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1	
  
	
  
50 million Tweets per day
350 million Facebook Users (70% Outside the US)
Facebook Now Drives More Traffic to Web Sites than Google
11 million European Linkedin Users in Europe
70% of Bloggers are Organically Talking About Brands on their Blogs
Whenever someone logs on to a Computer, 60% of the Time it’s for Social
Reasons
Pharmaceutical Companies Are Not Yet a Meaningful Part of the
Conversation!
Should They Be?
April	
  10	
  
Olivier	
  LAURENT	
  	
  
www.Health2Europe.com	
  
www.Coliganegroup.com	
  
	
  
2	
  
	
  
Pharmaceutical Companies Are Not Yet a Meaningful
Part of the Conversation!
Should They Be?
	
  
Table of Contents
	
  
Introduction................................................................................................................................................. 3	
  
What	
  is	
  social	
  media?.................................................................................................................................. 3	
  
Non	
  Parma	
  Involvement.............................................................................................................................. 8	
  
Is	
  there	
  a	
  Problem?...................................................................................................................................... 8	
  
What	
  is	
  Being	
  Said? ..................................................................................................................................... 8	
  
So	
  how	
  is	
  the	
  Pharmaceutical	
  Companies	
  Participating?............................................................................ 9	
  
Pharma	
  and	
  Twitter................................................................................................................................... 11	
  
What	
  To	
  Do................................................................................................................................................ 12	
  
Social	
  Media	
  Listening	
  Apps ...................................................................................................................... 12	
  
Designing	
  a	
  Social	
  Media	
  Program	
  That	
  Makes	
  Sense .............................................................................. 15	
  
Conclusion ................................................................................................................................................. 18	
  
3	
  
	
  
Pharmaceutical Companies Are Not Yet a Meaningful
Part of the Conversation!
Should They Be?
by	
  Olivier	
  LAURENT	
  (CEO	
  Coligane	
  group).	
  
Introduction	
  
	
  
We	
  live	
  in	
  a	
  world	
  where	
  consumers	
  are	
  deeply	
  engaged	
  when	
  it	
  comes	
  to	
  their	
  health.	
  As	
  
consumers	
  search	
  online	
  to	
  educate	
  themselves	
  about	
  disease	
  states,	
  cures,	
  drug	
  
information	
  and	
  support,	
  there’s	
  one	
  common	
  truth:	
  they	
  trust	
  discussions	
  with	
  other	
  
consumers	
  when	
  it	
  comes	
  to	
  information	
  on	
  their	
  health.	
  
	
  
This	
  presents	
  both	
  a	
  challenge	
  and	
  an	
  opportunity	
  for	
  pharmaceutical	
  companies	
  to	
  gain	
  
consumer	
  trust	
  and	
  loyalty,	
  especially	
  in	
  this	
  age	
  of	
  multimedia.	
  However,	
  if	
  
pharmaceutical	
  companies	
  can	
  join	
  in	
  the	
  conversation	
  –	
  known	
  as	
  social	
  media	
  –	
  then	
  they	
  
have	
  an	
  opportunity	
  to	
  gain	
  this	
  trust.	
  
	
  
Yesterday,	
  brands	
  told	
  stories.	
  Today,	
  consumers	
  tell	
  stories	
  about	
  your	
  brands.	
  
Pharmaceutical	
  companies	
  that	
  work	
  to	
  incorporate	
  social	
  media	
  as	
  part	
  of	
  their	
  long-­‐term	
  
marketing	
  vision	
  will	
  start	
  to	
  create	
  the	
  foundations	
  toward	
  earning	
  their	
  seat	
  at	
  the	
  table	
  
to	
  participate	
  and	
  listen	
  to	
  these	
  high-­‐value	
  conversations	
  about	
  their	
  brands.	
  
What	
  is	
  social	
  media?	
  
	
  
Social	
  media	
  is	
  collaborative	
  communication	
  that	
  is	
  fueled	
  by	
  technology.	
  It	
  empowers	
  
individuals,	
  groups	
  and	
  institutions	
  to	
  actively	
  participate	
  in	
  creating,	
  finding,	
  using,	
  
sharing	
  and	
  expanding	
  content	
  (opinions,	
  experiences,	
  insights	
  and	
  media)	
  together.	
  Social	
  
media	
  let’s	
  people	
  have	
  a	
  conversation	
  about	
  the	
  ideas	
  we	
  care	
  about.	
  
	
  
According	
  to	
  the	
  Pew	
  Internet	
  and	
  American	
  Life	
  Project,	
  not	
  only	
  do	
  people	
  use	
  the	
  
Internet	
  to	
  seek	
  information	
  about	
  healthcare	
  options,	
  but	
  also	
  people	
  with	
  chronic	
  
illnesses	
  are	
  more	
  likely	
  to	
  access	
  and	
  act	
  on	
  information	
  they	
  get	
  from	
  the	
  Internet.	
  If	
  
people	
  are	
  moving	
  to	
  the	
  web	
  to	
  get	
  this	
  information,	
  and	
  pharmaceutical	
  companies	
  don’t	
  
join	
  in,	
  then	
  they	
  are	
  leaving	
  their	
  brand	
  to	
  be	
  shaped	
  almost	
  entirely	
  by	
  outside	
  forces	
  
with	
  zero	
  control	
  of	
  their	
  message.	
  
4	
  
	
  
Generally	
  speaking,	
  what	
  someone	
  suffering	
  from	
  an	
  illness	
  wants	
  is	
  information.	
  Patients	
  
want	
  information.	
  	
  Pharma	
  holds	
  much	
  of	
  the	
  information.	
  	
  Pharma	
  has	
  a	
  unique	
  ability	
  to	
  
educate	
  patients	
  as	
  much	
  as	
  possible.	
  
	
  
	
  
	
  
	
  
Social	
  media	
  includes	
  what’s	
  referred	
  to	
  as	
  user	
  generated	
  content	
  (UGC),	
  which	
  is	
  
produced	
  by	
  “ordinary	
  people”	
  as	
  opposed	
  to	
  traditional	
  media	
  producers.	
  Examples	
  of	
  
UGC	
  include	
  blogs,	
  podcasts,	
  tagging,	
  ratings,	
  videos	
  and	
  photos.	
  In	
  fact,	
  75%	
  of	
  all	
  online	
  
adult	
  consumers	
  and	
  92%	
  of	
  online	
  youth	
  use	
  one	
  or	
  more	
  forms	
  of	
  UGC	
  content.	
  Self-­‐
expression	
  isn’t	
  new,	
  but	
  technology	
  has	
  made	
  it	
  easier	
  to	
  reach	
  wider	
  audiences.Social	
  
5	
  
	
  
media	
  enables	
  communities	
  to	
  more	
  easily	
  form	
  and	
  stay	
  connected,	
  which	
  radically	
  
increases	
  the	
  speed	
  and	
  force	
  of	
  change.	
  
	
  
Social	
  media	
  is	
  a	
  broad	
  cultural	
  revolution	
  -­‐	
  not	
  an	
  exclusive	
  domain	
  of	
  teenagers	
  on	
  a	
  site	
  
like	
  Myspace	
  or	
  Facebook.	
  Because	
  of	
  this,	
  consumers	
  now	
  expect	
  (and	
  almost	
  demand)	
  
collaboration	
  and	
  participation	
  in	
  virtually	
  every	
  aspect	
  of	
  their	
  lives.	
  As	
  an	
  example,	
  more	
  
people	
  voted	
  on	
  the	
  last	
  American	
  Idol	
  finale	
  than	
  have	
  ever	
  voted	
  in	
  a	
  presidential	
  
election.	
  How	
  is	
  this	
  possible?	
  	
  
Through	
  the	
  ease	
  of	
  picking	
  up	
  a	
  mobile	
  device	
  and	
  sending	
  a	
  text	
  message	
  from	
  any	
  place	
  
at	
  any	
  time.	
  
	
  
In	
  healthcare,	
  adoption	
  has	
  been	
  accelerated	
  as	
  consumers	
  are	
  fed	
  by	
  the	
  inherent	
  trust	
  
that	
  social	
  media	
  provides.	
  At	
  this	
  very	
  moment,	
  more	
  than	
  500	
  groups	
  on	
  Yahoo!	
  are	
  
dedicated	
  to	
  just	
  speaking	
  on	
  the	
  subject	
  of	
  diabetes	
  with	
  approximately	
  25,000	
  consumers	
  
participating;	
  there	
  are	
  33,112	
  photos	
  on	
  flickr,	
  a	
  photo	
  sharing	
  site,	
  that	
  have	
  been	
  tagged	
  
as	
  “cancer”	
  related;	
  and	
  1,745	
  questions	
  about	
  asthma	
  have	
  been	
  posted	
  on	
  Yahoo!	
  
Answers,	
  a	
  site	
  where	
  consumers	
  can	
  ask	
  a	
  question	
  on	
  any	
  topic	
  and	
  get	
  answers	
  from	
  
real	
  people.	
  With	
  this	
  shift,	
  consumers	
  have	
  gone	
  from	
  listening	
  to	
  you	
  –	
  Parma,	
  to	
  having	
  
conversations	
  with	
  others	
  about	
  you.	
  
