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A way from Global to Local
                   Some bits about
         Healthcare Social Media in
         German speaking countries

  Austria Germany - Switzerland

Dr. Michaela Endemann Vienna, Austria, @wissit
                         22.Nov.2012 Madrid
Fit for Healthcare Social Media?


Where are we?
Patients, Hospitals, Docs, Pharmacies, Pharma Industry


                                         Listen, Explore ...

Outlook - Bridging the gap from explore to
engage?
Healthcare Systems
Switzerland: 26 autonomous Regions = 26
Healthcare Systems*


                             Germany: public health and private insurance

Austria:
* Health insurance is compulsory
* covers 99% of inhabitants
* High density of easily accessible health
  care facilities



      *A. Schmid - www.e-health-suisse.ch,, pic: www.pharmig.at
Rate of Internetuse around Europe - 2012




                                                      80%


http://www.internetworldstats.com/stats4.htm#europe
Internetusage of Internetusers for Healthcare Info

  Switzerland:




                                           50 %



s25, http://www.bfs.admin.ch/bfs/portal/de/index/news/publikatio
nen.html?publicationID=4742
                                                                   http://epp.eurostat.ec.europa.eu/portal/page
                                                                   /portal/information_society/data/main_tables
What happend in Austria between 2010 and 2011?




                                                                        35 % --> 52 %




       http://epp.eurostat.ec.europa.eu/portal/page/portal/informatio
       n_society/data/main_tables
Looking up for Healthcare Info


Magazines - > Variety of wellness and healthcare
              magazines in DACH
          - > Special Austrian Supplements in
              German Magazines
          - > Austrian Health Magazines

Newspaper - > Daily and Weekly Newspaper with
              supplements of healthcare topics

Books              - > Publishing Companies and Bookstores with
                       special interest in Healthcare/Wellness
     exc. pics from Websites of Magazines /publs.companies
Twitter

        about 100.000 Accounts (= about 1 % of Internetusers)


        who is tweeting: Journalists, Social Media Experts, Consultants,


        Scientific Study: The Austrian Political Twittersphere             www.socialmediaradar.at


        http://www.univie.ac.at/twitterpolitik/




*Data 18.9.2012, www.socialmediaradar.at,
 twittericon: www.smashingmagazine.com
#hcsmat

startet #hcsmat in Nov 2011
healthcare discussion on twitter with an unique #




other german hashtags/words with diverse
usage:

#elga #gesundheit #krankenhaus #spital
     pic/stats www.symplur.com
Facebook




   US: 54 %
   UK: 53%
http://www.socialbakers.com/
German Hospitals on Facebook
   350
   300
   250
   200
   150
   100
    50
     0
         0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

      May 2010                Nov   Mar 2011   July 2011                             May 2012

2012: 2045 Hospitals                                       Stats and Info:
195 on FB -> abt 14 %                                      @gesundheitswirt
(Double Pages per Hospitals                                Martin Schleicher
                                                           http://gesundheitswirt.posterous.com
possible)
                                                           http://de.slideshare.net/gesundheitswirt/was-
                                                           machen-kliniken-in-social-media-facebook-was-
                                                           sonst?from=ss_embed
Explore - Hospitals on Facebook
Pharma in Austria


10 % large Companies with more than 250
employees

                                          40 % mid-sized with between 10 and 250
                                                                      employees

50 % small sized Companies with not more than
10 employees



Source and further info: www.pharmig.at
Localized Content/Website

Infosites Personalized Medicine: Pfizer




      .de                     .at           .ch
Doctors Patients - Pharmacists



Patients

                       P         atient
                                                      Pharmacists


Physicians

                       D             oc




      pic Apotheke: M.Endemann
P
atient
                Online Healthcare Info -where ?
                  Where do you look up for HC Info?

  on hospital websites
          netdoktor.de
           netdoktor.at
on physicians websites
          gesund.co.at                                                     %
          meduniqa.at
    gesundundleben.at
                 none
                 other
                          0       10    20    30    40    50    60    70


                              free answers: Websites in English, Wikipedia.de



non representative own email survey, Austria, 2011, n= 37, *incl free answers ont other
P
atient
         Why were you looking for Healthcare Information on the Internet?
                                                                           Why?

 Look up for people with same condition

                 Look up for alternatives

  Want more information about treatment

Want more information about medication                                            %


          Want more about my diagnosis

          There was no physician to ask

                Want to be informed well

                                            0   10     20   30   40   50    60    70


non representative own email survey, Austria, 2011, n= 37
P
atient
                                      Trust, Overflow, Satisfied?

