards
31%
Social networking site (such as Facebook)
20%
Health blog
20%
Note: among respondents who go online for prescription medicine
information
Source: Rodale Inc., "2012 Direct to Consumer Survey, Wave 15," July 18,
2012
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According to Experian Hitwise, the top online health sites by
share of US internet user site visits in December 2012 were
WebMD and Yahoo! Health. Both consistently were among the
top health websites throughout 2012.
Top 10 Health and Medical Websites Among US
Internet Users, Ranked by Market Share of Visits,
Dec 2012
1. WebMD 9.6%
2. Yahoo! Health 9.0%
3. Drugs.com 4.2%
4. MayoClinic.com 3.9%
5. Everyday Health 3.5%
6. Healthgrades 3.1%
7. MedicineNet 3.0%
8. QualityHealth.com2.0%
9. HealthHeadlines.com1.8%
10. Centers for Disease Control and Prevention1.4%
Source: Experian Hitwise as cited by Marketing Charts, Jan 8, 2013
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Information gathered online by health information seekers
is used offline, particularly when those seekers are talking
to their physicians. The Rodale survey found that the leading
sources of information for consumers when talking to their
doctor about a specific condition were online health sites
(50%), but trailing close behind were doctor office brochures
(49%) and direct-to-consumer (DTC) ads (44%). Rodale’s
results illustrate the multichannel nature of health information,
showing that consumers are checking data online and
referring to it with health professionals in person.
% of respondents
Select Information Sources US Consumers Use When
Talking to Their Doctor About a Condition, May 2012
Online health sites 50%
Doctor office brochures 49%
DTC ads 44%
Magazines 42%
TV 42%
Pharma brand 36%
Health insurance 34%
Patient community sites 29%
Newspapers 29%
Note: among respondents who talked to their doctor about a condition
Source: Rodale Inc., "2012 Direct to Consumer Survey, Wave 15," July 18,
2012
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A list of the top online conditions searched for by US consumers
reflects the nation’s health concerns. Google reported that the
three leading health conditions searched for in 2012 were cancer,
diabetes and depression.According to Cancer Figures and
Facts, it is estimated that 1.6 million new cases of cancer were
diagnosed in the US in 2012.As for diabetes, the International
Diabetes Federation estimates there were 24.1 million diabetics
in the US in 2012, with another 6.7 million people thought to have
undiagnosed diabetes.
Top 10 US Health Condition Search Terms on Google,
Ranked by Search Volume, 2012
1. Cancer
2. Diabetes
3. Depression
4. Acne
5. Herpes
6. Back pain
7. Burns
8. Breast cancer
9. Autism
10. Diarrhea
Source: Google, Dec 11, 2012
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Google’s ranking of health-related search terms by health
symptoms yields slightly different results, with the most
common search in 2012 being symptoms of pregnancy,
followed by symptoms of diabetes and flu. Since women are
Where Health Consumers Are Going Online—And Why
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	8
the primary seekers of health information, it is not surprising
that pregnancy was the leading health symptom search term.
Top 10 US Health Symptom Search Terms on Google,
Ranked by Search Volume, 2012
1. Pregnancy symptoms
2. Diabetes symptoms
3. Flu symptoms
4. UTI symptoms
5. Mono symptoms
6. Strep throat symptoms
7. HIV symptoms
8. Lupus symptoms
9. Heart attack symptoms
10. Lyme disease symptoms
Source: Google, Dec 11, 2012
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The Role of Pharmaceutical Sites
Pharma product and disease-state websites play an important
role in the search for online health information and can
directly lead to patients asking for specific treatment options.
A June 2012 comScore report found that the primary reason
consumers used pharma-sponsored websites was to find
information about adverse effects or other information on specific
prescription drugs.Some consumers also went to branded drug
websites to get co-pay discount cards for their prescriptions.
The comScore data also showed a correlation between visits
to branded prescription drug websites and lifts in both brand
awareness and favorability. In fact, consumers who visited a
branded website showed an increase in aided and unaided
brand awareness.
Even though pharma-sponsored sites were being used for
information specific to medications and their side effects,
comScore also found that 23% of consumers were skeptical
of the information on these websites and 16% were skeptical
of information on government websites. comScore’s analysis
was that consumers are becoming more and more aware of a
treatment’s risk/benefit tradeoff.
Doctor Still Seems to Know Best
For all of the internet’s growth and its popularity as
a source of health information, it’s not the primary
source of health information upon which the majority
of consumers in the US make healthcare decisions.
Consumers still believe their physician to be the most important
source of healthcare information, according to Kantar Media data.
In a survey of US consumers between January and April 2012,
78% cited physicians as an important source of information, while
60% cited traditional media.The internet ranked well below, at
41%. Still, that was a 7-point increase from 2008.
