Pan European Health Study 2009 InSites Consulting

Pan-European Health Study 2009

InSites Consulting, Taking Health Research Forward

Magali Geens, Director Health Research

[email protected], T +32 9 269 16 04, M +32 497 523 526

May 2009

mailto:[email protected]

2Pan-European Health Study, © InSites Consulting, 2009.© In

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PAN-EUROPEAN HEALTH STUDYPATIENT STUDY in 7 EUROPEAN COUNTRIES, 2ND EDITION

Edition 2008:

1.400 consumers (18+), representative total country population.Data collected on proprietary research panels from InSites Consulting, field in the summer of 2008.

Edition 2009:

2.800 consumers (18+), representative total country population.Data collected on proprietary research panels from InSites Consulting, field in the spring of 2009.

Online data collection

on proprietary

research panels by

InSites Consulting


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2008 EditionContent – freely available on request

Do we manage to control our

weight? What happened to sports?

How many suffer chronic pain? Is

depression a problem in Europe?

How healthy are we actually? ...

Patients have massively discovered

the internet as a source for health-

related information. Do patients act

as doctor now with the help of

Doctor Google? ...

I have stress, you have stress, we

all have stress!!!!!!!!!! And we

mainly blame our jobs. How close is

Europe to a total burn-out? What do

people do to relax these days? ...

Are we on prescription drugs? What

about generic alternatives? What

medication do we keep in our

home pharmacy? Which medication

do we pack to go on holiday? ...

Are we too fat? Or are some too

skinny maybe? And if people face

weight problems, are they also

acknowledged? Learn about popular

diets across Europe and more ...

„And me‟ is all about personal

hygiene. What products do we

use, do we buy them in the

supermarket or the pharmacy, how

much do we spend on them ...

Do you want us to tell the story live?

Have we raised certain questions

you would like to ask us? Our

contact details are included and

we are happy to pay you a visit.

Do we all have a personal general

physician? What is (s)he like?

How often do visit them? Do

Europeans trust their GP? And how

well do GP‟s know their patients? ...

2008

Pan-European Health Study, © InSites Consulting, 2008.


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Obviously not all patients are alike.

By means of factor analysis and a

three-dimensional segmentation, 4

distinct patient segmentswere brought alive. We present...

2009 EditionContent of this report2

009

89% of the 2.841 participants report

having been ill during the past year.

What is the prevalence of

various acute and chronic disorders

across Europe? In which countries...

When people get sick, they can do

different things: look in the home

pharmacy, visit the GP, address an

SP, go to the pharmacy, etc. Learn

about the patient action flow...

The obvious first step for patients is

to look for information. The

internet, friends and family, health

encyclopedia... The sources are

diverse and usage differs between...

On average 1 in 5 patients does not

follow any kind of treatment.

Mostly treatment also involves

medication. Also diets are adapted

and physical exercise increased....

What is the relationship with the

physician like? Do different patient

segments have a different level of

confidence in their GP?

Do patients follow the advice?...

When do patients go the pharmacy?

How do they make choices? What is

the influence of a pharmacist?

Do patients ask for the pharmacist‟s

advice? Do pharmacists actively...

What are drivers and barriers for

compliance to treatment?

Does compliance differ between

patient segments? What is the

influence of health professionals...


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2009 Edition More on the methodology

Fieldwork

Countries: UK, Germany, France, Italy, Spain, Netherlands, Belgium

Online quantitative survey

Data collection period: March 2009

Sample size

+/- 400 respondents per country

Recruited from the InSites Consulting consumer panel (TalkToChange Panel, > 2.5 million consumers)

Error margin results: 4%

Sample composition

Screener criteria: adults

Quota criteria: representative for the total population in terms of gender and age per country

Word version of the questionnaire (English version):

Icon legend used throughout the report

Significant difference (95% confidence):

Be careful with interpretation: counts in a sub-cell are below 30:

2009


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2009 EditionHow healthy is the European?2

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WE ARE NOTSO HEALTHY

Less than 50% says to have a HEALTHY life-style

At least 40% admits to have OVERWEIGHT

On average 30% indicates CHRONIC PAIN

Around 20% is DEPRESSED occasionally

Up to 10% is DIABETIC

2008 In 2008 we have learned that...



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Pan-European Health Study, © InSites Consulting, 2009. 8

N Europe = 2841 / Filter = None

89%of all participants has been

sick during the past year

In 2009 we have measured that...


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PrevalenceAcute and chronic / recurrent 2

009

89%of all participants has been

sick during the past year

16% 66% 6%

CHRONIC /

RECURRENT ACUTE

CHRONIC /

RECURRENT

AND

ACUTE

Headache 22%

Hypertension 17%

Stress 14%

Allergy 19%

Sleeping disorder 13%

Muscle ache 13%

Obesity 12%

Migraine11%

Depression 10%

Influenza 10%

Heartburn 9%

High cholesterol 9%

Anxiety 8%...

Headache 27%

Influenza 14%

Muscle ache 14%

Allergy 12%

Stress 12%

Heartburn 10%

Sleeping

disorder 11%

Migraine 9%

High blood

pressure 7%

Stomach problems 7%

Herpes labialis 6%


...


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82%

CHRONIC /

RECURRENT

Headache 22%

High blood pressure 21%

Depression 20%

Stress 19%

Asthma 17%Headache 13%

Allergy 22%


Influenza 16%

Stress 15%

Heartburn 17%

Headache 16%

Allergy 15%


Obesity 12%

Headache 25%

Heartburn 20%

Allergy 17%


Muscle ache 16%

Allergy 21%

Muscle ache 18%

Obesity 16%

Heartburn 16%


Headache 22%

Allergy 22%

Influenza 16%

Muscle ache12%


Allergy 23%


Influenza 15%

High cholesterol 14%

Headache 13%

N Belgium

= 405

N Netherlands

= 401

N Italy

= 417

N France

= 408

N Germany

= 400

N Spain

= 409

N United Kingdom

= 401


2009

Overview

chronic

diseases


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72%ACUTE

Headache 24%

Stress 11%

Muscle ache 8%


Heartburn 8%

N France

= 1073


Headache 22%

Heartburn 20%

Stress 17%

Muscle ache 15%

Allergy 13%

Headache 35%

Heartburn 22%

Muscle ache 19%


Stress 13%

Headache 25%

Influenza 20%

Muscle ache17%

Allergy 13%

Stress 10%

Headache 33%

Influenza 19%

Stress 13%

Allergy 13%


Influenza 29%

Headache 20%

Muscle ache 14%

Migraine 12%

Allergy 10%

Muscle ache 24%

Heartburn 23%

Allergy 19%

Headache 19%

Stress 16%

2009

N Belgium

= 405

N Netherlands

= 401

N Italy

= 417

N France

= 408

N Germany

= 400

N Spain

= 409

N United Kingdom

= 401

Overview

acute diseases


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2009 EditionAre all patients alike?2

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BUT ARE THEY

ALL ALIKE?

