EUROPEAN CITIZENS PERCEPTION - SURVEY 2021 Report
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EUROPEAN CITIZENS PERCEPTION SURVEY 2021 Report
European Citizens Perception Survey EXECUTIVE SUMMARY Never before has the role and importance of public health been at the forefront of public debate. The opportunity to implement the learnings from the COVID-19 pandemic and ensure Europe’s Pharmaceutical Strategy creates a competitive, world-class system for innovation for patients in Europe comes at a critical time. Both the perceptions and expectations of European citizens will inform this debate and the policy choices to be made on the future of healthcare in Europe. To assess the perceptions of European citizens on areas central to future healthcare policy in Europe, Lilly carried out a survey in late 2020 of the general public in 14 European countries (Belgium, Bulgaria, Czechia, France, Germany, Hungary, Ireland, Italy, the Netherlands, Poland, Portugal, Romania, Slovenia and Spain). We looked at six key areas: 1. The impact of the pandemic on the perception of the biopharmaceutical industry (page 3) 2. Public awareness of the scale and scope of research and development (R&D) in the biopharmaceutical industry (page 5) 3. Opinions on levels of access to medicines (page 10) 4. Priorities in healthcare (page 15) 5. Opportunities presented by digital health (page 18) 6. Opinions on the environmental performance of the biopharmaceutical industry (page 20) The first iteration of this report was published in 2019 with six countries featured: Belgium, France, Germany, Ireland, Italy and Spain. The results from this initial survey will be referred to throughout as the ‘2019 Survey’. Certain questions from the 2019 Survey have been repeated in the 2020 Survey, allowing us to draw comparisons regarding how opinions have changed over time. It is important to bear in mind that these results and comparisons are applicable only to the six countries that were represented in the 2019 Survey. To read more about our policy recommendations to make life better for patients and support the EU in being a world leader in life sciences, including learnings to date from COVID-19, visit www.LillyEU.com. 1
European Citizens Perception Survey SNAPSHOT OF KEY FINDINGS The biopharmaceutical industry is likely to guess this (11%), and people in Slovenia were the least likely (3%). viewed more favourably since the start of the pandemic. This small but Europeans surveyed were twice as likely to believe the US was the fastest significant shift has likely been due to market for medicines approval. In 2019, it took a median of 423 days for the the role biopharmaceutical companies European Medicines Agency (EMA) to approve a new active substance have played in developing COVID-19 versus 243 days in the USA.2 vaccines and treatments, as well as an increased appreciation of the role of the Respondents were more likely to be pessimistic than optimistic about their healthcare system in society more own country’s speed and level of access in comparison with other EU generally. countries, and more than half of respondents would prioritise faster access to medicine, even if that meant higher purchase costs. Europeans surveyed were 2-4 times more likely to correctly answer that the biopharmaceutical industry is the one that invests the largest percentage of Europeans surveyed identified cancer as their top health priority for the next its income in R&D in the EU.