Health in the Next Normal

Our latest health report based on survey data from 1,000 global health consumers reveals which pandemic-accelerated adoptions are on the rise, which have declined, and how your company can better support health consumers in the next normal.

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+ Table of Contents 05 Introduction 06 Key Takeaways 08 Survey Methodology 09 Consumers at a Glance 10 Healthcare Coverage & Quality 12 Personal Health Self-Evaluations 14 The Patient-Provider Experience 16 The State of Telehealth 20 Trust in the Industry 24 Digital Adoption 24 Health Wearables 28 Digital Therapeutics 31 Remote Monitoring 32 Pain Points & Disruptions 34 Spotlight on Emerging Markets 34 Latin America (LATAM) 35 Middle East & North Africa (MENA) 36 Conclusion 37 References

+ Table of Contents 05 Introduction 06 Key Takeaways 08 Survey Methodology 09 Consumers at a Glance 10 Healthcare Coverage & Quality 12 Personal Health Self-Evaluations 14 The Patient-Provider Experience 16 The State of Telehealth 20 Trust in the Industry 24 Digital Adoption 24 Health Wearables 28 Digital Therapeutics 31 Remote Monitoring 32 Pain Points & Disruptions 34 Spotlight on Emerging Markets 34 Latin America (LATAM) 35 Middle East & North Africa (MENA) 36 Conclusion 37 References

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 The arrival of COVID-19 dramatically accelerated the adoption of digital technologies across the health and wellness spectrum. Now, as disruptions have waned and life has settled into a new version of normal, the pressing questions for the industry are: What adoptions are here for good, and how can we better support health consumers during this next phase? In this 2023 report, we investigate consumer demands, expectations, and unmet needs for digital technologies and interventions now that the height of the pandemic has passed—and how these insights can help companies do more to improve human health. Our recent health consumer behavior survey indicates that global consumers crave more personalized experiences from healthcare providers and are open to filling out online health assessments in order to meet that need—despite rising concerns about the misuse and hacking of sensitive data. Establishing trust also plays an important role in the dynamic between drug companies and consumers: the majority of respondents feel pharmaceutical sites could become important resources in making healthcare decisions but worry about the accuracy and truthfulness of the information they find there. We also found a slight decline in the adoption of telehealth and health wearables, perhaps indicating that the bar for digital options is higher now that in-person alternatives are + more readily available. Global consumers crave more personalized experiences from healthcare providers 4 5

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 The arrival of COVID-19 dramatically accelerated the adoption of digital technologies across the health and wellness spectrum. Now, as disruptions have waned and life has settled into a new version of normal, the pressing questions for the industry are: What adoptions are here for good, and how can we better support health consumers during this next phase? In this 2023 report, we investigate consumer demands, expectations, and unmet needs for digital technologies and interventions now that the height of the pandemic has passed—and how these insights can help companies do more to improve human health. Our recent health consumer behavior survey indicates that global consumers crave more personalized experiences from healthcare providers and are open to filling out online health assessments in order to meet that need—despite rising concerns about the misuse and hacking of sensitive data. Establishing trust also plays an important role in the dynamic between drug companies and consumers: the majority of respondents feel pharmaceutical sites could become important resources in making healthcare decisions but worry about the accuracy and truthfulness of the information they find there. We also found a slight decline in the adoption of telehealth and health wearables, perhaps indicating that the bar for digital options is higher now that in-person alternatives are + more readily available. Global consumers crave more personalized experiences from healthcare providers 4 5

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Key Takeaways More than half of global consumers (55 percent) want 1 a personalized experience from their healthcare provider’s website, but only 37 percent have ever filled out a health assessment online. 63 percent of respondents would fill out a health assessment 2 in return for more personalized service—but almost half (46 percent) worry that their health information will be hacked or misused. 3 Only 50 percent of respondents worldwide believe the information that pharmaceutical companies provide is accurate and less than half (46 percent) seek out health information on pharmaceutical sites. 4 59 percent believe drug company websites could be important resources for their health decisions—if those sites provided relevant information. 5 Telehealth adoption has declined by 20 percent as COVID-19 concerns wane: only 36 percent of those surveyed had had a telehealth appointment in the last 12 months, down from 45 percent in 2021. 6 The use of health apps and wearables also declined by 13 percent globally compared to 2021, and a mere 32 percent of North Americans reported using wearables. With digital therapeutics still in its infancy, consumer interest + 7 is high: two-thirds of global respondents (66 percent) 66% would consider using digital therapeutics in the future. of global respondents would consider using digital therapeutics in the future 6 7

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Key Takeaways More than half of global consumers (55 percent) want 1 a personalized experience from their healthcare provider’s website, but only 37 percent have ever filled out a health assessment online. 63 percent of respondents would fill out a health assessment 2 in return for more personalized service—but almost half (46 percent) worry that their health information will be hacked or misused. 3 Only 50 percent of respondents worldwide believe the information that pharmaceutical companies provide is accurate and less than half (46 percent) seek out health information on pharmaceutical sites. 4 59 percent believe drug company websites could be important resources for their health decisions—if those sites provided relevant information. 5 Telehealth adoption has declined by 20 percent as COVID-19 concerns wane: only 36 percent of those surveyed had had a telehealth appointment in the last 12 months, down from 45 percent in 2021. 6 The use of health apps and wearables also declined by 13 percent globally compared to 2021, and a mere 32 percent of North Americans reported using wearables. With digital therapeutics still in its infancy, consumer interest + 7 is high: two-thirds of global respondents (66 percent) 66% would consider using digital therapeutics in the future. of global respondents would consider using digital therapeutics in the future 6 7

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Consumers at a Glance Gender FEMALE MALE TRANSGENDER / NON-BINARY / GENDER NON-CONFORMING / OTHER 49% 50% 1% Figure 1: Distribution of global respondents by gender identification. Age AGES 18–24 AGES 25–34 AGES 35–44 AGES 45–54 AGES 55–64 AGES 65+ 9% 24% 24% 17% 14% 12% Figure 2: Distribution of global respondents by age. Location + Survey 15% IN AN URBAN AREA OR CITY Methodology IN A SUBURBAN AREA We surveyed 1,000 global consumers in 49% IN A RURAL AREA North America (Canada and the United States), Europe (France, Germany, and Italy), the Middle East and North Africa (MENA, comprising Abu Dhabi, Dubai, Egypt, and the 36% Kingdom of Saudi Arabia), Latin America (LATAM, comprising Mexico and Brazil), and the United Kingdom (UK). Participants were required to be at least 18 years old and not currently employed in the healthcare industry. All data shown represent the average of all global consumers, unless otherwise noted. Figure 3: Distribution of global respondents by area type. 8 9