2009


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Different patient segmentsFactor analysis: 3 important segmentation dimensions2

009

What is it?Factor analysis is a procedure for data simplification through reducing the rating scales to a smaller set of factors or

composite variables by identifying dimensions underlying the data.

How was it measured?In the survey we asked each respondent to rate 11 statements regarding health on a scale from 1 to 5. Via factor

analysis, we reduced the total set of over 11 statements to 3 underlying factors.

How to interpret?On the next slide you will see the extracted factors and the different items belonging to each factor. The “alpha-

scores” assess the reliability of the different items that measure each underlying factor. The α-scores are values

between 0 and 1. The higher the α-scores, the more reliable the underlying factor is.

Factor analysis


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Different patient segmentsFactor analysis: 3 important segmentation dimensions

Q :To what extent do you agree with the following statements?

I have a healthy lifestyle

I have healthy eating habits

I get sufficient physical exercise

Friends see me as a person who highly values a healthy way of life

Healthy life-style (alpha = .81)

Health involvement (alpha = .72)

Alternative viewpoint (alpha = .59)

I think natural products are better

I believe prevention is better than cure

I would more likely change my eating habits and lifestyle than take medication to tackle medical problems

I go to the doctor every year for a check-up

I regularly enquire about health-related matters

I collect health-related information

I influence my family and friends when it comes to health-related matters

2009


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Different patient segments 3-dimensional patient segmentation2

009

What is it?Cluster analysis is an explorative classification method to sort respondents into a limited number of groups (= clusters),

so that the degree of association is strong between members of the same cluster and weak between members of

different clusters. To determine the ideal number of groups, hierarchical cluster analysis (Ward‟s mean) was used. To

allocate each respondent to a cluster, we used K-Means clustering. Note that standardized scores were used. As they

are hard to interpret, color codes are reported instead.

How was it measured?As input for our segmentation we used the scores of all respondents on the 3 different factors (created via a factor

analysis on the 11 statements of health). The factors were standardized to eliminate the response behavior of the

respondents.

How to interpret?Via cluster analysis, we discovered 4 segments. On the next slide we mapped our 4 segments on the 3 factors that are

the most discriminating between the segments in a 3-dimensional field. Each bubble stands for a particular segment.

The percentage within the bubble indicates the segment size. On the next slides, we described the different segments

on their factor scores and other relevant variables (e.g. socio-demographic profile).

Clustering


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Different patient segments 3-dimensional patient segmentation

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

2009

Non-Conformist

Healthy Laidback

Hedonist of life

Expert


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Different patient segments Meet the NON-CONFORMISTS

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

N Non-Conformists= 634

24%

2009

Hedonist of life

Expert

Non-Conformist

Healthy Laidback


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NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

Meet ‘the’ patientMeet the NON-CONFORMISTS

24%

25%

21%24%

N Non-Conformists= 634

Meet ‘the’ patientMeet the NON-CONFORMISTS

Un-healthy life-style, bad eating habits, little to no physical exercise

No regular doctor‟s visit, no health reference for friends and family

They say they would rather change habits than take medication

29%

Gender 56% Female

Age <34

Country France / Italy

Income Lower Income

Household size Average

BMI Overweight

Smokers Smokers

Stress Level High

Visit Frequency GP Only if necessary

They are more likely ...

2009

Healthy Laidback

Hedonist of life


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Different patient segments Meet the HEALTY LAIDBACK

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

N Healthy Laidback = 654

2009

Non-ConformistExpert

Healthy Laidback

21%

Hedonist of life


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Meet ‘the’ patientMeet the HEALTHY LAIDBACK

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

Healthy life-style and eating habits and lots of physical exercise

But they are little involved in health because they have no need to worry

Prevent is better rather than cure and natural products are better

29%

2009

Non-Conformist

Healthy Laidback

21%

Hedonist of life

N Healthy Laidback = 654

Expert


Gender 59% Male

Age Equal Spread

Country Netherlands / France / UK

Income Higher Income

Household size Average

BMI Normal

Smokers Mix

Stress Level Low



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Different patient segments Meet the EXPERTS

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

29%

N Experts = 835

2009

Non-Conformist

Expert

Healthy Laidback

Hedonist of life


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NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

25%

21%

29%

29%

N Experts = 835

Healthy life-style, healthy eating habits, physically active and go to the doctor for a yearly check-up

Highly involved in health, inquire about health and collect health information

Believe in prevention, but natural product are not necessarily better

Meet ‘the’ patientMeet the EXPERTS2

009

Expert

Healthy Laidback

Hedonist of life

24% Non-Conformist


Gender 58% Female

Age 55+

Country Germany / Spain / Italy

Income Higher Income

Household size Small

BMI Normal

Smokers Non Smokers

Stress Level Average

Visit Frequency GP Frequent


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Different patient segments Meet the HEDONISTS OF LIFE

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

21%

N Hedonists of Life = 714

2009

Expert29%

Non-Conformist

Healthy Laidback

Hedonist of life

25%


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Meet ‘the’ patientMeet the HEDONISTS OF LIFE

NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

21%

29%

They do not highly value a healthy way of living, but they do not feel particularly unhealthy either

They are not a health reference for their surroundings, but do search for health info when needed

They are not prevention-oriented and take medication whenever necessary to feel better

24%

2009

Non-Conformist

Healthy Laidback

Hedonist of life

25%

N Hedonists of Life = 714

ExpertThey are more likely ...

Gender Male/Female

Age <34

Country Netherlands/Germany

Income Lower Income

Household size Small

BMI Normal / Overweight

Smokers Smokers

Stress Level Average



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Different patient segments Distribution across the countries

21%

10%

27%

21%

25%

28%

23%

24%

37%

25%

16%

20%

16%

28%

29%

32%

20%

36%

19%

21%

24%

26%

20%

27%

28%

36%

35%

25%

Belgium

Netherlands

France

Germany

Span

Italy

UK

Nonconformist Health conscious Hedonist Health Expert

2

9

%

2009

Significant differences between the countries (95%).

NON-CONFORMISTS EXPERTSHEDONISTS OF LIFEHEALTHY LAIDBACK


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Different patient segments What is their typical profile?

Non-conformists

(24%)

Healthy laidback

(21%)

Experts

(29%)

Gender

Age

Country

Income

Household size

BMI

Smokers

Stress level

Visit frequency GP

56% Female

< 34

France / Italy

Lower income

Average

Overweight

Smokers

High

Only if necessary

59% Male

Equal spread

Netherlands / France / UK

Higher income

Average

Normal

Mix

Low

Only if necessary

Hedonists of life

(25%)

Equal spread

< 34

Netherlands / Germany

Lower income

Small

Normal / Overweight

Smokers

Average

Only if necessary

58% Female

55+

Germany / Spain / Italy

Higher income

Small

Normal

Non-smokers

Average

Frequent

Where are the

older people?