% of respondents
Healthcare Information Sources that Are Important to
US Consumers, 2008-2012
2008
76%
64%
34%
2009
77%
65%
39%
2010
78%
64%
40%
2011
77%
65%
40%
2012
78%
60%
41%
Healthcare professionals Traditional media Internet
Note: among respondents who chose "very important" and "somewhat
important"
Source: Kantar Media, "How Do They Really Feel? Consumers' Behaviors
and Attitudes Toward Healthcare Advertising," June 11, 2012
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Similarly, RxAlly, a network of community pharmacies in the
US, found in September 2012 that the most trusted sources
of information for US internet users when making healthcare
decisions were doctors (72%). It’s worth noting that friends
and family scored well above the internet in this survey.
Where Health Consumers Are Going Online—And Why
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	9
% of respondents
Most Trusted Sources of Information When Making
Healthcare Decisions According to US Internet Users,
Sep 2012
Doctors 72%
Friends/family 36%
Spouses or significant others 36%
Internet 22%
Pharmacists 18%
Note: ages 18+
Source: RxAlly as cited in press release, Oct 9, 2012
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Even among those who look to the internet for health
information, there is a desire for an “official” source. Deloitte
reported in February 2012 that the web sites of physician
groups or medical practices were US internet users’ most
trusted sources for treatment information.That was followed by
academic medical and teaching hospitals that maintain health
information sites for consumers. Social sites and blogs, as well as
general health sites, scored far lower on trustworthiness.
% of respondents
Sources that US Internet Users Trust for Treatment
Information on a Health Condition, Feb 2012
Physician group/medical practice
Academic medical centers/teaching hospitals
Medical associations/societies
Community hospitals
Pharmacies
US Department of Health and Human Services (HHS)
Independent health-related websites
US Food and Drug Administration (FDA)
State Departments of Health and Human Services
Health insurance companies/health plans
Internet search engines/general reference sites
Pharmaceutical, biotech or medical device/product manufacturers
Employers (e.g., health benefits office, human resources office)
Blogs or websites that address specific health issues or connect
people with similar health conditions
Social networking sites
44%
38%
37%
30%
27%
26%
24%
22%
22%
14%
14%
12%
12%
11%
5%
Note: 8-10 on a 10-point scale where 10 is "completely trust"
Source: Deloitte, "2012 Survey of US Health Care Consumers: Five-Year
Look Back," Dec 14, 2012
150772 www.eMarketer.com
150772
Conclusions
As the cost of doctor visits continues to increase,
the internet is becoming increasingly important for
seekers of health-related information. However,
healthcare professionals remain the principal source
of credible health information and treatment options.
eMarketer expects the use of digital media will play
a more significant role over time, as consumers
become more web savvy and older users take a more
active role in their healthcare.
Women are the primary users of online health
information. As the self-professed healthcare managers of
their families, moms are especially high users. Whether moms
or not, women tend to be more proactive when it comes to
researching healthcare online and spend more time than men
researching health on the internet.
Online seekers of health information tend to be better
educated. Because of the complexity and abundance of
health information online, consumers with some degree of
higher education search for health information online more
than those who have never been to college.
The primary reason that patients search for health
information online is to learn about specific health
conditions and treatment options. Patients want to
maximize their time with their doctor when discussing their
healthcare, and the internet has an important part to play
in that discussion. Patients, though, still trust physicians to
recommend what is best for them.
Health sites are the No. 1 destination for seekers of
health information online. However, pharma firms’ product
websites also play an important role in driving treatment
recommendations, and physicians’ sites are considered the
most credible.
Caregivers have special needs when it comes to online
health information. They want information on medical
insurance, how to live with chronic conditions, and topics like
balancing work and their responsibilities as caregivers.
Doctor Still Seems to Know Best
Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved.	10
eMarketer Interviews
Mobile is the ‘Remote Control’ for Online
Health Information
Erin Byrne
Executive Vice President, Managing Partner and
Chief Engagement Officer
Grey Healthcare Group
Interview conducted on January 18, 2013
Mobile, Social Rejuvenate Online Health Searching
Kate Drummond
Media Partner
Greater Than One
Interview conducted on January 25, 2013
Jan Dunlop
Manager of Marketing Services
Drugs.com
Interview conducted on January 15, 2013
Paul Wager
Chief Operating Officer
Drugs.com
Interview conducted on January 15, 2013
Related eMarketer Reports
The Mobile-Social Mom: Speeding the Trend Toward
‘Mobile First’
Related Links
AARP
American Academy of Family Physicians
BabyCenter
Cancer Figures and Facts
comScore Inc.
Deloitte
Employee Benefit Research Institute
Enspektos
Experian Hitwise
Family Caregiver Alliance
Google
Harris Interactive
HealthEd Academy
International Diabetes Foundation
Kantar Media
Loyola University Media Center
Manhattan Research
National Center for Health Statistics
Network of Libraries of Medicine
Pew Internet & American Life Project
Rodale Inc.