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Consumers at a Glance Gender FEMALE MALE TRANSGENDER / NON-BINARY / GENDER NON-CONFORMING / OTHER 49% 50% 1% Figure 1: Distribution of global respondents by gender identification. Age AGES 18–24 AGES 25–34 AGES 35–44 AGES 45–54 AGES 55–64 AGES 65+ 9% 24% 24% 17% 14% 12% Figure 2: Distribution of global respondents by age. Location + Survey 15% IN AN URBAN AREA OR CITY Methodology IN A SUBURBAN AREA We surveyed 1,000 global consumers in 49% IN A RURAL AREA North America (Canada and the United States), Europe (France, Germany, and Italy), the Middle East and North Africa (MENA, comprising Abu Dhabi, Dubai, Egypt, and the 36% Kingdom of Saudi Arabia), Latin America (LATAM, comprising Mexico and Brazil), and the United Kingdom (UK). Participants were required to be at least 18 years old and not currently employed in the healthcare industry. All data shown represent the average of all global consumers, unless otherwise noted.Figure 3: Distribution of global respondents by area type. 8 9

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Healthcare Coverage & Quality Our survey indicates increased stability and quality + Respondents in LATAM and MENA were mostly likely in health insurance for respondents around the world. Health insurance to experience shifts in health coverage over the last 12 Globally, three in four of those surveyed reported coverage has stabilized, months: 42 percent in both regions reported a change. that their healthcare coverage had not changed in However, these changes were overwhelmingly positive: the last 12 months, an increase of 17 percent versus and the changes in coverage in LATAM, 87 percent reported that they had either 2021. Among those who did experience a change in people are experiencing are gained coverage when they hadn’t previously had it or coverage, a substantial majority (62 percent) reported that their health coverage had improved, and in MENA, that their health insurance had improved. generally for the better 72 percent reported that their coverage had improved. Type of Coverage I have health My health insurance My health insurance I no longer have Change in Coverage YES NO UNSURE insurance now and coverage has coverage has health insurance Change previously did not improved weakened GLOBAL 22% 75% 3% GLOBAL 25% 62% 11% 2% NORTH AMERICA 16% 83% 1% NORTH AMERICA 23% 66% 11% 0% EUROPE 22% 75% 3% EUROPE 27% 62% 9% 2% UK 15% 80% 5% UK 17% 63% 17% 3% LATAM 42% 53% 5% LATAM 43% 45% 10% 2% MENA 42% 52% 6% MENA 14% 72% 12% 2% Figure 4: Change in health insurance coverage by r egion. Respondents were Figure 5: Type of change in coverage by region. Respondents who reported asked whether their insurance coverage had changed in the last 12 months. a change were asked how their coverage changed over the last 12 months. 10 11

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Healthcare Coverage & Quality Our survey indicates increased stability and quality+Respondents in LATAM and MENA were mostly likely in health insurance for respondents around the world. Health insurance to experience shifts in health coverage over the last 12 Globally, three in four of those surveyed reportedcoverage has stabilized, months: 42 percent in both regions reported a change. that their healthcare coverage had not changed inHowever, these changes were overwhelmingly positive: the last 12 months, an increase of 17 percent versus and the changes in coverage in LATAM, 87 percent reported that they had either 2021. Among those who did experience a change in people are experiencing are gained coverage when they hadn’t previously had it or coverage, a substantial majority (62 percent) reported that their health coverage had improved, and in MENA, that their health insurance had improved.generally for the better72 percent reported that their coverage had improved. Type of Coverage I have health My health insurance My health insurance I no longer have Change in CoverageYESNOUNSURE insurance now and coverage has coverage has health insurance Change previously did not improved weakened GLOBAL22%75%3%GLOBAL 25% 62% 11% 2% NORTH AMERICA16%83%1%NORTH AMERICA 23% 66% 11% 0% EUROPE22%75%3%EUROPE 27% 62% 9% 2% UK15%80%5% UK 17% 63% 17% 3% LATAM42%53%5%LATAM 43% 45% 10% 2% MENA42%52%6% MENA 14% 72% 12% 2% Figure 4: Change in health insurance coverage by r egion. Respondents were Figure 5: Type of change in coverage by region. Respondents who reported asked whether their insurance coverage had changed in the last 12 months.a change were asked how their coverage changed over the last 12 months. 10 11

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + + Personal Health Self-Evaluations 8% decrease in the number of people who held a positive A majority of consumers (57 percent) viewed view of their own wellness themselves as being in at least “good” health. as compared to 2021 However, despite increased stability and quality of health insurance coverage, we saw an 8 percent decrease in the number of people who held a positive view of their own wellness as compared to + 2021. Respondents in MENA and LATAM had the People are feeling less Health Comparison 2021 2022 most optimistic view of their own health, while those in North America and the UK reported a gloomier positive about their health outlook—only about half of respondents in both , especially regions described their health as good or better and than they did last year more than 1 in 10 viewed their own health as “poor.” in North America and the UK 16% Best health 12% GLOBAL UK NORTH AMERICA LATAM 47% Good health EUROPE MENA 45% 62% 29% 48% 50% Average health 45%41% 34% 40% 37% 40% 34% 31% 7% 22% 22%24% Poor health 8% 12%11%13% 15% 11% 11% 9% 8% 8% 1% 3% 1% 1% 2% 1% 1% 0% 0% Worst health Best health Good health Average health Poor health Worst health 1% Figure 7: Comparison of global personal health self-evaluations in 2022 versus 2021. Respondents were asked to categorize their overall physical Figure 6: Personal health self-evaluations by quality and by region. Respondents were asked to categorize their overall physical health by envisioning health by envisioning a stepladder with rungs numbered from 5 to 1, where a stepladder with rungs numbered from 5 to 1, where 5 represents the best possible health and 1 indicates the worst possible health. 5 represents the best possible health and 1 indicates the worst health. 12 13

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + + Personal Health Self-Evaluations 8% decrease in the number of people who held a positive A majority of consumers (57 percent) viewedview of their own wellness themselves as being in at least “good” health. as compared to 2021 However, despite increased stability and quality of health insurance coverage, we saw an 8 percent decrease in the number of people who held a positive view of their own wellness as compared to+ 2021. Respondents in MENA and LATAM had the People are feeling lessHealth Comparison20212022 most optimistic view of their own health, while those in North America and the UK reported a gloomierpositive about their health outlook—only about half of respondents in both, especially regions described their health as good or better andthan they did last year more than 1 in 10 viewed their own health as “poor.”in North America and the UK 16% Best health 12% GLOBALUK NORTH AMERICALATAM 47% Good health EUROPEMENA 45% 62% 29% 48%50% Average health 45%41% 34% 40%37%40% 34%31% 7% 22%22%24% Poor health 8% 12%11%13%15%11%11% 9%8%8% 1%3%1%1%2%1% 1% 0%0% Worst health Best healthGood healthAverage healthPoor healthWorst health 1% Figure 7: Comparison of global personal health self-evaluations in 2022 versus 2021. Respondents were asked to categorize their overall physical Figure 6: Personal health self-evaluations by quality and by region. Respondents were asked to categorize their overall physical health by envisioning health by envisioning a stepladder with rungs numbered from 5 to 1, where a stepladder with rungs numbered from 5 to 1, where 5 represents the best possible health and 1 indicates the worst possible health.5 represents the best possible health and 1 indicates the worst health. 12 13

