The decline exists across all the surveyed countries, and is particularly drastic in Spain. In 2008, 51 percent of Spanish
physicians said they witnessed service-model changes. In 2009, that number dropped to 35 percent. In Germany, the percentage
of doctors who reported seeing these changes dropped from 41 percent to 28 percent. The US is in the middle of the pack, with
only 39 percent of physicians saying they see their interactions changed, down from 45 percent.
However, despite the fact that fewer doctors perceive service improvements, physicians still report some positive changes
in physician-centric experiences, in line with pharma's move to become more customer focused. For example, 80 percent of doctors
report improvements in professional Internet programs; 68 percent report enhancements in physician education services; and
almost half report increases in practice and staff support.
Physicians also indicate major improvements in patient-centric service offerings. Two-thirds note positive changes in patient
management, education, and support programs, while 60 percent report enhancements to Internet services. Overall, however,
there's still room for improvement.
What Doctors Want
When it comes to what doctors value from pharma, there are some near-universal trends. For instance, doctors in all surveyed
countries place the highest value on sales reps' personal and professional conduct. About three-quarters of doctors in the
US, UK, Germany, and Italy—and an overwhelming 86 percent in France and Spain—say reps' personal and professional conduct
is key to their relationship with pharma. (See "Mind Your Manners," page 107.)
Around the world, doctors also place a high value on physician education and information. Globally, 77 percent say they value
these services. In Europe, the percentage that cited physician education as important ranged from 73 percent in France to
83 percent in Italy. The percentage of US doctors who place high importance on education rose from 66 percent to 71 percent
over the last year.
Interestingly, while doctors see education as extremely valuable, none of the companies measured received top marks in this
area. That means that companies that can provide high-quality, distinctive education offerings have a real opportunity to
A "Quality" Sales Call
Doctors are tight on time. So it's no surprise that doctors cite as the most important characteristic of a valuable sales
call is "respected pressures on my time." Clear and comprehensive product information, strong scientific/clinical evidence,
and acknowledgement of product weaknesses and limitations are also important—but all tie for second place behind that top
MARKET RESISTANCE INDEX
Some attributes that are critical to doctors in one country may do little to advance physician relationships in another. For
example, "respected pressures on my time" is far more important to doctors in the US and France than it is to physicians in
Italy. "Strong scientific/clinical evidence to support the product" is significantly less important in Germany than in other
countries. And while physicians in most countries rate "involved me in the discussion" as important, that was not the case