Where are the

smokers?...

Find out here:

2009


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NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

e

24%

25%

21%

29%

24%

29%

29%

NON-CONFORMISTS

HEALTHY LAIDBACK

EXPERTS

21%

25%

2009 Headache 30%

Muscle ache 19%

Stress 17%


Heartburn 14%

Headache 23%

Influenza 12%

Muscle ache 11%

Heartburn 10%

Allergy 9%

Allergy 23%


Headache 19%

Muscle ache 15%

Stress 12%

Headache 28%

Allergy 18%


Stress 16%

Migraine 16%

82%

CHRONIC /

RECURRENT N Non Conformist = 634

N healthy laidback = 654

N Hedonist of Life = 714

N Expert =835

F = No filter applied

HEDONISTS OF LIFE


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NonConfirmist

Health Conscious

Hedonist

Expert

Involvement

Alte

rnativ

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24%

25%

21%

29%

24%

29%

29%

NON-CONFORMISTS

EXPERTS

HEDONISTS OF LIFE

21%

25%

2009 Headache 23%

Stress 19%


Obesity 18%

Allergy 17%

Headache 17%

Allergy 17%



Stress 9%

Allergy 23%


Headache 19%

Allergy 14%

Stress 12%

Headache 30%

Influenza 14%

Allergy 13%

Migraine 12%

Stress 12%

72%ACUTE

HEALTHY LAIDBACK

N Non conformist = 634

N healthy laidback = 654

N Hedonist of Life = 714

N Expert =835

F = No filter applied


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2009 EditionWhat is the patient action flow?2

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WHAT DO PATIENTS

DO FIRST WHEN

THEY ARE SICK?


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Flow of actionWhat do patients do?

Q : What were the consecutive actions you undertook after you discovered you suffered from your disorder?

2009

1

2

3

4

5

6

...

I waited some time without doing a thing

I looked for information myself

I looked in the home pharmacy

I went to the pharmacy

I went to the general physician (GP)

I went to the specialist physician (SP)

I did something else (I‟ll specify later)

I did nothing

Please drag and drop the consequent actions you undertook in the order you

undertook the actions. Of course it is possible to use the actions multiple times.



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Before undertaking any action, they

FIRST WAIT FOR A WHILE…

The large majority of patients waits!

In the action flows that are outlined

on the following pages, “waiting” is

not reported as it is not distinguishing

between segments, countries or ages.

Flow of actionWhat do patients do?2

009



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This flow shows – for each

step, the action with the

highest frequency.

We have considered on an

overall level all frequencies of

each action in each step, and

retained the action with the

highest frequency in each step.

E.g. “information search” received the

highest frequency score in step 1 if

„waiting‟ was not taken into account.

More information in the Excel file below:


Looked for information

General Practitioner

Pharmacy


Special Practitioner

Something Else


2009

Flow of actions

EU total



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Home

Pharmacy

Looked for

information

General

Practitioner

Looked for

information/

Home Pharmacy

Special

Practitioner /

Pharmacy

General

Practitioner

General

PractitionerPharmacy

General

practitioner

Special

Practitioner /

Pharmacy

General


Special

PractitionerPharmacy Pharmacy

General

Practitioner

Special

PractitionerSomething Else Something Else

Special

Practitioner

Something Else PharmacySpecial

PractitionerSomething Else

Home PharmacyLooked for

information

Looked for

information

PharmacySpecial

Practitioner

General

Practitioner

Special


Looked for

information

Something ElseSpecial

Practitioner

Looked for

information

General

Practitioner

Special

PractionerPharmacy

Special

PractitionerSomething Else Something Else


2009

N Belgium = 405 / N Netherlands = 401/ N France = 408/ N Germany = 400 / N Spain = 409 / N Italy = 417 / N United Kingdom = 401

Flow of actions

Country split


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Looked for

information

Looked for

information

Looked for

information

Looked for

information

Looked for

information

Looked for

information

General

Practitioner

General


General

Practitioner

General

Practitioner /

Pharmacy

General

Practitioner

General

Practitioner

General

Practitioner

Pharmacy Pharmacy PharmacySpecial

practitionerPharmacy Pharmacy

General

practitioner

General

Practitioner PharmacySpecial

practitioner

Special

practitioner /

Pharmacy

General

Practitioner

General

Practitioner

General

Practitioner

Special

practitioner

I did something

else

Special

practitioner

Special

practitioner

Special

practitioner

Special

practitioner

Special

practitioner

Something

else

Special

practitionerSomething else Something else Something else Something else Something else

18-24 25-34 35-44 45-54 55-64 65+


Flow of actions

Age split


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Looked for

information

Looked for

information

General

Practitioner

General

Practitioner

PharmacyGeneral

Practitioner

Pharmacy Pharmacy

Specialist /

Something ElseSpecialist

Specialist Specialist

Home Pharmacy Looked for information

Pharmacy /

General

Practitioner

General

Practitioner

PharmacyInformation / Pharmacy

/ Specialist

General

Practitioner

General

Practitioner


Something Else Something Else

2009


Looked for

information

General

Practitioner

Pharmacy

General

Practitioner

Special

practitioner

Something

else

Flow of actions

Segment split



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Home Pharmacy Home Pharmacy

General

Practitioner

General

Practitioner

General

Practitioner

General

Practitioner

Pharmacy Pharmacy


Specialist Waited some time

Flow of actionWhat do patients do in France?2

009

General

practitioner

General

practitioner

General

practitioner

Pharmacy

Something else

Special

practitioner

TOTAL

Looked for

information

General

Practitioner

Pharmacy Pharmacy

Home PharmacyGeneral

Practitioner

Pharmacy Waited some time



N Non conformist = 116 / N Healthy Laidback =92 / N Hedonist of Life = 68 / N Expert = 130 / F = No filter applied


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Practitioner

General

PractitionerHome Pharmacy


General



Something Else Waited some time

Flow of actionWhat do patients do in Germany?2

009

Looked for

information/

Pharmacy

Pharmacy

Pharmacy

General

practitioner

Special

practitioner

Something else

TOTAL


information

Pharmacy Pharmacy

PharmacyLooked for

Information / Pharmacy

General

Practitioner

General

Practitioner

Looked for

informationSpecialist


N Non conformist = 90 / N Healthy Laidback = 61 / N Hedonist of Life = 149 / N Expert = 100 / F = No filter applied


