12 December 1999 Rev. 15 February 2000
Jupiter and Media Metrix have now merged. For the latest from Jupiter Media Metrix see their web site or see if they have anything health-related in their press release list.
NEW YORK--Here's some marketing data on medical web sites that should be useful to medical writers who want to write for the Internet.
2 prominent marketing firms that cover the Internet are Jupiter Communications (whose editors we met at the Editorial Freelancers Association) and Media Metrix , which Charlene Laino mentioned at SWINY ). I called the 2 companies to see what useful information I could get out of them.
My quick evaluation of on-line medical information, after a mind-numbing surf of dozens of health web sites, reading the same news stories over and over again, and testing the sites with a few standard queries, is as follows:
Some sites provide good medical news. The best news reporting for doctors by journalists is WebMD, which uses freelancers on long-term contracts (rumored at $350 a story), with a news staff of 60. Reuters is close behind for news coverage. Medscape provides the best meeting coverage, written for doctors by doctors, not by journalists. The TV- and cable-affiliated sites like MSNBC and CNN are surprisingly good, though they're limited by the interests of their audience and the important subtleties of experimental design sometimes get truncated. The video sites also have good organization and search capabilities; other sites may have more detailed clinical information but it's hard to find what you need. Most major sites subscribe to Reuters, which usually supplies a good 1-source story (which however doesn't go to a searchable archive, so it's gone after a week). The university web sites are usually limited to their own experts. Many web sites are devoted to health, wellness, lifestyle, and alternative medicine; some are web sites that link to vendors, some are vendors that link to health content, and the boundaries are muddled. Alternative medicine coverage ranges from science-based and balanced to fraudulent promotion. Financial disclosure is muddled. Ethics is muddled. For example, DrKoop.com uses "news" stories on controversial subjects from the American Council on Science and Health with no disclosure that ACSH's research is often funded by one of the parties to the controversy.
Healtheon/WebMD Corp. deserves special mention, as a paradigm of a medical web site. On 14 February 2000, the company acquired Medical Manager Corp., which I know from my reporting for Medical Tribune as the company that wrote the leading practice-management software, now used by 185,000 doctors to manage patient billing, scheduling, clinical records and other information. Healtheon has an alliance with Rupert Murdoch's News Corp., and a partnership with CVS Corp. under which CVS.com is the featured drugstore. WebMD and Medical Manager's CareInsite claim "relationships" with 400,000 doctors, and 3.8 million consumers visit WebMD. On WebMD, consumers can get health information, use chat rooms, use interactive tools like ovulation predictors, and find a physician. Doctors can get medical information, order books and supplies, and order lab results. They expect to be able to schedule appointments, check lab results, and deal with insurance companies. The new medical web sites will be complete integrated services for doctors and patients, and news will be one of those services--the free lunch, as the New Yorker's press critic A.J. Liebling used to call it, and hopefully independent. (See: "Creating an Internet Health Colossus; Healtheon Agrees to Acquire Rival to Get a Bigger Slice of Medical Transactions," Ann Carrns, Wall Street Journal, 15 February 2000, p. B1.)
If anyone has worked with these sites, or looks into them, please let me know whether they currently take freelance work, what kind of work they're looking for, and how much they pay (and whether I can disclose that information).
There are other lists: Yahoo's health page has links to thousands of pages, organized into about 50 categories, without too much selectiveness. The most comprehensive list of responsible health sites is probably the Health on the Net home page , which links to about 7,000 sites that subscribe to the HON code of ethics . If anyone knows of a good evaluation of medical web sites, please let me know.
For background on medical web sites, search The Standard for "health" or "medicine."
The new iHealthcareWeekly.com , a free online newsletter, is quite good. They are also sponsoring a conference in New York, Internet Healthcare 2000, 25-26 April .
For a reasonably good review of medical sites for consumers, including a comparative table, see "Is the Web Bad for Your Health?" by Brad Grimes with Peter J. Stuart, MD, PC World, February 2000. They recommend AllHealth.com and Mayo Clinic Health Oasis .
For good brief reviews of 5 major medical consumer web sites, see "Web Health Checkup," Jane Manners, Brill's Content, February 2000, p. 114-166 (which is unfortunately in hard copy only.) Manners concentrated on the qualifications of the editorial staff, and the potential conficts of interest with sponsors.
