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Voice of the Empowered Patient:
An Analysis of the Inspire Annual Survey
BIO Briefing
February 4, 2015
2
► 2014 Inspire Annual Patient and Caregiver Survey
Background
► Survey Insights
•  Interacting with Physicians
•  Obtaining Information
•  Interacting with the Industry
•  Desired Tools for Healthcare in the Future
► Hearing the Voice of the Empowered Patient:
Firsthand Accounts
•  Katherine Leon, rare disease patient advocate and Co-
founder, SCAD Alliance
•  Joe Murphy, patient advocate and colon cancer survivor
Agenda
5 minutes
15 minutes
10 minutes
2014 Inspire Annual Patient and
Caregiver Survey Background
4
Ø  Purpose: To bring the perspectives of e-
patients to life on a large scale
Ø  Launch: After several months of planning
and design, Inspire began sending survey
invitation emails to its members on
December 11, 2014.
Ø  Fielding: In order to reach the ~490,000
members who have opted to receive such
communications, invitations had to be sent
evenly through December 23rd.
Ø  Closing: The survey was officially closed
on January 8, 2015.
Ø  Impact: During the month in which the
survey was available, 13,633 Inspire
members completed the assessment.
Annual Survey Background
Survey Insights: Interacting with
Physicians
6
Ø  When going to see their doctor, the empowered patients of Inspire are
PREPARED
Interacting with Physicians
30%	
  
25%	
  
31%	
  
14%	
  
0%	
  
20%	
  
40%	
  
60%	
  
80%	
  
100%	
  
Always	
   Frequently	
   Some;mes	
   Never	
  
A"end	
  doctor's	
  appointments	
  with	
  
someone	
  else	
  
%	
  of	
  Responses	
  
33%	
   30%	
   28%	
  
9%	
  
0%	
  
20%	
  
40%	
  
60%	
  
80%	
  
100%	
  
Always	
   Frequently	
   Some;mes	
   Never	
  
Brings	
  prepared	
  notes/ques9ons	
  to	
  
doctor's	
  appointments	
  
%	
  of	
  Responses	
  
7
Ø  The empowered patient plays a large role in making treatment decisions
Making Treatment Decisions
In	
  collabora9on:	
  69%	
  	
  
Pa9ent-­‐driven:	
  20%	
  	
  
MD-­‐driven:	
  11%	
  	
  
8
Ø  The empowered patient will ask about new treatments and often does so
frequently
Pursuing New Treatments
52%	
  
35%	
  
5%	
  
8%	
  
Who	
  ini9ates	
  new	
  treatment	
  
discussions	
  
You	
   A	
  doctor	
   Other	
   No	
  new	
  Tx	
  discussions	
  
29%	
  
16%	
  
31%	
  
13%	
  
11%	
  
Frequency	
  of	
  new	
  treatment	
  
discussions	
  
At	
  every	
  visit	
   Every	
  other	
  visit	
  
A	
  couple	
  ;mes	
  a	
  year	
   Once	
  a	
  year	
  
Never	
  
Survey Insights: Obtaining Information
10
Ø  Empowered patients often use a number of online sources to obtain
information about their health conditions
Seeking Medical Information
1%	
  
3%	
  
11%	
  
12%	
  
22%	
  
24%	
  
27%	
  
31%	
  
38%	
  
42%	
  
49%	
  
51%	
  
76%	
  
78%	
  
0%	
   20%	
   40%	
   60%	
   80%	
   100%	
  
None	
  
Other	
  
Videos	
  
In-­‐person	
  pa;ent	
  support	
  groups	
  
Support	
  and	
  advocacy	
  groups	
  
Nurses	
  
Other	
  pa;ents	
  
Friends	
  and	
  family	
  
Materials	
  provided	
  by	
  the	
  doctor’s	
  office	
  
Books	
  or	
  magazines	
  
Online	
  support	
  communi;es	
  
Medical/scien;fic	
  ar;cles	
  
Online	
  search	
  engines	
  (e.g.,	
  Google,	
  Bing)	
  