¹ Though the biopharmaceutical industry was the five years, followed by cardiovascular disease and respiratory diseases. most popular answer, an overall majority still assume that it is another Alzheimer’s disease and dementia fell out of the top 3 to fifth priority. industry that invests most, such as aerospace and defence, software and computer services, or the automotive sector. Most Europeans remain open to providing health data to support digital innovation in healthcare, but there is a trend towards less comfort in doing Respondents on average believed 33% of medicines are made available to so. Respondents in Hungary and France are the most likely to be patients after entering clinical trials. Only 10% of medicines successfully uncomfortable with sharing data in this way (37% and 35%). Those in make it through clinical trials. Those in Slovenia were the most likely to Bulgaria, Poland and Italy are the most likely to be comfortable with this correctly estimate that 1-24% of medicines successfully make it through (74%, 73% and 71%). clinical trials (40%), and those in France were the least likely (26%). Europeans identify the biopharmaceutical industry as a top performer in Respondents estimated that just over one third of Active Pharmaceutical environmental efforts. Portuguese respondents were the most likely to rank Ingredients (APIs) for new medicines are developed in the EU. More than three the pharmaceutical industry among the top 3 industries for environmental quarters of APIs are developed in the EU. People in Romania were the most efforts (32%), while Dutch respondents were the least likely (11%). 1. Mafini et al (European Commission, Joint Research Centre). The 2020 EU industrial R&D investment scoreboard. 2020. 2. Centre for Innovation in Regulatory Science. R&D Briefing 77. 2020. DOI: 10.2760/203793 URL: https://cirsci.org/wp-content/uploads/2020/06/CIRS-RD-Briefing-77-6-agencies.pdf 2
European Citizens Perception Survey IMPACT OF COVID-19 The biopharmaceutical industry is viewed more favourably since the start of the pandemic. 3
European Citizens Perception Survey Overall, the industry is viewed more favourably since the start of the pandemic NETHERLANDS BULGARIA PORTUGAL SLOVENIA ROMANIA IRELAND GERMANY BELGIUM CZECHIA HUNGARY FRANCE POLAND SPAIN ITALY Much more favourable 5% 3% 3% 1% 5% 3% 7% 4% 3% 4% 5% 6% 4% 4% 7% 6% 10% 4% 6% 9% 8% 6% 7% 4% 11% 9% 9% 11% 9% 9% 13% 9% 18% 10% 13% 14% 16% 12% Slightly more favourable 13% 12% 17% 16% 30% 40% Stayed the same 35% 38% 45% 41% 46% 40% 40% 39% 47% 48% 51% Slightly more unfavourable 41% 28% 31% 29% 25% 26% 23% Much more unfavourable 24% 24% 24% 20% 20% 20% 20% 14% 19% 14% 14% 13% 12% 13% 10% 10% 9% 9% 6% 6% Don’t know 6% 5% Net: More favourable 48% 44% 43% 38% 38% 36% 34% 34% 33% 29% 26% 26% 25% 20% 18% 17% 15% 23% 13% 20% 13% 22% 23% 28% 22% 20% 20% 35% Net: More unfavourable The reputation of biopharmaceutical companies has improved amongst 1 in 3 adults as a result of their response to the pandemic. This has likely been due to the role biopharmaceutical companies have played in developing COVID-19 vaccines and treatments, as well as an increased appreciation of the role of the healthcare system in society more generally. However, the shift has not been entirely positive, with about 1 in 5 respondents reporting to be less favourable towards the industry. Slovenia is the only country in which attitudes have shifted more negatively than positively, with 35% of people reporting to be more unfavourable and only 20% reporting as more favourable. The most positive shifts were in Bulgaria and Spain, where 47% and 44% are more favourable, versus 18% and 17% less favourable, respectively. Large positive shifts are also reported in Portugal, Romania and Ireland. 4
European Citizens Perception Survey RESEARCH & DEVELOPMENT IN THE BIOPHARMACEUTICAL INDUSTRY Europeans surveyed were 2-4 times more likely to correctly answer that the biopharmaceutical industry invests the largest percentage of its income in R&D, compared with any other industry in the EU. Though the biopharmaceutical industry was the most popular answer, an overall majority still assume that it is another industry that invests most. Although the drive for vaccine and treatment research and authorisation in response to the coronavirus pandemic has made certain aspects of the R&D process better understood, misconceptions remain prevalent. Such misconceptions may impact the perceived value that the biopharmaceutical industry brings and how this translates into fair and sustainable pricing. 5