	
  
To	
  succeed	
  in	
  this	
  new	
  world,	
  companies	
  must	
  leverage	
  social	
  media	
  to	
  have	
  conversations	
  
with	
  customers	
  at	
  scale.	
  
	
  
	
  
6	
  
	
  
	
  
	
  
	
  
According	
  to	
  The	
  Nielsen	
  Company,	
  global	
  consumers	
  spent	
  more	
  than	
  five	
  and	
  half	
  hours	
  
on	
  social	
  networking	
  sites	
  like	
  Facebook	
  and	
  Twitter	
  in	
  December	
  2009,	
  an	
  82%	
  increase	
  
from	
  the	
  same	
  time	
  last	
  year	
  when	
  users	
  were	
  spending	
  just	
  over	
  three	
  hours	
  on	
  social	
  
networking	
  sites.	
  	
  Social	
  networks	
  and	
  blogs	
  are	
  the	
  most	
  popular	
  online	
  category	
  when	
  
ranked	
  by	
  average	
  time	
  spent	
  in	
  December,	
  followed	
  by	
  online	
  games	
  and	
  instant	
  
messaging.	
  
Facebook	
  was	
  the	
  No.	
  1	
  global	
  social	
  networking	
  destination	
  in	
  December	
  2009;	
  67%	
  of	
  
global	
  social	
  media	
  users	
  visited	
  the	
  site	
  during	
  the	
  month,	
  spending	
  nearly	
  six	
  hours	
  per	
  
month	
  on	
  the	
  site.	
  Twitter.com	
  continued	
  as	
  the	
  fastest	
  growing	
  in	
  December	
  2009	
  in	
  
terms	
  of	
  unique	
  visitors,	
  increasing	
  579%	
  year-­‐over-­‐year,	
  from	
  2.7	
  million	
  unique	
  visitors	
  
in	
  December	
  2008	
  to	
  18.1	
  million	
  in	
  December	
  2009.	
  
	
  
7	
  
	
  
	
  
	
  
	
  
	
  
While	
  technology	
  has	
  been	
  the	
  enabler,	
  it	
  is	
  ultimately	
  people	
  that	
  are	
  the	
  driving	
  force	
  
behind	
  social	
  media.	
  As	
  more	
  people	
  contribute,	
  the	
  content	
  gets	
  richer	
  and	
  the	
  
engagement	
  becomes	
  more	
  powerful.	
  For	
  example,	
  think	
  about	
  medications.	
  
Drugs	
  could	
  be	
  rated,	
  ranked,	
  discussed	
  and	
  reviewed	
  by	
  millions	
  online	
  -­‐	
  much	
  like	
  books	
  
on	
  Amazon.	
  But	
  with	
  this	
  fundamental	
  change	
  in	
  media	
  comes	
  the	
  new	
  challenges	
  of	
  
marketing	
  to	
  this	
  empowered	
  online	
  audience.	
  
	
  
Social	
  media	
  marketing	
  is	
  a	
  compelling	
  opportunity	
  for	
  pharmaceutical	
  companies	
  to	
  reach	
  
their	
  most	
  influential	
  audience.	
  Recent	
  research	
  conducted	
  by	
  Manhattan-­‐based	
  Hall	
  and	
  
Partners	
  Healthcare	
  found	
  that	
  online	
  health	
  consumers	
  are	
  hyper-­‐engaged	
  and	
  leverage	
  
almost	
  twice	
  as	
  many	
  information	
  sources	
  to	
  learn	
  about	
  disease	
  states	
  and	
  prescriptions	
  
than	
  the	
  average	
  consumer.	
  Additionally,	
  75%	
  of	
  consumers	
  that	
  participate	
  in	
  UGC	
  often	
  
share	
  online	
  health	
  information	
  with	
  others.	
  Even	
  between	
  “typical	
  users,”	
  interaction	
  with	
  
the	
  most	
  passive	
  of	
  social	
  media	
  tools,	
  online	
  search	
  -­‐	
  which	
  is	
  driven	
  in	
  large	
  part	
  by	
  
consumers’	
  anonymous	
  choice	
  of	
  the	
  most	
  popular	
  results	
  and	
  destinations	
  –	
  shows	
  that	
  
health	
  searchers	
  crave	
  information	
  and	
  interaction.	
  
Additional	
  information	
  from	
  the	
  study	
  showed	
  the	
  habits	
  of	
  consumers	
  searching	
  online	
  for	
  
health	
  information	
  differ	
  significantly	
  from	
  their	
  non-­‐searching	
  counterparts.	
  Online	
  
searchers	
  are	
  so	
  engaged	
  that	
  they	
  look	
  for	
  information	
  on	
  more	
  than	
  just	
  one	
  condition	
  
and	
  seek	
  to	
  learn	
  about	
  multiple	
  conditions	
  and	
  symptoms.	
  They	
  also	
  spend	
  more	
  time	
  on	
  
search	
  engines	
  (68%)	
  and	
  health	
  sites	
  (51%)	
  than	
  with	
  family	
  and	
  friends	
  (18%)	
  to	
  seek	
  
information	
  about	
  symptoms,	
  diagnosis	
  and	
  prescriptions.	
  
With	
  the	
  interaction	
  of	
  UGC,	
  search	
  and	
  personalization,	
  global	
  health	
  communities	
  are	
  
growing	
  into	
  powerful	
  forces.	
  These	
  communities	
  are	
  built	
  around	
  people	
  with	
  a	
  common	
  
purpose	
  that	
  want	
  to	
  participate,	
  be	
  heard	
  and	
  discover	
  information	
  that	
  is	
  relevant	
  to	
  
their	
  interests.	
  For	
  every	
  creator	
  of	
  content	
  –	
  a	
  physician	
  writing	
  a	
  blog,	
  for	
  example	
  –	
  
there	
  are	
  roughly	
  10	
  synthesizers	
  actively	
  commenting,	
  sharing,	
  rating	
  and	
  reacting.	
  For	
  
each	
  group	
  of	
  synthesizers,	
  roughly	
  100	
  consumers	
  read,	
  watch,	
  listen	
  and	
  enjoy	
  while	
  
participating	
  only	
  occasionally.	
  All	
  three	
  of	
  these	
  groups	
  have	
  a	
  valid	
  place	
  within	
  the	
  
community.	
  
	
  
8	
  
	
  
Non	
  Parma	
  Involvement	
  
	
  
PR	
  firm	
  Burson-­‐Marsteller	
  studied	
  the	
  100	
  largest	
  companies	
  in	
  the	
  Fortune	
  500	
  list	
  and	
  
found	
  that	
  79%	
  of	
  then	
  use	
  Twitter,	
  Facebook,	
  YouTube	
  or	
  corporate	
  blogs	
  to	
  communicate	
  
with	
  customers	
  and	
  other	
  stakeholders.	
  	
  
Twitter	
  is	
  the	
  most	
  popular	
  platform	
  that	
  the	
  companies	
  use;	
  two-­‐thirds	
  of	
  the	
  Fortune	
  100	
  
has	
  at	
  least	
  one	
  Twitter	
  account.	
  Actually,	
  they	
  have	
  an	
  average	
  of	
  4.2	
  Twitter	
  accounts.	
  
Fifty-­‐four	
  percent	
  have	
  at	
  least	
  one	
  Facebook	
  fan	
  page,	
  50%	
  have	
  at	
  least	
  one	
  YouTube	
  
channel,	
  and	
  33%	
  have	
  at	
  least	
  one	
  corporate	
  blog.	
  Twenty	
  percent	
  of	
  the	
  companies	
  use	
  
all	
  four	
  social	
  media	
  platforms.	
  
Is	
  there	
  a	
  Problem?	
  
	
  
Researchers	
  found	
  that	
  among	
  more	
  than	
  75,000	
  Massachusetts	
  patients	
  given	
  drug	
  
prescriptions	
  over	
  one	
  year,	
  22	
  percent	
  of	
  the	
  prescriptions	
  were	
  never	
  filled.	
  The	
  rate	
  was	
  
even	
  higher	
  -­‐-­‐	
  28	
  percent	
  -­‐-­‐	
  when	
  the	
  researchers	
  looked	
  only	
  at	
  first-­‐time	
  prescriptions.	
  
What	
  is	
  significant	
  is	
  that	
  between	
  28%	
  and	
  31%	
  of	
  new	
  prescriptions	
  for	
  diabetes,	
  high	
  
blood	
  pressure	
  and	
  high	
  cholesterol,	
  went	
  unfilled,	
  according	
  to	
  findings	
  published	
  in	
  the	
  
Journal	
  of	
  General	
  Internal	
  Medicine.	
  
What	
  is	
  Being	
  Said?	
  
	
  
A	
  small	
  fraction	
  of	
  the	
  social	
  media	
  landscape	
  is	
  talking	
  about	
  pharmaceutical	
  
products	
  (see	
  data	
  in	
  appendix).	
  
a. For	
  example,	
  the	
  average	
  #	
  of	
  Lipitor	
  blog	
  posts	
  for	
  the	
  week	
  of	
  Feb	
  4,	
  2010	
  
was	
  0.0025	
  percent	
  of	
  all	
  posts.	
  
b. The	
  number	
  of	
  Lipitor	
  tweets	
  on	
  March	
  2,	
  2010	
  was	
  381.	
  Of	
  these	
  about	
  ¼	
  
related	
  to	
  purchasing	
  Lipitor,	
  ½	
  related	
  to	
  negative	
  comments	
  with	
  the	
  
remainder	
  having	
  questions	
  about	
  use	
  of	
  the	
  product.	
  