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 +The Patient-Provider Experience A large and growing majority (71 percent) of consumers worldwide reported feeling knowledgeable when making decisions about their health, an increase of 13 percent over 2021. And an increasing number of consumers (56 percent) felt they can easily access their medical information online as needed, a 4 percent rise compared to last year. + Global consumers crave more personalization from their healthcare providers—over half of respondents (55 percent) said that personalization on a provider’s website is important to them, and 63 percent said they would fill 63% out an online assessment in exchange for more personalization. However, just 37 percent of consumers reported actually filling out such an assessment, of consumers would fill out an suggesting that many healthcare organizations are missing an important tool online assessment in exchange when it comes to offering consumers the digital experience they want. for more personalization 2021 2022 + I am concerned about my medical I often read medical information Patients want a more I feel knowledgeable when information being hacked or shared and health tips my healthcare making decisions about my health without my knowledge provider sends to me personalized experience from their providers and are willing to 71% 46% 62% provide health information to get it 63% 43% 63% Meanwhile, amid well-publicized data breaches affecting millions of health consumers fr om San Antonio, 1 2 Texas, to Sydney, Australia, consumer concerns about hacking and misuse of data are on the rise: 46 percent of consumers expressed concern that their medical information might be hacked or inappropriately I would fill out an online health Experiencing a personalized shared. Given that an average healthcare breach costs assessment if, in return, I was given I can easily access my medical encounter on a healthcare provider’s US$10.1 million according to IBM Security’s Cost of a a more personalized experience records whenever I need them website is important to me 3 Data Breach Report 2022, these concerns should be front and center for healthcare companies as well. 63% 56% 55% Transparency is the key to rebuilding trust: health 54% companies not only need to employ the most stringent data controls possible (adherence to HIPAA and GDPR at a bare minimum) but also communicate clearly to patients about how information is collected, stored, and used. In the same vein, patient consent needs to be presented openly and in clear language for users when they sign up for healthcare sites, never buried in long terms and conditions. Figure 8: Percentage of respondents who agree with each statement. A year-over-year comparison with 2021 is provided where possible. 14 15

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 +The Patient-Provider Experience A large and growing majority (71 percent) of consumers worldwide reported feeling knowledgeable when making decisions about their health, an increase of 13 percent over 2021. And an increasing number of consumers (56 percent) felt they can easily access their medical information online as needed, a 4 percent rise compared to last year. + Global consumers crave more personalization from their healthcare providers—over half of respondents (55 percent) said that personalization on a provider’s website is important to them, and 63 percent said they would fill63% out an online assessment in exchange for more personalization. However, just 37 percent of consumers reported actually filling out such an assessment, of consumers would fill out an suggesting that many healthcare organizations are missing an important tool online assessment in exchange when it comes to offering consumers the digital experience they want. for more personalization 20212022 + I am concerned about my medical I often read medical information Patients want a more I feel knowledgeable wheninformation being hacked or shared and health tips my healthcare making decisions about my healthwithout my knowledgeprovider sends to mepersonalized experience from their providers and are willing to 71%46%62% provide health information to get it 63%43%63% Meanwhile, amid well-publicized data breaches affecting millions of health consumers fr om San Antonio, 1 2 Texas, to Sydney, Australia, consumer concerns about hacking and misuse of data are on the rise: 46 percent of consumers expressed concern that their medical information might be hacked or inappropriately I would fill out an online health Experiencing a personalizedshared. Given that an average healthcare breach costs assessment if, in return, I was given I can easily access my medicalencounter on a healthcare provider’s US$10.1 million according to IBM Security’s Cost of a a more personalized experiencerecords whenever I need themwebsite is important to me3 Data Breach Report 2022, these concerns should be front and center for healthcare companies as well. 63%56%55% Transparency is the key to rebuilding trust: health 54% companies not only need to employ the most stringent data controls possible (adherence to HIPAA and GDPR at a bare minimum) but also communicate clearly to patients about how information is collected, stored, and used. In the same vein, patient consent needs to be presented openly and in clear language for users when they sign up for healthcare sites, never buried in long terms and conditions. Figure 8: Percentage of respondents who agree with each statement. A year-over-year comparison with 2021 is provided where possible. 14 15

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + The State of Telehealth As pandemic restrictions eased, our survey showed +Telehealth is here to stay, ed an overall decline in the use of telehealth compar and patients are increasingly to 2021: only 36 percent of respondents reported a telehealth appointment in the last 12 months, down comfortable using it for a from 45 percent the previous year. The primary reason wider range of reasons given for a telehealth appointment was for a personal or family member illness, a welcome indication that many consumers continue to be cautious about spreading communicable diseases to others. Reasons for Using Telehealth 2021 2022 53% 50% 49% 45% Key Factors for Telehealth Care 2021 RANK 2022 RANK 28% 23% A healthcare provider who takes the time to listen to my issues/concerns and 1 1 shows empathy and understanding Illness for you Preventative Prescription A healthcare provider who clearly explains or someone medicine refill only what they are doing during the exam/meeting in your family and provides follow-up information 3 2 Figure 9: Year-over-year comparison of reasons given for having a telehealth appointment among respondents who reported using telehealth. A virtual visit that’s high quality (i.e., stable Wi-Fi, clear camera, 2 3 Despite the decline in use, the overwhelming adequate sound, in a quiet setting) majority (85 percent) were satisfied with their telehealth experience. Although the top four priorities for a virtual health visit remained the The ability to have all my concerns met same as the previous year (a provider who listens including medications prescribed and/or 4 4 to concerns and shows empathy, a provider who next medical steps scheduled clearly explains information, the ability to have all concerns met, and a high-quality virtual visit), a high-quality virtual visit dropped from the second- most-important factor in 2021 to the third in 2022, perhaps indicating that the technology supporting these visits is doing a better job meeting needs and is no longer at the forefront of consumer concerns. Figure 10: Year-over-year comparison of global consumer ranking of the importance of each factor for a telehealth appointment. 16 17

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + The State of Telehealth As pandemic restrictions eased, our survey showed+Telehealth is here to stay, ed an overall decline in the use of telehealth comparand patients are increasingly to 2021: only 36 percent of respondents reported a telehealth appointment in the last 12 months, down comfortable using it for a from 45 percent the previous year. The primary reasonwider range of reasons given for a telehealth appointment was for a personal or family member illness, a welcome indication that many consumers continue to be cautious about spreading communicable diseases to others. Reasons for Using Telehealth 20212022 53%50% 49% 45% Key Factors for Telehealth Care 2021 RANK 2022 RANK 28% 23% A healthcare provider who takes the time to listen to my issues/concerns and 1 1 shows empathy and understanding Illness for you PreventativePrescriptionA healthcare provider who clearly explains or someone medicinerefill onlywhat they are doing during the exam/meeting in your family and provides follow-up information 3 2 Figure 9: Year-over-year comparison of reasons given for having a telehealth appointment among respondents who reported using telehealth.A virtual visit that’s high quality (i.e., stable Wi-Fi, clear camera, 2 3 Despite the decline in use, the overwhelming adequate sound, in a quiet setting) majority (85 percent) were satisfied with their telehealth experience. Although the top four priorities for a virtual health visit remained theThe ability to have all my concerns met same as the previous year (a provider who listens including medications prescribed and/or 4 4 to concerns and shows empathy, a provider who next medical steps scheduled clearly explains information, the ability to have all concerns met, and a high-quality virtual visit), a high-quality virtual visit dropped from the second- most-important factor in 2021 to the third in 2022, perhaps indicating that the technology supporting these visits is doing a better job meeting needs and is no longer at the forefront of consumer concerns. Figure 10: Year-over-year comparison of global consumer ranking of the importance of each factor for a telehealth appointment. 16 17