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Looked for

informationHome Pharmacy

General


Specialist Waited some time

General

Practitioner

General

Practitioner


Pharmacy /

SpecialistWaited some time

Flow of actionWhat do patients do in Spain?2

009

Home Pharmacy

Pharmacy

Special

Practitioner

Something else

General

Practitioner

Special

Practitioner

TOTAL

Home Pharmacy Specialist

PharmacyGeneral Practitioner

/ Specialist

Looked for


Something Else Specialist

General

Practitioner

Looked for

information

Specialist Something Else



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Looked for

information

Looked for

information

SpecialistGeneral

Practitioner

Pharmacy Pharmacy

Looked for


Something Else Specialist

Something Else Waited some time

Flow of actionWhat do patients do in Italy?2

009

Looked for

information

Special

Practitioner

Pharmacy

Special

Practitioner

Special

practitioner

Something else

TOTAL


information

General

PractitionerSomething Else

Pharmacy Specialist

General

Practitioner /

Something Else

Pharmacy

SpecialistLooked for

information




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Looked for

information

Looked for

information

SpecialistGeneral

Practitioner

Looked for

informationHome Pharmacy

Looked for

informationPharmacy

General

PractitionerSpecialist


Flow of actionWhat do patients do in the UK?2

009

Looked for

information

General

Practitioner

Looked for

information

Looked for

information

Pharmacy

Something else

TOTAL

Looked for

information

Looked for

information

General

Practitioner

Looked for

information

Specialist Pharmacy


Pharmacy Pharmacy

Looked for

informationSomething Else

N Non conformist = 232 / N health conscious = 299 / N Hedonist= 249 / N Expert = 268 / F = No filter applied


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Looked for

information

Looked for

information

Home Pharmacy

Looked for

information /

Specialist

General

PractitionerSpecialist

PharmacyGeneral

Practitioner

Something Else

General

Practitioner /

Specialist

Pharmacy Specialist

Flow of actionWhat do patients do in the Netherlands?2

009

Looked for

information

General

Practitioner

Special

Practitioner/

Pharmacy

Pharmacy

Something else

Pharmacy

TOTAL

General

PractitionerHome Pharmacy

Looked for

information

General

Practitioner

Looked for

informationPharmacy

Pharmacy Something Else

Something ElseGeneral

Practitioner

Waited some time Pharmacy



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Practitioner

Pharmacy Specialist

PharmacyGeneral

Practitioner

Something else Specialist


Specialist Pharmacy

Flow of actionWhat do patients do in Belgium?2

009

Home

Pharmacy

Special

Practitioner/

Pharmacy

General

Practitioner

Special

Practitioner

Special

Practitioner

Something else

TOTAL

Home Pharmacy Home Pharmacy

PharmacyGeneral

Practitioner

General

Practitioner

General

Practitioner



Something ElseGeneral

Practitioner



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2009 EditionWhere do patients look for information?2

009





































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Information searchInformation search in the flow of action



Pharmacy



Something Else


2009



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Information searchWhere do patients look for information?

N total = 628 / Filter = If looked up information.

89%

26%

25%

20%

14%

12%

12%

6%

4%

4%

3%

2%

Internet

Friends / acquaintances

Family

Health encyclopaedia (book)

Health article(s) I collected

Magazines

Patient folder(s)

Newspapers

Fellow patients

Library

Other

Patient organisations

56%

58%

51%

6%

* Remark: the data were collected via an online

panel survey. The total use of the internet by

patients was 89% in the sample. To avoid over-

estimation of the internet usage by patients

(because the internet penetration in the sample

was 100%), the internet usage was corrected

based on the internet penetration in Europe.

2009


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62%

38%

20%

24%

19%

27%

10%

23%

21%

36%

20%

15%

2%

1%

9%

3%

3%

Male

Female

25 - 34

35 - 44

45 - 54

55 - 69

70 or older

High blood pressure

High cholesterol

Overweight (Obesity)

Chronic pain

Depression

Look on Internet when feel smthg

Before doctor visit, look on Internet

When doctor diagnosis, look Internet for more info

When doctor diagnosis, check it based on online info

When taking medicine, look up info about it online

44%

56%

19%

22%

19%

28%

12%

29%

26%

41%

35%

20%

33%

30%

63%

34%

33%

Male

Female

25 - 34

35 - 44

45 - 54

55 - 69

70 or older

High blood pressure

High cholesterol

Overweight (Obesity)

Chronic pain

Depression

Look on Internet when feel smthg

Before doctor visit, look on Internet

When doctor diagnosis, look Internet for more info

When doctor diagnosis, check it based on online info

When taking medicine, look up info about it online

1%

3%

5%

4%

2%

5%

11%

4%

3%

8%

7%

7%

7%

7%

8%

9%

8%

10%

8%

14%

27%

60%

59%

55%

63%

59%

48%

37%

27%

26%

24%

16%

24%

27%

18%

Belgium

Netherlands

France

Germany

UK

Spain

Italy

Once a week or more A couple of times a month Every month A couple of times a year Never

1%

3%

5%

4%

2%

5%

11%

4%

3%

8%

7%

7%

7%

7%

8%

9%

8%

10%

8%

14%

27%

60%

59%

55%

63%

59%

48%

37%

27%

26%

24%

16%

24%

27%

18%

Belgium

Netherlands

France

Germany

UK

Spain

Italy


1%

3%

5%

4%

2%

5%

11%

4%

3%

8%

7%

7%

7%

7%

8%

9%

8%

10%

8%

14%

27%

60%

59%

55%

63%

59%

48%

37%

27%

26%

24%

16%

24%

27%

18%

Belgium

Netherlands

France

Germany

UK

Spain

Italy


INTERNET IS NOT

SOMETHING ONLY

FOR YOUNG USERS

2008

In 2008 we have learned that...

Those who DO and who DO NOT use

the internet for health-related

information have the same age

distribution. Above all, the 55 to 69

years old use it most intensively.



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Information searchWhere do patients look for information?

56% 62% 72% 59% 46% 51% 45% 60%

26% 41% 15% 30% 34% 21% 17% 25%

25% 29% 22% 20% 21% 24% 47% 17%

20% 14% 11% 9% 18% 15% 33% 20%

14% 13% 7% 11% 22% 12% 11% 12%

12% 4% 7% 14% 16% 9% 9% 10%

12% 13% 18% 14% 22% 3% 8% 7%

6% 3% 3% 13% 11% 2% 2% 4%

4% 3% 9% 0% 4% 9% 3% 5%

4% 0% 4% 3% 4% 3% 4% 6%

3% 2% 2% 3% 2% 2% 4% 2%

2% 8% 7% 0% 1% 2% 0% 4%

89%

26%

25%

20%

14%

12%

12%

6%

4%

4%

3%

2%

Internet


Family



Magazines

Patient folder(s)

Newspapers

Fellow patients

Library

Other


N Europe = 628 / N Belgium = 55 / N Netherlands = 97 / N France = 50 / N Germany = 109 / N Spain= 81 / N Italy = 91 / N United Kingdom = 145

Filter: If searched for informationSig. Difference between countries (95%)

2009


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Information searchWhere do patients look?

