How far have pharma companies actually progressed with putting patients and prescribers at the core of their businesses?
The cultural changes in healthcare being ushered in by stronger and better-informed patients are still relatively new. But the effects run deep and are impacting pharma companies in many different ways as they are collectively challenged to change their habits to put the patient, as well as the prescribing physician, at the centre of their efforts.
In order to discover how the ‛patient evolution’ is impacting pharma today, we initiated an online panel discussion with those people spearheading patient-centricity at 12 pharma companies over two weeks in January 2016. Moderated by patient champion Andrew Schorr, founder of Patient Power, the conversation addressed a key question: how far had pharma come on its patient-centricity journey in 12 months? 1
The participants were from large and mid-sized pharma, representing global, US and European perspectives; and, although all participants had a role in leading patient-centricity activities within their companies, they came from a range of backgrounds and had very different operational remits. Participants were asked how they saw their roles evolving, the main challenges and opportunities emerging, and what kind of support they needed.
One thing they had in common was that they were enormously excited about their pioneering roles.
Extraordinary range of response
The variation in how pharma companies were approaching patient-centricity was wide, embracing everything from C-suite initiatives instigating company-wide frameworks, to individual teams driving the creation of on-the-ground, patient-focused programmes to better serve patient needs. Questions were asked around how companies were realising their vision, how they were balancing commercial goals with patients’ needs, and their key learnings from their first months ‘on the job’. Important differences could be seen between the approach and progress of mid-size companies in specialist areas versus large pharma with broader therapy pipelines. Smaller companies working in fewer therapeutic areas seemed to be moving the fastest.
This latter point was well illustrated by a specialist pharma company working in just a couple of disease areas. In order to see better how it was delivering for the end user, the company recalibrated every operation around specific patient-value units and gave everyone personal objectives linked to those units.
There were more similarities found in the challenges faced, such as establishing common frameworks, developing company-wide procedures and, crucially, measuring the impact of these approaches. One panel member stated, “This is a new area and the rules haven’t been written yet, which means that we have to behave responsibly and be able to explain/defend our actions, but there is no ‛line to toe’.”
Despite the range of patient-centric journeys that companies were undertaking, one common thread among the participants was the realisation that the changes required were massive, and the impact might not be apparent for years. When they talked about their role, it was generally referred to as a ‘slow burn’ with many participants describing an initial ‛blank sheet’.
Getting a sense of the reality of what it means to be patient-centric, what it looks and feels like, how it is funded and how success is measured, is the crux of the matter and a number of questions were posed to the panel: what are the patient-centric challenges specific to each company? What to prioritise? Where can the industry develop immediate wins? How can we measure the value of a company’s patient-centric focus? Some participants spoke about a clinical research focus. For others it was more about adherence and improving health outcomes; however, all were in agreement that it entailed understanding and measuring cultural shift and it was unlikely that there would be a one-size-fits-all solution.
Changing the business mindset
In this cultural revolution, patients aren’t waiting. Moderator Andrew Schorr was quick to highlight initiatives where patients were increasingly taking control in an effort to improve their own outcomes.
Pharma companies aren’t waiting either. But the biggest stumbling block for pharma and its partners may lie more in the cultural realm. Changing a business mindset, accustomed to dealing with physicians who make decisions based on hard evidence, to one focusing on patients coming to terms with an illness, is an entirely different ball-game. Partners supporting pharma companies need to be aware of the shifts in emphasis taking place wholesale across the industry to remain best placed to support effectively. This was further emphasised by the fact that there was hardly any mention of healthcare practitioners in the panel discussion, despite the fact that it would be expected that help should come from those same physicians with whom companies had built strong relationships and who had deep patient insights.
1 The panel discussion was initiated to find out how far pharma has come on its patient-centricity journey in the 12 months since the eyeforpharma conference headlined this question in 2015. Ashfield is hosting a patient track session at this year’s eyeforpharma event (Wednesday 16 March at 11.10 a.m.), which will highlight the company’s perspective on the journey so far, who is involved, and the approaches being taken and planned by the industry’s leading patient-centric individuals. It will investigate how companies are grappling with the strategic issues and starting to deliver on their vision.
This article was previously published on Pharmaphorum.