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 A growing percentage of respondents reported that Among the 51 percent who would engage in they would be likely to use telehealth for remote telehealth for therapy, more than two-thirds (68 monitoring and follow-up appointments in 2022, and percent) of respondents would be likely to use comfort levels remained stable across most other types telehealth for counseling, while mental health and + of medical appointments as compared to 2021— addiction support also received substantial year-over- suggesting that the adoption of the technology is year gains, perhaps reflecting a general increase in becoming a habit for a substantial majority of patients. social acceptance of mental and behavioral health issues. Consumers show less appetite for therapies like physical and occupational health that require a 51% Reasons for Future Telehealth Use 2021 2022 greater degree of physical guidance and interaction— at least until new virtual tools become more wildly of respondents would be likely 4 developed and embraced for patient rehabilitation. to use telehealth for therapy Monitoring of my current 63% health condition/illness 59% (remote monitoring) Follow-up appointment 66% 63% Reasons for Considering Telehealth Therapy 2021 2022 An assessment to determine if 58% emergency care is needed 56% Moderate illness 57% Mental health 47% (e.g., the flu, digestive issues, a sprain, etc.) 56% 36% Major illness 44% (e.g., concerns related to COVID-19, 44% Addiction 20% cancer, MS, lupus, etc.) 16% Therapy 51% (physical, occupational, counseling, 51% Counseling 68% addiction, mental health) (help in understanding underlying physiological & psychological issues) 55% Preventative medicine 57% (annual check-up or exam) 57% Physical 34% 35% I have a few questions 70% I need answered 70% Occupational 39% (meaningful activities designed to help you 45% Minor illness 63% adjust your environment to your needs) (e.g., a cold, an earache, strep throat, etc.) 64% An initial consultation 63% 64% Figure 11: Year-over-year comparison of percentage of respondents who Figure 12: Year-over-year comparison of respondents who would consider using telehealth for therapy by type, among those who would be likely to engage in telehealth for each reason. would be likely to use telehealth for therapy at all. 18 19

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 A growing percentage of respondents reported that Among the 51 percent who would engage in they would be likely to use telehealth for remote telehealth for therapy, more than two-thirds (68 monitoring and follow-up appointments in 2022, and percent) of respondents would be likely to use comfort levels remained stable across most other types telehealth for counseling, while mental health and + of medical appointments as compared to 2021—addiction support also received substantial year-over- suggesting that the adoption of the technology is year gains, perhaps reflecting a general increase in becoming a habit for a substantial majority of patients. social acceptance of mental and behavioral health issues. Consumers show less appetite for therapies like physical and occupational health that require a 51% Reasons for Future Telehealth Use20212022greater degree of physical guidance and interaction— at least until new virtual tools become more wildly of respondents would be likely developed and embraced for patient rehabilitation.4 to use telehealth for therapy Monitoring of my current 63% health condition/illness 59% (remote monitoring) Follow-up appointment66% 63% Reasons for Considering Telehealth Therapy 2021 2022 An assessment to determine if 58% emergency care is needed56% Moderate illness 57% Mental health 47% (e.g., the flu, digestive issues, a sprain, etc.)56% 36% Major illness 44% (e.g., concerns related to COVID-19, 44%Addiction 20% cancer, MS, lupus, etc.) 16% Therapy 51% (physical, occupational, counseling, 51%Counseling 68% addiction, mental health)(help in understanding underlying physiological & psychological issues) 55% Preventative medicine 57% (annual check-up or exam)57%Physical 34% 35% I have a few questions 70% I need answered70% Occupational 39% (meaningful activities designed to help you 45% Minor illness 63% adjust your environment to your needs) (e.g., a cold, an earache, strep throat, etc.)64% An initial consultation63% 64% Figure 11: Year-over-year comparison of percentage of respondents who Figure 12: Year-over-year comparison of respondents who would consider using telehealth for therapy by type, among those who would be likely to engage in telehealth for each reason.would be likely to use telehealth for therapy at all. 18 19

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 +Trust in the GLOBAL UK NORTH AMERICA LATAM Industry Trust in Information Sources EUROPE MENA 55% 52% 58% Four in five health consumers trust the My family and/or friends 50% information they receive from their personal 61% providers and pharmacists. When it comes to 65% the pharmaceutical industry, it’s a bleaker picture. Biopharma companies are fighting an uphill public 66% relations battle, particularly in North America 65% where the opioid epidemic has spawned multiple Medical websites 58% prestige television series and a widely publicized (e.g., WebMD.com, NHS.uk, ec.europa.eu, etc.) 71% multibillion-dollar settlement from the Sackler 76% family in the last two years alone. 69% Despite stringent legal requirements surrounding 44% what information drug companies can 42% disseminate and the fact that companies are What I research on Google 42% unambiguous almost to a fault when describing 38% 50% medications and their unpleasant side effects, less than half (45 percent) of global consumers 59% trust information from drug companies about drugs and treatment options, and just 50 percent 81% believe “all the information” drug companies 85% provide is truthful—and those numbers drop to My healthcare provider(s) 70% 42 and 44 percent, respectively, in North America. 80% Latin America, on the other hand, shows the 85% 85% highest level of confidence in information put out by drug companies of the regions we surveyed. 80% 81% My pharmacist 78% 81% 79% 77% 45% 42% Drug companies 42% 46% 60% + 48% Providing useful, personalized 21% content to health consumers can 19% Non-medical websites 23% help biopharma companies build (e.g., blogs or social media platforms) 20% product trust and awareness 22% 26% Figure 13: Percentage of respondents by region expressing agreement with the following statement: “I trust the information about drugs and other medical treatment options that comes from . . .” 20 21