         There is too much nonsense:
                                                                                           76
                                                                                                     No     no   yes
                                                       8




          Dont trust Internet HC Info:
                                                                                                81    No
                                                   5




          Irritation with Info-overflow?
                                                                           49    No
                                                                     35



                                               0
                Would look up again?                                                                  89   Yes

                                                       8
Satisfied with Internet Healthcareinfo?                                                         81   Yes

                                           0       10      20   30   40   50    60    70   80        90    100



non representative own email survey, Austria, 2011, n= 37
D     oc
                                                          Docs and Social Media

                                                                                                            yes %
                                      Twitter?            3



    Closed Networks for Physicians?                                                         34



                        Facebook?                                                            35
  (comment: mostly private usage)


   In General: Using Social Media?                                                                              50


                                                     0         10         20         30           40       50        60

non representative personal survey at a medical Congress 2011, n=64 , publ. in Arzt und Patient, www.prometus.at
Pharmacies
   Do you use Social Media? (%)                         Do you look for Healthcare
            2                                           Information on the Internet?
                9               yes
       19
                                no                      80% yes

                                only private

                                no answer
                70



  free answers: which?
   Facebook, Blogs, Intranet




non representative own email survey, Austria, 2011, n= 47, and free answers
Health Literacy - Europe


 The level ovf healt-literacy varies significantly
across European Countries

                           Strong social graduant Linked to age,
                             education and socio-economic status




 http://www.hls-eu.info/
 health-literacy.eu
Health Literacy around Europe
  (some details): Percentages of General Health Literacy Levels Thresholds
  for Countries and Total (graph 10)




www.health-literacy.eu - grapfh 10 http://goo.gl/hxUG2 (pdf)
What to do next?


Know your audience:
Country, Language, Culture, Medialandscape and Usage

             Help people to adapt in their own way social
                   media activities are growing organically


Dont fear your customers they dont bite

    Every country has its own process
    respect that in your activities
Europe will never be the United States of Europe,
                           a single country with a common language




                        We have too many cultures and languages ...


Umberto Eco   http://www.guardian.co.uk/world/2012/jan/26/umberto-eco-culture-war-europa?INTCMP=SRCH



              pic - http://de.wikipedia.org/wiki/Europa
Reach out for Light Bulbs

Explore!                      Listen!




                                Ask!



           Engage!
Thank you!

Dr. Michaela Endemann
Biologist, Blogger, Communication Strategist

Vienna, Austria

@wissit
0699/11713671
wissit@gmail.com

www.wissit.at
www.medtermine.at


                                               Special thanks to

                                               @rohal - Rob Halkes
                                               and
                                               Frank Butschbacher