RxAlly
Smith & Jones
US Census Bureau
Wolters Kluwer Health
Editorial and
Production Contributors
Cliff Annicelli	 Senior Editor
Kaitlin Carlin	 Copy Editor
Joanne DiCamillo	 Senior Production Artist
Stephanie Gehrsitz	 Senior Production Artist
Dana Hill 	 Director of Production
Nicole Perrin	 Associate Editorial Director
Allie Smith 	 Director of Charts
E marketer online_health_information_seekers-internet_use_grows_but_doctors_orders_still_apply

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E marketer online_health_information_seekers-internet_use_grows_but_doctors_orders_still_apply

  • 1. Copyright ©2013 eMarketer, Inc. All rights reserved. A Growing Demand for Health Information Online 2 Where Health Consumers Are Going Online—And Why 6 Doctor Still Seems to Know Best 8 Conclusions 9 eMarketer Interviews 10 Related eMarketer Reports 10 Related Links 10 February 2013 Executive Summary: The internet is an increasingly important source of information for people seeking information about health and healthcare. But most online health seekers still rely on their doctors to recommend the best course of treatment. 143924 Women with children in the household are the primary users of online health information—they are the “chief medical officers” of their families. Roughly three-quarters of US women use the internet for health information, according to the Pew Internet & American Life Project, and many of them do so nearly daily. Seniors are another key group accessing the web for health information, and although they are less web-savvy than younger users, the characteristics of the age group will shift rapidly as baby boomers pass age 65. This report focuses on health information seekers—i.e., people who go online to learn about specific health conditions and treatment options. It does not focus on wellness seekers, who go online for overall wellness information, including information about fitness, exercise and mental well-being. Key Questions ■■ How many people use the internet for health information? ■■ How do moms use the internet for health purposes, and how does their use differ from that of other groups? ■■ What kinds of information are online health seekers looking for? ■■ What are the online health information needs specific to seniors? % of total Primary Reason that Patients Search for Health Information Online According to Healthcare Professionals* in North America, March 2012 To learn about their health condition 50% To learn about available treatment options 35% To learn about a medication 6% Other 5% Unknown 4% Note: *health education specialists, nurse practitioners, registered dietitians, nurses, certified diabetes educators, patient educators, public health professionals and social workers Source: HealthEd Academy, "Healthcare Extender Lens," July 26, 2012 143924 www.eMarketer.com Richard Meyer rmeyer@emarkteter.com Contributors Danielle Drolet, Cindy Liu Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply
  • 2. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 2 A Growing Demand for Health Information Online The use of the internet as a source of health information has grown in recent years. Women, and particularly mothers with children at home, are a major part of that trend. Comparative Estimates: Health Seekers Online The number of visitors to US health sites has grown significantly over the past four years. comScore reported that 157 million people, or 71.5% of US internet users, visited health-related websites in 2012. In 2008, that percentage was below 40%. Estimates of the number of people in the US who access health information online vary.At the high end, Kantar Media estimated 87% of all US internet users went online for health information in 2012. By contrast, the Pew Internet & American Life Project put this total at 72%. Several factors may account for the difference, including the phrasing of survey questions by each research organization, how they define online health, and how they define the survey population itself. For example, Harris Interactive based its results on “all Americans who have ever looked online for health information,” as opposed to Pew, which limited its measure to those who had done so in the past year. % of respondents Comparative Estimates: US Consumers Who Go Online for Health Information, 2011 & 2012 2011 2012 Age Among consumers Wolters Kluwer Health, May 2012 - 75% 18+ Manhattan Research, Oct 2011 & Oct 2012 73% 73% 18+ Pew Internet & American Life Project, Jan 2013 - 59% 18+ Harris Interactive, Sep 2011 74% - 18+ National Center for Health Statistics, Aug 2012 47% - 18+ Among internet users Kantar Media, Jan 2013 90% 87% 18+ comScore Inc., April & Aug 2012 68% 72% 2+ Pew Internet & American Life Project, Jan 2013 - 72% 18+ Harris Interactive, Sep 2011 89% - 18+ Source: various, as noted, 2011-2013 150915 www.eMarketer.com 150915 Even with the methodological differences between researchers, it’s fair to say that well more than half of US consumers seek health information online. While the growth rate of online health information seekers is most likely unsustainable, eMarketer predicts that searches for online health information will remain high for several reasons. For one thing, people are going to the doctor less. The US Census Bureau reported that among working-age adults, the number of annual doctor visits fell from 4.8 in 2001 to 3.9 in 2010. It seems likely that this trend will lead to more people using the internet for health purposes. The other challenge is the rising cost of employer-provided health insurance. While employers still shoulder a substantial share of their employees’ healthcare insurance expenses, employees have been paying a larger portion of the total amount every year as companies pass costs onto their workers. In addition, some people with employer-based health insurance are finding that their co-pays—the money they pay directly to the doctor for an office visit—are also increasing. Finally, the baby boom generation is reaching retirement age. As baby boomers pass age 65, their heavy use of the web will change usage patterns for the “senior” demographic overall as the senior population gains a steady influx of more frequent and more web-savvy internet users. The population that seeks health information online has certain clearly defined characteristics. Importantly, it is predominantly female. Women, who are sometimes referred to as “the chief medical officers” of their families, are using the internet for health information more than men. According to Pew, nearly 8 in 10 US female internet users went online for health information in the year ended in September 2012, compared to 65% of US male internet users. Older consumers are generally less active users of the internet, and that goes for their health information searching as well. Pew found a significant 58% of US internet users ages 65 and older tapped into health resources online. Those searchers were in the minority, though, as less than one-third of all US consumers in that age group went online for health information, Pew noted.