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 +Trust in the GLOBAL UK NORTH AMERICA LATAM Industry Trust in Information Sources EUROPE MENA 55% 52% 58% Four in five health consumers trust the My family and/or friends 50% information they receive from their personal 61% providers and pharmacists. When it comes to 65% the pharmaceutical industry, it’s a bleaker picture. Biopharma companies are fighting an uphill public 66% relations battle, particularly in North America 65% where the opioid epidemic has spawned multiple Medical websites 58% prestige television series and a widely publicized (e.g., WebMD.com, NHS.uk, ec.europa.eu, etc.) 71% multibillion-dollar settlement from the Sackler 76% family in the last two years alone. 69% Despite stringent legal requirements surrounding 44% what information drug companies can 42% disseminate and the fact that companies are What I research on Google 42% unambiguous almost to a fault when describing 38% 50% medications and their unpleasant side effects, less than half (45 percent) of global consumers 59% trust information from drug companies about drugs and treatment options, and just 50 percent 81% believe “all the information” drug companies 85% provide is truthful—and those numbers drop to My healthcare provider(s) 70% 42 and 44 percent, respectively, in North America. 80% Latin America, on the other hand, shows the 85% 85% highest level of confidence in information put out by drug companies of the regions we surveyed. 80% 81% My pharmacist 78% 81% 79% 77% 45% 42% Drug companies 42% 46% 60% + 48% Providing useful, personalized 21% content to health consumers can 19% Non-medical websites 23% help biopharma companies build (e.g., blogs or social media platforms) 20% product trust and awareness 22% 26% Figure 13: Percentage of respondents by region expressing agreement with the following statement: “I trust the information about drugs and other medical treatment options that comes from . . .” 20 21

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 And the global picture is not all bad news GLOBAL UK either. Almost 6 in 10 (59 percent) consumers NORTH AMERICA LATAM worldwide reported that drug company websites could become important sources Trust in Information EUROPE MENA for their personal health decisions if those sites provided relevant information. How that information is presented is crucial—the current lack of personalization on these sites makes it difficult for consumers to find information relevant to their own health, even if they’re actively seeking it out. There’s a clear opportunity for companies to increase 50% personalization and provide useful, accessible I believe all the information 44% content for health consumers in ways that drug companies provide to be 49% would build brand trust and awareness. accurate and truthful 44% 72% 67% 60% I believe the information contained 52% in clinical study results is 59% accurate and truthful 57% 80% 75% If drug companies would provide 59% relevant medical information on 57% their websites, they could become 51% an important source in my personal 57% healthcare decision-making 69% + 74% 59% Figure 14: Percentage of respondents by region expressing consumers worldwide reported that agreement with each statement. drug company websites could become important sources for their personal health decisions 22 23

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 And the global picture is not all bad news GLOBAL UK either. Almost 6 in 10 (59 percent) consumers NORTH AMERICA LATAM worldwide reported that drug company websites could become important sources Trust in InformationEUROPE MENA for their personal health decisions if those sites provided relevant information. How that information is presented is crucial—the current lack of personalization on these sites makes it difficult for consumers to find information relevant to their own health, even if they’re actively seeking it out. There’s a clear opportunity for companies to increase 50% personalization and provide useful, accessible I believe all the information 44% content for health consumers in ways that drug companies provide to be 49% would build brand trust and awareness. accurate and truthful 44% 72% 67% 60% I believe the information contained 52% in clinical study results is 59% accurate and truthful 57% 80% 75% If drug companies would provide 59% relevant medical information on 57% their websites, they could become 51% an important source in my personal 57% healthcare decision-making 69% + 74% 59% Figure 14: Percentage of respondents by region expressing consumers worldwide reported that agreement with each statement. drug company websites could become important sources for their personal health decisions 22 23

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Digital Adoption + Health Wearables The global adoption of health wearables experienced a downward shift compared to the previous year. Just 44 percent of people reported using health wearables, a + 13 percent decrease from 2021. Much of that decline The number of people who reported took place in the youngest demographic bracket we using health wearables has declined by surveyed. Although a substantial majority (64 percent) of 18-to-24-year-olds reported using health wearables in 2021, making them the cohort with the highest adoption rates that year, wearable use among that age group dropped to just 43 percent in 2022, falling behind every other segment of the under-55 population. 13% Health Wearable Use by Age 2021 2022 64% 60% 59% 54% 52% 43% 44% 45% 36% 22% 20% 20% + Despite consumer interest in 18–24 25–34 35–44 45–54 55–64 65+ wellness, health wearables are missing the mark in Figure 15: Year-over-year comparison of respondents who currently use health wearables by age. mature markets 24 25

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Digital Adoption + Health Wearables The global adoption of health wearables experienced a downward shift compared to the previous year. Just 44 percent of people reported using health wearables, a + 13 percent decrease from 2021. Much of that decline The number of people who reported took place in the youngest demographic bracket we using health wearables has declined by surveyed. Although a substantial majority (64 percent) of 18-to-24-year-olds reported using health wearables in 2021, making them the cohort with the highest adoption rates that year, wearable use among that age group dropped to just 43 percent in 2022, falling behind every other segment of the under-55 population. 13% Health Wearable Use by Age 20212022 64% 60%59% 54%52% 43%44%45% 36% 22%20%20% + Despite consumer interest in 18–2425–3435–4445–5455–6465+ wellness, health wearables are missing the mark in Figure 15: Year-over-year comparison of respondents who currently use health wearables by age. mature markets 24 25

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 Across ages, North Americans, who reported The decline in health wearable use in more mature and over a third of consumers expressed a desire the lowest use of health wearables of any region markets may reflect a failure of companies to for additional products to help them better address (32 percent), also held the gloomiest assessment assuage concerns and meet consumer needs: needs, from sleep to health to mindfulness. Around of their own health (just 52 percent described many, particularly those in younger demographics, the world, respondents predominantly used their their own health as at least “good” compared to are skeptical about the accuracy of the data mobile phones rather than wearable devices to track a global average of 57 percent). provided (“Did that workout really burn 350 health data across the wellness spectrum, from calories?”), and others are turned off by a lack of sleep patterns to fitness programs to fertility matters. Meanwhile, the two regions with the most actionable information (the “OK, my heart rate is For now, apps remain the best way to reach health optimistic perception of their own health also 65 beats per minute—so what?” factor). After all, consumers in every market, but there may be 5 reported the highest rate of health wearable use according to the latest McKinsey wellness report, a potential opening for new hardware—if it can —55 percent in MENA and 59 percent in LATAM. US interest in wellness sparked by COVID-19 demonstrate a major value-add for consumers who continues unabated, especially for millennials, may have wearied of carrying additional devices. Health Wearable Use 2021 2022 Health-Related Tracking Behaviors Via Mobile Phone Via Wearable GLOBAL 44% I use an app to help maintain my fitness goals 42% 24% 56% (e.g., view workouts, get fitness coaching, etc.) NORTH AMERICA 32% I use an app to monitor my sleep to better 30% 23% 68% understand my sleep patterns EUROPE 50% I use an app to help me lose weight 33% 18% 50% (e.g., calorie tracking, nutrition coaching, etc.) UK 49% I use an app to help manage my stress/anxiety 26% 18% 52% LATAM 59% I use an app to track my fertility or 25% 12% 41% other general women’s health matters MENA 55% I use an app to keep track of daily habits such as 35% 21% 45% drinking water, logging how many steps I take, etc. Figure 16: Percentage of respondents who currently use—or don’t use—health wearables by region. Figure 17: Percentage of respondents who report tracking each health-related goal via mobile phone and/or health wearable. 26 27