	
  
Most	
  of	
  the	
  “buzz”	
  is	
  one-­‐way	
  and	
  not	
  very	
  supportive	
  of	
  Pharma	
  brand	
  and	
  product	
  
objectives.	
  
	
  
9	
  
	
  
	
  
So	
  how	
  is	
  the	
  Pharmaceutical	
  Companies	
  Participating?	
  
	
  
This	
  emerging	
  paradigm	
  is	
  challenging	
  Pharmaceutical	
  companies	
  to	
  stretch	
  beyond	
  their	
  
present	
  cultural	
  patterns.	
  Pharmaceutical	
  companies	
  are	
  cautiously	
  moving	
  into	
  the	
  
communications	
  equivalent	
  of	
  a	
  black	
  hole:	
  social	
  media	
  (also	
  known	
  as	
  Web/Health	
  2.0	
  or	
  
participatory	
  medicine).	
  Some	
  companies	
  (primarily	
  in	
  the	
  United	
  States)	
  are	
  dabbling	
  in	
  
blogs,	
  non-­‐branded	
  websites	
  and	
  Facebook	
  pages;	
  others	
  are	
  writing	
  text	
  messages	
  on	
  
Twitter	
  and	
  posting	
  videos	
  to	
  YouTube.	
  
	
  
An	
  example	
  held	
  out	
  as	
  a	
  shining	
  example	
  –	
  yet	
  the	
  numbers	
  are	
  still	
  paltry:	
  
J&J	
  
This	
  is	
  why	
  J&J’s	
  digital	
  footprint	
  is	
  unrivaled	
  in	
  the	
  industry.	
  The	
  list	
  of	
  examples	
  is	
  
impressive	
  and,	
  better	
  still,	
  most	
  of	
  the	
  above	
  brand	
  properties	
  link	
  to	
  one	
  another,	
  
improving	
  site	
  traffic	
  and	
  the	
  brand’s	
  overall	
  search	
  performance.	
  Here	
  is	
  a	
  list	
  of	
  
accomplishments:	
  
• An	
  influential	
  corporate	
  blog	
  (JNJ	
  BTW)	
  
• 1,196	
  YouTube	
  subscribers	
  
• 1,743	
  Twitter	
  followers	
  @JNJComm	
  
• Accuminder	
  Facebook	
  application	
  	
  	
  
• Multiple	
  Facebook	
  pages	
  targeting	
  specific	
  audiences,	
  consumer	
  products	
  and	
  
conditions	
  
• Camp	
  Baby	
  hosted	
  50	
  mommy	
  bloggers	
  for	
  a	
  2-­‐day	
  conference	
  
YET	
  
If	
  one	
  thinks	
  of	
  the	
  size	
  of	
  J&J	
  and	
  the	
  number	
  of	
  people	
  that	
  use	
  their	
  products	
  –	
  those	
  
numbers	
  are	
  far	
  from	
  impressive	
  –	
  in	
  fact	
  they	
  are	
  shockingly	
  low.	
  So	
  even	
  though	
  J	
  &	
  J	
  is	
  
involved,	
  the	
  public	
  still	
  does	
  not	
  see	
  them	
  as	
  a	
  partner	
  in	
  the	
  conversation.	
  
Examples	
  of	
  pharma	
  companies	
  in	
  the	
  US	
  using	
  social	
  media	
  tools	
  are	
  many.	
  Merck	
  uses	
  
Facebook	
  to	
  promote	
  Gardasil,	
  its	
  cervical	
  cancer	
  vaccine;	
  Bayer	
  Aspirin	
  has	
  a	
  Facebook	
  
page	
  for	
  women;	
  McNeil	
  has	
  an	
  adults-­‐with-­‐ADHD	
  awareness	
  page;	
  YouTube	
  has	
  hosted	
  
promotional	
  videos	
  such	
  as	
  GlaxoSmithKline's	
  restless-­‐legs	
  awareness	
  film	
  and	
  spots	
  for	
  
10	
  
	
  
AstraZeneca's	
  asthma	
  medicine	
  Symbicort;	
  Reckitt	
  Benckiser	
  has	
  used	
  MySpace	
  to	
  
distribute	
  advice	
  on	
  kicking	
  the	
  prescription	
  painkiller	
  habit	
  and	
  Pfizer	
  has	
  a	
  Chantix	
  
Support	
  Group	
  on	
  drug.com,	
  for	
  tobacco	
  patch	
  users	
  who	
  are	
  trying	
  to	
  quit	
  smoking.	
  
Pfizer,	
  GSK,	
  Merck,	
  Bayer,	
  J&J,	
  AstraZeneca	
  etc	
  are	
  also	
  now	
  joining	
  these	
  communities	
  to	
  
initiate	
  a	
  meaningful	
  dialogue	
  with	
  important	
  stakeholders.	
  Some	
  of	
  these	
  companies	
  have	
  
already	
  created	
  un-­‐branded	
  sites	
  like,	
  silenceyourrooster.com	
  or	
  iwalkbecause.org,	
  to	
  
foster	
  relationship	
  with	
  patients'	
  group	
  through	
  online	
  activity,	
  the	
  contents	
  of	
  which	
  have	
  
been	
  generated	
  by	
  the	
  users	
  themselves	
  of	
  the	
  respective	
  social	
  medium.	
  With	
  the	
  help	
  of	
  
click-­‐through	
  links	
  these	
  sites	
  lead	
  to	
  the	
  branded	
  sites	
  of	
  the	
  concerned	
  companies.	
  
	
  
For	
  pharmaceutical	
  marketers,	
  it	
  is	
  crucial	
  to	
  engage	
  the	
  creators	
  and	
  synthesizers,	
  known	
  
as	
  consumer	
  opinion	
  leaders	
  (COLs)	
  in	
  the	
  communities	
  important	
  to	
  your	
  customers.	
  Like	
  
physician	
  key	
  opinion	
  leaders,	
  they	
  have	
  a	
  voice,	
  which	
  is	
  multiplied	
  by	
  their	
  community	
  
influence.	
  
For	
  example,	
  on	
  Yahoo!	
  Answers,	
  “Nurse	
  Annie”	
  is	
  a	
  21+-­‐year	
  registered	
  nurse	
  that	
  has	
  
answered	
  over	
  3,000	
  questions	
  correctly	
  from	
  curious	
  consumers.	
  Although	
  she	
  is	
  involved	
  
in	
  the	
  medical	
  community,	
  Nurse	
  Annie	
  has	
  now	
  become	
  a	
  COL	
  for	
  many	
  everyday	
  folks	
  
that	
  are	
  looking	
  for	
  more	
  information	
  and	
  the	
  human	
  touch	
  that	
  can’t	
  be	
  found	
  from	
  typing	
  
keywords	
  into	
  a	
  search	
  box.	
  
Pharmaceutical	
  marketers	
  don’t	
  need	
  to	
  retreat	
  from	
  social	
  media	
  and	
  hide	
  behind	
  a	
  wall	
  
of	
  adverse	
  event	
  forms.	
  Just	
  as	
  we	
  have	
  built	
  communities	
  of	
  physicians	
  who	
  speak	
  openly	
  
with	
  each	
  other	
  about	
  our	
  products,	
  we	
  have	
  an	
  opportunity	
  to	
  nurture	
  and	
  learn	
  from	
  
consumer	
  communities	
  as	
  well.	
  
First,	
  Pharma	
  must	
  listen	
  with	
  intent.	
  Yes,	
  Pharma	
  may	
  have	
  to	
  use	
  the	
  same	
  cumbersome	
  
AE	
  reporting	
  mechanisms,	
  but	
  the	
  benefits	
  of	
  understanding	
  the	
  meaning	
  of	
  your	
  brand	
  to	
  
communities	
  will	
  outweigh	
  the	
  hassle.	
  Analyzing	
  what	
  you	
  hear	
  can	
  reveal	
  a	
  gap	
  in	
  
consumer	
  awareness.	
  What’s	
  more,	
  a	
  number	
  of	
  tools	
  have	
  emerged	
  to	
  help	
  consolidate	
  the	
  
vast	
  array	
  of	
  social	
  media	
  input,	
  from	
  free	
  online	
  evaluators	
  like	
  Intelliseek,	
  to	
  
sophisticated	
  and	
  customized	
  tracking	
  services	
  like	
  Cymfony.	
  
Once	
  marketers	
  have	
  a	
  firm	
  grasp	
  on	
  the	
  language,	
  attitudes,	
  brand	
  perceptions	
  and	
  key	
  
COLs	
  in	
  their	
  consumer	
  community,	
  pharmaceutical	
  company	
  participation	
  can	
  range	
  from	
  
targeted	
  media	
  placement	
  to	
  integration	
  and	
  empowerment.	
  
	
  
	
  
The	
  days	
  when	
  pharmaceutical	
  companies	
  would	
  insist	
  on	
  filling	
  their	
  pipelines	
  with	
  
blockbuster	
  drugs	
  have	
  come	
  and	
  gone.	
  .	
  	
