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Health Professionals Survey
IndoPacific Edelman &
Research and Community Outreach Unit, Faculty of Public Health
University of Indonesia
September 2010
Health Professionals
Survey 2010
About the Survey
Conducted by IndoPacific Edelman and Research
and Community Outreach Unit, Faculty of Public
Health, University of Indonesia
Aimed at gathering information about
communication channels used by medical doctors
(MDs) to search and disseminate information
relating to their professions
Health Professionals
Survey 2010
Methodology
Quantitative method
• Fielded January – May 2010
• 300 MDs (GPs and specialists) with >3 years of
practice*
• Greater Jakarta area (Jakarta, Bogor, Depok,
Tangerang, and Bekasi)
• Face-to-face, random sampling (4.7% margin of
error and 90% confidence level)
Qualitative method
• Focus group discussions involving 13 MDs
• Held on July 22 and 27, 2010
• Divided into two sessions: MDs who are active
and not active online
*Sampling is based on the doctors’ area of domicile
Health Professionals
Survey 2010
Key Findings
Online media is trusted
source of information
on health/medical
issues
Attending
conferences/workshops
remain important, but
browsing the Internet
has become inevitable
The Internet has
significantly influenced
MD-patient
communication
Patient education
through the Internet
remains untapped
Health Professionals
Survey 2010
SOURCES OF INFORMATION
Channels used by MDs to find information relating to their
profession
Health Professionals
Survey 2010
12%
24%
26%
42%
42%
55%
56%
66%
78%
79%
tabloids
radio
social media
TV
medical
representatives
newspapers
medical seminars
medical journals
medical magazines
online media
FGD participants say
they use search
engines to find online
version of medical
journals
Specialists and
teaching MDs prefer
medical journals than
other sources
MDs trust search engines to find specific information
Base=300Q: Please select the sources of information that you trust most in finding medical-related
information (MA)
Google (41%)
Medical journals & New
England Journal Medical
(11%)
Sources of information
Majority of doctors (91%)
do not mind receiving
information in English
Health Professionals
Survey 2010
• Dokter Kita 50%
• Medical Progress 14%
• Medical Update 11%
• Farmacia 7%
• Medika 6%
• Majalah Kedokteran
Indonesia 6%
Medical/ Health
magazines
TV stations
Q: Please select your main sources of information in finding medical-related information (MA)
Base=300
Most Preferred Magazines and TV Stations
43%
20%
Health Professionals
Survey 2010
Medical representatives are reliable sources for ‘treatment’
Base=300
57%
43%
28% 27%
7%
13%
7%
9%
13%
9%
61%
36%
32%
27%
20%
9%
3% 2% 1%
10%
52%
31%
25% 24%
9%
2% 2% 1%
50%
6%
Diseases Diagnosis Treatment
Q: Which media or other references related to your profession (except MIMS) do you regularly
turn to when seeking information about this topic?
Sources of information
Health Professionals
Survey 2010
MDs also recommend patients to use online sources to
search for information
Q: Please select three sources of information that you would recommend to your patients to find
health/medical related information. Please rank the sources based on priority. (MA)
Base=300
97%
57%
39%
33%
16% 15%
Online sources Health practitioners Scientific journals General media Publications from gov't
institutions
Public seminars
Most recommended
online sources include:
search engines (51%),
consumer health sites
(14%), and wikipedia (8%)
Web sites of special
medication and
healthcare companies are
more recommended than
IDI web site
MDs who are not active
users of the Internet also
recommend online
sources to their patients
Sources of information
Health Professionals
Survey 2010
INTERNET USE & INFLUENCE
How the Internet use has influenced MDs
Health Professionals
Survey 2010
Q: Have you used the Internet in the past two weeks to search medical-related information? (SA)
Q: Where do you usually access the Internet? (MA)
Base=300
Yes
76%
No
24%
Use of the Internet in the past 2 weeks
Internet Use & Influence
More than half use mobile phones to
access the Internet
•48% of MDs who don’t have emails have also
accessed the Internet in the past two weeks
for work purposes
32% MDs do not have
email accounts
Only 6 MDs have blogs
58% recommend online
media to their patients
Health Professionals
Survey 2010
Younger doctors tend to be more active online
88%
have emails
88% access the
Internet in the
past 2 weeks
Only 48% have
emails
68% access
the Internet in
the past 2
weeks
Age <27-40
Age 41->60
The Internet’s influence is lower on
older and more senior MDs
Activities outside hospitals do not
affect the MDs’ use of the Internet
Internet Use & Influence
Health Professionals
Survey 2010
The Internet has changed MDs’ behavior in seeking and
sharing information
Q: Do you think the Internet has affected you in terms of seeking and sharing information on health issues?
