PHARMACY

Online search fuels healthcare decisions

BY Mark Hamstra

Ryan Olohan, Google industry director for health care

Internet search activity, particularly on mobile devices, has become an important element of consumer healthcare decision-making.

Consumers are taking more ownership in their health than ever before, said Ryan Olohan, national industry director for health care at Google, during a presentation at the Health Innovation Summit, co-hosted by CVS Health in partnership with Drug Store News and Mack Elevation.

“They’ve got more information and data at their fingertips, and they are using the information to become more discerning, more educated and more demanding,” he said during his presentation in June. One-in-20 Google searches is related to healthcare information, and a large majority (86%) of consumers go online when experiencing new symptoms, Olohan said.

Consumers increasingly are unwilling to sit back and passively allow their doctors to make treatment decisions, he said. Nearly half (48%) of consumers said they wanted to partner with their doctors on treatment decisions in 2015, up from 44% in 2012 and 40% in 2008. “The trend is that consumers more and more want to have a two-way relationship with their doctor,” he said, noting that 84% of consumers conduct an online search following a doctor’s appointment.

As an example of the volume of research being conducted online, Olohan cited the activity around rheumatoid arthritis, which was the subject of 16 million Google searches in 2016, a more than 10% increase over the preceding year. An additional 230,000 searches took place on YouTube, where there are 135,000 videos related to rheumatoid arthritis and more than 1,500 related channels.

Healthcare-related search also is increasingly localized, especially for consumers who have immediate health needs. The number of searches containing the phrase “hospital near me,” “pharmacy near me,” “doctor near me,” “clinic near me” or “dentist near me” have been steadily increasing since they first began showing up on Google just a few years ago. “This is a new consumer behavior that up until 2013 never existed before,” Olohan said.

Localized searches also drive retail purchases, according to Google research. Three-in-4 people who conduct a local mobile search visit the store within 24 hours, and more than 25% of those searches result in a store purchase.

Time of day also is a factor in consumers’ online search behavior, Olohan said. For example, Google searches for the term “infant formula” peaked at around 3 a.m. to 4 a.m. every night in one recent week, according to Google Trends. Parents are looking for information about why their babies are waking up crying in the middle of the night, and that presents an opportunity for marketers to target solutions to these potential customers, he said.

Meanwhile, Google and its sister companies under the Alphabet umbrella are making significant advances in other areas of health care, as well. These include such disruptive technologies as contact lenses that contain a microchip that measures the glucose level in a diabetic patient’s tears, and a clinical-grade, wearable health sensor.

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Health consumers migrating to retail

BY Jim Frederick

Futurist/economist Jane Sarason-Kahn

Healthcare goods and services will account for nearly 1-in-4 dollars spent in the United States within the next three years. That massive growth in spending will pose huge challenges for patients and health plan payers, said health economist Jane Sarasohn-Kahn. But it will thrust retail pharmacy even further into the front lines of care as the nation’s stressed health system desperately seeks ways to curb unsustainable costs, expand patient access and improve health outcomes.

Addressing the Health Innovation Summit, co-hosted in June by CVS Health in partnership with DSN and Mack Elevation, Sarasohn-Kahn highlighted the economic stresses Americans face as they grapple with rising out-of-pocket costs. “Increasingly, the patient is the payer,” she said. “The mass of Americans … haven’t had a wage increase in years, but [their] health costs are jumping. This is really part of our culture now.”

Americans’ alarm over the costs of health care is well documented. A recent Gallup poll found that “the cost of health care is Americans’ top financial concern,” and “leads the list of what Americans consider the most important financial problem facing their family,” Gallup reported.

Behind those concerns is the very real expansion of health costs in the United States. Between 1980 and 2015, healthcare costs as a share of the gross domestic product doubled, from 9% of the GDP to 18%, according to Gallup.

For that and other reasons, Sarasohn-Kahn said, “We must understand what our patients want. Say we prescribe something for patients that [costs] $90,000 a year. If that patient doesn’t have enough food to eat, the drug really isn’t going to work very well.”

But unsustainable out-of-pocket costs are only one of the stresses Americans are facing as they grapple with an opaque and disjointed health ecosystem, said Sarasohn-Kahn, who authors the Health Populi blog. Costs and quality of care can be wildly dissimilar and out of sync from one region to the next, and even from one community to the next, she said, depending on which health provider or hospital system serves that community, and which insurance plans are available.

“What really matters to your health is where you’re born,” she said. “You can have very different health outcomes two miles away from your own community, and state by state, your well-being is different.”

Both health plans and many local and regional health systems have failed to provide a clear picture of care and cost options, or to rein in rising out-of-pocket costs, Sarasohn-Kahn said. “People feel … pretty confused and dazed when they get sick and have to deal with the labyrinth of health care in this country,” she said.

As a result, she said, “Health plans are really … the lowest-rated industry segment in America. When it comes to the legacy healthcare system, … consumers don’t feel they get any respect.”

Instead, she said Americans increasingly have turned to such retail settings as pharmacies and in-store and stand-alone clinics as places that provide “trust to help [them] manage [their] health. Consumers are looking for transparency — ‘how much is it going to cost me, what’s the quality and is there a report card for this doctor?’ So whom do consumers love in terms of experience? Supermarket chains … and retail pharmacy.”

Given those trends, Sarasohn-Kahn said, “This is a great time in health care to be in this business … because we now have the technologies to help people turbocharge their engagement in their health.”

Supermarket and mass pharmacy operators that provide a broad array of groceries have an additional advantage as health care becomes more self-directed and patient controlled, she added. “Food has become really, really important” to the pursuit for healthier lives, she said. “Food is a gateway drug. People with chronic conditions are really serious about it, and need a lot of help.” That means that combo and superstore retailers that “figure out how to help people build a healthy grocery cart” will have a powerful market advantage. “Food and fitness are colliding. Hy-Vee now has a fitness center in a few stores,” she said.

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FDA approves Symbiomix Therapeutics’ Solosec

BY David Salazar
SILVER SPRING, Md. — The Food and Drug Administration has approved Symbiomix Therapeutics’ new drug Solosec (secnidazole) oral granules. The drug is the first approved single-dose oral therapy for bacterial vaginosis. 
 
“The FDA’s approval of this first-of-its-kind treatment is an important milestone for Symbiomix and most importantly, millions of women suffering from BV,” Symbiomix CEO David Stern said. “The approval of Solosec represents a critical moment in our efforts to bring innovative medicines to the women’s health market. Solosec is the first new oral antibiotic to treat BV in more than a decade and will provide women with a new treatment option. 
 
Bacterial vaginoses is estimated by to affect 21 million patients ages 19 to 49 years in the United States, and the most commonly prescribed treatment regimen requires twice-daily dosing for seven days. 
 
The company said Solosec would be available in the first quarter of 2018. 
 

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