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 Across ages, North Americans, who reported The decline in health wearable use in more mature and over a third of consumers expressed a desire the lowest use of health wearables of any region markets may reflect a failure of companies to for additional products to help them better address (32 percent), also held the gloomiest assessment assuage concerns and meet consumer needs: needs, from sleep to health to mindfulness. Around of their own health (just 52 percent described many, particularly those in younger demographics, the world, respondents predominantly used their their own health as at least “good” compared to are skeptical about the accuracy of the data mobile phones rather than wearable devices to track a global average of 57 percent). provided (“Did that workout really burn 350 health data across the wellness spectrum, from calories?”), and others are turned off by a lack of sleep patterns to fitness programs to fertility matters. Meanwhile, the two regions with the most actionable information (the “OK, my heart rate is For now, apps remain the best way to reach health optimistic perception of their own health also 65 beats per minute—so what?” factor). After all, consumers in every market, but there may be 5 reported the highest rate of health wearable useaccording to the latest McKinsey wellness report, a potential opening for new hardware—if it can —55 percent in MENA and 59 percent in LATAM. US interest in wellness sparked by COVID-19 demonstrate a major value-add for consumers who continues unabated, especially for millennials, may have wearied of carrying additional devices. Health Wearable Use 20212022 Health-Related Tracking Behaviors Via Mobile Phone Via Wearable GLOBAL44% I use an app to help maintain my fitness goals 42% 24% 56% (e.g., view workouts, get fitness coaching, etc.) NORTH AMERICA32% I use an app to monitor my sleep to better 30% 23% 68% understand my sleep patterns EUROPE50% I use an app to help me lose weight 33% 18% 50% (e.g., calorie tracking, nutrition coaching, etc.) UK49% I use an app to help manage my stress/anxiety 26% 18% 52% LATAM59% I use an app to track my fertility or 25% 12% 41% other general women’s health matters MENA55% I use an app to keep track of daily habits such as 35% 21% 45% drinking water, logging how many steps I take, etc. Figure 16: Percentage of respondents who currently use—or don’t use—health wearables by region.Figure 17: Percentage of respondents who report tracking each health-related goal via mobile phone and/or health wearable. 26 27

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Digital Therapeutics From insomnia to chronic back pain to substance therapeutics in the past year, that number rose to + abuse disorders, digital therapeutics, the growing almost 30 percent among respondents under 35. Although few have used these field of “software as medical devices,” are offering Across age demographics, two-thirds (66 percent) of pioneering digital therapies, health consumers exciting new options for tracking respondents indicated they are open to using digital consumer interest and and managing conditions traditionally treated by therapeutics. The biggest obstacle to adoption was appetite is high drugs or in-person therapies. Still in its infancy, the a preference for talking to someone in person—more industry was valued at US$3.02 billion in 2021 communication from companies about how digital and is expected to experience an impressive 31.4 therapeutics function, to supplement rather than 6 percent CAGR over the next decade. Although fewer replace working with a healthcare provider, might than one in five respondents reported using digital persuade more patients of their value. Current Use Future Use YES NO YES NO GLOBAL 18% 82% GLOBAL 66% 34% NORTH 11% 89% NORTH 59% 41% AMERICA AMERICA EUROPE 24% 76% EUROPE 70% 30% UK 12% 88% UK 57% 43% LATAM 37% 63% LATAM 90% 10% MENA 27% 73% MENA 82% 18% Figure 18: Respondents who report having ever used digital therapeutics, by region. Figure 20: Respondents who would consider using digital therapeutics in the future, by region. 18–24 25–34 35–44 45–54 55–64 65+ 18–24 25–34 35–44 45–54 55–64 65+ YES 29% 30% 20% 10% 6% 3% YES 71% 73% 73% 69% 64% 35% NO 71% 70% 80% 90% 94% 97% NO 29% 27% 27% 31% 36% 65% Figure 19: Respondents who report having ever used digital therapeutics, by age. Figure 21: Respondents who would consider using digital therapeutics in the future, by age. 28 29

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Digital Therapeutics From insomnia to chronic back pain to substance therapeutics in the past year, that number rose to + abuse disorders, digital therapeutics, the growing almost 30 percent among respondents under 35. Although few have used these field of “software as medical devices,” are offering Across age demographics, two-thirds (66 percent) of pioneering digital therapies, health consumers exciting new options for tracking respondents indicated they are open to using digital consumer interest and and managing conditions traditionally treated by therapeutics. The biggest obstacle to adoption was appetite is high drugs or in-person therapies. Still in its infancy, the a preference for talking to someone in person—more industry was valued at US$3.02 billion in 2021 communication from companies about how digital and is expected to experience an impressive 31.4 therapeutics function, to supplement rather than 6 percent CAGR over the next decade. Although fewer replace working with a healthcare provider, might than one in five respondents reported using digital persuade more patients of their value. Current Use Future Use YESNO YES NO GLOBAL18%82% GLOBAL 66% 34% NORTH 11%89% NORTH 59% 41% AMERICA AMERICA EUROPE24%76% EUROPE 70% 30% UK12%88% UK 57% 43% LATAM37%63% LATAM 90% 10% MENA27%73% MENA 82% 18% Figure 18: Respondents who report having ever used digital therapeutics, by region.Figure 20: Respondents who would consider using digital therapeutics in the future, by region. 18–2425–3435–4445–5455–6465+ 18–24 25–34 35–44 45–54 55–64 65+ YES29%30%20%10%6%3%YES 71% 73% 73% 69% 64% 35% NO71%70%80%90%94%97%NO 29% 27% 27% 31% 36% 65% Figure 19: Respondents who report having ever used digital therapeutics, by age.Figure 21: Respondents who would consider using digital therapeutics in the future, by age. 28 29

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 Reasons for Not Using + Digital Therapeutics 2021 2022 Remote Monitoring 2021 2022 58% Patients are comfortable with remote health Using a SMART DEVICE that will collect your I would rather communicate monitoring for a wider array of reasons: Substantial health data (e.g., blood pressure, blood sugar, etc.) majorities (at least 64 percent for each category) in real time, which is then stored in an app and sent directly with someone in person to your healthcare provider 50% worldwide are comfortable with using smart devices to collect health data in real time or to help with treatment and with using at-home diagnostic testing. 64 percent of respondents said they would 68% 11% use a smart device to help in treatment or recovery, 70% an increase of 10 percent from 2021, and 67 It’s too difficult to log on percent reported comfort with at-home diagnostic 8% testing, an increase of 6 percent from 2021. 12% I don’t have the technology needed to use it Using a SMART DEVICE to aid in your treatment 10% and/or recovery from an injury, illness, or disease 64% 6% 58% I can only pay in cash / I don’t have a credit card 6% 16% I don’t have any issues that would + require this form of therapy Remote health monitoring is Using an at-home diagnostic test 16% becoming a routine part of (e.g., genetics test for diseases, blood test to check the healthcare experience cholesterol/vitamin deficiencies, etc.) I would need more information 67% before I can consider using it 32% 63% My insurance won’t cover it, and I am 10% concerned with the cost/affordability Figure 22: Reasons given for not using digital therapeutics among Figure 23: Year-over-year comparison of respondents who report being those who report they would not be open to using them in the future. Year-over-year comparison provided where available. comfortable with remote monitoring in each of the listed scenarios. 30 31