  • 3. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 3 % of respondents in each group Demographic Profile of US Internet Users vs. Total Consumers Who Look Online for Health Information, Sep 2012 Internet users Gender Female 79% Male 65% Age 18-29 76% 30-49 75% 50-64 71% 65+ 58% Race/ethnicity White 73% Black 69% Hispanic 66% Household income <$30K 65% $30K-$50K 71% $50K-$75K 81% $75K+ 80% Education level Some high school 57% High school 63% Some college 74% College graduate 81% Total 72% Total 64% 53% 72% 67% 54% 30% 60% 51% 48% 45% 61% 77% 78% 27% 45% 67% 78% 59% Note: in the past year Source: Pew Internet & American Life Project, "Health Online" sponsored by California HealthCare Foundation, Jan 15, 2013 150445 www.eMarketer.com 150445 It is also worth noting that the Pew study pointed up significant differences tied to income and education levels. It found that wealthier and better educated internet users were far more likely to access the internet for health information. The reasons for this vary, but the complexity and depth of online health information, especially for complicated health conditions like cancer, are likely factors. The National Network of Libraries of Medicine found that patients who used the internet for health information faced “complex information and treatment decisions” that require a number of skills, such as computer literacy, to correctly use the health information they find. Similarly, complexity of language can be a barrier. Loyola University Medical Center in 2012 examined 62 websites that focused on prostate cancer and found that only three of them had treatment information written below a 9th-grade reading level. Data from Manhattan Research adds to the profile of online health information seekers. Its “Cybercitizen Health 2012” report found that the mean annual income of online health seekers was $52,400 and that 33% were parents with one or more children under the age of 18 in the household. For healthcare marketers, there are several key demographic groups to consider: women, seniors and caregivers (who may also be part of the first two groups). Their search for health information online varies according to income, level of education and ethnicity, as explored in the following sections. Women: The ‘Chief Medical Officer’ of the Family Women play an outsized role in the world of online health. They not only are likely to be the “Chief Household Officer,” but also the “Chief Medical Officer,” with the internet a key tool to help them manage their families’ health. In a 2011 survey by BabyCenter, a pregnancy and parenting website, 86% of women said they made the decisions about the healthcare treatments their families used. While most said they trusted their doctors, they still went online before and after office visits to learn more about prescribed treatments and diagnosed health conditions. Women are not light internet users, either. Enspektos, a company that provides marketing services to healthcare organizations, found in January 2012 that 60% of mom internet users accessed the internet for health content “frequently” or “very frequently”—and nearly one-third searched the internet for health information once a day or every few days. % of respondents Frequency with Which US Mom Internet Users Consult Select Digital Channels for Health Content, Jan 2012 Internet 33% 27% 25% 8% 7% Very frequently Frequently Somewhat frequently Infrequently Very infrequently Note: n=573 with children ages 6 months-18 living in their household Source: Enspektos, "Digging Beneath the Surface: Understanding the Digital Health Mom," May 9, 2012 141371 www.eMarketer.com Social networks 9% 19% 19% 47%6% Mobile 3% 4% 10% 12% 71% Twitter 2% 3% 6% 8% 81% 141371 Erin Byrne, executive vice president, managing partner and chief engagement officer at healthcare communications agency Grey Healthcare Group, said the connection between moms and the internet is hard to overstate. She quoted a focus group participant as saying, “I am the family doctor, and the internet is my nurse.” Kate Drummond, media partner at Greater Than One, an online agency specializing in healthcare digital marketing, underscored that relationship, calling women online “Dr. Moms.” Moms are not just seeking information.They are using technology A Growing Demand for Health Information Online
  • 4. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 4 to help manage their families’ health.An October 2012 eMarketer report,“The Mobile-Social Mom: Speeding the Trend Toward ‘Mobile First,’” noted that “moms have long been on the leading edge of social network use, and they are also ahead of the curve when it comes to smartphone and tablet ownership.”To that point, Enspektos found that among moms who had apps on their mobile devices, nearly half had downloaded health apps.And Pew reported that among US smartphone owners, women were more likely than men to use health apps. % of respondents in each group Demographic Profile: US Smartphone Owners Who Use Health Apps, Sep 2012 Female 23% Male 16% 18-29 24% 30-49 19% 50-64 16% 65+ 10% Black 21% White 19% Hispanic 15% <$30K Gender Race/ethnicity Age Income 14% $30K-$50K 21% $50K-$75K 21% $75K+ 23% Total 19% Note: apps used to track or manage health Source: Pew