SEPTEMBER 3 & 4, 2015 SEDONA HOTEL YANGON, MYANMAR

SEPTEMBER 3 & 4, 2015 SEDONA HOTEL YANGON, MYANMAR

The Quest for Clinical Information & Decision-Making in Asia Pacific How Physicians Search For Medical Information To Support Clinical Decision Making Monica Mak Marketing Director, APAC, Elsevier Pete Read CEO, Global Growth Markets

Did you know??? Doctors perform an average of 6 professional searches per day References Google, Manhattan Research, Screen to Script, The Doctor s Digital Path to Treatment. June 2012. Accessed at: https://ssl.gstatic.com/think/docs/the-doctors-digital-path-totreatment_research-studies.pdf

Medical Information to Support Clinical Decision Making in Asia-Pacific Research & analysis by: Pete Read, CEO Hospital Management Asia, Yangon, 3 Sep 2015

11 We interviewed 219 hospital doctors, HODs and management across public and private sectors APAC Australia Role % of respondents 33% 31% 32% 43% 29% 33% 33% 33% China India Indonesia Japan Philippines Taiwan Clinicians 32% 29% 35% 32% 25* 33% 33% 33% HODs 35% 40% 32% 25% 43% 33% 33% 33% Management APAC Australia China Indonesia India Japan Philippines Taiwan n = 219 n = 35 n = 31 n = 28 n = 35 n = 30 n = 30 n = 30 Source: Global Growth Markets survey, n = 219 Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

12 Instant access to clinical information is considered very important by the majority in every country Importance of instant access to the latest reference content % of respondents 42% 48% 48% 11% 53% 20% 30% Extremely important Very important 57% 77% Important 63% 19% 53% 41% 39% 37% 29% 25% 14% 6% 23% 13% 17% 3% 6% 3% 7% 10% 3% APAC Australia China Indonesia India Japan Philippines Taiwan Somewhat important Not important Source: Global Growth Markets survey, n = 219 Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

13 A wide range of specialties depends on clinical information Specialties most dependent on clinical information % of responses Neurology 7% General surgery 9% Cardiology 9% Radiology 5% Paediatrics Oncology 5% 5% Pharmacy 4% Urology 4% Others 42% Others includes: A&E, Anaesthesia, Breast screening, Critical Care, Diagnostic imaging, Endocrinology, Endoscopy, ENT, Gastroenterology, Geriatrics/elderly, Gy naecology, Microbiology, Nephrology, Nut rition/dietetics, Obstetrics, Orthopaedics/ prosthetics, Pain management, Physiotherapy, Psychiatry, Respirology/pulmonology, Rheumatology Internal/general medicine 10% Source: Global Growth Markets survey, n = 146 HODs and Management Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

14 90% use online sources, both paid and free Any use of sources for clinical information % of respondents Free vs paid online services used % of respondents Electronic including medical books & journals online, free/paid online information services 90% Paid only 6% Free only 11% Print including printed medical books & journals 92% Talking to peers or colleagues 99% Paid and free 83% Source: Global Growth Markets survey, n = 143 Clinicians/HODs Note: Screened for Clinicians and HODS who use Clinical Information Services at least 2-3 times a month Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

15 Clinical information is used most at Point of Care Top purposes of using clinical information Relative score Point of Care Most important General Reference Least important Keeping current During treatment/surgery Therapeutic planning Diagnostic planning Clinical research Standards of care Preparing for a patient During consultation Source: Global Growth Markets survey, n = 143 Clinicians/HODs Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

16 1 in 3 use a mobile device at Point of Care Preferred access format % of responses for each use Print Mobile phone Built-in screen (eg. OR equipment) Desktop or laptop on-screen Tablet Especially in less developed countries, eg. PH, ID APAC 14% 58% 9% 18% Point of care 13% 52% 13% 20% General reference 17% 64% 4% 16% Source: Global Growth Markets survey, n = 143 Clinicians/HODs Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