Condi;on-­‐specific	
  websites	
  or	
  blogs	
  
Sources	
  of	
  informa9on	
  used	
  for	
  health	
  condi9ons	
  
%	
  of	
  Responses	
  
Condi;on-­‐specific	
  
websites	
  or	
  blogs	
  
was	
  also	
  reported	
  
to	
  be	
  the	
  most	
  
helpful	
  source	
  of	
  
informa;on	
  used	
  to	
  
be_er	
  understand	
  
members’	
  health	
  
condi;ons	
  
11
Ø  While these patients use a variety of social media outlets personally, they
typically do not turn to these sources for their health conditions
Social Media Usage
23%	
  
65%	
  
25%	
  
11%	
  
19%	
  
0	
  
25%	
  
14%	
  
40%	
  
4%	
  
13%	
  
21%	
   25%	
  
18%	
  
1%	
   2%	
  
28%	
  
4%	
   2%	
  
14%	
  
4%	
  
33%	
  
0%	
  
20%	
  
40%	
  
60%	
  
80%	
  
100%	
  
Personal	
  Use	
   Medical	
  Use	
  
Survey Insights: Interacting with the
Industry
13
Ø  Although a patient-centric model is where healthcare in the U.S. is going,
there are serious inroads that must be made to strengthen the relationship
between patients and the industry
Relationship with Pharma
10%	
  
17%	
  
37%	
  
35%	
  
For	
  the	
  medica9ons	
  you	
  take,	
  how	
  
many	
  do	
  you	
  know	
  the	
  manufacturer	
  
All	
   Most	
   Some	
  	
   None	
  
13%	
  of	
  respondents	
  felt	
  like	
  they	
  indeed	
  had	
  a	
  
rela;onship	
  with	
  the	
  companies	
  that	
  made	
  
their	
  medica;ons;	
  at	
  best,	
  it	
  is	
  said	
  to	
  be	
  a	
  
‘limited’	
  connec;on	
  	
  
In	
  contrast,	
  40%	
  of	
  respondents	
  indicated	
  they	
  
have	
  a	
  rela;onship	
  with	
  their	
  pharmacist;	
  in	
  
these	
  cases,	
  the	
  connec;on	
  was	
  considered	
  to	
  
be	
  ‘good’	
  
14
Ø  Half of all respondents reported experiencing difficulties with the
affordability/cost of their treatments at some point in time
Challenges with Treatment Costs
29%	
  
47%	
  
56%	
  
60%	
  
0%	
   50%	
   100%	
  
Cost	
  of	
  rou;ne	
  lab	
  
monitoring	
  
Out	
  of	
  pocket	
  costs	
  
(e.g.	
  travel	
  &	
  
logis;cs)	
  
Paying	
  for	
  other	
  
medica;ons	
  related	
  
to	
  Tx	
  
Paying	
  for	
  
treatments	
  
Aspects	
  in	
  which	
  PTs	
  had	
  cost	
  issues	
  
%	
  Responses	
  
Premiums:	
  55%	
  	
  
Copays:	
  44%	
  	
  
Ancillary	
  Treatment	
  
Costs:	
  37%	
  	
  
Insurance-­‐Driven	
  
Generic	
  Switches:	
  
60%	
  	
  
Recent	
  cost	
  issues…	
  
Survey Insights: Desired Tools for
Healthcare in the Future
16
Ø  While these empowered patients would be open to a number of tools/
materials to use with their physicians, electronic/online materials are most
widely preferred
Suggested Tools for Improved Healthcare
59%	
   57%	
  
47%	
  
42%	
   40%	
  
0%	
  
20%	
  
40%	
  
60%	
  
80%	
  
100%	
  
Electronic,	
  Detailed	
  
Symptom	
  Tracker	
  
Access	
  to	
  online	
  
webinars	
  or	
  in-­‐person	
  
conferences/speaker	
  
sessions	
  to	
  learn	
  
more	
  about	
  your	
  
condi;on	
  
Support	
  materials	
  for	
  
friends/family	
  
members	
  detailing	
  
your	
  condi;on	
  and	
  its	
  
symptoms	
  
Printed,	
  Detailed	
  
Symptom	
  Tracker	
  
Tips/tac;cs	
  around	
  
be_er	
  ways	
  to	
  
communicate	
  with	
  
your	
  physician(s)	
  
Recommended	
  tools	
  to	
  help	
  pa9ents	
  during	
  doctor’s	
  visits	
  
%	
  Responses	
  
17
Ø  Although these patients and caregivers endorsed the availability of
electronic/online tools to help them better manage their health conditions,
mobile apps are not as strongly sought after solutions
Mobile App Usage
9%	
  