Internet & American Life Project, "Mobile Health 2012" sponsored by California HealthCare Foundation, Nov 8, 2012 147285 www.eMarketer.com 147285 Online Seniors: Seeking Age-Specific Information Seniors are less likely to be online than younger groups,but they are catching up.And,as Pew reported,once older adults are online, “the internet becomes a fixture in their lives.”Pew found that 70% of internet users ages 65 and older were online every day. eMarketer projects there will be 22.9 million seniors (ages 65 and older) online in 2013, increasing to 24.5 million in 2014. According to Pew, the percentage of US adults ages 65 and over who use the internet or email passed the 50% threshold in 2012, a significant uptick from August 2011, when just 41% of seniors were using the internet. Seniors have special needs when it comes to health information. The National Network of Libraries of Medicine said, for example, that “older adults use more medical services and acquire more chronic illnesses than other population segments.” Yet the American Academy of Family Physicians found that half of the US seniors it surveyed in March 2012 felt there wasn’t a single online resource where they could find highly credible health information. Survey respondents identified certain subjects as especially difficult to locate, such as information about prescription drugs for the elderly (14%) and preventative medical care for seniors (13%). % of respondents Top 5 Types of Hard-to-Find Health Information According to US Seniors, March 2012 Prescription drug information for the elderly 14% Preventative medical care for seniors 13% Sexuality in later life 12% Helping older adults deal with life-changing events 11% Assisted living and other housing options for seniors 9% Note: n=448 ages 65+ Source: American Academy of Family Physicians (AAFP), "Seniors and Caregivers" conducted by Harris Interactive, April 24, 2012 142933 www.eMarketer.com 142933 According to healthcare marketing agency Smith & Jones, seniors research all options, challenge assumptions and rely on conversations with their doctors to make healthcare choices. Interestingly, while seniors are not active social media users, Smith & Jones found they were increasingly willing to consider reviews and rating systems when choosing healthcare providers and specialists. The transformation in seniors seeking online health information is being driven by the changing demographics and psychographics of people in the 65-and-over cohort. AARP estimates that each day for the next 17 years about 8,000 baby boomers will turn 65. Boomers historically have tended to pride themselves on challenging the status quo. Smith & Jones found that boomers were inclined to follow their physicians’ advice while researching their options at the same time—a stance that might be described as “trust, but verify.” The Caregiver’s Challenge: Help Me Manage My Caring Caregivers form a special group of online health information seekers. Like the overall internet health-seeker group, they are most likely to be women, but with a different set of concerns and needs, especially around emotional support. The nonprofit Family Caregiver Alliance reported that in 2012, 66% of caregivers were women and that more than one-third took care of two or more people. The older the caregiver, the more likely it was that the caregiver was a woman: For those A Growing Demand for Health Information Online
  • 5. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 5 ages 50 and over, 69% were women. In the 18-to-49 age group, the split was closer to even, with women making up 53% of the total. The Family Caregivers Alliance said that “research suggests that the number of male caregivers may continue to increase for a variety of social and economic factors.” A Pew report released in June 2012 but featuring data from September 2010 found that roughly “one-third of US adults are performing some sort of caregiver role, such as helping a family member with household chores or managing finances.” Overall, 79% of caregivers had access to the internet, Pew said, and of those, 88% looked online for health information. “Caregivers not only care for their loved one’s physical and emotional needs, but their information needs as well,” said Susannah Fox, an associate director at the Pew Research Center and lead author of the study. Caregivers have different online needs than people who are looking for health information for themselves. According to Kantar Media’s March 2012 “MARS Consumer” health study, caregivers relied on the internet for both health and wellness information. The study showed the No. 1 reason caregivers had gone online to look for health and wellness information in the previous year was to find information about health insurance (31%), followed by advice on living with a chronic condition or managing chronic pain (22%). % of respondents Reasons that US Caregivers Go Online for Health and Wellness Information, March 2012 To find information about health insurance, including private insurance, Medicare or Medicaid 31% To look for advice on living with a chronic condition or managing chronic pain 22% To gather information on long-term care for an elderly or disabled person 11% To learn about anti-aging