European Citizens Perception Survey The cost of developing a medicine is not well understood Most Europeans do not know how much it costs to develop a medicine, with many Perceived average cost of developing a new medicine - by country believing it is considerably cheaper than the reality. The correct average cost of developing a new medicine is €1.9 billion.³ NETHERLANDS Less than 10% of respondents believe it costs over €1 billion to develop a medicine. More respondents believe it costs less than €10 million to develop a BULGARIA SLOVENIA PORTUGAL medicine. People in Romania and Bulgaria are the most likely to say it costs more ROMANIA HUNGARY CZECHIA IRELAND GERMANY BELGIUM than €1 billion (16% and 14%, respectively). Along with Poland and Slovenia, these POLAND FRANCE ITALY SPAIN were the only countries in which more than 10% of respondents estimated correctly. Compared to the 2019 Survey, respondents are less likely to believe it costs more than €1 billion to develop a medicine (9% in the 2019 Survey versus 5% now). 19% 26% 13% 23% 20% 27% 17% 17% 14% 22% 19% 29% 21% 25% 11% 5% Pre-clinical 7% 7% 23% 5% Drug discovery 16% 27% 9% 5% Clinical trials 11% 24% 23% 21% 4% testing 14% 22% 4% 18% 4% 18% 19% 20% 8% 14% 42% 22% 17% 20% 36% 36% 41% 41% 39% 43% 37% 43% 30% 35% 21% 33% Approval Medicine becomes €1.9 31% for market available for patients billion 15% 22% 11% 16% 17% 12% 16% 12% 15% 13% 14% 11% 13% 14% The R&D of medicines in the biopharmaceutical industry is a long and resource-intensive process. It starts with drug discovery and goes through three phases – pre-clinical development, clinical trials, and registration and authorization – before a medicine can become available to patients. Under €10 million €10 million - €100 million Don’t know 3. Di Masi et al. Innovation in the pharmaceutical industry: New estimates of R&D costs. J Health Econ. 2016. €100,000,001 - €1 billion €1 billion+ DOI: 10.1016/j.jhealeco.2016.01.012 6
European Citizens Perception Survey Understanding of relative R&D spend is improving The majority of Europeans surveyed are not aware that the biopharmaceutical industry is the largest spender on R&D in the EU by proportion of income,4 but there are signs that this understanding is improving. % who believe this industry spends the highest proportion of revenue on R&D % who believe the biopharmaceutical industry spends the highest proportion of revenue on R&D IRELAND PORTUGAL SLOVENIA HUNGARY BULGARIA SPAIN CZECHIA ITALY BELGIUM POLAND NETHERLANDS GERMANY ROMANIA FRANCE Pharmaceutical and biotechnology - 38% Aerospace & defence - 14% Software and computer services - 12% Technology hardware and electrical equipment - 10% Automotive - 9% 48% 47% 43% 42% 41% 38% 38% 37% 37% 35% 34% 31% 30% 26% Don’t know - 17% 43% 23% 26% 31% 20% 21% Almost 40% of respondents think that the biopharmaceutical industry spends the largest percentage of its income on R&D in the EU. This is 2-4 times higher than 2020 2019 other tested industries. Compared to the previous survey, a higher proportion of respondents in countries included in the 2019 Survey (+11p.p.) correctly believe that the biopharmaceutical Between European countries, there are significantly different perceptions of R&D industry spends more on R&D in the EU than any other industry. spend. Nearly half of respondents in Ireland and Portugal say that the biopharmaceutical industry spends the largest percentage of its income on R&D. In comparison, just over a quarter of those in France say the same. 4. Mafini et al (European Commission, Joint Research Centre). The 2020 EU industrial R&D investment scoreboard. 2020. DOI: 10.2760/203793 7