56%

26%

25%

20%

14%

12%

12%

6%

4%

4%

3%

2%

89%

26%

25%

20%

14%

12%

12%

6%

4%

4%

3%

2%

Internet


Family



Magazines

Patient folder(s)

Newspapers

Fellow patients

Library

Other


N Europe = 628 / N Non Conformist = 141 / N Healthy Laidback = 115 / N Hedonist of Life = 147 / N Health Expert = 225

Filter: If searched for information

2

9

%58% 54% 50% 59%

23% 35% 23% 26%

29% 20% 24% 26%

12% 9% 22% 28%

13% 9% 6% 22%

13% 14% 9% 12%

12% 15% 7% 15%

6% 9% 5% 7%

4% 3% 5% 5%

3% 2% 5% 7%

2% 1% 4% 3%

1% 2% 2% 3%

2009

Sig. Difference between segments (95%)



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2009 EditionHow do patients get treated?2

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Site

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(HOW) DO THEYGET TREATED?


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TreatmentKinds of treatment

63%

16%

15%

5%

5%

3%

3%

2%

2%

2%

1%

7%

19%

Medication

An adapted diet

Physical exercise / sports

A vitamin cure

Homeopathic products

Physiotherapy

Surgical operation

Acupuncture

Manual therapy

Psychotherapy

Osteopathy

Hypnosis

Other

I did not follow any sort of treatment

N Europe = 2.841 / Filter = None

2009

Treatment mostly involves

medication (63%).

In Germany patients followed a

treatment in 67% of the cases

(highest score).

In the Netherlands this is only

55% (lowest score).

19% did not follow any

treatment whatsoever.

In Italy non-treatmentis lowest (14%), in the

Netherlands highest (29%).


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TreatmentKinds of treatment

63%

16%

15%

5%

5%

3%

3%

2%

2%

2%

1%

7%

19%

Medication

An adapted diet


A vitamin cure


Physiotherapy

Surgical operation

Acupuncture

Manual therapy

Psychotherapy

Osteopathy

Hypnosis

Other


63% 59% 55% 64% 67% 63% 64% 59%

16% 16% 5% 12% 8% 28% 23% 17%

15% 12% 15% 8% 22% 20% 14% 9%

5% 11% 3% 6% 3% 1% 6% 5%

5% 6% 4% 5% 7% 3% 6% 2%

3% 3% 0% 1% 3% 3% 4% 4%

3% 5% 3% 3% 4% 3% 1% 2%

2% 1% 2% 1% 3% 2% 1% 2%

2% 2% 3% 1% 5% 2% 1% 2%

2% 1% 5% 1% 3% 2% 2% 2%

1% 3% 0% 2% 1% 1% 0% 1%

0% 0% 1% 0% 0% 0% 0% 2%

7% 9% 9% 6% 5% 6% 11% 8%

19% 26% 29% 21% 16% 17% 14% 23%

2009

Sig. Difference between countries (95%)


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TreatmentTop 5 chronic / recurrent diseases and their top 5 treatment

Q : What kind of treatment did you follow? If you were on a combination of treatment, you can select different options.

Headache Allergy Hypertension Stress Sleep disorders

70%

16%

10%

7%

7%

Medication


An adapted diet

A vitamin cure


71%

16%

13%

10%

8%

Medication

An adapted diet


Other (please specify)


78%

23%

22%

5%

4%

Medication

An adapted diet




56%

20%

16%

9%

9%

Medication


An adapted diet



64%

15%

14%

10%

9%

Medication


An adapted diet



N total = 2841 /F=None

2009


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TreatmentTop 5 acute diseases and their top 5 treatment

N total = 2841 /F=None

Q : What kind of treatment did you follow? If you were on a combination of treatment, you can select different options.

Headache Influenza Muscle ache Allergy Stress

64%

14%

12%

7%

7%

Medication


An adapted diet



71%

16%

14%

11%

10%

Medication

An adapted diet



A vitamin cure

60%

20%

17%

9%

8%

Medication


An adapted diet

Physiotherapy

A vitamin cure

71%

15%

12%

8%

6%

Medication


An adapted diet


A vitamin cure

50%

19%

14%

12%

9%

Medication


An adapted diet



2009


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TreatmentMedication – Prescription or not?

57%61%

67%

60%56%

45%

58%61%

32% 23%

27%

27% 39%

38%

27%

28%

12%16%

6%

13%

6%

17% 16%11%

57%

61%

67%

60%

56%

45%

58%

61%

32%

23%

27%

27%

39%

38%

27%

28%

12%

16%

6%

13%

6%

17%

16%

11%

My medication is only available on a doctor‟s prescription

My medication is freely available, also without a doctor‟s

prescription

I am not sure whether or not I needed a prescription

57%

61%

67%

60%

56%

45%

58%

61%

32%

23%

27%

27%

39%

38%

27%

28%

12%

16%

6%

13%

6%

17%

16%

11%



prescription


57%

61%

67%

60%

56%

45%

58%

61%

32%

23%

27%

27%

39%

38%

27%

28%

12%

16%

6%

13%

6%

17%

16%

11%



prescription


N Belgium = 405 / N Netherlands = 401/ N France = 408/ N Germany = 400 / N Spain = 409 / N Italy = 417 / N United Kingdom = 401

2009


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Treatment Medication – Who has most influence on the medication?2

009

Q Who had the most influence on the type/brand of medication you received? Typ

e o

f m

ed

icati

on

Average

Average

Brand of medication

The patient has

a relatively big

influence on the

type and brand

of medication

(s)he receives.

Me

Friends / family / acquaintances

The pharmacist

The GP

The SP

Someone else0%

10%

20%

30%

40%

0% 10% 20% 30% 40%

N Europe = 1.778 / Filter : If medication treatment

http://www.gettyimages.com/detail/83927955/Digital-Vision


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Treatment Medication – Who has most influence on the medication in France?

Average

Average

Me


The pharmacist

The GP

The SP

Someone else (please specify)

Me -EU

Friends / family / acquaintances-EU

The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU

0%

10%

20%

30%

40%

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

N France = 270 / Filter : If medication treatment


e o

f m

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icati

on

Brand of medication

2009


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Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU

0%

10%

20%

30%

40%

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

Treatment Medication – Who has most influence on the medication in Germany?

Average

Average

N Germany = 264 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


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Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU

0%

10%

20%

30%

40%

50%

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

Treatment Medication – Who has most influence on the medication in Spain?

Average

Average

N Spain = 257 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


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Treatment Medication – Who has most influence on the medication in Italy?

Average

Average

Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU0%

10%

20%

30%

40%

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

N Italy = 262 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


Site

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Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU0%

10%

20%

30%

40%

50%

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

Treatment Medication – Who has most influence on the medication in the UK?

Average

Average

N United Kingdom = 250 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


Site

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Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU

0%

10%

20%

30%

40%

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

Treatment Medication – Who has most influence on the medication in the Netherlands?

Average

Average

N Netherlands = 224 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


Site

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Me


The pharmacist

The GP

The SP


Me -EU


The pharmacist-EU

The GP-EU

The SP-EU

Someone else-EU

0%

10%

20%

30%

40%

50%

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

Treatment Medication – Who has most influence on the medication in Belgium?