How has the internet influenced your current behavior in obtaining and sharing information? Please rate from 1
to 4, where 1 means you completely disagree and 4 you completely agree with the statements. Asked only to
respondents who say they are influenced or not sure if they are influenced by the internet. (Top 2 boxes)
17%
19%
52%
56%
57%
70%
74%
84%
85%
I am confused/overwhelmed by
info
I question accuracy of info
I have more intense
communication with patients
I get more conflicting info
I am more active in engaging
healthcare co/org
I am more active in sharing info
I am more active in engaging
fellow MDs
I obtain info faster
I am more active in seeking info
N=300
Internet Use & Influence
Health Professionals
Survey 2010
MD-PATIENT RELATIONS
The Internet’s influence on MD-patient relationship
Health Professionals
Survey 2010
More opinionated patients force MDs to improve the way
they communicate with patients
79%
63%
83%
85%
21%
36%
17%
15%
I am aware of what info
searched/obtained by
patients
I am not sure that all patients
actively search for info online
Patients discuss info they
receive on the Internet with
me
Patients become more
opinionated
Agree Disagree
Q: How has the internet influenced your current behavior in obtaining and sharing information? Please rate from 1 to
4, where 1 means you completely disagree and 4 you completely agree with the statements. Asked only to respondents
who say they are influenced or not sure if they are influenced by the internet. Top 2 boxes
N=300
MDs-patients relationship
Health Professionals
Survey 2010
Q: The Edelman Health Engagement Barometer* study carried out overseas reveals that 88% of respondents noted that
they turn to their physicians to validate online information, and the same number turn to other sources to validate
information from their doctors. Do you see a similar trend happening in Indonesia?
14%
3%
83%
Don’t know
No, my patients do not turn to other
sources to validate information I give
Yes, my patients turn to other sources
to validate information I give
MDs are not always right
Health Professionals
Survey 2010
Improved access to information should be followed with
proper education to patients*
Education to patients is a
must, and cannot be
expected from MDs
IEC materials are
desperately required for
patient education
Government is not seen as
reliable in patient
education program
Only one pharmaceutical
company is seen as leading
in patient web-based
education program
MDs are willing to
participate in sponsored
education program, as long
as it’s not used as
product/brand promotion
MDs desperately need
training on communication
skill to educate patients
*Results of FGD
Health Professionals
Survey 2010
Internet is inevitable. It should be
all MDs’ friend. Books and medical
journals are reliable sources of
information, but the Internet is
very useful because it is fast and
offers a wide range of info.
”
“
Quotable Quotes
MDs need communication skills
to be able to talk to patients in a
language that patients can
understand.
”
“
It’s good that patients are
checking the Internet to confirm
the information they receive from
MDs, so we are also aware of the
kind of information spread among
patients.
”
“
Educated patients will trigger
MDs to be always one step
ahead.
”
“
Patient education is the key word.
Smart patients could help us avoid
malpractice.