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 Reasons for Not Using + Digital Therapeutics20212022Remote Monitoring 2021 2022 58% Patients are comfortable with remote health Using a SMART DEVICE that will collect your I would rather communicate monitoring for a wider array of reasons: Substantial health data (e.g., blood pressure, blood sugar, etc.) majorities (at least 64 percent for each category) in real time, which is then stored in an app and sent directly with someone in person to your healthcare provider 50% worldwide are comfortable with using smart devices to collect health data in real time or to help with treatment and with using at-home diagnostic testing. 64 percent of respondents said they would 68% 11% use a smart device to help in treatment or recovery, 70% an increase of 10 percent from 2021, and 67 It’s too difficult to log onpercent reported comfort with at-home diagnostic 8% testing, an increase of 6 percent from 2021. 12% I don’t have the technology needed to use it Using a SMART DEVICE to aid in your treatment 10% and/or recovery from an injury, illness, or disease 64% 6% 58% I can only pay in cash / I don’t have a credit card 6% 16% I don’t have any issues that would + require this form of therapyRemote health monitoring is Using an at-home diagnostic test 16% becoming a routine part of (e.g., genetics test for diseases, blood test to check the healthcare experience cholesterol/vitamin deficiencies, etc.) I would need more information 67% before I can consider using it32% 63% My insurance won’t cover it, and I am 10% concerned with the cost/affordability Figure 22: Reasons given for not using digital therapeutics among Figure 23: Year-over-year comparison of respondents who report being those who report they would not be open to using them in the future. Year-over-year comparison provided where available. comfortable with remote monitoring in each of the listed scenarios. 30 31

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Pain Points & Disruptions Healthcare Disruptions 2021 2022 From delays in non-urgent procedures to supply A shortage of prescribed medication 17% 16% chain issues impacting the delivery of prescription medications, the pandemic wreaked havoc on patients and providers alike. Fortunately, our survey indicates that fewer consumers experienced shortages in prescription medications, delays in A delay in receiving medical receiving medical supplies or equipment, and equipment or medical supplies 17% 13% difficulties scheduling medical procedures. However, we saw a 13 percent increase in patients who experienced difficulty receiving test results and doctor call-backs, suggesting that ongoing staffing issues continue to rile the patient experience. And while Inability or a delay in scheduling 21% 18% just 16 percent of global respondents encountered a a medical procedure shortage of prescribed medication, those numbers rose to 29 percent and 27 percent for those in MENA and LATAM, respectively, suggesting that supply chain disruptions in these regions are still having a major impact on health consumers. Unable to schedule a timely in-person 26% 24% appointment with your physician Inability to reach your healthcare provider for health-related 15% 15% + questions/concerns Did not receive the results of a diagnostic test (e.g., heart scan, X-ray, 6% 9% 16% etc.) OR the results were delayed of global respondents encountered a shortage of prescribed medication Did not receive a call-back from 13% 16% + your healthcare provider The worst disruptions have eased, but pandemic strain on the healthcare system is still impacting Did not experience any of these 40% 48% the patient experience Figure 24: Year-over-year comparison of global respondents who reported experiencing each disruption in 2022 and 2021. 32 33

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Pain Points & Disruptions Healthcare Disruptions 2021 2022 From delays in non-urgent procedures to supply A shortage of prescribed medication 17% 16% chain issues impacting the delivery of prescription medications, the pandemic wreaked havoc on patients and providers alike. Fortunately, our survey indicates that fewer consumers experienced shortages in prescription medications, delays in A delay in receiving medical receiving medical supplies or equipment, and equipment or medical supplies 17% 13% difficulties scheduling medical procedures. However, we saw a 13 percent increase in patients who experienced difficulty receiving test results and doctor call-backs, suggesting that ongoing staffing issues continue to rile the patient experience. And while Inability or a delay in scheduling 21% 18% just 16 percent of global respondents encountered a a medical procedure shortage of prescribed medication, those numbers rose to 29 percent and 27 percent for those in MENA and LATAM, respectively, suggesting that supply chain disruptions in these regions are still having a major impact on health consumers. Unable to schedule a timely in-person 26% 24% appointment with your physician Inability to reach your healthcare provider for health-related 15% 15% + questions/concerns Did not receive the results of a diagnostic test (e.g., heart scan, X-ray, 6% 9% 16% etc.) OR the results were delayed of global respondents encountered a shortage of prescribed medication Did not receive a call-back from 13% 16% + your healthcare provider The worst disruptions have eased, but pandemic strain on the healthcare system is still impacting Did not experience any of these 40% 48% the patient experience Figure 24: Year-over-year comparison of global respondents who reported experiencing each disruption in 2022 and 2021. 32 33

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Spotlight on Emerging Markets Latin America In line with the region’s accelerated digitization Middle East Second only to LATAM in reported use of 7 telehealth and interest in digital therapeutics, across sectors in the wake of COVID-19, (LATAM) Latin American companies and consumers are & North Africa MENA has also emerged as a global leader in outpacing the rest of the world when it comes (MENA) digital healthcare adoption. to embracing the latest healthcare technologies. 55 percent of respondents reported using health + More than half of respondents (52 percent) had had wearables in the last 12 months, behind only the a telehealth appointment in the last year, compared to + consumers in LATAM. 34 percent in North America and Europe, and just 29 59% percent in the UK. Almost half (47 percent) of respondents reported of Latin Americans 67% having had a telehealth appointment in the last year, reported using 59 percent of Latin Americans surveyed reported of consumers in MENA outstripping the global average of 36 percent. health wearables using health wearables, far ahead of the global looked at a drug average of 44 percent. company’s website for Two-thirds (67 percent) of consumers in the region health information reported looking at a drug company’s website for LATAM also leads the way when it comes to digital health information, far higher than the global average therapeutics: 37 percent of respondents in the region of 46 percent. reported using these therapies, about double the global average of 18 percent. 42 percent of consumers in MENA reported changes in their healthcare coverage over the past year, almost Consumers in the region are also more likely to view double the global average of 22 percent—but those + information from drug companies as truthful and changes were overwhelmingly positive: 72 percent 37% more likely to look for health-related information on + reported that their coverage had improved, and an a pharmaceutical website. additional 14 percent reported that they’d gained used digital 42% coverage where they previously had had none. therapeutics reported changes However, the region continues to experience supply in their healthcare However, those in MENA are still being hit hard by chain disruptions: 27 percent encountered a shortage coverage supply chain disruptions: 29 percent reported being of prescribed medicine, compared with a global impacted by a shortage of prescribed medication, average of 16 percent. the highest of any area we surveyed. 34 35