For a further discussion on the influence of sponsors on web sites, see "Do Sponsors Sway Health Web Sites? Corporate pressure denied, but U.S. watches closely," Marilyn Chase, Wall Street Journal, 8 February 2000. The Food and Drug Administration, and Federal Trade Commission, have been monitoring web sites, and applying the standards of continuing medical education programs.
The Media Metrix web site lists the top web sites in several areas, but not in health or medicine. They did however prepare a recent report on health-related sites for a client, and Anthony Adorno kindly gave me the top ten.
Unique Visitor Numbers for Health Sites October 1999 Source: Media Metrix, October 1999
Media Metrix (which does for the Internet what the Nielson does for TV) uses a panel of 52,000 Internet users who install special software on their computer that tracks every online move they make. These are unduplicated, unique visitors who visited the site once in a given month.
On its web site, Jupiter announced the publication of a new report, "The Online Consumer Health Industry: Revenue Forecast and Competitive Landscape, November 1999 . I called Jupiter to try to talk to the author, analyst David Restrepo. I couldn't get him, but after persistent calls a Jupiter corporate communications specialist kindly emailed me a few chapters of an earlier (July) report. Feel free to send me questions you would like me to ask a Jupiter analyst if I ever get through to one. (And I will.)
Jupiter apparently did a diligent job of sorting it all out and collecting at least the business and financial details of the major web sites that supply health information to consumers (some of which also supply .information to doctors).
Jupiter organized the market into 9 categories:
As noted below, some sites are publicly-traded on the stock market, and so are required by law to file detailed and uncharacteristically candid business plans, usually including extensive market analysis, with the Securities and Exchange Commission. These documents are available on-line at the SEC's Edgar database . Form S-1 and Form 10-K are usually the most useful.
Source: Jupiter Communications: Health: 2Q99 Competitive Landscape Analysis 7/99 (Yes, the Media Metrix numbers are inconsistent) (My own comments are in parentheses.)
Media Metrix: 899,000
Content Partners Massachusetts Medical Society, Scripps, Beth Israel.
Media Metrix: 852,000
Content mostly created in-house, also Reuters, Medical Data Exchange
Media Metrix: 760,000
Partnership between Aetna and Johns Hopkins; selling products directly
Media Metrix: 777,000
Media Metrix: 755,000
All content by Mayo Foundation
Media Metrix: 663,000
Media Metrix: Fewer than 200,000
Content proprietary plus Reuters, UCSF, Multum
The Health Network
Media Metrix: Fewer than 200,000
Part of Fox Entertainment
Media Metrix: 486,000
(CBS HealthWatch is the consumer site; they pay $450-700 for a 900-word story.)
Media Metrix: 516,000
(WebMD lists its content sources , although most of the news is now done by its own staff or contractors. They have long-term relationships with writers, they supply lots of work, and payment works out to a rumored $350 for a physician story, with another $150 for a consumer version, on tight deadlines. The quality is very high. Reporters come from physician publications like Medical Tribune and the New York Times, and WebMD is probably the best place on the web to find a professional-level news story the same day.) (For more background see The Industry Standard, 11 November 1999, "Healtheon-WebMD Greets Changed Market" .)
Media Metrix: Fewer than 200,000
Content from CenterWatch, AP, Clinical Reference Systems, Medical Advisory Systems
iVillage Network/Better Health
Media Metrix: 4,000,000 (iVillage Network)
Media Metrix: 1,900,000 (Women.com Network)
Relationship with Prevention Magazine
Media Metrix: 1,300,000 (CondeNet Network)
Content from Conde Nast publications
Media Metrix: 1,200,000 (Discovery Network)
(See a presentation about the parent Discovery Channel.)
Content includes InteliHealth, Johns Hopkins, NYT Online, Reuters, AP
38 West 21st St.
New York, NY 10010
General Manager, Robert Gordon
(See About HealthScout .) Staff: 43, including reporters from major newspapers. (The editorial advisory board includes Wallace Sampson, MD, editor of the evidence-based Scientific Review of Alternative Medicine.) (Has recently paid freelancers $100 for a 750-word story.)
"Health content syndicator; content covers health conditions, nutritional supplements, herbal and homeopathic remedies, diets and therapies, and drug interactions"
Health profiling tool, customized news feeds, electronic medical records
Electronic medical record software used by physicians
Media Metrix: 1,349,000
Media Metrix: 980,000
Media Metrix: 969,000
Media Metrix: 560,000