Thursday, May 27, 2010

Nobody Knows You're a Fake Patient on the Internet!

Last night I had the honor of hosting the #socpharm "Tweetchat" session, standing in for Eileen O'Brien (@EileenObrien; Siren Interactive) who is the founder and regular host of that Twitter discussion stream.

One issue discussed in last night's session was Sara Baker, a "fake" patient created by MedSeek, a health IT company (see Lori Moore's comment to this post).

"Meet Sara Baker," says MedSeek on its website. "ePatients like Sara Baker are the future of eHealth. She uses the Internet to stay connected with friends, check her bank balance and make purchases. She is Web-savvy and expects her healthcare provider to be, too. She has growing expectations of her healthcare providers for 2011 and beyond. And she will be the driving force behind your healthcare organization's ePatient revenue center." [emphasis added]

MedSeek even created a Facebook page/personna (eSaraBaker) for Sara where she posts things like "Just found out my hospital is adding a new online feature starting June 1: Now I’ll be able to log in one time to manage everybody’s appointments, prescriptions, etc. Me, Alex, Brad and Jake… all in one place. How great is that?"

Phil Baumann (@PhilBaumann) first called attention to this marketing ploy that "promises to deliver revenues to healthcare organizations wishing to market to so-called ePatients." Baumann coined the term "fPatient" to distinguish the likes of Sara from real ePatients (see "fPatient – Ethics and Mediocrity in Healthcare Marketing").

The #socpharm discussion of Sara Baker lead to a discussion of the use of "fake" patients on websites, something I have written about many times here on Pharma Marketing Blog. See, for example, "Alice, 35, is Not a Real Ambien CR Patient." After I wrote that piece, sanofi-aventis added the disclaimer "Not a real patient" to the animation on the site. Since then, however, they have moved away from images of "fPatients" to roosters. Oh well.

The trend today, however, is to solicit and portray real patient stories. See, for example, "Barb" on the Novartis Reclast site. She's featured in a "Dramatic Health Production" video in the "Real Reclast Stories" section of the website (here).

Although Barb is real, there are other "patients" featured on the website who may not be real. Take "Rhoda" for example. There's a written profile of Rhoda, but I can't find her in the "Real Stories" section. Is she real or fake? I can't say for sure one way or the other.

Obviously, actors are used in direct-to-consumer (DTC) Rx drug ads all the time. Sometimes, we are lead to believe that actors playing doctors in TV ads are real doctors or actually rowing when they are not (see "Jarvik: A Modern DTC Tragedy"). On TV we also see actors portraying patients. Sometimes they even speak and say how the drug helped them. Most often, however, these "patients" don't really say anything. They certainly are not identified by name and age as is the case with "Rhoda" and other questionable "patients" on websites.

Is it ethical for pharma marketers to employ "fpatients?" Is it even necessay? asks Baumann: "Is the deployment of fake profiles in Healthcare Marketing even necessary? Marketing not only has to be effective, it also has to be respectable. Why create a fake social object when so much more social capital can be built by simply being honest and truthful and direct? Why not take advantage of direct interaction and feedback?"

We might have to wait until hell freezes over before pharma marketers are "honest and truthful and direct" let alone before they "take advantage of direct interaction and feedback." Like the Reclast marketers, however, pharma marketers will go on location to videotape a real patient and create a well-crafted, edited video profile that they can feature on their websites and on YouTube for extra-added search engine benefit. You can't get that kind of ROI from "truthful, direct, honest interaction."


  1. People are more sensitive when it comes to health care and pharma, but at the end everybody is in it to make money.

    As much as we might think that creating fake profiles is really low thing to do, almost every company and industry is in it and doing it.

  2. As a point of clarification, MEDSEEK is an IT company that creates browser-based connectivity within healthcare systems to facilitate patient access to and interaction with their own health information. MEDSEEK is not a marketing firm, and it has no involvement in pharmaceuticals.

  3. Hi John,

    what ticked me off about Fake Sara (see full post here: is that I felt she was making fun of me and I really do know what she wants from me.

    She is making fun of me, because I am a Mom who uses facebook to talk about my kid while she sends fake pics of her fake twins around.

    Also I cannot see how having kids, fake ones on top of it, would make her an epatient of any sorts. This is ridiculing the REAL epatient heros out there. It is abusing the term epatient just to be "hip" and not having a clue of what the movement is about...nor touching upon the real issues, because "oh, look how cool it is to pay bills electronically" is just NOT it!

    Finally, she is inviting me to share my story...why? what for? I cannot buy nor use Medseeks products. Why would I want to share my story with someone who does not even exist?

    VoilĂ , hope you liked my rant...just can't help it, eSara, REALLY ticked me off :-)

  4. Silja,

    Thanks for sharing.

    You should start a Real ePatient Moms FB page! Or maybe start something at Kruse's ePatient Summit.


    Bottom line, there's nothing ethical about a fake patient perspective - online or otherwise.

    But since the online community is made up of real patients- not actors, it's especially offensive and crosses the line of ethics.

    As a real life epatient who not only belongs to, finds comfort and information from, and is a an active patient voice in many online diabetes patient communities, it's a slap in the face to all of us!

    And Silja- I LOVED & totally agree with your "rant!"
    kelly k

  6. Hi John,

    Thanks so much for guest moderating a lively #SocPharm chat. All are welcome to join us on Wednesdays at 8 pm EST.

    To read the transcript of the lively conversation go to Anyone can join this free community of pharma marketers.


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