European Citizens Perception Survey Europeans underestimate the time it takes to develop a medicine Perceived average length of time to develop a new medicine Just 7% of Europeans can correctly estimate the length of time it takes to develop - by country a medicine. The average time it takes is 12-13 years.5 NETHERLANDS A majority of respondents believe it takes less than five years. Respondents in the BULGARIA PORTUGAL SLOVENIA Netherlands and Hungary were most likely to estimate correctly that it takes 10-12 ROMANIA GERMANY HUNGARY BELGIUM IRELAND CZECHIA years (both 14%) followed by Czechia, Ireland and Belgium (13%, 12% and 11%, POLAND FRANCE ITALY SPAIN respectively). In all other countries, 10% or less estimated correctly. Pre-clinical Drug discovery Clinical trials testing 4% 5% 10% 8% 6% 7% 3% 12% 10% 6% 10% 6% 7% 6% 1% 2% 1% 2% 2% 2% 2% 1% 2% 1% 4% 4% 4% 6% 5% 8% 9% 3% 12% 7% 8% 10% 10% 14% 18% 11% 14% 13% 17% 24% 33% 17% 27% 24% 28% 30% 21% 29% 25% 32% 73% 71% 29% 68% 60% Approval Medicine becomes 58% 58% 12-13 for market available for patients 55% 54% 52% 51% 51% Years 50% 47% 46% In the 2019 Survey, 16% of respondents correctly estimated the length of time it takes to develop a medicine, compared with 7% now. This suggests expectations have been strongly influenced by the speed of development of COVID-19 vaccines and treatments. Net: 0-5 years Net: 5-10 years Don’t know The fact that vaccines and treatments were developed so quickly is an Net: 10-20 years Net: 20+ years extraordinary achievement. However, many factors contributed to the uniqueness of the situation, including strong worldwide collaboration and mobilisation of resources, years of previous research on related viruses, use of pre-existing 5. Di Masi et al. Innovation in the pharmaceutical industry: New estimates of R&D costs. J Health Econ. 2016. vaccine technology, and emergency authorisation processes. DOI:10.1016/j.jhealeco.2016.01.012 8
European Citizens Perception Survey Europeans overestimate clinical trials success Europeans underestimate how many APIs originate in the EU On average, respondents say that 33% of medicines that enter the clinical trials More than three quarters of Active Pharmaceutical Ingredients (APIs) for new stage are successfully made available for patients. In reality, the figure is 10%.6 medicines are developed in the EU.7 Respondents estimated this figure to be just over one third. Pre-clinical Drug discovery testing Actual share 77% Clinical Approval trials for market 10% 90% Medicine becomes Estimated share 37% available for patients Respondents in Slovenia were the most likely to correctly estimate that 1-24% of People in Romania were the most likely to guess it was over 75%, and people in medicines successfully make it through clinical trials (40%). People in France were Slovenia were the least likely (11% and 3%, respectively). 18% of all respondents did the least likely (26%). not feel able to make an estimate. 6. Di Masi et al. Innovation in the pharmaceutical industry: New estimates of R&D costs. J Health Econ. 2016. 7. European Federation of Pharmaceutical Industries. Internal survey (n=17). 2020. DOI: 10.1016/j.jhealeco.2016.01.012 9
European Citizens Perception Survey ACCESS TO MEDICINES In general, Europeans surveyed were twice as likely to believe the US was the fastest market for medicines approval. In 2019, the timeframe for the EMA to approve a new active substance was a median of 423 days versus 243 days in the USA. Respondents were more likely to be pessimistic than optimistic about their own country’s speed and level of access, in comparison with other EU countries, and more than half of respondents would prioritise faster access to medicines, even if that meant higher purchase costs. Access to medicines is a topic of critical importance to many Europeans, and one of particular interest in light of the ongoing rapid development, procurement and distribution of vaccines to combat the coronavirus pandemic. We share the goals of addressing barriers and delays to access to innovative medicines for patients, and bringing all stakeholders together to deliver equal access in Europe. 10