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A way from global to local

  • 1. A way from Global to Local Some bits about Healthcare Social Media in German speaking countries Austria Germany - Switzerland Dr. Michaela Endemann Vienna, Austria, @wissit 22.Nov.2012 Madrid
  • 2. Fit for Healthcare Social Media? Where are we? Patients, Hospitals, Docs, Pharmacies, Pharma Industry Listen, Explore ... Outlook - Bridging the gap from explore to engage?
  • 3. Healthcare Systems Switzerland: 26 autonomous Regions = 26 Healthcare Systems* Germany: public health and private insurance Austria: * Health insurance is compulsory * covers 99% of inhabitants * High density of easily accessible health care facilities *A. Schmid - www.e-health-suisse.ch,, pic: www.pharmig.at
  • 4. Rate of Internetuse around Europe - 2012 80% http://www.internetworldstats.com/stats4.htm#europe
  • 5. Internetusage of Internetusers for Healthcare Info Switzerland: 50 % s25, http://www.bfs.admin.ch/bfs/portal/de/index/news/publikatio nen.html?publicationID=4742 http://epp.eurostat.ec.europa.eu/portal/page /portal/information_society/data/main_tables
  • 6. What happend in Austria between 2010 and 2011? 35 % --> 52 % http://epp.eurostat.ec.europa.eu/portal/page/portal/informatio n_society/data/main_tables
  • 7. Looking up for Healthcare Info Magazines - > Variety of wellness and healthcare magazines in DACH - > Special Austrian Supplements in German Magazines - > Austrian Health Magazines Newspaper - > Daily and Weekly Newspaper with supplements of healthcare topics Books - > Publishing Companies and Bookstores with special interest in Healthcare/Wellness exc. pics from Websites of Magazines /publs.companies
  • 8. Twitter about 100.000 Accounts (= about 1 % of Internetusers) who is tweeting: Journalists, Social Media Experts, Consultants, Scientific Study: The Austrian Political Twittersphere www.socialmediaradar.at http://www.univie.ac.at/twitterpolitik/ *Data 18.9.2012, www.socialmediaradar.at, twittericon: www.smashingmagazine.com
  • 9. #hcsmat startet #hcsmat in Nov 2011 healthcare discussion on twitter with an unique # other german hashtags/words with diverse usage: #elga #gesundheit #krankenhaus #spital pic/stats www.symplur.com
  • 10. Facebook US: 54 % UK: 53% http://www.socialbakers.com/
  • 11. German Hospitals on Facebook 350 300 250 200 150 100 50 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 May 2010 Nov Mar 2011 July 2011 May 2012 2012: 2045 Hospitals Stats and Info: 195 on FB -> abt 14 % @gesundheitswirt (Double Pages per Hospitals Martin Schleicher http://gesundheitswirt.posterous.com possible) http://de.slideshare.net/gesundheitswirt/was- machen-kliniken-in-social-media-facebook-was- sonst?from=ss_embed
  • 12. Explore - Hospitals on Facebook
  • 13. Pharma in Austria 10 % large Companies with more than 250 employees 40 % mid-sized with between 10 and 250 employees 50 % small sized Companies with not more than 10 employees Source and further info: www.pharmig.at
  • 14. Localized Content/Website Infosites Personalized Medicine: Pfizer .de .at .ch
  • 15. Doctors Patients - Pharmacists Patients P atient Pharmacists Physicians D oc pic Apotheke: M.Endemann
  • 16. P atient Online Healthcare Info -where ? Where do you look up for HC Info? on hospital websites netdoktor.de netdoktor.at on physicians websites gesund.co.at % meduniqa.at gesundundleben.at none other 0 10 20 30 40 50 60 70 free answers: Websites in English, Wikipedia.de non representative own email survey, Austria, 2011, n= 37, *incl free answers ont other
  • 17. P atient Why were you looking for Healthcare Information on the Internet? Why? Look up for people with same condition Look up for alternatives Want more information about treatment Want more information about medication % Want more about my diagnosis There was no physician to ask Want to be informed well 0 10 20 30 40 50 60 70 non representative own email survey, Austria, 2011, n= 37
  • 18. P atient Trust, Overflow, Satisfied? There is too much nonsense: 76 No no yes 8 Dont trust Internet HC Info: 81 No 5 Irritation with Info-overflow? 49 No 35 0 Would look up again? 89 Yes 8 Satisfied with Internet Healthcareinfo? 81 Yes 0 10 20 30 40 50 60 70 80 90 100 non representative own email survey, Austria, 2011, n= 37
  • 19. D oc Docs and Social Media yes % Twitter? 3 Closed Networks for Physicians? 34 Facebook? 35 (comment: mostly private usage) In General: Using Social Media? 50 0 10 20 30 40 50 60 non representative personal survey at a medical Congress 2011, n=64 , publ. in Arzt und Patient, www.prometus.at
  • 20. Pharmacies Do you use Social Media? (%) Do you look for Healthcare 2 Information on the Internet? 9 yes 19 no 80% yes only private no answer 70 free answers: which? Facebook, Blogs, Intranet non representative own email survey, Austria, 2011, n= 47, and free answers
  • 21. Health Literacy - Europe The level ovf healt-literacy varies significantly across European Countries Strong social graduant Linked to age, education and socio-economic status http://www.hls-eu.info/ health-literacy.eu
  • 22. Health Literacy around Europe (some details): Percentages of General Health Literacy Levels Thresholds for Countries and Total (graph 10) www.health-literacy.eu - grapfh 10 http://goo.gl/hxUG2 (pdf)
  • 23. What to do next? Know your audience: Country, Language, Culture, Medialandscape and Usage Help people to adapt in their own way social media activities are growing organically Dont fear your customers they dont bite Every country has its own process respect that in your activities
  • 24. Europe will never be the United States of Europe, a single country with a common language We have too many cultures and languages ... Umberto Eco http://www.guardian.co.uk/world/2012/jan/26/umberto-eco-culture-war-europa?INTCMP=SRCH pic - http://de.wikipedia.org/wiki/Europa
  • 25. Reach out for Light Bulbs Explore! Listen! Ask! Engage!
  • 26. Thank you! Dr. Michaela Endemann Biologist, Blogger, Communication Strategist Vienna, Austria @wissit 0699/11713671 wissit@gmail.com www.wissit.at www.medtermine.at Special thanks to @rohal - Rob Halkes and Frank Butschbacher