  But	
  more	
  than	
  that,	
  medicine	
  has	
  changed	
  from	
  
chasing	
  mass-­‐market	
  conditions	
  to	
  disease	
  categories	
  that	
  impact	
  a	
  fewer	
  subset	
  of	
  people.	
  	
  
This	
  requires	
  a	
  more	
  personalized	
  approach	
  to	
  treatment.	
  	
  How	
  does	
  this	
  impact	
  
marketing?	
  Marketing	
  has	
  been	
  forced	
  to	
  respond	
  to	
  the	
  shifting	
  pharma	
  landscape	
  and	
  
match	
  its	
  efforts.	
  	
  In	
  a	
  world	
  of	
  personalized	
  medicine,	
  mass	
  marketing	
  efforts	
  now	
  seem	
  to	
  
make	
  less	
  and	
  less	
  sense.	
  	
  Hitting	
  as	
  many	
  eyeballs	
  as	
  possible	
  does	
  little	
  to	
  move	
  the	
  
11	
  
	
  
needle	
  on	
  drug	
  sales	
  of	
  an	
  orphan	
  drug	
  targeted	
  at	
  specific	
  disease	
  states.	
  	
  The	
  same	
  can’t	
  
be	
  said	
  for	
  social	
  media.	
  	
  Social	
  media	
  marketing	
  programs	
  are	
  designed	
  to	
  engage	
  with	
  the	
  
patient	
  at	
  a	
  personal	
  level.	
  	
  By	
  its	
  nature,	
  social	
  media	
  is	
  best	
  suited	
  for	
  a	
  specific	
  audience	
  
with	
  similar	
  interests.	
  	
  The	
  beauty	
  is	
  this	
  is	
  a	
  two-­‐way	
  street.	
  	
  Patients	
  are	
  far	
  more	
  likely	
  to	
  
be	
  engaged	
  in	
  Pharma	
  marketing	
  efforts	
  if	
  it	
  strikes	
  a	
  personal	
  chord.	
  	
  Personalized	
  
medicine	
  necessitates	
  personalized	
  marketing.	
  
Pharma	
  and	
  Twitter	
  
	
  
	
  
	
  
12	
  
	
  
What	
  To	
  Do	
  
	
  
Listen!	
  	
  
The	
  first	
  step	
  is	
  to	
  finds	
  ways	
  to	
  listen	
  to	
  consumers	
  –	
  your	
  present,	
  past	
  and	
  future	
  
customers.	
  The	
  goal	
  is	
  to	
  learn	
  what	
  they	
  are	
  saying	
  about	
  your	
  brand	
  or	
  products,	
  the	
  
competition	
  and	
  the	
  general	
  landscape	
  that	
  your	
  products	
  fit	
  into.	
  
Social	
  Media	
  Listening	
  Apps	
  
	
  
1.	
  Google	
  Alerts	
  Google	
  Alerts	
  is	
  the	
  steady	
  rock	
  in	
  the	
  sometimes	
  white-­‐water	
  world	
  of	
  
monitoring.	
  You	
  can	
  easily	
  target	
  keywords	
  that	
  are	
  important	
  to	
  your	
  brand	
  and	
  receive	
  
streaming	
  or	
  batched	
  reports….	
  I	
  use	
  this	
  regularly	
  to	
  find	
  out	
  the	
  latest	
  noise	
  on	
  a	
  topic	
  or	
  
brand	
  
2.	
  Technorati	
  Billing	
  itself	
  as	
  “the	
  leading	
  blog	
  search	
  engine,”	
  Technorati	
  has	
  been	
  helping	
  
bloggers	
  and	
  those	
  with	
  their	
  fingers	
  on	
  the	
  blog	
  pulse	
  stay	
  informed	
  for	
  years.	
  
3.	
  Jodange	
  Tracking	
  your	
  brand	
  or	
  a	
  product	
  is	
  one	
  thing,	
  but	
  turning	
  that	
  tracking	
  into	
  a	
  
measure	
  of	
  consumer	
  sentiment	
  about	
  your	
  brand	
  or	
  product	
  is	
  something	
  completely	
  
different.	
  For	
  that,	
  Jodange	
  has	
  TOM	
  (Top	
  of	
  Mind),	
  which	
  tracks	
  consumer	
  sentiment	
  
about	
  your	
  brand	
  or	
  product	
  across	
  the	
  Web.	
  
4.	
  Trendrr	
  Want	
  to	
  know	
  how	
  your	
  brand	
  or	
  product	
  is	
  trending	
  compared	
  with	
  others?	
  
Trendrr	
  uses	
  comparison	
  graphing	
  to	
  show	
  relationships	
  and	
  discover	
  trends	
  in	
  real	
  time.	
  
Use	
  the	
  free	
  account,	
  or	
  bump	
  it	
  up	
  to	
  the	
  Enterprise	
  level	
  for	
  more	
  functionality.	
  
5.	
  Lexicon	
  What	
  are	
  people	
  talking	
  about	
  on	
  Facebook?	
  Lexicon	
  searches	
  Facebook	
  walls	
  for	
  
keywords	
  and	
  provides	
  a	
  snapshot	
  of	
  the	
  chatter	
  volume	
  around	
  those	
  terms.	
  
6.	
  Monitter	
  everyone	
  is	
  talking	
  about	
  Twitter,	
  but	
  what	
  are	
  people	
  talking	
  about	
  on	
  Twitter?	
  
Beyond	
  the	
  integrated	
  search	
  of	
  Twitter	
  apps	
  like	
  Twhirl	
  and	
  TweetDeck,	
  Monitter	
  
provides	
  real-­‐time	
  monitoring	
  of	
  the	
  Twittersphere.	
  
7.	
  Tweetburner	
  In	
  the	
  world	
  of	
  Twitter,	
  URL	
  shortening	
  is	
  the	
  Obi-­‐Wan	
  (it’s	
  your	
  only	
  hope)	
  
for	
  effectively	
  connecting	
  with	
  the	
  public.	
  Tweetburner	
  also	
  lets	
  you	
  track	
  the	
  clicks	
  on	
  
those	
  magically	
  shortened	
  links,	
  giving	
  you	
  some	
  hard	
  numbers.	
  
8.	
  Twendz	
  Public	
  relations	
  shop	
  Waggener	
  Edstrom	
  recently	
  launched	
  its	
  Twitter-­‐
monitoring	
  tool,	
  Twendz.	
  The	
  tool	
  piggybacks	
  off	
  Twitter	
  Search	
  to	
  monitor	
  and	
  provide	
  
user	
  sentiment	
  for	
  the	
  real-­‐time	
  Twitterstream—70	
  tweets	
  at	
  a	
  time.	
  
Paid	
  Apps	
  
9.	
  TruCast	
  TruCast	
  by	
  Visible	
  Technologies	
  provides	
  in-­‐depth,	
  keyword-­‐based	
  monitoring	
  
of	
  the	
  social	
  Web	
  with	
  an	
  emphasis	
  on	
  blogs	
  and	
  forums.	
  Its	
  dashboard	
  applications	
  
provide	
  visual	
  representations	
  of	
  sentiment	
  and	
  trends	
  for	
  your	
  brands	
  online.	
  
10.	
  Radian6	
  Radian6	
  pulls	
  information	
  from	
  the	
  social	
  Web,	
  and	
  analyzes	
  and	
  provides	
  
consumer	
  sentiment	
  ratings	
  for	
  your	
  brand	
  
11.	
  Cision	
  When	
  Radian	
  6	
  is	
  paired	
  with	
  Cisionpoint	
  from	
  Cision,	
  Radian	
  6’s	
  dashboard	
  can	
  
provide	
  a	
  wealth	
  of	
  information	
  	
  
13	
  
	
  
12.	
  Techrigy	
  Techrigy’s	
  SM2	
  is	
  a	
  social-­‐media	
  monitoring	
  and	
  analysis	
  solution	
  for	
  PR	
  and	
  
marketing	
  folks.	
  With	
  a	
  focus	
  on	
  complete	
  analysis	
  and	
  comparison,	
  the	
  SM2	
  experience	
  
draws	
  information	
  from	
  all	
  major	
  social-­‐media	
  channels.	
  
13.	
  Collective	
  Intellect	
  Collective	
  Intellect	
  (CI)	
  is	
  a	
  real-­‐time	
  intelligence	
  platform,	
  based	
  on	
  
advanced	
  artificial	
  intelligence.	
  Its	
  solution	
  provides	
  automatic	
  categorization	
  of	
  
conversations	
  based	
  on	
  CI’s	
  proprietary	
  filtering	
  technology.	
  According	
  to	
  CI,	
  its	
  
technologies	
  provide	
  credible	
  groupings	
  and	
  reduce	
  the	
  “noise”	
  seen	
  in	
  other	
  keyword-­‐
based	
  searches.	
  
	
  
This	
  is	
  the	
  changing	
  social	
  media	
  landscape:	
  
• Facebook	
  claims	
  that	
  50%	
  of	
  active	
  users	
  log	
  into	
  the	
  site	
  each	
  day.	
  This	
  would	
  
mean	
  at	
  least	
  175m	
  users	
  every	
  24	
  hours…	
  A	
  considerable	
  increase	
  from	
  the	
  
previous	
  120m.	
  