European Citizens Perception Survey Opinions differ on the relative availability of medicines Survey respondents are more likely to be pessimistic than optimistic about the speed of access and availability of medicines in their country compared to the rest of the EU. Net: More Medicines 19% Net: Fewer Medicines 30%* About the same Don’t know 8% 11% 44% 8% 11% 18% 8% 11% 42% 7% 11% 20% About the same Don’t know Net: Faster Access 19% Net: Slower Access 32%* Much more / Much faster More / Faster About the same Don’t know Fewer / Slower Much fewer / Much slower *Net figures higher than totals of individual figures due to rounding About 1 in 3 respondents think that fewer medicines are available in their country, and that medicines become available more slowly in their country, when compared with the rest of the EU. There is significant divergence of perspective on this topic between the countries surveyed. Respondents from Bulgaria, Poland and Romania were the most likely to report that they perceived access to medicines to be slower and more limited in their country, in relation to other EU countries. Those in Germany, the Netherlands and France were most likely to believe the level and speed of access to be better in their country. These perceptions are consistent with the assessment of medicines availability compared with the EU average in the EFPIA Patients W.A.I.T. Indicator Survey, which highlighted a clear disparity between countries in terms of both the speed of access to - and level of availability of - EMA approved medicines. For example, the time to availability for Germany and Denmark was 120 days and 169 days respectively, compared to 815 days and 883 days in Poland and Romania. Similarly, nearly 90% of medicines are available in Germany and Denmark, with this figure being just over a quarter in Poland and Romania.8 Comparing these results with the 2019 Survey shows a significantly improved perspective in the countries analysed in that survey (Belgium, France, Germany, Ireland, Italy and Spain) with regard to the level and speed of medicines access. 8. European Federation of Pharmaceutical Industries. EFPIA Patients W.A.I.T. Indicator 2020 Survey. URL: https://www.efpia.eu/media/602652/efpia-patient-wait-indicator-final-250521.pdf 11
European Citizens Perception Survey Almost one in three Europeans surveyed think fewer medicines are available in their country compared to the rest of the EU Don’t know 30% 8% 17% 34% 27% 13% More 29% 18% 11% 19% 51% 13% About the same 44% Fewer 29% 14% 30% 26% 12% Total: all countries 9% 39% 23% 13% 17% 36% 12% 10% 57% 25% 8% 58% 19% 20% Net: More Medicines Net: Fewer Medicines 12
European Citizens Perception Survey Almost one in three Europeans surveyed believe access to medicines to their own country is slower than in the rest of the EU Don’t know 20% 31% 28% 7% 13% Faster 24% 31% 17% 13% 19% 61% 16% About the same 43% Slower 31% 14% 26% 25% 12% Total: all countries 11% 35% 24% 12% 22% 34% 16% 14% 50% 36% 9% 59% 22% 24% Net: Faster Access Net: Slower Access 13
European Citizens Perception Survey Europeans prioritise the speed of access to medicines Europeans value patent protection More than half of respondents in surveyed countries would prioritise faster access Europeans surveyed overwhelmingly recognised patent protection of unique ideas to medicine in the first year after its development, even if that means purchase as an important force in driving scientific discovery. costs are higher. Priorities in the first year after a new medicine is created The perceived importance of patent protection in scientific discovery 3% 6% 11% Faster access, even if prices are Very important higher for the first year Fairly important 5% Neither important nor unimportant Lower prices, even it means Not very important delayed access to the medicine 35% for some EU citizens Not at all important 15% 34% 55% Don’t know Don’t know Net: Important Net: Unimportant* 35% 70% 9% *Net figure higher than total of individual figures due to rounding 14
