2010 Psychiatry Specialty Survey

May 2010

Slide 2

Survey background

• Survey includes 795 psychiatrists who use Epocrates software

• Survey competed in May 2010

• Specialists randomly selected to participate

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Majority of psychiatrists would recommend their career to med students

Knowing what you do now, would you still choose a career in your specialty?

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2007 2009 2010

70%

84% 83%

Would you recommend a career in your specialty to a medical student?

No17%

Yes83%

Over 60% of psychiatrists spend 20+ minutes with each patient

6-10 minutes1%

11-15 min-utes11%

16-20 minutes26%

>20 minutes62%

CONFIDENTIAL AND PROPRIETARY © Epocrates, Inc. All rights reserved.To learn more about Epocrates, please visit us at www.epocrates.com Slide 4

Length of average patient visit

How has the length changed over the past 5 years?

• Increased: 6%

• Decreased: 27%

• The same: 67%

Half view lower reimbursements as most pressing issue

What do you personally feel are the most pressing issues facing practicing psychiatrists today?

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Long work hours

Lack of clinical guidelines for patient care

High malpractice fees/increasing litigious

Heavy workload

Shortage of phychiatrists in rural/underserved areas

Compensation issues

Increasing prescription drug costs

Lower reimbursements

0% 10% 20% 30% 40% 50% 60%

Slide 5

Nearly 30% give the health reform bill a good mark of “B” or above

CONFIDENTIAL AND PROPRIETARY © Epocrates, Inc. All rights reserved.To learn more about Epocrates, please visit us at www.epocrates.com Slide 6

How would you grade the recent healthcare reform bill?

Frequency of patients asking about healthcare reform and

how if will affect them

• Daily: 9%

• Weekly: 23%

• Monthly: 27%

• Not sure: 40%

% of Psychiatrists

A 2%

B 26%

C 45%

D 14%

F 13%

How has the bill impacted your plans for retirement?

• I plan to retire later: 11%

• I plan to retire earlier: 7%

• No change: 82%

Information brought in by patients helps psychiatrists communicate with them

The information is generally appropriate for the patient's condition

The information from the internet is useful

The information helps me do my job

The information helps me communication with my patients

I am happy that the patient brought in the information

How do you feel when patients come in with information they’ve printed from the internet?

Completely agree

Somewhat agree

Neutral

Somewhat disagree

Disagree

CONFIDENTIAL AND PROPRIETARY © Epocrates, Inc. All rights reserved.To learn more about Epocrates, please visit us at www.epocrates.com Slide 7

Antidepressant effectiveness primary factor in prescribing

What are the most important deciding factors in prescribing an antidepressant for your patients?

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Other

Brand preference

Available samples

Patient requested specific medication

Patient's health plan coverage

Drug cost

Fewest drug interactions

Other medicine was ineffective

Proven effectiveness for patient's condition

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Slide 8

Antidepressant selection based on efficacy and coverage

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When prescribing an antidepressant, how many times do you typically need to switch drugs to find the right one for

a patient?

Have you had to change a depression medication for a

patient due to reimbursement limitations/guidelines even

though you preferred the initial treatment?

• Yes – 82%• No – 15%• Don’t know – 3%

More than 3 times2%

At least 3 times11%

1-2 times85%

Never 2%

Slide 9

Epocrates software found most helpful technology for avoiding medical errors

Bedside bard code scanning of all medications

Computer physician order entry

Eletronic medical record systems

Electronic prescribing

Mobile clinical reference software (e.g., Epocrates)

0% 20% 40% 60% 80% 100%

Rate the following technologies on how well they help you avoid medical errors and improve patient safety:

Most HelpfulHelpfulNeutralLess HelpfulLeast HelpfulN/A

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45% of psychiatrists report avoiding errors weekly with Epocrates

3 or mor

e ADEs/

week

15%

2 ADEs/ week12%

1 ADE/ week18%

3 or less ADEs/ month55%

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Approximate ADEs or medical errors saved using Epocrates drug and formulary references

~40% of psychiatrists save more than 20 minutes per day using Epocrates

>30 minutes20%

21-30 minutes19%

11-20 min-utes20%

10 min. or less38%

None6%

CONFIDENTIAL AND PROPRIETARY © Epocrates, Inc. All rights reserved.To learn more about Epocrates, please visit us at www.epocrates.com Slide 12

Approximate time saved per day using Epocrates products

Today’s psychiatrists are saving more time using Epocrates

products than 2007

• 20% of physicians report saving more than 30 minutes using Epocrates – double from 10% in 2007.

Coverage issues and price the main reason PCPs change prescribing decisions

Rarely

24%

Never3%

Frequently15%

Sometimes58%

Slide 13

How often have you changed a prescribing decision based on

Epocrates information?

Contraindication

Dosing regimen

Potential ADE

Coverage issues/price

Potential Rx interaction

6%

13%

15%

17%

46%

What is your primary reason for changing a prescription decision

with Epocrates information?

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n = 774