• Twitter	
  now	
  has	
  75m	
  user	
  accounts,	
  but	
  only	
  around	
  15m	
  are	
  active	
  users	
  on	
  a	
  
regular	
  basis.	
  It’s	
  still	
  a	
  fair	
  increase	
  from	
  the	
  estimated	
  6-­‐10m	
  global	
  users	
  from	
  a	
  
few	
  months	
  ago.	
  
• LinkedIn	
  has	
  over	
  50m	
  members	
  worldwide.	
  This	
  means	
  an	
  increase	
  of	
  around	
  1m	
  
members	
  month-­‐on-­‐month	
  since	
  July/August	
  last	
  year.	
  
• Facebook	
  currently	
  has	
  in	
  excess	
  of	
  350	
  million	
  active	
  users	
  on	
  global	
  basis.	
  Six	
  
months	
  ago,	
  this	
  was	
  250m…	
  meaning	
  around	
  a	
  40%	
  increase	
  of	
  users	
  in	
  less	
  than	
  
half	
  a	
  year.	
  
• Flickr	
  now	
  hosts	
  more	
  than	
  4bn	
  images.	
  A	
  massive	
  jump	
  from	
  the	
  previous	
  3.6bn	
  I	
  
wrote	
  about.	
  
• More	
  than	
  35m	
  Facebook	
  users	
  update	
  their	
  status	
  each	
  day.	
  This	
  is	
  5m	
  more	
  than	
  
towards	
  the	
  end	
  of	
  July	
  2009.	
  
• Wikipedia	
  currently	
  has	
  in	
  excess	
  of	
  14m	
  articles,	
  meaning	
  that	
  its	
  85,000	
  
contributors	
  have	
  written	
  nearly	
  a	
  million	
  new	
  posts	
  in	
  six	
  months.	
  
• Photo	
  uploads	
  to	
  Facebook	
  have	
  increased	
  by	
  more	
  than	
  100%.	
  Currently,	
  there	
  are	
  
around	
  2.5bn	
  uploads	
  to	
  the	
  site	
  each	
  month	
  –	
  this	
  was	
  around	
  a	
  billion	
  last	
  time	
  I	
  
covered	
  this.	
  
• There	
  are	
  more	
  than	
  70	
  translations	
  available	
  on	
  Facebook.	
  Last	
  time	
  around,	
  this	
  
was	
  only	
  50.	
  
• Back	
  in	
  2009,	
  the	
  average	
  user	
  had	
  120	
  friends	
  within	
  Facebook.	
  This	
  is	
  now	
  around	
  
130.	
  
• Mobile	
  is	
  even	
  bigger	
  than	
  before	
  for	
  Facebook,	
  with	
  more	
  than	
  65m	
  users	
  accessing	
  
the	
  site	
  through	
  mobile-­‐based	
  devices.	
  In	
  six	
  months,	
  this	
  is	
  over	
  100%	
  increase.	
  
14	
  
	
  
(Previously	
  30m).	
  As	
  before,	
  it’s	
  no	
  secret	
  that	
  users	
  who	
  access	
  Facebook	
  through	
  
mobile	
  devices	
  are	
  almost	
  50%	
  more	
  active	
  than	
  those	
  who	
  don’t.	
  
• There	
  are	
  more	
  than	
  3.5bn	
  pieces	
  of	
  content	
  (web	
  links,	
  news	
  stories,	
  blog	
  posts,	
  
etc.)	
  shared	
  each	
  week	
  on	
  Facebook.	
  
• There	
  are	
  now	
  11m	
  LinkedIn	
  users	
  across	
  Europe.	
  
• Towards	
  the	
  end	
  of	
  last	
  year,	
  the	
  average	
  number	
  of	
  tweets	
  per	
  day	
  was	
  over	
  27.3	
  
million.	
  	
  
• The	
  average	
  number	
  of	
  tweets	
  per	
  hour	
  was	
  around	
  1.3m.	
  
• More	
  than	
  700,000	
  local	
  businesses	
  have	
  active	
  Pages	
  on	
  Facebook.	
  
• Purpose-­‐built	
  Facebook	
  pages	
  have	
  created	
  more	
  than	
  5.3bn	
  fans.	
  
• 15%	
  of	
  bloggers	
  spend	
  10	
  or	
  more	
  hours	
  each	
  week	
  blogging,	
  according	
  to	
  
Technorati's	
  new	
  State	
  of	
  the	
  Blogosphere.	
  
• At	
  the	
  current	
  rate,	
  Twitter	
  will	
  process	
  almost	
  10bn	
  tweets	
  in	
  a	
  single	
  year.	
  
• About	
  70%	
  of	
  Facebook	
  users	
  are	
  outside	
  the	
  USA.	
  
• India	
  is	
  currently	
  the	
  fastest-­‐growing	
  country	
  to	
  use	
  LinkedIn,	
  with	
  around	
  3m	
  total	
  
users.	
  
• More	
  than	
  250	
  Facebook	
  applications	
  have	
  over	
  a	
  million	
  combined	
  users	
  each	
  
month.	
  
• 70%	
  of	
  bloggers	
  are	
  organically	
  talking	
  about	
  brands	
  on	
  their	
  blog.	
  
• 38%	
  of	
  bloggers	
  post	
  brand	
  or	
  product	
  reviews.	
  
• More	
  than	
  80,000	
  websites	
  have	
  implemented	
  Facebook	
  Connect	
  since	
  December	
  
2008	
  and	
  more	
  than	
  60m	
  Facebook	
  users	
  engage	
  with	
  it	
  across	
  these	
  external	
  sites	
  
each	
  month.	
  
15	
  
	
  
	
  
	
  
	
  
Designing	
  a	
  Social	
  Media	
  Program	
  That	
  Makes	
  Sense	
  
	
  
It	
  is	
  important	
  to	
  take	
  into	
  consideration	
  the	
  social	
  demographics	
  of	
  the	
  various	
  patient	
  
audiences.	
  Campaigns	
  can	
  be	
  designed	
  to	
  reach	
  different	
  groups	
  in	
  different	
  ways.	
  It	
  is	
  
through	
  an	
  intimate	
  understanding	
  of	
  the	
  audience’s	
  social	
  media	
  engagement	
  and	
  their	
  
relationship	
  to	
  their	
  medical	
  condition.	
  
	
  
	
  
	
  
16	
  
	
  
The	
  technographics	
  ladder	
  can	
  be	
  used	
  to	
  map	
  segmented	
  personas	
  of	
  your	
  customer	
  base.	
  
It	
  will	
  provide	
  a	
  quick	
  snapshot	
  that	
  can	
  help	
  you	
  determine	
  if	
  your	
  customer	
  base	
  is	
  high	
  
content	
  creators	
  (those	
  who	
  love	
  to	
  post	
  pictures	
  and	
  tell	
  stories),	
  or	
  if	
  they	
  are	
  spectators	
  
(people	
  who	
  prefer	
  to	
  watch	
  passively	
  from	
  the	
  sidelines).	
  In	
  either	
  case,	
  each	
  marketing	
  
vertical	
  has	
  specific	
  considerations	
  and	
  anomalies,	
  and	
  this	
  is	
  especially	
  true	
  in	
  Pharma.	
  
Interestingly	
  the	
  social	
  media	
  demographics	
  vary	
  by	
  patient	
  types	
  who	
  use	
  different	
  drugs	
  
as	
  shown	
  below:	
  
	
  
	
  
	
  
	
  
	
  
	
  
17	
  
	
  
And	
  vary	
  by	
  medical	
  condition	
  as	
  well:	
  
	
  
To	
  understand	
  the	
  best	
  approach,	
  Pharma	
  marketers	
  must	
  understand	
  their	
  particular	
  
audience’s	
  engagement	
  and	
  plot	
  that	
  against	
  the	
  outcome	
  investment.	
  Those	
  with	
  low	
  
outcome	
  investment	
  can	
  be	
  considered	
  “indifferent”,	
  as	
  the	
  impact	
  of	
  their	
  condition	
  is	
  
relatively	
  limited.	
  Those	
  who	
  are	
  “influenced”	
  have	
  their	
  conditions	
  affect	
  them,	
  but	
  do	
  not	
  
define	
  them.	
  Those	
  with	
  high	
  outcome	
  investment	
  can	
  be	
  considered	
  “invested”	
  –	
  the	
  
impact	
  is	
  so	
  deeply	
  felt	
  that	
  they	
  are	
  willing	
  to	
  find	
  resolution	
  or	
  a	
  community	
  of	
  like-­‐
minded	
  sufferers.	
  
18	
  
	
  
	
  
	
  
	
  
Conclusion	
  
	
  
Pharma	
  can’t	
  afford	
  to	
  not	
  listen	
  and	
  pay	
  attention.	
  It	
  does	
  not	
  make	
  sense	
  to	
  ignore	
  what	
  is	
  
being	
  said.	
  	