procedures or products 10% To research joint replacement options (e.g., knee or hip replacement) 5% Note: ages 18+; among those who go online for health and wellness information Source: Kantar Media, "MARS 2012 Online Behavior Study," June 1, 2012 151271 www.eMarketer.com 151271 The American Academy of Family Physicians found the internet was playing a more important information role for caregivers than were family and friends or subspecialists, but hadn’t yet surpassed the importance of primary care or other physicians. While there is a wealth of health information available to them, online caregivers still rely on doctors to help them sort out what is best for the people under their care. % of respondents Sources of Health Information According to US Caregivers, March 2012 Physician 63% Primary care physician 60% Internet 57% Family/friends 43% Subspecialist 18% Note: n=241 ages 18+ Source: American Academy of Family Physicians (AAFP), "Seniors and Caregivers" conducted by Harris Interactive, April 24, 2012 142929 www.eMarketer.com 142929 The American Academy of Family Physicians also found that caregivers had a hard time finding information about how to balance work with caregiving (21%), and likewise found it difficult to locate information about depression in older adults (20%) and about how being a caregiver affected their own health (19%), among other topics. % of respondents Top 5 Types of Hard-to-Find Health Information According to US Caregivers, March 2012 Balancing work and caregiving 21% Depression in older adults 20% Caregiver health 19% Prescription drug information for the elderly 17% Assisted living and other housing options for seniors 16% Note: n=241 ages 18+ Source: American Academy of Family Physicians (AAFP), "Seniors and Caregivers" conducted by Harris Interactive, April 24, 2012 142932 www.eMarketer.com 142932 A Growing Demand for Health Information Online
  • 6. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 6 Where Health Consumers Are Going Online—And Why HealthEd Academy, in a survey of healthcare professionals about their patients, found in March 2012 that the top two reasons patients searched for health info online were to learn about their health condition (50%) and available treatment options (35%). Learning about health problems and researching treatments allow patients to become partners with their doctors as they discuss treatment options. % of total Primary Reason that Patients Search for Health Information Online According to Healthcare Professionals* in North America, March 2012 To learn about their health condition 50% To learn about available treatment options 35% To learn about a medication 6% Other 5% Unknown 4% Note: *health education specialists, nurse practitioners, registered dietitians, nurses, certified diabetes educators, patient educators, public health professionals and social workers Source: HealthEd Academy, "Healthcare Extender Lens," July 26, 2012 143924 www.eMarketer.com 143924 Publisher Wolters Kluwer Health found in March 2012 that across all demographic segments, the No. 1 reason people used the internet to seek health information was because they wanted to be better informed about a condition before they visited their physician. The Wolters Kluwer data pointed up some differences among age groups. Younger users, accustomed to accessing content for free and on demand, were more likely than other groups to cite that kind of accessibility as a reason to go online for medical information. % of respondents in each group Reasons for Using the Internet vs. Visiting a Doctor to Seek Medical Information According to US Consumers, by Age, March 2012 To be informed about a condition before doctor's visit Accessibility (free, no office wait times) Internet offers more opinions and treatment options Internet provides just as sound medical advice Would never rely on the internet to diagnose or to treat an illness 18-34 47% 38% 24% 14% 35% 35-54 53% 24% 23% 9% 39% 55+ 43% 23% 20% 18% 51% Total 48% 29% 23% 13% 41% Source: Wolters Kluwer Health, "Q1 Poll: Self-Diagnosis," May 16, 2012 142798 www.eMarketer.com 142798 Wolters Kluwer also found that a majority of consumers (67%) believed that online medical information had made them better-informed consumers of healthcare. Only 25% said it had no impact, and a very small percentage, 3%, said it made them less informed. The results suggest a significant level of trust in the information being accessed online. % of total Impact of Access to Online Medical Information According to US Consumers, March 2012 Better informed 67% Less informed 3% Misinformed 4% No impact 25% Don't know 1% Note: ages 18+ Source: Wolters Kluwer Health, "Q1 Poll: Self-Diagnosis," May 16, 2012 142796 www.eMarketer.com 142796 When it comes to finding specific health information—in this case prescription drug information—US internet users turned to general health sites (66%), but also to nonprofit or government sites (66%), according to a survey by publisher Rodale Inc. Interestingly, Wikipedia was a popular resource for prescription drug information for 44% of respondents, despite the fact that many pharmaceutical companies have chosen not to post information on Wikipedia because of regulatory and legal considerations.