17 50% of hospitals will spend more on clinical information Expected change in spending on Clinical Information Services over the next two years % of respondents 23% 27% 34% 37% 10% 14% 20% 43% 33% 20% 30% 40% 20% 20% 20% 10% higher or more 1-9% higher No change 36% 5% 27% 9% 70% 43% 54% 13% 40% 40% 10% 30% 30% 1-9% lower 10% lower or less APAC Australia China Indonesia India Japan Philippines Taiwan Source: Global Growth Markets survey, n = 76 Management Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

18 Main challenges faced are around access Top 3 challenges faced % of respondents No challenges 5% 0% 33% 3% 56% 2% 3% 2% 10% 2% 6% 5% 8% 6% 16% 6% 8% 8% 17% 11% 8% 9% 9% 10% 6% 11% 7% 10% 10% 14% 11% 10% 15% 13% 9% 10% 3% 8% 6% 3% 12% 11% 8% 6% 15% 11% 19% 13% 24% 12% 17% 17% 10% 13% 7% 7% 20% 19% 13% 11% 14% 14% 17% 7% APAC Australia China India Indonesia Japan Philippines Taiwan Unsure where to look Untrusted sources Not enough PCs/devices Need search training No HIT integration Information overload Wi-fi/network access Not enough subscriptions Source: Global Growth Markets survey, n = 143 Clinicians/HODs Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

19 Patient education materials, HIT integration and search functionality are most important unmet needs Choice criteria: Needs vs importance Average scores Importance Price/Value Localised content Mobile optimised Ability to customise Patient education HIT integration Local language Needs met Search functionality Trusted content Frequently refreshed Source: Global Growth Markets survey, n = 210 Clinicians, HODs and Management Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

20 Key takeaways clinical decision support Instant access to clinical information is important Many specialties depend on clinical information 90% use online sources Clinical information is used most at Point of Care 1 in 3 use a mobile device at Point of Care 50% of hospitals will spend more on clinical information Main challenges faced are around access Patient education and HIT are key development areas Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

21 Further information Sree Vidhya Marketing Manager Elsevier s.vidhya@elsevier.com M +65 9728 4801 Pete Read CEO Global Growth Markets peteread@ggmkts.com M +44 773 986 5080 Global Growth Markets is a healthcare market information provider helping international companies succeed in their chosen growth markets. www.ggmkts.com Sep-15 Prepared for Elsevier Inc by Global Growth Markets www.ggmkts.com

CASE STUDY: Bangkok Hospital

CASE STUDY: ClinicalKey Supports Higher Quality Patient Care : Saving Physician Time, Enhancing Decision Making and Improving Physician Satisfaction Summary 23 As an internationally renowned hospital well known for its medical tourism, Bangkok Hospital faces unique challenges that demand its physicians to deliver quicker diagnosis and more competent treatment, as well as effectively engage its international profile of patients. Objective Solution Outcome Bangkok hospital needs to provide fast, accurate diagnosis and effective treatments; but physicians found it challenging to quickly and effectively search for reliable information to fulfil this need. Implemented since 2013, ClinicalKey has been supporting physicians at Bangkok Hospital in gaining full access to reliable medical resources to improve decision-making and thus enhance patient care. - Helps physicians make more confident decisions and resolve complex or rare medical cases - Saves physicians time and enhances user satisfaction - Raise hospital s bar of excellence in patient care - Proven to be a valuable and far-sighted investment As a surgeon who does reconstructive surgery for post-cancer treatment, I need to be kept up-to-date on the latest developments. But it takes too long to find what I need from the library. Plastic Surgeon Bangkok Hospital

24 CASE STUDY: Bangkok Hospital Figure 4: Timing savings by using ClinicalKey Search for related materials to keep abreast of latest developments in my field Search for specific treatment outcome or case study Search for new techniques/surgic al techniques Find tools/diagrams to explain treatment to patients Prepare treatment plan Prepare for case presentation (conference, grand rounds) Time spent by non ClinicalKey Users (mins) Time saved by using ClinicalKey (mins) Percent age of Time Saved 28 18 65% 27 17 63% 31 19 60% 25.3 17.2 68% 26 18 72% 54 24 45% Saving Physician Time, Enhancing Decision Making and Improving Physician Satisfaction

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