Impact of health system on Health 2.0 & Social Media: Case of France
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Impact of Existing Health Care System on Web 2.0 / Social Media Case Study France Denise Silber, Medicine 2.0 Maastricht 2010
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How does the existing health system impact the development of Health 2.0 & Social Media ? Here is the case of France.
Transcript of Impact of health system on Health 2.0 & Social Media: Case of France
Impact of Existing Health Care System on Web 2.0 / Social Media
Case Study France
Denise Silber, Medicine 2.0 Maastricht 2010
French Internet Users 69% French Population 425% Growth 2000-10
Obligation for private physicians to computerize since 1996, has lead to 90%+ result. Hospitals: are on their way.
So, it’s a great basis.
Social Media
Platform Alexa rank
world Alexa rank
France Google 1 1
Facebook 2 2
YouTube 3 3
Wikipedia 7 9
Twitter 10 28
Equivalent, except for Twitter
Web 1.0
Type of Site France
Health Portals Doctissimo
NLM/PubMed Sci. societies
Cismef Sci.societies
Forums Atoute
Same categories
So, how are Social Media & 2.0 Tools advancing in France in Health Care ?
Health 2.0 Tools ? Cited Wikipedia US France Physician Community
Rating
Sermo
RatingMD
?
? PHR MS Healthvault ?
Patient community
PatientsLikeMe ?
Rx Drug Review iGuard ? Genetic Testing 23 & Me ?
Are there French equivalents?
Health 2.0 Tools Cited Wikipedia US France Physician Community Rating Site
Sermo RatingMd
Eugenol Docatus Desbons
PHR MS Healthvault DP, DMP (State) Sanoia
Patient community
PatientsLikeMe Doctissimo forums
Rx Drug Review iGuard Meamedica.fr Genetic Testing 23 & Me N/A
Quite different
Why ? National specificities • Regulation, Institutions • HCP culture • Different health system
issues • Ecosystem strength or
not
1 Unique ecosystem
2. Issues of affordability in US lead to greater questioning of quality [email protected]
Differences in 1) Health system 2) Business " French Patients almost
unlimited access to HCP’s, (if no waiting list in region)
" Basic costs reimbursed " French system not seen as
« broken » " Legal requirement to
provide certification of health sites
" Health difficult to run as a business
" Entrepreneurship outside US not have scale of Silicon Valley
Certification by HON " Launched in 11/07 " 900 sites certified in
France, under the new rules
" Now under debate (among experts)
Cultural, Regulatory Issues PROVIDER SITES " Many HCP think that
they’re not allowed to create their own site
" Each « Order » has rules on what content is authorized, how to name the url
" Cost and time high for HCP
Cultural, Regulatory Issues PHARMACIES
• Virtual pharmacy authorized only if owner has physical pharmacy. Monopoly.
• No medication can be sold online
• Non-French pharmacies …
Cultural, Regulatory Issues
RATING SITES • Comparing HCP’s not
tolerated • Hospitals: breakthrough in
French press 10 yrs ago to rank them, but still nascent on web, except Yelp.
www.hopital.fr (FHF) www.leguidesante.org
RATING SITES
Comparing HCP’s not tolerated
Hospitals: breakthrough by French press 10 yrs ago to rank them, but still nascent on web.
www.hopital.fr www.leguidesante.org No patient narratives
Cultural, Regulatory Issues
" Right to « conceal » data and to « conceal » the concealment
HOME TESTING
No genetic testing in France without judge’s order
Summary: Health/Medicine 2.0 in France
Institutions " DMP (soon) " HAS-HON " Dossier Pharmaceutique " Telemedicine (law) " ARS (regions) sanitary
democracy
" Social Media platforms leading web use
" Health 1.0 sites, forums, lists
" Some 2.0 start-ups
Specificities of each country must be understood before launching a 2.0 project
www.doctors20.com Paris – June 2011
[email protected] @health20paris +336 74 78 12 36