8%	
  
12%	
  
72%	
  
Frequency	
  of	
  mobile	
  app	
  usage	
  for	
  
healthcare	
  
Always	
   Frequently	
   Some;mes	
   Never	
  
Pa;ents	
  who	
  use	
  smartphone	
  apps	
  to	
  
manage	
  their	
  condi;ons	
  do	
  so	
  to:	
  
	
  
-­‐  Help	
  prepare	
  for	
  doctor’s	
  visits	
  
-­‐  Search	
  for	
  informa;on	
  online	
  
-­‐  Set	
  up	
  dosing	
  reminders	
  	
  
Among	
  those	
  who	
  do	
  not	
  use	
  
smartphone	
  apps,	
  only	
  43%	
  felt	
  that,	
  
in	
  theory,	
  this	
  type	
  of	
  tool	
  would	
  be	
  
helpful	
  in	
  managing	
  their	
  health	
  
condi;ons	
  
Hearing the Voice of the Empowered
Patient: Firsthand Accounts

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Voice of the Empowered Patient: An Analysis of the Inspire Annual Survey

  • 1. Voice of the Empowered Patient: An Analysis of the Inspire Annual Survey BIO Briefing February 4, 2015
  • 2. 2 ► 2014 Inspire Annual Patient and Caregiver Survey Background ► Survey Insights •  Interacting with Physicians •  Obtaining Information •  Interacting with the Industry •  Desired Tools for Healthcare in the Future ► Hearing the Voice of the Empowered Patient: Firsthand Accounts •  Katherine Leon, rare disease patient advocate and Co- founder, SCAD Alliance •  Joe Murphy, patient advocate and colon cancer survivor Agenda 5 minutes 15 minutes 10 minutes
  • 3. 2014 Inspire Annual Patient and Caregiver Survey Background
  • 4. 4 Ø  Purpose: To bring the perspectives of e- patients to life on a large scale Ø  Launch: After several months of planning and design, Inspire began sending survey invitation emails to its members on December 11, 2014. Ø  Fielding: In order to reach the ~490,000 members who have opted to receive such communications, invitations had to be sent evenly through December 23rd. Ø  Closing: The survey was officially closed on January 8, 2015. Ø  Impact: During the month in which the survey was available, 13,633 Inspire members completed the assessment. Annual Survey Background
  • 6. 6 Ø  When going to see their doctor, the empowered patients of Inspire are PREPARED Interacting with Physicians 30%   25%   31%   14%   0%   20%   40%   60%   80%   100%   Always   Frequently   Some;mes   Never   A"end  doctor's  appointments  with   someone  else   %  of  Responses   33%   30%   28%   9%   0%   20%   40%   60%   80%   100%   Always   Frequently   Some;mes   Never   Brings  prepared  notes/ques9ons  to   doctor's  appointments   %  of  Responses  
  • 7. 7 Ø  The empowered patient plays a large role in making treatment decisions Making Treatment Decisions In  collabora9on:  69%     Pa9ent-­‐driven:  20%     MD-­‐driven:  11%    
  • 8. 8 Ø  The empowered patient will ask about new treatments and often does so frequently Pursuing New Treatments 52%   35%   5%   8%   Who  ini9ates  new  treatment   discussions   You   A  doctor   Other   No  new  Tx  discussions   29%   16%   31%   13%   11%   Frequency  of  new  treatment   discussions   At  every  visit   Every  other  visit   A  couple  ;mes  a  year   Once  a  year   Never  
  • 10. 10 Ø  Empowered patients often use a number of online sources to obtain information about their health conditions Seeking Medical Information 1%   3%   11%   12%   22%   24%   27%   31%   38%   42%   49%   51%   76%   78%   0%   20%   40%   60%   80%   100%   None   Other   Videos   In-­‐person  pa;ent  support  groups   Support  and  advocacy  groups   Nurses   Other  pa;ents   Friends  and  family   Materials  provided  by  the  doctor’s  office   Books  or  magazines   Online  support  communi;es   Medical/scien;fic  ar;cles   Online  search  engines  (e.g.,  Google,  Bing)   Condi;on-­‐specific  websites  or  blogs   Sources  of  informa9on  used  for  health  condi9ons   %  of  Responses   Condi;on-­‐specific   websites  or  blogs   was  also  reported   to  be  the  most   helpful  source  of   informa;on  used  to   be_er  understand   members’  health   condi;ons  