Average

Average

N Belgium= 251 / Filter : If medication treatment


e o

f m

ed

icati

on

Brand of medication

2009


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Treatment Medication – Branded or generic?

Q To what extent would you agree with the following statement:

„I know the difference between generic medication and branded medication‟?

71% knows the difference between branded and generic

those who know the difference are / have more likely...

MaleHigher income

Higher educatedNon Conformist

Expert45+

80%

74%73% 79%

>80%

Acute disorder72%

>80%

2009

71%

29%

Yes No

N Europe = 2841 / Filter = No filter applied


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71%

80%

26%

87%

60%

87%

81%

56%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom


Q To what extent would you agree with the following statement: „I know the difference between generic medication and branded medication‟?

% top 2 scores: I fully agree + I agree

2009 Treatment

Medication – Branded or generic?

N Europe = 2841/N Belgium = 405 / N Netherlands = 401/ N France = 408/ N Germany = 400 / N Spain = 409 / N Italy = 417 / N United Kingdom = 401

Fact that scores are surprisingly low in the Netherlands (and also in Germany) can be explained in 2 ways. Firstly, language issues: different terms

are used to refer to generics by consumers and they might have misunderstood the wording used in the survey (i.e. „generic medication‟). A second

explanation: the generics‟ markets are maturing in some countries and names of active components are mistakenly thought of a being brand names.

71%


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Medication – A view on generic medication

83%

17%

Top 2 Bottom 3

89%

11%

Yes No

56%44%

Top 2 Bottom 3

89% of those who know generics have ever used generics. However, almost

44% doesn’t believe they contain the same active ingredient

as branded medication. On the other hand, 83% agrees they are as effective as

branded medication.

Ever used Same active ingredient As effective

N Europe = 1960 / F= If aware of generics

Q Have you ever used generic medication?

Q I believe generic contains the same active ingredient as branded medication. Top 2: I fully believe / I believe.

Q I believe generic medication is as effective as branded medication. Top 2: I fully believe / I believe.


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56%44%

Top 2 Bottom 3

N Europe = 1960 / F= If aware of generics

Q : I believe generic medication contains the same active ingredient as the original formulation.

2009 Treatment

Medication – A view on generic medication

Non ConformistExpert

Acute Disease18-24

Chronic DiseaseHealthy Laidbacks

62%

59%

63%

58%

58%

61%

56% believes generic medication contains the same

active ingredient as the original formulation...


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Changing habitsWho changes eating habits?2

009

No differences between

men and women!

13% of the

young

19% of the

elderlyfollow a diet.

A typical reflex of the

Healthy

Laidback(20% diets).

63%

16%

15%

5%

5%

3%

3%

2%

2%

2%

1%

7%

19%

Medication

An adapted diet


A vitamin cure


Physiotherapy

Surgical operation

Acupuncture

Manual therapy

Psychotherapy

Osteopathy

Hypnosis

Other



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2009 EditionHow is the relationship with the physician?2

009





































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Flow of actionGP visit



Pharmacy


Specialist Practitioner

Something Else


2009



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Flow of actionGP visit


2009


STEP 1

STEP 2

STEP 3

STEP 4

STEP 5

STEP 6

14%

28%

41%

47%

50%

52%

STEP 7 52%

has visited In


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GP loyaltyWent to see the fixed GP

Q For your disorder, did you go to the same GP you usually visit?

Europe= 975 / Belgium = 147 / Netherlands = 136 / France = 138 / Germany = 131 / Spain = 144 / Italy = 104 / United Kingdom = 175 / Filter: If

went to GP

91%97%

94% 92% 95% 94%100%

78%

5%

3%3% 5% 3% 2%

12%

3% 3% 2% 2% 3%

6%

4%

91%

97%

94%

92%

95%

94%

100%

78%

5%

3%

3%

5%

3%

2%

12%

3%

3%

2%

2%

3%

6%

4%

Yes

No, my regular GP was not available at that time

No, I saw another GP at that time (please specify

why)

I do not have a regular GP

2009


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GP advise / prescriptionTreatment

Q Did your GP advise / prescribe a specific treatment?

73%

77%

69%

84%

66%

74%

74%

69%

14%

14%

13%

7%

21%

17%

17%

12%

13%

10%

19%

9%

13%

9%

9%

19%

Medication

No medication

Nothing


went to GP

2009


73%77%

69%

84%

66%

74% 74%69%

14%14%

13%

7%

21%

17% 17%

12%

13%10%

19%

9%13%

9% 9%

19%


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GP advise / prescription % of treatments WITH MEDICATION for the most common disorders

Q Did your GP advise / prescribe a specific treatment?


went to GP

2009

84%

76%

75%

70%

61%

Hypertension

Sleep disorder

Allergy

Stress

Headache

79%

71%

70%

70%

70%

Influenza

Headache

Allergy

Muscle ache

Stress

% medication for chronic / recurrent disorders % medication for acute disorders


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24%

29%

29%

NON-CONFORMISTS

HEALTHY LAIDBACK

EXPERTS

21%

25%

DO THEY ALL TRUST THE DOCTOR?

2009

HEDONISTS OF LIFE

GP relationshipConfidence


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24%

29%

29%

NON-CONFORMISTS

HEALTHY LAIDBACK

EXPERTS

HEDONISTS

21%

25%

YES THEY DO

Pan-

They are more likely to...

Have complete confidence in their GP

Believe what the GP says

Agree that the GP is well-informed about

new treatments / medication

2009 GP relationship

Confidence


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24%

29%

29%

NON-CONFORMISTS

EXPERTS

HEDONISTS

21%

25%

NO THEY DON’T

They are less likely to...

Have complete confidence in their GP

Believe what the GP says

Agree that the GP is well-informed about

new treatments / medication

2009

HEALTHY LAIDBACKGP relationshipConfidence


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Confidence in GP Not completely Completely Not completely Completely

Interaction with GP No interaction No interaction No interaction Interaction

Believe what GP says Not always Most of the time Not always Most of the time

Prefer Second Opinion Preference No preference No preference Preference

GP well informed of new

treatment methods Less informed Well informed Less informed Well informed

GP well informed of new

medication Less informed Less informed Less informed Well informed

GP makes right

diagnosis Not always Not always Not always Mostly

GP makes time for me No No No Yes

More confidence in my

GP than other GP's Less/Equal confidence Less/Equal confidence Less/Equal confidence More confidence

29%

21%24% 25% 29%

NON-CONFORMISTS HEALTHY LAIDBACK HEDONISTS OF LIFE EXPERTS

2009

N Non Conformist = 634 /N Healthy Laidback = 654 / N Hedonist of Life = 714 / N Expert =835 F = No filter applied

GP relationConfidence


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Conversation with the GPPatient conversations: model definition

Q To what extent do you agree with the following statements about your interaction with the doctor?