”
“
Health Professionals
Survey 2010
MDS’ DEMOGRAPHICS
Demographics of respondents
Health Professionals
Survey 2010 Demographics
Base=300
<30, 16% 31-40, 27% 41-50, 28% 51-60, 17% >60, 12%
<10, 53% 10-20, 27% >20, 20%
GP, 57% Specialists, 43%
Jakarta, 50% Bogor, 15%
Depok, 14%
Tangerang, 13%
Bekasi, 8%
Age
Years of
practice
GP/Specialist
Areas of
practice
66% MDs work at more than 1 hospital/clinic
Health Professionals
Survey 2010
18% teach at 16 medical schools
86% joins other organizations
besides IDI (47% joins more than 1
organization)
Activities outside of clinics/hospitals
Base=300
Medical Schools
University of Indonesia UPN Veteran
UIN Syarif Hidayatullah Pelita Harapan
Fatmawati Ahmad Yani
Akper Husada Bogor Trisakti
Koja Hospital Ukrida
Atmajaya University YARSI
Halim Tarumanegara University
Organizations:
• Alumni associations
• Professional associations
• Religious organizations
Demographics
Health Professionals
Survey 2010

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Health Professionals Survey Reveals Online is Top Info Source

  • 1. Health Professionals Survey IndoPacific Edelman & Research and Community Outreach Unit, Faculty of Public Health University of Indonesia September 2010
  • 2. Health Professionals Survey 2010 About the Survey Conducted by IndoPacific Edelman and Research and Community Outreach Unit, Faculty of Public Health, University of Indonesia Aimed at gathering information about communication channels used by medical doctors (MDs) to search and disseminate information relating to their professions
  • 3. Health Professionals Survey 2010 Methodology Quantitative method • Fielded January – May 2010 • 300 MDs (GPs and specialists) with >3 years of practice* • Greater Jakarta area (Jakarta, Bogor, Depok, Tangerang, and Bekasi) • Face-to-face, random sampling (4.7% margin of error and 90% confidence level) Qualitative method • Focus group discussions involving 13 MDs • Held on July 22 and 27, 2010 • Divided into two sessions: MDs who are active and not active online *Sampling is based on the doctors’ area of domicile
  • 4. Health Professionals Survey 2010 Key Findings Online media is trusted source of information on health/medical issues Attending conferences/workshops remain important, but browsing the Internet has become inevitable The Internet has significantly influenced MD-patient communication Patient education through the Internet remains untapped
  • 5. Health Professionals Survey 2010 SOURCES OF INFORMATION Channels used by MDs to find information relating to their profession
  • 6. Health Professionals Survey 2010 12% 24% 26% 42% 42% 55% 56% 66% 78% 79% tabloids radio social media TV medical representatives newspapers medical seminars medical journals medical magazines online media FGD participants say they use search engines to find online version of medical journals Specialists and teaching MDs prefer medical journals than other sources MDs trust search engines to find specific information Base=300Q: Please select the sources of information that you trust most in finding medical-related information (MA) Google (41%) Medical journals & New England Journal Medical (11%) Sources of information Majority of doctors (91%) do not mind receiving information in English
  • 7. Health Professionals Survey 2010 • Dokter Kita 50% • Medical Progress 14% • Medical Update 11% • Farmacia 7% • Medika 6% • Majalah Kedokteran Indonesia 6% Medical/ Health magazines TV stations Q: Please select your main sources of information in finding medical-related information (MA) Base=300 Most Preferred Magazines and TV Stations 43% 20%
  • 8. Health Professionals Survey 2010 Medical representatives are reliable sources for ‘treatment’ Base=300 57% 43% 28% 27% 7% 13% 7% 9% 13% 9% 61% 36% 32% 27% 20% 9% 3% 2% 1% 10% 52% 31% 25% 24% 9% 2% 2% 1% 50% 6% Diseases Diagnosis Treatment Q: Which media or other references related to your profession (except MIMS) do you regularly turn to when seeking information about this topic? Sources of information
  • 9. Health Professionals Survey 2010 MDs also recommend patients to use online sources to search for information Q: Please select three sources of information that you would recommend to your patients to find health/medical related information. Please rank the sources based on priority. (MA) Base=300 97% 57% 39% 33% 16% 15% Online sources Health practitioners Scientific journals General media Publications from gov't institutions Public seminars Most recommended online sources include: search engines (51%), consumer health sites (14%), and wikipedia (8%) Web sites of special medication and healthcare companies are more recommended than IDI web site MDs who are not active users of the Internet also recommend online sources to their patients Sources of information
  • 10. Health Professionals Survey 2010 INTERNET USE & INFLUENCE How the Internet use has influenced MDs
  • 11. Health Professionals Survey 2010 Q: Have you used the Internet in the past two weeks to search medical-related information? (SA) Q: Where do you usually access the Internet? (MA) Base=300 Yes 76% No 24% Use of the Internet in the past 2 weeks Internet Use & Influence More than half use mobile phones to access the Internet •48% of MDs who don’t have emails have also accessed the Internet in the past two weeks for work purposes 32% MDs do not have email accounts Only 6 MDs have blogs 58% recommend online media to their patients