  • 7. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 7 % of respondents Most Useful Sites for Online Prescription Medicine Information According to US Internet Users, May 2012 General health site 66% Nonprofit or government site 66% Wikipedia 44% Rx brand site 44% Patient community sites 40% Medicine rating site 36% Video site (such as YouTube) 32% Health forums, message boards 31% Social networking site (such as Facebook) 20% Health blog 20% Note: among respondents who go online for prescription medicine information Source: Rodale Inc., "2012 Direct to Consumer Survey, Wave 15," July 18, 2012 145603 www.eMarketer.com 145603 According to Experian Hitwise, the top online health sites by share of US internet user site visits in December 2012 were WebMD and Yahoo! Health. Both consistently were among the top health websites throughout 2012. Top 10 Health and Medical Websites Among US Internet Users, Ranked by Market Share of Visits, Dec 2012 1. WebMD 9.6% 2. Yahoo! Health 9.0% 3. Drugs.com 4.2% 4. MayoClinic.com 3.9% 5. Everyday Health 3.5% 6. Healthgrades 3.1% 7. MedicineNet 3.0% 8. QualityHealth.com2.0% 9. HealthHeadlines.com1.8% 10. Centers for Disease Control and Prevention1.4% Source: Experian Hitwise as cited by Marketing Charts, Jan 8, 2013 149999 www.eMarketer.com 149999 Information gathered online by health information seekers is used offline, particularly when those seekers are talking to their physicians. The Rodale survey found that the leading sources of information for consumers when talking to their doctor about a specific condition were online health sites (50%), but trailing close behind were doctor office brochures (49%) and direct-to-consumer (DTC) ads (44%). Rodale’s results illustrate the multichannel nature of health information, showing that consumers are checking data online and referring to it with health professionals in person. % of respondents Select Information Sources US Consumers Use When Talking to Their Doctor About a Condition, May 2012 Online health sites 50% Doctor office brochures 49% DTC ads 44% Magazines 42% TV 42% Pharma brand 36% Health insurance 34% Patient community sites 29% Newspapers 29% Note: among respondents who talked to their doctor about a condition Source: Rodale Inc., "2012 Direct to Consumer Survey, Wave 15," July 18, 2012 145602 www.eMarketer.com 145602 A list of the top online conditions searched for by US consumers reflects the nation’s health concerns. Google reported that the three leading health conditions searched for in 2012 were cancer, diabetes and depression.According to Cancer Figures and Facts, it is estimated that 1.6 million new cases of cancer were diagnosed in the US in 2012.As for diabetes, the International Diabetes Federation estimates there were 24.1 million diabetics in the US in 2012, with another 6.7 million people thought to have undiagnosed diabetes. Top 10 US Health Condition Search Terms on Google, Ranked by Search Volume, 2012 1. Cancer 2. Diabetes 3. Depression 4. Acne 5. Herpes 6. Back pain 7. Burns 8. Breast cancer 9. Autism 10. Diarrhea Source: Google, Dec 11, 2012 149757 www.eMarketer.com 149757 Google’s ranking of health-related search terms by health symptoms yields slightly different results, with the most common search in 2012 being symptoms of pregnancy, followed by symptoms of diabetes and flu. Since women are Where Health Consumers Are Going Online—And Why
  • 8. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 8 the primary seekers of health information, it is not surprising that pregnancy was the leading health symptom search term. Top 10 US Health Symptom Search Terms on Google, Ranked by Search Volume, 2012 1. Pregnancy symptoms 2. Diabetes symptoms 3. Flu symptoms 4. UTI symptoms 5. Mono symptoms 6. Strep throat symptoms 7. HIV symptoms 8. Lupus symptoms 9. Heart attack symptoms 10. Lyme disease symptoms Source: Google, Dec 11, 2012 149758 www.eMarketer.com 149758 The Role of Pharmaceutical Sites Pharma product and disease-state websites play an important role in the search for online health information and can directly lead to patients asking for specific treatment options. A June 2012 comScore report found that the primary reason consumers used pharma-sponsored websites was to find information about adverse effects or other information on specific prescription drugs.Some consumers also went to branded drug websites to get co-pay discount cards for their prescriptions. The comScore data also showed a correlation between visits to branded prescription drug websites and lifts in both brand awareness and favorability. In fact, consumers who visited a branded website showed an increase in aided and unaided brand awareness. Even though pharma-sponsored sites were being used for information specific to medications and their side effects, comScore also found that 23% of consumers were skeptical of the information on these websites and 16% were skeptical of information on government websites. comScore’s analysis was that consumers are becoming more and more aware of a treatment’s risk/benefit tradeoff. Doctor Still Seems to Know Best For all of the internet’s growth and its popularity as a source of health information, it’s not the primary source of health information upon which the majority of consumers in the US make healthcare decisions. Consumers still believe their physician to be the most important source of healthcare information, according to Kantar Media data. In a survey of US consumers between January and April 2012, 78% cited physicians as an important source of information, while 60% cited traditional media.The internet ranked well below, at 41%. Still, that was a 7-point increase from 2008. % of respondents Healthcare Information Sources that Are Important to US Consumers, 2008-2012 2008 76% 64% 34% 2009 77% 65% 39% 2010 78% 64% 40% 2011 77% 65% 40% 2012 78% 60% 41% Healthcare professionals Traditional media Internet Note: among respondents who chose "very important" and "somewhat important" Source: Kantar Media, "How Do They Really Feel? Consumers' Behaviors and Attitudes Toward Healthcare Advertising," June 11, 2012 146214 www.eMarketer.com 146214 Similarly, RxAlly, a network of community pharmacies in the US, found in September 2012 that the most trusted sources of information for US internet users when making healthcare decisions were doctors (72%). It’s worth noting that friends and family scored well above the internet in this survey. Where Health Consumers Are Going Online—And Why