  • 11. 11 Ø  While these patients use a variety of social media outlets personally, they typically do not turn to these sources for their health conditions Social Media Usage 23%   65%   25%   11%   19%   0   25%   14%   40%   4%   13%   21%   25%   18%   1%   2%   28%   4%   2%   14%   4%   33%   0%   20%   40%   60%   80%   100%   Personal  Use   Medical  Use  
  • 12. Survey Insights: Interacting with the Industry
  • 13. 13 Ø  Although a patient-centric model is where healthcare in the U.S. is going, there are serious inroads that must be made to strengthen the relationship between patients and the industry Relationship with Pharma 10%   17%   37%   35%   For  the  medica9ons  you  take,  how   many  do  you  know  the  manufacturer   All   Most   Some     None   13%  of  respondents  felt  like  they  indeed  had  a   rela;onship  with  the  companies  that  made   their  medica;ons;  at  best,  it  is  said  to  be  a   ‘limited’  connec;on     In  contrast,  40%  of  respondents  indicated  they   have  a  rela;onship  with  their  pharmacist;  in   these  cases,  the  connec;on  was  considered  to   be  ‘good’  
  • 14. 14 Ø  Half of all respondents reported experiencing difficulties with the affordability/cost of their treatments at some point in time Challenges with Treatment Costs 29%   47%   56%   60%   0%   50%   100%   Cost  of  rou;ne  lab   monitoring   Out  of  pocket  costs   (e.g.  travel  &   logis;cs)   Paying  for  other   medica;ons  related   to  Tx   Paying  for   treatments   Aspects  in  which  PTs  had  cost  issues   %  Responses   Premiums:  55%     Copays:  44%     Ancillary  Treatment   Costs:  37%     Insurance-­‐Driven   Generic  Switches:   60%     Recent  cost  issues…  
  • 15. Survey Insights: Desired Tools for Healthcare in the Future
  • 16. 16 Ø  While these empowered patients would be open to a number of tools/ materials to use with their physicians, electronic/online materials are most widely preferred Suggested Tools for Improved Healthcare 59%   57%   47%   42%   40%   0%   20%   40%   60%   80%   100%   Electronic,  Detailed   Symptom  Tracker   Access  to  online   webinars  or  in-­‐person   conferences/speaker   sessions  to  learn   more  about  your   condi;on   Support  materials  for   friends/family   members  detailing   your  condi;on  and  its   symptoms   Printed,  Detailed   Symptom  Tracker   Tips/tac;cs  around   be_er  ways  to   communicate  with   your  physician(s)   Recommended  tools  to  help  pa9ents  during  doctor’s  visits   %  Responses  
  • 17. 17 Ø  Although these patients and caregivers endorsed the availability of electronic/online tools to help them better manage their health conditions, mobile apps are not as strongly sought after solutions Mobile App Usage 9%   8%   12%   72%   Frequency  of  mobile  app  usage  for   healthcare   Always   Frequently   Some;mes   Never   Pa;ents  who  use  smartphone  apps  to   manage  their  condi;ons  do  so  to:     -­‐  Help  prepare  for  doctor’s  visits   -­‐  Search  for  informa;on  online   -­‐  Set  up  dosing  reminders     Among  those  who  do  not  use   smartphone  apps,  only  43%  felt  that,   in  theory,  this  type  of  tool  would  be   helpful  in  managing  their  health   condi;ons  
  • 18. Hearing the Voice of the Empowered Patient: Firsthand Accounts

Notas del editor

  1. 55% of members go with someone else to doctor appointments on a regular basis Almost 2/3rds of members go to their doctor’s appointments prepared with notes and/or questions about their symptoms/treatments/etc.
  2. 69% of members said they make treatment decisions in collaboration with their doctor 20% of members said that treatment decisions are made either “Entirely” or “Mostly” by them The remaining 11% of members said treatment decisions are made either “Entirely” or “Mostly” by their doctor
  3. 52% of members said they typically initiate the discussion around new treatment options; doctors were responsible for this discussion in 35% of responses 45% of members ask about other potential treatment options fairly frequently; in total, almost 90% of patients ask about other medications at least once a year