Europe= 975 / Belgium = 147 / Netherlands = 136 / France = 138 / Germany = 131 / Spain = 144 / Italy = 104 / United Kingdom = 175

Filter: If went to GP

2009

I suggested to the doctor the disorder I

thought I suffered from.

I suggested to the doctor a specific treatment.

I asked the doctor for a specific (brand) of

medication

The doctor took my input into account when

making the diagnosis

The doctor took my input into account when

formulating/prescribing the treatment

The doctor showed empathy

There was a mutual respect between the

doctor and me.

Do you agree with... (on a 5 point scale)

Average

Average

Average

Active input from patient

Impact of patient input

Empathy by doctor


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Conversation with the GP Input versus impact of patient


went to GP

2009

Active input of patient

Impact

of patient

2

3

4

1 32

highlow

The input given by patients and the impact they have in a

conversation with their GP largely differs across countries. In

The Netherlands for example, patients have clearly a more

important role in the conversation with the doctor than in Italy.


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Conversation with the GP Empathy by the physician versus impact of the patient


went to GP

2009

Empathy by doctor

Impact

of patient

2

3

4

1 32

highlow

The empathy shown by the doctor in the dialog

with the patient largely varies as well.

In Italy a doctor‟s visit is clearly a one-way relationship.

Germans have more open conversations with their doctor.


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2,8

2,9

3,0

3,2

3,1

3,0

3,1

3,0

3,0

3,1

2,9

2,9

3,1

3,2

3,0

3,0

3,0

3,1

18-24

25-34

35-44

45-54

55-64

65 or older

Male

Female

Lower educated

Higher educated

Non conformist

Healthy laidback

Hedonists of Life

Expert

No

Yes

No

Yes

2,2

2,3

2,1

2,3

2,0

2,1

2,2

2,2

2,1

2,1

2,1

1,9

2,3

2,3

2,1

2,2

2,0

2,3

18-24

25-34

35-44

45-54

55-64

65 or older

Male

Female

Lower educated

Higher educated

Non conformist

Healthy laidback

Hedonists of Life

Expert

No

Yes

No

Yes

Conversation with the GPInput and impact of target groups

Q To what extent do you agree with the following statements about your interaction with the doctor?

Europe= 503/ Filter: If went to SP

Age

Sig. Difference (95%)

2009

Gender

Education

Segment

Chronic/recurrent

Acute

Active input from patient Impact of patient input


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Flow of actionSP visit



Pharmacy


Specialist Practitioner

Something Else


2009



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25%

23%

27%

45%

39%

32%

11%

32%

32%

33%

31%

28%

38%

31%

33%

36%

30%

20%

34%

23%

37%

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom

18-44

45+

Male

Female

Lower

Higher

Non conformists

Healthy Laidback

Hedonists of Life

Expert

No

Yes

No

Yes

SP visitFirst to the GP or directly to the SP?

Europe= 503

Filter: If went to SP

Age

2009

Gender

Education

Segment

Chronic/recurrent

Acute sick

Directly to SP32%

First to GP68%

Country

Sig. Difference between patients (95%)


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SP visitReferral by the GP

84%

80%

91%

76%

82%

94%

85%

82%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom


Europe= 343 / Belgium = 45/ Netherlands = 49 / France = 40/ Germany = 35/ Spain = 66 / Italy = 52 / United Kingdom = 56

Filter: If went to GP and afterwards to SP

Q You first went to the GP and then to the specialist. Did your GP refer to the specialist?

2009


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Europe= 160 / Filter: If went to SP immediately

Q you immediately went to specialist without visiting your GP first. Which of the following statements applies to your situation?

31%

26%

23%

21%

10%

I estimated that my condition was so specific that my GP would not

be able to help me

This is the specialist I always go to

I had visited that specialist before for something similar and it was a

natural response to make an appointment there

This specialist was recommended to me

None of the above

2009

Drivers to go to SP

straight away

SP visitNo GP referral


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2009 EditionThe role of the (home) pharmacy2

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encyclopedia..., the sources are























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The home pharmacy is not part

of the regular patient action flow.

Still it is the first reflex for one

segment: the Hedonists of Life.

2009

91

Lookedfor information


Pharmacy



Something Else


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The role of the home pharmacyMedication in the home pharmacy?

71%

78%

82%

74%

66%

69%

79%

68%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom

N Europe = 531/ N Belgium = 80 / N Netherlands = 71 / N France = 92 / N Germany = 82 / N Spain= 72 / N Italy = 73/ N United Kingdom = 61 /

Filter: If looked in home pharmacy

Q Did you find what you were looking for in your home pharmacy?


On average

7 in 10 patients find

what they are

looking for in

the home

pharmacy

2009


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The role of the home pharmacyMedication in the home pharmacy?

Those who find it in the home pharmacy

are more likely...

Non chronically sickAged 18 to 44

Families with children up to 17 years old

2009

Q Did you find what you were looking for in your home pharmacy?

79% 78%

74%

N Europe = 531 / Filter: If looked in home pharmacy

71%

29%

Yes No


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N Europe = 387 / Filter: If looked in home pharmacy and found what needed

Q Did you find what you were looking for in your home pharmacy? / Did you administer/apply what you found in the home pharmacy?

And those who find it in the home pharmacy

are very likely to administer it!

70%Of the total population

2009 The role of the home pharmacy

Administration / application of home pharmacy items


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The role of the home pharmacyAdministration / application of home pharmacy items

N Europe = 387 / Filter: If looked in home pharmacy

Population

Found in home

pharmacy 71%

Apply product from

home pharmacy

70%of the total

population

2009

82

82

74

74

78

75

65

65

79

79

66

66

69

69

Q Did you find what you were looking for in your home pharmacy? / Did you administer/apply what you found in the home pharmacy?


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The role of the home pharmacyThe instruction leaflet

N Europe = 387 / Filter: If administered / applied product

2009

43%

38%

9% 9%

1% 0%

Not read, taken before Read, followed instructions

Read, did not follow completely

Not read, not necessary Not read, no leaflet Read, not followed

47% first reads the instruction leaflet

before administering / applying something

Q Which of the following statements apply concerning the instruction leaflet?


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Going to the pharmacy is the

3rd step in the regular patient

action flow.

97

Lookedfor information


Pharmacy



Something Else


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The PharmacyLoyalty

Q To what extent do you always go to the same pharmacy?

38%

65%

75%

52%

36%

55%

14%

35%

44%

23%

16%

30%

46%

30%

72%

41%

17%12%

9%

18% 18%15% 13%

25%


38%

65%

75%

52%

36%

55%

14%

35%

44%

23%

16%

30%

46%

30%

72%

41%

17%

12%

9%

18%

18%

15%

13%

25%

I always go to the same pharmacy if I can

I mostly go to the same pharmacy

I go to a number of pharmacies, depending

on where I am and


Filter: If went to pharmacy yourself

2009


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The Pharmacy Product in stock?

Q Was the pharmacist able to give you the product / medication you needed at that time?