  • 9. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 9 % of respondents Most Trusted Sources of Information When Making Healthcare Decisions According to US Internet Users, Sep 2012 Doctors 72% Friends/family 36% Spouses or significant others 36% Internet 22% Pharmacists 18% Note: ages 18+ Source: RxAlly as cited in press release, Oct 9, 2012 146840 www.eMarketer.com 146840 Even among those who look to the internet for health information, there is a desire for an “official” source. Deloitte reported in February 2012 that the web sites of physician groups or medical practices were US internet users’ most trusted sources for treatment information.That was followed by academic medical and teaching hospitals that maintain health information sites for consumers. Social sites and blogs, as well as general health sites, scored far lower on trustworthiness. % of respondents Sources that US Internet Users Trust for Treatment Information on a Health Condition, Feb 2012 Physician group/medical practice Academic medical centers/teaching hospitals Medical associations/societies Community hospitals Pharmacies US Department of Health and Human Services (HHS) Independent health-related websites US Food and Drug Administration (FDA) State Departments of Health and Human Services Health insurance companies/health plans Internet search engines/general reference sites Pharmaceutical, biotech or medical device/product manufacturers Employers (e.g., health benefits office, human resources office) Blogs or websites that address specific health issues or connect people with similar health conditions Social networking sites 44% 38% 37% 30% 27% 26% 24% 22% 22% 14% 14% 12% 12% 11% 5% Note: 8-10 on a 10-point scale where 10 is "completely trust" Source: Deloitte, "2012 Survey of US Health Care Consumers: Five-Year Look Back," Dec 14, 2012 150772 www.eMarketer.com 150772 Conclusions As the cost of doctor visits continues to increase, the internet is becoming increasingly important for seekers of health-related information. However, healthcare professionals remain the principal source of credible health information and treatment options. eMarketer expects the use of digital media will play a more significant role over time, as consumers become more web savvy and older users take a more active role in their healthcare. Women are the primary users of online health information. As the self-professed healthcare managers of their families, moms are especially high users. Whether moms or not, women tend to be more proactive when it comes to researching healthcare online and spend more time than men researching health on the internet. Online seekers of health information tend to be better educated. Because of the complexity and abundance of health information online, consumers with some degree of higher education search for health information online more than those who have never been to college. The primary reason that patients search for health information online is to learn about specific health conditions and treatment options. Patients want to maximize their time with their doctor when discussing their healthcare, and the internet has an important part to play in that discussion. Patients, though, still trust physicians to recommend what is best for them. Health sites are the No. 1 destination for seekers of health information online. However, pharma firms’ product websites also play an important role in driving treatment recommendations, and physicians’ sites are considered the most credible. Caregivers have special needs when it comes to online health information. They want information on medical insurance, how to live with chronic conditions, and topics like balancing work and their responsibilities as caregivers. Doctor Still Seems to Know Best
  • 10. Online Health Information Seekers: Internet Use Grows, But Doctors’ Orders Still Apply Copyright ©2013 eMarketer, Inc. All rights reserved. 10 eMarketer Interviews Mobile is the ‘Remote Control’ for Online Health Information Erin Byrne Executive Vice President, Managing Partner and Chief Engagement Officer Grey Healthcare Group Interview conducted on January 18, 2013 Mobile, Social Rejuvenate Online Health Searching Kate Drummond Media Partner Greater Than One Interview conducted on January 25, 2013 Jan Dunlop Manager of Marketing Services Drugs.com Interview conducted on January 15, 2013 Paul Wager Chief Operating Officer Drugs.com Interview conducted on January 15, 2013 Related eMarketer Reports The Mobile-Social Mom: Speeding the Trend Toward ‘Mobile First’ Related Links AARP American Academy of Family Physicians BabyCenter Cancer Figures and Facts comScore Inc. Deloitte Employee Benefit Research Institute Enspektos Experian Hitwise Family Caregiver Alliance Google Harris Interactive HealthEd Academy International Diabetes Foundation Kantar Media Loyola University Media Center Manhattan Research National Center for Health Statistics Network of Libraries of Medicine Pew Internet & American Life Project Rodale Inc. RxAlly Smith & Jones US Census Bureau Wolters Kluwer Health Editorial and Production Contributors Cliff Annicelli Senior Editor Kaitlin Carlin Copy Editor Joanne DiCamillo Senior Production Artist Stephanie Gehrsitz Senior Production Artist Dana Hill Director of Production Nicole Perrin Associate Editorial Director Allie Smith Director of Charts