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + Spotlight on Emerging Markets Latin AmericaIn line with the region’s accelerated digitization Middle East Second only to LATAM in reported use of across sectors in the wake of COVID-19,7 telehealth and interest in digital therapeutics, (LATAM)Latin American companies and consumers are & North Africa MENA has also emerged as a global leader in outpacing the rest of the world when it comes (MENA) digital healthcare adoption. to embracing the latest healthcare technologies. 55 percent of respondents reported using health +More than half of respondents (52 percent) had had wearables in the last 12 months, behind only the a telehealth appointment in the last year, compared to + consumers in LATAM. 34 percent in North America and Europe, and just 29 59%percent in the UK. Almost half (47 percent) of respondents reported of Latin Americans 67% having had a telehealth appointment in the last year, reported using 59 percent of Latin Americans surveyed reported of consumers in MENA outstripping the global average of 36 percent. health wearablesusing health wearables, far ahead of the global looked at a drug average of 44 percent. company’s website for Two-thirds (67 percent) of consumers in the region health information reported looking at a drug company’s website for LATAM also leads the way when it comes to digital health information, far higher than the global average therapeutics: 37 percent of respondents in the region of 46 percent. reported using these therapies, about double the global average of 18 percent. 42 percent of consumers in MENA reported changes in their healthcare coverage over the past year, almost Consumers in the region are also more likely to view double the global average of 22 percent—but those +information from drug companies as truthful and changes were overwhelmingly positive: 72 percent 37%more likely to look for health-related information on + reported that their coverage had improved, and an a pharmaceutical website. additional 14 percent reported that they’d gained used digital 42% coverage where they previously had had none. therapeutics reported changes However, the region continues to experience supply in their healthcare However, those in MENA are still being hit hard by chain disruptions: 27 percent encountered a shortage coverage supply chain disruptions: 29 percent reported being of prescribed medicine, compared with a global impacted by a shortage of prescribed medication, average of 16 percent. the highest of any area we surveyed. 34 35

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ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + References 1. Jill McKeon, “Biggest Healthcare Data Breaches Reported This Year, So https://healthitsecurity.com/ Far,” Health IT Security, September 2, 2022, features/biggest-healthcare-data-breaches-reported-this-year-so-far. 2. Carly Page, “Medibank Breach: Hackers Start Leaking Health Data after Ransomware Attack,” TechCrunch, November 9, 2022, https:// techcrunch.com/2022/11/09/medibank-ransomware-leak/. 3. Cost of a Data Breach Report 2022, IBM Corporation, July 2022, https://www.ibm.com/reports/data-breach. 4. Taryn Plumb, “How Virtual Reality and the Metaverse are Changing Rehabilitation,” VentureBeat, November 15, 2022, https://venturebeat. com/virtual/how-virtual-reality-and-the-metaverse-are-changing- rehabilitation/ . 5. “Still Feeling Good: The US Wellness Market Continues to Boom,” McKinsey & Company, September 19, 2022, + https://www.mckinsey.com/industries/consumer-packaged-goods/our- Conclusion insights/still-feeling-good-the-us-wellness-market-continues-to-boom. 6. Digital Therapeutics Market, Strategic Market Research, April 2022, https://www.strategicmarketresearch.com/market-report/digital- therapeutics-market. From telehealth to remote monitoring to digital therapeutics, many of the tectonic technological 7. Louis Chan and Nicholas Fu, “Latin American E-Commerce: shifts to healthcare accelerated by the COVID-19 A Fast-Growing Phenomenon,” HKTDC Research, March 9, 2022, epidemic are here to stay. However, the bar https://research.hktdc.com/en/article/OTU4MzA4NDgz. for digital experiences has gone up: whether engaging in telehealth or using a new fitness app, consumers are looking to digital innovations that provide a clear value-add, not the bare minimum. Despite major strides over the past few years, companies from healthcare providers to pharmaceutical brands to wellness apps are still missing opportunities to provide consumers with the personalized experiences they crave and the individualized information they need to improve their health and wellness. The technology that can help provide the experiences health consumers want is out there and constantly evolving—and the companies that embrace these digital innovations are the ones that will revolutionize human health in this next chapter. 36 37

ASTOUNDCOMMERCE.COM ASTOUND HEALTH REPORT 2023 + References 1. Jill McKeon, “Biggest Healthcare Data Breaches Reported This Year, So https://healthitsecurity.com/ Far,” Health IT Security, September 2, 2022, features/biggest-healthcare-data-breaches-reported-this-year-so-far. 2. Carly Page, “Medibank Breach: Hackers Start Leaking Health Data after Ransomware Attack,” TechCrunch, November 9, 2022, https:// techcrunch.com/2022/11/09/medibank-ransomware-leak/. 3. Cost of a Data Breach Report 2022, IBM Corporation, July 2022, https://www.ibm.com/reports/data-breach. 4. Taryn Plumb, “How Virtual Reality and the Metaverse are Changing Rehabilitation,” VentureBeat, November 15, 2022, https://venturebeat. com/virtual/how-virtual-reality-and-the-metaverse-are-changing- rehabilitation/. 5. “Still Feeling Good: The US Wellness Market Continues to Boom,” McKinsey & Company, September 19, 2022, + https://www.mckinsey.com/industries/consumer-packaged-goods/our- Conclusion insights/still-feeling-good-the-us-wellness-market-continues-to-boom. 6. Digital Therapeutics Market, Strategic Market Research, April 2022, https://www.strategicmarketresearch.com/market-report/digital- therapeutics-market. From telehealth to remote monitoring to digital therapeutics, many of the tectonic technological 7. Louis Chan and Nicholas Fu, “Latin American E-Commerce: shifts to healthcare accelerated by the COVID-19 A Fast-Growing Phenomenon,” HKTDC Research, March 9, 2022, epidemic are here to stay. However, the bar https://research.hktdc.com/en/article/OTU4MzA4NDgz. for digital experiences has gone up: whether engaging in telehealth or using a new fitness app, consumers are looking to digital innovations that provide a clear value-add, not the bare minimum. Despite major strides over the past few years, companies from healthcare providers to pharmaceutical brands to wellness apps are still missing opportunities to provide consumers with the personalized experiences they crave and the individualized information they need to improve their health and wellness. The technology that can help provide the experiences health consumers want is out there and constantly evolving—and the companies that embrace these digital innovations are the ones that will revolutionize human health in this next chapter. 36 37

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      Astound Health applies a clear understanding of customer needs in developing innovative digital solutions that maximize your ability to improve human health. We are particularly adept at architecting and executing digital strategies that support the changing dynamics in healthcare consumer behavior. + Connect with John Audette, Global Head of Health & Life Sciences at Astound Commerce, to discuss how we can advance your digital patient care experience—and human health. Get in touch today. [email protected]

      Health in the Next Normal - Page 38

      Astound Health applies a clear understanding of customer needs in developing innovative digital solutions that maximize your ability to improve human health. We are particularly adept at architecting and executing digital strategies that support the changing dynamics in healthcare consumer behavior. + Connect with John Audette, Global Head of Health & Life Sciences at Astound Commerce, to discuss how we can advance your digital patient care experience—and human health. Get in touch today. [email protected]

      ASTOUNDCOMMERCE.COM + HEALTH IN THE NEXT NORMAL