  
There	
  is	
  intelligence	
  to	
  be	
  gained.	
  There	
  are	
  opportunities	
  for	
  influence	
  and	
  ways	
  to	
  be	
  part	
  
of	
  the	
  conversation	
  –	
  understand	
  it	
  and	
  help	
  shape	
  it.	
  Be	
  an	
  advocate,	
  an	
  educator	
  and	
  a	
  
resource.	
  Social	
  media	
  is	
  a	
  tool	
  to	
  be	
  utilized.	
  	
  
	
  

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Pharmaceutical Companies Are Not Yet a Meaningful Part of the Conversation

  • 1. 1     50 million Tweets per day 350 million Facebook Users (70% Outside the US) Facebook Now Drives More Traffic to Web Sites than Google 11 million European Linkedin Users in Europe 70% of Bloggers are Organically Talking About Brands on their Blogs Whenever someone logs on to a Computer, 60% of the Time it’s for Social Reasons Pharmaceutical Companies Are Not Yet a Meaningful Part of the Conversation! Should They Be? April  10   Olivier  LAURENT     www.Health2Europe.com   www.Coliganegroup.com    
  • 2. 2     Pharmaceutical Companies Are Not Yet a Meaningful Part of the Conversation! Should They Be?   Table of Contents   Introduction................................................................................................................................................. 3   What  is  social  media?.................................................................................................................................. 3   Non  Parma  Involvement.............................................................................................................................. 8   Is  there  a  Problem?...................................................................................................................................... 8   What  is  Being  Said? ..................................................................................................................................... 8   So  how  is  the  Pharmaceutical  Companies  Participating?............................................................................ 9   Pharma  and  Twitter................................................................................................................................... 11   What  To  Do................................................................................................................................................ 12   Social  Media  Listening  Apps ...................................................................................................................... 12   Designing  a  Social  Media  Program  That  Makes  Sense .............................................................................. 15   Conclusion ................................................................................................................................................. 18  
  • 3. 3     Pharmaceutical Companies Are Not Yet a Meaningful Part of the Conversation! Should They Be? by  Olivier  LAURENT  (CEO  Coligane  group).   Introduction     We  live  in  a  world  where  consumers  are  deeply  engaged  when  it  comes  to  their  health.  As   consumers  search  online  to  educate  themselves  about  disease  states,  cures,  drug   information  and  support,  there’s  one  common  truth:  they  trust  discussions  with  other   consumers  when  it  comes  to  information  on  their  health.     This  presents  both  a  challenge  and  an  opportunity  for  pharmaceutical  companies  to  gain   consumer  trust  and  loyalty,  especially  in  this  age  of  multimedia.  However,  if   pharmaceutical  companies  can  join  in  the  conversation  –  known  as  social  media  –  then  they   have  an  opportunity  to  gain  this  trust.     Yesterday,  brands  told  stories.  Today,  consumers  tell  stories  about  your  brands.   Pharmaceutical  companies  that  work  to  incorporate  social  media  as  part  of  their  long-­‐term   marketing  vision  will  start  to  create  the  foundations  toward  earning  their  seat  at  the  table   to  participate  and  listen  to  these  high-­‐value  conversations  about  their  brands.   What  is  social  media?     Social  media  is  collaborative  communication  that  is  fueled  by  technology.  It  empowers   individuals,  groups  and  institutions  to  actively  participate  in  creating,  finding,  using,   sharing  and  expanding  content  (opinions,  experiences,  insights  and  media)  together.  Social   media  let’s  people  have  a  conversation  about  the  ideas  we  care  about.     According  to  the  Pew  Internet  and  American  Life  Project,  not  only  do  people  use  the   Internet  to  seek  information  about  healthcare  options,  but  also  people  with  chronic   illnesses  are  more  likely  to  access  and  act  on  information  they  get  from  the  Internet.  If   people  are  moving  to  the  web  to  get  this  information,  and  pharmaceutical  companies  don’t   join  in,  then  they  are  leaving  their  brand  to  be  shaped  almost  entirely  by  outside  forces   with  zero  control  of  their  message.  
  • 4. 4     Generally  speaking,  what  someone  suffering  from  an  illness  wants  is  information.  Patients   want  information.    Pharma  holds  much  of  the  information.    Pharma  has  a  unique  ability  to   educate  patients  as  much  as  possible.           Social  media  includes  what’s  referred  to  as  user  generated  content  (UGC),  which  is   produced  by  “ordinary  people”  as  opposed  to  traditional  media  producers.  Examples  of   UGC  include  blogs,  podcasts,  tagging,  ratings,  videos  and  photos.  In  fact,  75%  of  all  online   adult  consumers  and  92%  of  online  youth  use  one  or  more  forms  of  UGC  content.  Self-­‐ expression  isn’t  new,  but  technology  has  made  it  easier  to  reach  wider  audiences.Social  
  • 5. 5     media  enables  communities  to  more  easily  form  and  stay  connected,  which  radically   increases  the  speed  and  force  of  change.     Social  media  is  a  broad  cultural  revolution  -­‐  not  an  exclusive  domain  of  teenagers  on  a  site   like  Myspace  or  Facebook.  Because  of  this,  consumers  now  expect  (and  almost  demand)   collaboration  and  participation  in  virtually  every  aspect  of  their  lives.  As  an  example,  more   people  voted  on  the  last  American  Idol  finale  than  have  ever  voted  in  a  presidential   election.  How  is  this  possible?     Through  the  ease  of  picking  up  a  mobile  device  and  sending  a  text  message  from  any  place   at  any  time.     In  healthcare,  adoption  has  been  accelerated  as  consumers  are  fed  by  the  inherent  trust   that  social  media  provides.  At  this  very  moment,  more  than  500  groups  on  Yahoo!  are   dedicated  to  just  speaking  on  the  subject  of  diabetes  with  approximately  25,000  consumers   participating;  there  are  33,112  photos  on  flickr,  a  photo  sharing  site,  that  have  been  tagged   as  “cancer”  related;  and  1,745  questions  about  asthma  have  been  posted  on  Yahoo!   Answers,  a  site  where  consumers  can  ask  a  question  on  any  topic  and  get  answers  from   real  people.  With  this  shift,  consumers  have  gone  from  listening  to  you  –  Parma,  to  having   conversations  with  others  about  you.     To  succeed  in  this  new  world,  companies  must  leverage  social  media  to  have  conversations   with  customers  at  scale.      
  • 6. 6           According  to  The  Nielsen  Company,  global  consumers  spent  more  than  five  and  half  hours   on  social  networking  sites  like  Facebook  and  Twitter  in  December  2009,  an  82%  increase   from  the  same  time  last  year  when  users  were  spending  just  over  three  hours  on  social   networking  sites.    Social  networks  and  blogs  are  the  most  popular  online  category  when   ranked  by  average  time  spent  in  December,  followed  by  online  games  and  instant   messaging.   Facebook  was  the  No.  1  global  social  networking  destination  in  December  2009;  67%  of   global  social  media  users  visited  the  site  during  the  month,  spending  nearly  six  hours  per   month  on  the  site.  Twitter.com  continued  as  the  fastest  growing  in  December  2009  in   terms  of  unique  visitors,  increasing  579%  year-­‐over-­‐year,  from  2.7  million  unique  visitors   in  December  2008  to  18.1  million  in  December  2009.    
