Look Ahead to the Future of Online Health

Monday, October 12, 2009  | Mark Bard


About the Author:  Mark Bard is the President of Manhattan Research.

Mark is also a Keynote Speaker at our 2009 Connected Health Symposium, Oct 21-22. He is speaking on Day 1 of the event at 4:35pm, and will be presenting Analyzing Digital Health by the Numbers: Five Years of Market Trends - and What They Mean for the Next Five.


As a research firm, we are often asked by our clients … what will the online health market look like in five years? While it is an interesting exercise to run through all of the possible scenarios that may become reality in the realm of connectivity and online condition management, the harsh dividing line between what is possible and what is likely quickly becomes apparent very fast. Innovation, ideas, and new businesses are built on the premise that risk will be rewarded with economic return. The digital health space is no different in that just because something seems like a great idea, there is no guarantee it will ever see the light of day if there is no revenue stream to support it. It must be recognized that the ability to deliver innovation to the ones that need it the most in society will be funded and made possible by business models that deliver value to a sponsor or end user willing to pay for the benefit of the services or tools utilized. Markets define and deliver sustainable change.

For example, much of the online health growth over the past five years – from 90 million US adults in 2004 to approximately 160 million US adults online for health information in 2009, according to Manhattan Research – has been driven by the desire to access product and treatment information online. Although some of that information is courtesy of the government (such as NIH and CDC), it can be argued the bulk of the content creation and innovation has been driven by way of ad revenue models enabling commercial sponsors to engage an audience at the point of decision – much better than a shotgun approach of using traditional print advertising or television campaigns to reach patients. The benefit of bringing these sponsors to the table has resulted in the creation and deployment of tools that deliver value to all 160 million online health information seekers, not just the smaller target of interest to the advertisers or commercial sponsors. In effect, anyone with access to the Internet now has access to resources comparable to what a typical physician may be accessing to make clinical decisions in their own practice. The net benefit to the community at large is immense and sets the stage as we continue the move from health content online to a world focused on facilitating and enabling connectivity and communication to support care linking patients, physicians, and payers.

So what can we expect the world of online health to look like in 2014? One of the largest shifts playing out in the research we have conducted over the past seven years is the rapidly growing segment of consumers utilizing the Internet to support the care process. In other words, while the vast majority of consumers five years ago went to the Internet in response to diagnosis, the majority of consumers in 2009 now report they are using the Internet in different ways to help them manage conditions or to continue their learning after they leave the physician office. This shift from content-based reactive Internet adoption in sporadic “bites” is giving way to a system in which patients view the Internet as a complement to the care being delivered by their personal physician – which will remain the foundation of their healthcare delivery system. Getting to the future of connected health will not come easy – or without a price tag. But ultimately the second wave, like the first, will benefit a much larger audience of patients over time as models diffuse, pricing points drop, and companies are able to spread their investment over a much larger and much more active user base of online health consumers.

 

Member Comments


Excellent article. The future of online health lies on that the Internet is fast becoming part of the care process and not just an information tool for the patient. However, the extent to which the Internet can become a salient and integral part of the care process depends on advents in interface technology. In a sophisticated scenario, "smart clothing" with sensors could communicate changes in the patient's condition, which would automatically be integrated with the patient's EMR so that the right doctor is alerted. Obviously, this is a best case scenario where everything works seamlessly, but when such a level of automation can be achieved, that's when the full power of online connectivity can be harvested.
Theophano Mitsa

Theophano Mitsa

Data Mining-Analytics Consultant

 

Posted by: Theophano Mitsa
10/15/2009

 

It is misleading to use the figures for internet usage and apply them to a supposed online health market. Yes, most of us use the internet for all kinds of research, also health related, but other studies show that our reliance on internet information is low when it comes to healthcare. We still prefer to believe our doctor or pharmacist and rightly so in my opinion. A day with Google is no substitute for a rigorous selection of bright trainees, who are then trained exhaustively for several years, learning on the job and picking up a wealth of experience by seeing hundreds of other people with similar conditions on a daily basis for the rest of their working lives. Most of them stay up to date by reading journals, browsing the specialist sites (at least able to understand what is said), going to conferences, working in teams of professionals, talking to drug reps (smile). I think I make my point.

If the truth were known, a likely impact of internet has been to drive costs up as patients now have many more questions than they had before. Smart payers and providers are figuring how to use their trusted brands to provide good quality info on the internet, hopefully increasing compliance and better outcomes, while cutting down on the wasted time.

Defined more narrowly, the market for connected health is small and, although it is growing, this growth is threatened by the general emphasis on cost cutting which is a central pillar of the Reform proposals. As Mr Bard points out, innovation requires a leap of faith followed by an initial cash investment - not a plant that is likely to flourish in the current climate.


Chris Johnson

VP Business Development
Cypak

Chair IEEE medication monitoring Board Healthcare Compliancy Packaging Council Europe

 

Posted by: Chris Johnson
11/23/2009

 

Mark - thank you sharing some of your research. It is exciting to hear that use of the internet to support health is moving beyond searching for information to promoting healthy action. While information is almost always necessary it is often not sufficient to promote the behavior change needed - whether that is starting therapy, adhering to medication or simply eating better. I'm glad to see the tools are evolving towards these ends.

One question I think important for us at this forum is how individuals will come to these support tools? Will we get them:
1. As consumers in a B2C setting
2. As employees through our companies
3. As members through our health plans
4. As patients through our healthcare providers

???

Does your research point to any trends in which host structures for these services are emerging and which are most clinically effective and most cost-effective?

Thanks and I look forward to continuing the conversation,
Adam

Adam Kaufman

COO
DPS Health

 

Posted by: Adam Kaufman
11/30/2009

 

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