European Citizens Perception Survey HEALTH PRIORITIES When asked which diseases the EU should consider a priority in health in the coming years, Europeans surveyed identified cancer as their top priority, followed by cardiovascular disease and respiratory diseases. This is in line with the current priorities of the European Commission, who in February 2021 launched Europe's Beating Cancer plan. However, other diseases impacting large numbers of Europeans, such as diabetes, remain quite low on the list of priorities of European citizens. Please note: The questions in this section were carried over from the 2019 Survey so the results could be compared. Therefore, the results do not directly reflect COVID-19 as a standalone illness. The impact of the pandemic is examined in a separate section. 15
European Citizens Perception Survey Cancer, cardiovascular and respiratory disease are Europeans’ top health priorities Priorities for the next five years Ranked 1st 33% Cancer 61% Ranked in the top 3 Cardiovascular 13% (heart) disease 49% Respiratory disease and 16% lung disease 43% Mental health 13% 36% Alzheimer’s disease and 7% dementia 27% 6% Diabetes 22% Liver, kidney and 2% Adults in the surveyed countries identified cancer, cardiovascular disease, and digestive diseases 16% respiratory and lung diseases as the top 3 illnesses for the EU to focus on over the next five years. One in three respondents ranked cancer as the biggest priority. 4% HIV / AIDS 13% Only 6% ranked diabetes as the top priority and less than one quarter placed it in 2% their top 3. This is despite the fact that 60 million people in Europe have diabetes, Other presenting a significant challenge for European health systems, which spend €150 2% billion on the disease.9 4% Don’t know 4% 9. International Diabetes Federation. International Diabetes Federation Atlas, 9th edition. 2019. URL:https://www.diabetesatlas.org/en/ 16
European Citizens Perception Survey Change from 2019 Survey In the 2020 Survey, respiratory diseases and lung disease, which were not a top 3 priority in the last survey, have risen to second place. This is perhaps unsurprising given the focus on respiratory illness brought about by the pandemic. Alzheimer’s disease and dementia has fallen out of the top 3 to fifth priority, while 11p.p. fewer respondents identified it as a top 3 priority. Note: the data below represents only that of the six countries which can be compared with 2020 because they featured in the 2019 Survey (Belgium, France Germany, Ireland, Italy and Spain). Percentage point change in priority Cancer Alzheimer’s disease HIV / AIDS and dementia -3p.p -8p.p -6p.p -10p.p -11p.p +21p.p +12p.p Respiratory disease and +2p.p +3p.p Liver, kidney and Mental health lung disease digestive diseases -2p.p +6p.p Cardiovascular Diabetes +1p.p (heart) disease Other -6p.p -1p.p 2019: ranked 1st 2020: ranked 1st 2019: ranked in the top 3 2020: ranked in the top 3 17
European Citizens Perception Survey DIGITAL HEALTH Health data Most Europeans surveyed remain open to providing health data to support digital innovation in healthcare, but there is a trend towards less comfort in doing so. This negative trend is a cause for concern if the EU intends to fulfil its ambitions in digital health and health innovation. 18
European Citizens Perception Survey Europeans remain comfortable sharing data for health innovation Most Europeans remain open to providing health data to support digital innovation in healthcare, but there is a trend towards less comfort in doing so. Overall, 26% of respondents reported feeling uncomfortable about sharing anonymous health data in exchange for using innovations in digital healthcare, while 65% said they would be comfortable doing so. Providing health data anonymously in exchange for using innovations in digital healthcare. NETHERLANDS 2020 Survey results by country Comparing results from 2019 Survey markets with the 2020 Survey BULGARIA PORTUGAL SLOVENIA ROMANIA IRELAND CZECHIA GERMANY BELGIUM HUNGARY POLAND FRANCE Net: Uncomfortable 18% Net: Comfortable 68% ITALY SPAIN 2019 5% 13% 13% 49% 20% 5% 9% 7% 7% 10% 7% 8% 9% 8% 13% 11% 11% 9% 14% 5% 2020 8% 19% 10% 45% 18% 5% 4% 5% 8% 9% 15% 6% 8% 9% 7% 18% 17% 8% 14% 14% 9% 12% Net: Uncomfortable 27% 16% 16% 19% 21% 28% Net: Comfortable 63% 17% 18% 22% 43% 52% 16% 23% 51% 51% 44% 49% 44% 46% 47% 42% 43% 40% 44% 37% 31% 