  • 7. 7             While  technology  has  been  the  enabler,  it  is  ultimately  people  that  are  the  driving  force   behind  social  media.  As  more  people  contribute,  the  content  gets  richer  and  the   engagement  becomes  more  powerful.  For  example,  think  about  medications.   Drugs  could  be  rated,  ranked,  discussed  and  reviewed  by  millions  online  -­‐  much  like  books   on  Amazon.  But  with  this  fundamental  change  in  media  comes  the  new  challenges  of   marketing  to  this  empowered  online  audience.     Social  media  marketing  is  a  compelling  opportunity  for  pharmaceutical  companies  to  reach   their  most  influential  audience.  Recent  research  conducted  by  Manhattan-­‐based  Hall  and   Partners  Healthcare  found  that  online  health  consumers  are  hyper-­‐engaged  and  leverage   almost  twice  as  many  information  sources  to  learn  about  disease  states  and  prescriptions   than  the  average  consumer.  Additionally,  75%  of  consumers  that  participate  in  UGC  often   share  online  health  information  with  others.  Even  between  “typical  users,”  interaction  with   the  most  passive  of  social  media  tools,  online  search  -­‐  which  is  driven  in  large  part  by   consumers’  anonymous  choice  of  the  most  popular  results  and  destinations  –  shows  that   health  searchers  crave  information  and  interaction.   Additional  information  from  the  study  showed  the  habits  of  consumers  searching  online  for   health  information  differ  significantly  from  their  non-­‐searching  counterparts.  Online   searchers  are  so  engaged  that  they  look  for  information  on  more  than  just  one  condition   and  seek  to  learn  about  multiple  conditions  and  symptoms.  They  also  spend  more  time  on   search  engines  (68%)  and  health  sites  (51%)  than  with  family  and  friends  (18%)  to  seek   information  about  symptoms,  diagnosis  and  prescriptions.   With  the  interaction  of  UGC,  search  and  personalization,  global  health  communities  are   growing  into  powerful  forces.  These  communities  are  built  around  people  with  a  common   purpose  that  want  to  participate,  be  heard  and  discover  information  that  is  relevant  to   their  interests.  For  every  creator  of  content  –  a  physician  writing  a  blog,  for  example  –   there  are  roughly  10  synthesizers  actively  commenting,  sharing,  rating  and  reacting.  For   each  group  of  synthesizers,  roughly  100  consumers  read,  watch,  listen  and  enjoy  while   participating  only  occasionally.  All  three  of  these  groups  have  a  valid  place  within  the   community.    
  • 8. 8     Non  Parma  Involvement     PR  firm  Burson-­‐Marsteller  studied  the  100  largest  companies  in  the  Fortune  500  list  and   found  that  79%  of  then  use  Twitter,  Facebook,  YouTube  or  corporate  blogs  to  communicate   with  customers  and  other  stakeholders.     Twitter  is  the  most  popular  platform  that  the  companies  use;  two-­‐thirds  of  the  Fortune  100   has  at  least  one  Twitter  account.  Actually,  they  have  an  average  of  4.2  Twitter  accounts.   Fifty-­‐four  percent  have  at  least  one  Facebook  fan  page,  50%  have  at  least  one  YouTube   channel,  and  33%  have  at  least  one  corporate  blog.  Twenty  percent  of  the  companies  use   all  four  social  media  platforms.   Is  there  a  Problem?     Researchers  found  that  among  more  than  75,000  Massachusetts  patients  given  drug   prescriptions  over  one  year,  22  percent  of  the  prescriptions  were  never  filled.  The  rate  was   even  higher  -­‐-­‐  28  percent  -­‐-­‐  when  the  researchers  looked  only  at  first-­‐time  prescriptions.   What  is  significant  is  that  between  28%  and  31%  of  new  prescriptions  for  diabetes,  high   blood  pressure  and  high  cholesterol,  went  unfilled,  according  to  findings  published  in  the   Journal  of  General  Internal  Medicine.   What  is  Being  Said?     A  small  fraction  of  the  social  media  landscape  is  talking  about  pharmaceutical   products  (see  data  in  appendix).   a. For  example,  the  average  #  of  Lipitor  blog  posts  for  the  week  of  Feb  4,  2010   was  0.0025  percent  of  all  posts.   b. The  number  of  Lipitor  tweets  on  March  2,  2010  was  381.  Of  these  about  ¼   related  to  purchasing  Lipitor,  ½  related  to  negative  comments  with  the   remainder  having  questions  about  use  of  the  product.     Most  of  the  “buzz”  is  one-­‐way  and  not  very  supportive  of  Pharma  brand  and  product   objectives.    
  • 9. 9       So  how  is  the  Pharmaceutical  Companies  Participating?     This  emerging  paradigm  is  challenging  Pharmaceutical  companies  to  stretch  beyond  their   present  cultural  patterns.  Pharmaceutical  companies  are  cautiously  moving  into  the   communications  equivalent  of  a  black  hole:  social  media  (also  known  as  Web/Health  2.0  or   participatory  medicine).  Some  companies  (primarily  in  the  United  States)  are  dabbling  in   blogs,  non-­‐branded  websites  and  Facebook  pages;  others  are  writing  text  messages  on   Twitter  and  posting  videos  to  YouTube.     An  example  held  out  as  a  shining  example  –  yet  the  numbers  are  still  paltry:   J&J   This  is  why  J&J’s  digital  footprint  is  unrivaled  in  the  industry.  The  list  of  examples  is   impressive  and,  better  still,  most  of  the  above  brand  properties  link  to  one  another,   improving  site  traffic  and  the  brand’s  overall  search  performance.  Here  is  a  list  of   accomplishments:   • An  influential  corporate  blog  (JNJ  BTW)   • 1,196  YouTube  subscribers   • 1,743  Twitter  followers  @JNJComm   • Accuminder  Facebook  application       • Multiple  Facebook  pages  targeting  specific  audiences,  consumer  products  and   conditions   • Camp  Baby  hosted  50  mommy  bloggers  for  a  2-­‐day  conference   YET   If  one  thinks  of  the  size  of  J&J  and  the  number  of  people  that  use  their  products  –  those   numbers  are  far  from  impressive  –  in  fact  they  are  shockingly  low.  So  even  though  J  &  J  is   involved,  the  public  still  does  not  see  them  as  a  partner  in  the  conversation.   Examples  of  pharma  companies  in  the  US  using  social  media  tools  are  many.  Merck  uses   Facebook  to  promote  Gardasil,  its  cervical  cancer  vaccine;  Bayer  Aspirin  has  a  Facebook   page  for  women;  McNeil  has  an  adults-­‐with-­‐ADHD  awareness  page;  YouTube  has  hosted   promotional  videos  such  as  GlaxoSmithKline's  restless-­‐legs  awareness  film  and  spots  for  
  • 10. 10     AstraZeneca's  asthma  medicine  Symbicort;  Reckitt  Benckiser  has  used  MySpace  to   distribute  advice  on  kicking  the  prescription  painkiller  habit  and  Pfizer  has  a  Chantix   Support  Group  on  drug.com,  for  tobacco  patch  users  who  are  trying  to  quit  smoking.   Pfizer,  GSK,  Merck,  Bayer,  J&J,  AstraZeneca  etc  are  also  now  joining  these  communities  to   initiate  a  meaningful  dialogue  with  important  stakeholders.  Some  of  these  companies  have   already  created  un-­‐branded  sites  like,  silenceyourrooster.com  or  iwalkbecause.org,  to   foster  relationship  with  patients'  group  through  online  activity,  the  contents  of  which  have   been  generated  by  the  users  themselves  of  the  respective  social  medium.  With  the  help  of   click-­‐through  links  these  sites  lead  to  the  branded  sites  of  the  concerned  companies.     For  pharmaceutical  marketers,  it  is  crucial  to  engage  the  creators  and  synthesizers,  known   as  consumer  opinion  leaders  (COLs)  in  the  communities  important  to  your  customers.  Like   physician  key  opinion  leaders,  they  have  a  voice,  which  is  multiplied  by  their  community   influence.   For  example,  on  Yahoo!  Answers,  “Nurse  Annie”  is  a  21+-­‐year  registered  nurse  that  has   answered  over  3,000  questions  correctly  from  curious  consumers.  Although  she  is  involved   in  the  medical  community,  Nurse  Annie  has  now  become  a  COL  for  many  everyday  folks   that  are  looking  for  more  information  and  the  human  touch  that  can’t  be  found  from  typing   keywords  into  a  search  box.   Pharmaceutical  marketers  don’t  need  to  retreat  from  social  media  and  hide  behind  a  wall   of  adverse  event  forms.  Just  as  we  have  built  communities  of  physicians  who  speak  openly   with  each  other  about  our  products,  we  have  an  opportunity  to  nurture  and  learn  from   consumer  communities  as  well.   First,  Pharma  must  listen  with  intent.  Yes,  Pharma  may  have  to  use  the  same  cumbersome   AE  reporting  mechanisms,  but  the  benefits  of  understanding  the  meaning  of  your  brand  to   communities  will  outweigh  the  hassle.  Analyzing  what  you  hear  can  reveal  a  gap  in   consumer  awareness.  What’s  more,  a  number  of  tools  have  emerged  to  help  consolidate  the   vast  array  of  social  media  input,  from  free  online  evaluators  like  Intelliseek,  to   sophisticated  and  customized  tracking  services  like  Cymfony.   Once  marketers  have  a  firm  grasp  on  the  language,  attitudes,  brand  perceptions  and  key   COLs  in  their  consumer  community,  pharmaceutical  company  participation  can  range  from   targeted  media  placement  to  integration  and  empowerment.       The  days  when  pharmaceutical  companies  would  insist  on  filling  their  pipelines  with   blockbuster  drugs  have  come  and  gone.  .    But  more  than  that,  medicine  has  changed  from   chasing  mass-­‐market  conditions  to  disease  categories  that  impact  a  fewer  subset  of  people.     This  requires  a  more  personalized  approach  to  treatment.    How  does  this  impact   marketing?  Marketing  has  been  forced  to  respond  to  the  shifting  pharma  landscape  and   match  its  efforts.    In  a  world  of  personalized  medicine,  mass  marketing  efforts  now  seem  to   make  less  and  less  sense.    Hitting  as  many  eyeballs  as  possible  does  little  to  move  the  
  • 11. 11     needle  on  drug  sales  of  an  orphan  drug  targeted  at  specific  disease  states.    The  same  can’t   be  said  for  social  media.    Social  media  marketing  programs  are  designed  to  engage  with  the   patient  at  a  personal  level.    By  its  nature,  social  media  is  best  suited  for  a  specific  audience   with  similar  interests.    The  beauty  is  this  is  a  two-­‐way  street.    Patients  are  far  more  likely  to   be  engaged  in  Pharma  marketing  efforts  if  it  strikes  a  personal  chord.    Personalized   medicine  necessitates  personalized  marketing.   Pharma  and  Twitter        