  • 12. Health Professionals Survey 2010 Younger doctors tend to be more active online 88% have emails 88% access the Internet in the past 2 weeks Only 48% have emails 68% access the Internet in the past 2 weeks Age <27-40 Age 41->60 The Internet’s influence is lower on older and more senior MDs Activities outside hospitals do not affect the MDs’ use of the Internet Internet Use & Influence
  • 13. Health Professionals Survey 2010 The Internet has changed MDs’ behavior in seeking and sharing information Q: Do you think the Internet has affected you in terms of seeking and sharing information on health issues? How has the internet influenced your current behavior in obtaining and sharing information? Please rate from 1 to 4, where 1 means you completely disagree and 4 you completely agree with the statements. Asked only to respondents who say they are influenced or not sure if they are influenced by the internet. (Top 2 boxes) 17% 19% 52% 56% 57% 70% 74% 84% 85% I am confused/overwhelmed by info I question accuracy of info I have more intense communication with patients I get more conflicting info I am more active in engaging healthcare co/org I am more active in sharing info I am more active in engaging fellow MDs I obtain info faster I am more active in seeking info N=300 Internet Use & Influence
  • 14. Health Professionals Survey 2010 MD-PATIENT RELATIONS The Internet’s influence on MD-patient relationship
  • 15. Health Professionals Survey 2010 More opinionated patients force MDs to improve the way they communicate with patients 79% 63% 83% 85% 21% 36% 17% 15% I am aware of what info searched/obtained by patients I am not sure that all patients actively search for info online Patients discuss info they receive on the Internet with me Patients become more opinionated Agree Disagree Q: How has the internet influenced your current behavior in obtaining and sharing information? Please rate from 1 to 4, where 1 means you completely disagree and 4 you completely agree with the statements. Asked only to respondents who say they are influenced or not sure if they are influenced by the internet. Top 2 boxes N=300 MDs-patients relationship
  • 16. Health Professionals Survey 2010 Q: The Edelman Health Engagement Barometer* study carried out overseas reveals that 88% of respondents noted that they turn to their physicians to validate online information, and the same number turn to other sources to validate information from their doctors. Do you see a similar trend happening in Indonesia? 14% 3% 83% Don’t know No, my patients do not turn to other sources to validate information I give Yes, my patients turn to other sources to validate information I give MDs are not always right
  • 17. Health Professionals Survey 2010 Improved access to information should be followed with proper education to patients* Education to patients is a must, and cannot be expected from MDs IEC materials are desperately required for patient education Government is not seen as reliable in patient education program Only one pharmaceutical company is seen as leading in patient web-based education program MDs are willing to participate in sponsored education program, as long as it’s not used as product/brand promotion MDs desperately need training on communication skill to educate patients *Results of FGD
  • 18. Health Professionals Survey 2010 Internet is inevitable. It should be all MDs’ friend. Books and medical journals are reliable sources of information, but the Internet is very useful because it is fast and offers a wide range of info. ” “ Quotable Quotes MDs need communication skills to be able to talk to patients in a language that patients can understand. ” “ It’s good that patients are checking the Internet to confirm the information they receive from MDs, so we are also aware of the kind of information spread among patients. ” “ Educated patients will trigger MDs to be always one step ahead. ” “ Patient education is the key word. Smart patients could help us avoid malpractice. ” “
  • 19. Health Professionals Survey 2010 MDS’ DEMOGRAPHICS Demographics of respondents
  • 20. Health Professionals Survey 2010 Demographics Base=300 <30, 16% 31-40, 27% 41-50, 28% 51-60, 17% >60, 12% <10, 53% 10-20, 27% >20, 20% GP, 57% Specialists, 43% Jakarta, 50% Bogor, 15% Depok, 14% Tangerang, 13% Bekasi, 8% Age Years of practice GP/Specialist Areas of practice 66% MDs work at more than 1 hospital/clinic
  • 21. Health Professionals Survey 2010 18% teach at 16 medical schools 86% joins other organizations besides IDI (47% joins more than 1 organization) Activities outside of clinics/hospitals Base=300 Medical Schools University of Indonesia UPN Veteran UIN Syarif Hidayatullah Pelita Harapan Fatmawati Ahmad Yani Akper Husada Bogor Trisakti Koja Hospital Ukrida Atmajaya University YARSI Halim Tarumanegara University Organizations: • Alumni associations • Professional associations • Religious organizations Demographics