21% 20% 20% 20% 23% 19% 19% 18% 18% 16% 16% 15% 10% Net: Comfortable 74% 73% 71% 71% 68% 68% 67% 64% 63% 60% 59% 59% 54% 52% 20% 18% 23% 22% 22% 25% 25% 26% 29% 27% 30% 30% 37% 35% Net: Uncomfortable Respondents in Hungary and France are the most likely to be uncomfortable with While positive overall, results from the 2020 Survey indicate Europeans are exchanging health data for innovations (37% and 35%, respectively). People in becoming less comfortable with the idea of sharing data for health purposes over Bulgaria, Poland and Italy would be the most comfortable of all tested countries with time. If Europe is to push ahead with a digital health agenda, this trend needs to be trading their health data (74%, 73% and 71%, respectively). reversed. 19
European Citizens Perception Survey ENVIRONMENTAL EFFORTS Europeans identify the biopharmaceutical industry as a top performer in environmental efforts. The areas survey respondents identified for action in the future are plastics reduction and recycling, water conservation/reduction, and disposal of unused/expired medicines. PLASTICS REDUCTION AND RECYCLING WATER CONSERVATION/ REDUCTION DISPOSAL OF UNUSED/EXPIRED MEDICINES 20
European Citizens Perception Survey Industry comparison Priorities Respondents believe the top 3 future environmental efforts for the biopharmaceutical About one in five Agriculture, forestry 21% industry should be plastics reduction and recycling, energy reduction, and disposal of Europeans place the and fishing 40% unused/expired medicines. biopharmaceutical industry among their top 3 Energy and 13% utilities 36% performing industries for green/environmental Plastics reduction 22% IT, technology and 9% efforts. 6% place it first. communications 28% and recycling efforts 57% Healthcare 8% 14% and social care Renewable energy 28% and energy reduction 42% 6% Biopharmaceutical 22% Disposal of unused 17% or expired medicines 41% 4% in general Retail 15% 16% Financial 5% Water conservation 39% services 18% 5% Reducing carbon 10% Automotive 32% of people in Portugal 14% footprint 31% ranked the Transportation 4% biopharmaceutical and travel 14% Getting value/supply 8% industry in the top 3 – the chain to be greener 26% 3% most of any country Construction 11% surveyed. The least was in the Netherlands, where 3% Design of products, 7% Manufacturing processes and packaging 24% 11% ranked it in the top 3. 11% Wholesale 2% 9% Other 1% 1% 1st Mining and 1% 1st quarrying 6% Ranked in the top 3 Ranked in the top 3 21
European Citizens Perception Survey LILLY IN EUROPE METHODOLOGY Lilly is a biopharmaceutical company with over 34,000 employees worldwide, Lilly commissioned Savanta ComRes to survey 7,604 members of the general public including more than 9,000 in Europe. Founded over 140 years ago in the United Sates across 14 European countries through an online survey. and established in Europe in 1934, our pioneering medical breakthroughs through the years include the first commercially available human insulin and the polio vaccine. Countries include Germany (515), France (563), Italy (588), Spain (588), Republic of Ireland (513), Belgium (520), Netherlands (514), Poland (604), Czechia (531), Hungary Lilly’s commercial activities span the whole of Europe, and in addition, we have a (522), Portugal (517), Slovenia (574), Romania (535) and Bulgaria (520). considerable R&D and manufacturing presence located across four countries in Europe. Our researchers are currently seeking breakthrough therapies in Diabetes, Fieldwork took place between 2nd September and 6th October 2020. Oncology, Immunology, Neurodegeneration and Pain. Lilly is also bringing the full force of our scientific and medical expertise to attack the coronavirus pandemic Data were weighted to be demographically representative of all adults ages 18+ in around the world. each country by age, gender and region. To learn more about Lilly in Europe, please visit us at www.LillyEU.com. 22
European Citizens Perception Survey
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