  • 12. 12     What  To  Do     Listen!     The  first  step  is  to  finds  ways  to  listen  to  consumers  –  your  present,  past  and  future   customers.  The  goal  is  to  learn  what  they  are  saying  about  your  brand  or  products,  the   competition  and  the  general  landscape  that  your  products  fit  into.   Social  Media  Listening  Apps     1.  Google  Alerts  Google  Alerts  is  the  steady  rock  in  the  sometimes  white-­‐water  world  of   monitoring.  You  can  easily  target  keywords  that  are  important  to  your  brand  and  receive   streaming  or  batched  reports….  I  use  this  regularly  to  find  out  the  latest  noise  on  a  topic  or   brand   2.  Technorati  Billing  itself  as  “the  leading  blog  search  engine,”  Technorati  has  been  helping   bloggers  and  those  with  their  fingers  on  the  blog  pulse  stay  informed  for  years.   3.  Jodange  Tracking  your  brand  or  a  product  is  one  thing,  but  turning  that  tracking  into  a   measure  of  consumer  sentiment  about  your  brand  or  product  is  something  completely   different.  For  that,  Jodange  has  TOM  (Top  of  Mind),  which  tracks  consumer  sentiment   about  your  brand  or  product  across  the  Web.   4.  Trendrr  Want  to  know  how  your  brand  or  product  is  trending  compared  with  others?   Trendrr  uses  comparison  graphing  to  show  relationships  and  discover  trends  in  real  time.   Use  the  free  account,  or  bump  it  up  to  the  Enterprise  level  for  more  functionality.   5.  Lexicon  What  are  people  talking  about  on  Facebook?  Lexicon  searches  Facebook  walls  for   keywords  and  provides  a  snapshot  of  the  chatter  volume  around  those  terms.   6.  Monitter  everyone  is  talking  about  Twitter,  but  what  are  people  talking  about  on  Twitter?   Beyond  the  integrated  search  of  Twitter  apps  like  Twhirl  and  TweetDeck,  Monitter   provides  real-­‐time  monitoring  of  the  Twittersphere.   7.  Tweetburner  In  the  world  of  Twitter,  URL  shortening  is  the  Obi-­‐Wan  (it’s  your  only  hope)   for  effectively  connecting  with  the  public.  Tweetburner  also  lets  you  track  the  clicks  on   those  magically  shortened  links,  giving  you  some  hard  numbers.   8.  Twendz  Public  relations  shop  Waggener  Edstrom  recently  launched  its  Twitter-­‐ monitoring  tool,  Twendz.  The  tool  piggybacks  off  Twitter  Search  to  monitor  and  provide   user  sentiment  for  the  real-­‐time  Twitterstream—70  tweets  at  a  time.   Paid  Apps   9.  TruCast  TruCast  by  Visible  Technologies  provides  in-­‐depth,  keyword-­‐based  monitoring   of  the  social  Web  with  an  emphasis  on  blogs  and  forums.  Its  dashboard  applications   provide  visual  representations  of  sentiment  and  trends  for  your  brands  online.   10.  Radian6  Radian6  pulls  information  from  the  social  Web,  and  analyzes  and  provides   consumer  sentiment  ratings  for  your  brand   11.  Cision  When  Radian  6  is  paired  with  Cisionpoint  from  Cision,  Radian  6’s  dashboard  can   provide  a  wealth  of  information    
  • 13. 13     12.  Techrigy  Techrigy’s  SM2  is  a  social-­‐media  monitoring  and  analysis  solution  for  PR  and   marketing  folks.  With  a  focus  on  complete  analysis  and  comparison,  the  SM2  experience   draws  information  from  all  major  social-­‐media  channels.   13.  Collective  Intellect  Collective  Intellect  (CI)  is  a  real-­‐time  intelligence  platform,  based  on   advanced  artificial  intelligence.  Its  solution  provides  automatic  categorization  of   conversations  based  on  CI’s  proprietary  filtering  technology.  According  to  CI,  its   technologies  provide  credible  groupings  and  reduce  the  “noise”  seen  in  other  keyword-­‐ based  searches.     This  is  the  changing  social  media  landscape:   • Facebook  claims  that  50%  of  active  users  log  into  the  site  each  day.  This  would   mean  at  least  175m  users  every  24  hours…  A  considerable  increase  from  the   previous  120m.   • Twitter  now  has  75m  user  accounts,  but  only  around  15m  are  active  users  on  a   regular  basis.  It’s  still  a  fair  increase  from  the  estimated  6-­‐10m  global  users  from  a   few  months  ago.   • LinkedIn  has  over  50m  members  worldwide.  This  means  an  increase  of  around  1m   members  month-­‐on-­‐month  since  July/August  last  year.   • Facebook  currently  has  in  excess  of  350  million  active  users  on  global  basis.  Six   months  ago,  this  was  250m…  meaning  around  a  40%  increase  of  users  in  less  than   half  a  year.   • Flickr  now  hosts  more  than  4bn  images.  A  massive  jump  from  the  previous  3.6bn  I   wrote  about.   • More  than  35m  Facebook  users  update  their  status  each  day.  This  is  5m  more  than   towards  the  end  of  July  2009.   • Wikipedia  currently  has  in  excess  of  14m  articles,  meaning  that  its  85,000   contributors  have  written  nearly  a  million  new  posts  in  six  months.   • Photo  uploads  to  Facebook  have  increased  by  more  than  100%.  Currently,  there  are   around  2.5bn  uploads  to  the  site  each  month  –  this  was  around  a  billion  last  time  I   covered  this.   • There  are  more  than  70  translations  available  on  Facebook.  Last  time  around,  this   was  only  50.   • Back  in  2009,  the  average  user  had  120  friends  within  Facebook.  This  is  now  around   130.   • Mobile  is  even  bigger  than  before  for  Facebook,  with  more  than  65m  users  accessing   the  site  through  mobile-­‐based  devices.  In  six  months,  this  is  over  100%  increase.  
  • 14. 14     (Previously  30m).  As  before,  it’s  no  secret  that  users  who  access  Facebook  through   mobile  devices  are  almost  50%  more  active  than  those  who  don’t.   • There  are  more  than  3.5bn  pieces  of  content  (web  links,  news  stories,  blog  posts,   etc.)  shared  each  week  on  Facebook.   • There  are  now  11m  LinkedIn  users  across  Europe.   • Towards  the  end  of  last  year,  the  average  number  of  tweets  per  day  was  over  27.3   million.     • The  average  number  of  tweets  per  hour  was  around  1.3m.   • More  than  700,000  local  businesses  have  active  Pages  on  Facebook.   • Purpose-­‐built  Facebook  pages  have  created  more  than  5.3bn  fans.   • 15%  of  bloggers  spend  10  or  more  hours  each  week  blogging,  according  to   Technorati's  new  State  of  the  Blogosphere.   • At  the  current  rate,  Twitter  will  process  almost  10bn  tweets  in  a  single  year.   • About  70%  of  Facebook  users  are  outside  the  USA.   • India  is  currently  the  fastest-­‐growing  country  to  use  LinkedIn,  with  around  3m  total   users.   • More  than  250  Facebook  applications  have  over  a  million  combined  users  each   month.   • 70%  of  bloggers  are  organically  talking  about  brands  on  their  blog.   • 38%  of  bloggers  post  brand  or  product  reviews.   • More  than  80,000  websites  have  implemented  Facebook  Connect  since  December   2008  and  more  than  60m  Facebook  users  engage  with  it  across  these  external  sites   each  month.  
  • 15. 15           Designing  a  Social  Media  Program  That  Makes  Sense     It  is  important  to  take  into  consideration  the  social  demographics  of  the  various  patient   audiences.  Campaigns  can  be  designed  to  reach  different  groups  in  different  ways.  It  is   through  an  intimate  understanding  of  the  audience’s  social  media  engagement  and  their   relationship  to  their  medical  condition.        
  • 16. 16     The  technographics  ladder  can  be  used  to  map  segmented  personas  of  your  customer  base.   It  will  provide  a  quick  snapshot  that  can  help  you  determine  if  your  customer  base  is  high   content  creators  (those  who  love  to  post  pictures  and  tell  stories),  or  if  they  are  spectators   (people  who  prefer  to  watch  passively  from  the  sidelines).  In  either  case,  each  marketing   vertical  has  specific  considerations  and  anomalies,  and  this  is  especially  true  in  Pharma.   Interestingly  the  social  media  demographics  vary  by  patient  types  who  use  different  drugs   as  shown  below:              
  • 17. 17     And  vary  by  medical  condition  as  well:     To  understand  the  best  approach,  Pharma  marketers  must  understand  their  particular   audience’s  engagement  and  plot  that  against  the  outcome  investment.  Those  with  low   outcome  investment  can  be  considered  “indifferent”,  as  the  impact  of  their  condition  is   relatively  limited.  Those  who  are  “influenced”  have  their  conditions  affect  them,  but  do  not   define  them.  Those  with  high  outcome  investment  can  be  considered  “invested”  –  the   impact  is  so  deeply  felt  that  they  are  willing  to  find  resolution  or  a  community  of  like-­‐ minded  sufferers.  
  • 18. 18           Conclusion     Pharma  can’t  afford  to  not  listen  and  pay  attention.  It  does  not  make  sense  to  ignore  what  is   being  said.     There  is  intelligence  to  be  gained.  There  are  opportunities  for  influence  and  ways  to  be  part   of  the  conversation  –  understand  it  and  help  shape  it.  Be  an  advocate,  an  educator  and  a   resource.  Social  media  is  a  tool  to  be  utilized.