83%

80%

79%

88%

81%

88%

92%

66%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom



2009



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The Pharmacy Interaction with the pharmacist

Q Did the pharmacist inquire about your health / condition?

49%

41%

37%

33%

54%

49%

40%

67%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom



2009



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48%

78%

64%70%

53%

41%

31%

41%

13%

5%

3%

1%

13%

23%

16%

13%

11%

5%

12%

14%

11% 9%

9%

15%

17%

12%

14%

16%

18%16%

10%

26%

11%8% 7%

10%

34%

6%

The Pharmacy Interaction with the pharmacist

Q Which of the following statements applies best to the explanation given by the pharmacist

48%

78%

64%

70%

53%

41%

31%

41%

13%

5%

3%

1%

13%

23%

16%

13%

11%

5%

12%

14%

11%

9%

9%

15%

17%

12%

14%

16%

18%

16%

10%

26%

11%

8%

7%

10%

34%

6%

The pharmacist actively explained to me how I

needed to use

The pharmacist explained the use / the

regimen when I asked

The pharmacist did not explain because (s)he

estimated I had

The pharmacist did not explain because I

indicated I knew ho

The pharmacist did not explain and I don‟t know

why



2009

Active explanation how to use

Explanation after asking

No explanation because taken before

No explanation/ I indicated I knew how

to use

No explanation without a reason



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The Pharmacy Up-selling / cross-selling

Q Did you also take home other products / medicines from the pharmacy besides the one you needed / intended to purchase?

33%

32%

10%

53%

37%

27%

21%

37%

Total

Belgium

Netherlands

France

Germany

Spain

Italy

United Kingdom



2009

Chronically sick people

Hedonist of Life

Healthy Laidback

Acute sick people

Very low for non conformists

Experts

39%

39%

38%

40%

12%

34%

2

9

%



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The Pharmacy Impact of Point-Of-Purchase materials

Q Did you also take home other products / medicines from the pharmacy besides the one you needed / intended to purchase?

Europe= 95 / Filter: If take home other products

2009

48%

22%

10%

15%

Not linked to disorder

Visibly on display

Suggested by pharmacist

Asked for them

48% of the extra purchases are not intended for the current disorder (probably to re-fill the home pharmacy).

48%

22%

10%

15%


Visibly on display


Asked for them

Visible displaysare responsible for more extra sales than the active advice by the pharmacist.

48%

22%

10%

15%


Visibly on display


Asked for them

48%

22%

10%

15%


Visibly on display


Asked for them


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2009 EditionCompliance to treatment2

009





































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Loyalty

Adherence (Compliance)

Persistence

Loyalty

A patient systematically takes a certain

brand of medicine according to the

prescribed regimen

Adherence or Compliance

A patient takes a medicine according to the

prescribed regimen

Persistance

A patient takes a medicine, but NOT

necessarily according to the

prescribed regimen

ComplianceWhat’s in a name?


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Compliance to treatmentImpact of a GP and SP visit

Europe= 975 / Filter: If went to GP

Q What happened after your visit to the GP / SP?

Europe= 503 / Filter: If went to SP

77%

24%

8%

6%

2%

1%

Started treatment

Adapted lifestyle

Other

Nothing

Changed treatment

Stopped treatment

74%

24%

7%

6%

5%

2%

Started treatment

Adapted lifestyle

Other

Nothing

Changed treatment

Stopped treatment

General Practitioner Special Practitioner

2009


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2%

7%

13%

37%

42%

Not at all

Rather not

Neutral

Rather well

Totally

Compliance to treatmentCompliance to treatment WITHOUT medication

Europe= 132 / Filter: If GP prescribed treatment without medication

Europe= 91 / Filter: If SP prescribed treatment without medication

Q: Did you follow the treatment exactly as prescribed?

5%

5%

11%

51%

29%

Not at all

Rather not

Neutral

Rather well

Totally

80% 79%

2009



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Europe= 724 / Filter: If GP prescribed medication

Europe= 357 / Filter: If SP prescribed medication

Q Please indicate which of the following descriptions applies best to the medication that was prescribed.

94%

2%

0%

3%

0%

0%

0%

Took exactly as prescribed

Lower dose

Higher dose

Shorter period

Longer period

Never started

Other

Compliance to treatmentCompliance to treatment WITH medication2

009


90%

4%

1%

3%

0%

2%

1%

Took exactly as prescribed

Lower dose

Higher dose

Shorter period

Longer period

Never started

Other


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Q What are reasons to deviate from what the doctor prescribed?

1

2

3

4

5

Top 5 reasons to deviate from the prescription Stressing the

importance of

continued use

once the

symptoms

disappear, seems

more important

than the

promotion of

compliance tools.

Europe= 144 / Filter: If not compliant to GP prescription; non-significant differences found for non-compliance to SP prescription, but counts too low.

Forgot to use it 9%

ComplianceReasons for non-compliance?2

009

109

Symptoms disappeared 21%

Do not like medication 10%

No short term effect 9%

Side effects in the leaflet 9%


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•THE END

2009


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Contact details

Magali GeensDirector Health Research

[email protected]

Tel. +32 9 269.16.04

Mobile +32 497.523.526

www.insites.eu Regus Rotterdam

[email protected] Brainpark

Evergemsesteenweg 195 Lichtenauerlaan 102-120

B-9032 Gent 3062ME Rotterdam

Belgium The Netherlands

Tel. +32 9 269 15 00 Tel. +31 10 204 56 71

Fax. +32 9 269 16 00 Fax. +31 10 204 55 55

2009


http://www.insites.eu/



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2009 EditionThank you2

009














encyclopedia..., the sources are























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11 mio euro turnover

+2.5 mio panel members in +25 countries

80 employees

Projects in +35 countries

Offices in Belgium and the Netherlands

Yearly growth +40% last 7 years

Since 1997

Full-service

Independent

Working for 40% of best global brands (2008)

In a nutshell


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We believe ...

in the power of new research methods

for better marketing decision making

InformationalProviding more depth to research insights

TransformationalDoing things that were previously not possible

AutomationalConducting research more efficiently

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We believe ...

in connected research

Everything we do is aimed at enhancing intimacy

between you, your market and us.

We believe ...

in sharing and co-creating

5% of our turnover is invested in R&D

10 ESOMAR papers over the last 2 years

Academic links all over the world

No black boxes

Co-development with clients Co-development with academia

http://www.unimaas.nl/

http://www.bauer.uh.edu/index.asp


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We believe ...

in giving back

Rewarding experiences for participants

Active involvement of panel members

Charity contributions

http://www.talktochange.com/


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We believe ...

in the power of our team

People make the difference

Open, forward thinking, dedicated, passionate

Specific knowledge centers


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Our health references

http://www.spmsd.com/index.asp?lang=1

http://www.janssenah.be/index.htm


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More references

Date post:	20-Aug-2015
Category:	Health & Medicine
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Pan European Health Study 2009 InSites Consulting

Health & Medicine