OBJETS DU FUTUR - Vous pensiez encore qu'un pèse-personne ne sert qu'à afficher votre poids ? Ce n'est plus vrai pour nombre d'entre eux. Comme beaucoup d'objets, ils sont devenu intelligents et offrent aujourd'hui des données jusque-là inexploitées.
On a vu de nombreux fabricants d’appareils électroniques s’intéresser de près ou de loin au secteur médical. A l’heure actuelle, l’initiative la plus notable est probablement le partenariat entre Novartis et Google pour des lentilles capables de mesurer la glycémie. Mais les personnes atteintes d’Alzheimer pourraient elles aussi bientôt voir des objets connectés spécifiques arriver… En
KPMG alerte : 80% des organisations de santé ont subit une attaque réussie depuis deux ans, malgré 2/3 des DSI expliquant s'être préparé à y faire face. L'analyste fournit les 5 causes majeures d'attaque.
Background There is rapidly increasing pressure to employ social media in medical education, but a review of the literature demonstrates that its value and role are uncertain.
Objective To determine if medical educators have a conceptual framework that informs their use of social media and whether this framework can be mapped to learning theory.
Methods Thirty-six participants engaged in an iterative, consensus building process that identified their conceptual framework and determined if it aligned with one or more learning theories.
Results The results show that the use of social media by the participants could be traced to two dominant theories—Connectivism and Constructivism. They also suggest that many medical educators may not be fully informed of these theories.
Conclusions Medical educators’ use of social media can be traced to learning theories, but these theories may not be explicitly utilised in instructional design. It is recommended that formal education (faculty development) around learning theory would further enhance the use of social media in medical education.
The results of a national survey conducted by Johns Hopkins University’s Bloomberg School of Public Health found that patients want more social media connection to their health-care providers.
The survey polled a participation group of over 2,000 pharmacy customers about their desired means of communication with health-care providers compared to what they actually have.
“On the one hand, doctors, policymakers, and researchers often talk about the need to engage patients,” said Joy Lee, a postdoctoral fellow at the university. Yet, in many ways patients are engaged already through social media communities. However, because of concerns over privacy and professionalism, health-care professionals have yet to pursue this connection.
More than half of respondents were interested or already involved
Of all the survey participants, 57 percent, who were on average healthy and regular Facebook users, indicated they would like to communicate with physicians through email and Facebook. They clearly indicated they were interested in using social media as a means of managing their health.
Over half of the participants also expressed a desire to use websites of their physicians for access to health-care information. Meanwhile, a little more than one-third of respondents indicated they already communicate with physicians through email. Surprisingly, approximately 18 percent of people polled already connect with their physicians using Facebook.
“This study tells us that for most patients, health care isn’t quite ready for the future,” concluded Lee. It was primarily young adults, caregivers, regular Facebook users, and chronically ill patients that expressed the most likelihood of email and Facebook communication with doctors.
“Health care organizations need to figure out how to take advantage of resources like Facebook,” said Lee, while acknowledging that patient information would need to be safeguarded.
Electronic access to doctors and medical records
Thankfully, the health-care industry has recognized the need for digital interaction between patients and health-care providers. For many, the convenience of online access to medical information is extremely important. In particular, people who are handicapped, on bed rest, or homebound for other reasons, can still have immediate access to health care through electronic systems.
A growing number of hospitals and physicians have embraced the telehealth movement. Patients are often able to send and receive messages to their health-care establishment, immediately access test results, electronic copies of office visit notes and diagnoses, and other personal information.
“Many patients are interested in [these services] but few are actually using them — possibly because patients don’t know they’re available,” said Lee. “Doctors and healthcare organizations should take steps to publicize and educate patients of these opportunities. Either way, it starts with a conversation between patients and doctors on how they prefer to communicate online.”
What does the future hold?
In a recent report from Goldman Sachs, predictions were made about the future of the digital health-care revolution. In efforts to reduce the massive spending on health-care costs, the report predicts massive growth in telehealth, remote patient monitoring, and behavior modification.
It foresees patients being encouraged to adopt healthier lifestyles and having greater access to medical information through telehealth systems. Meanwhile, it expects remote patient monitoring to allow high-risk patients to be closely tracked.
Since approximately one-third of U.S. health-care spending is on chronic disease management, remote patient monitoring and behavior modification could bring about expense reductions.
“These disease states also represent the most fertile ground for digital health since data and modification of treatment paradigms have demonstrated improved patient outcomes, lower adverse events, and reduced costs,” the report stated.
In 2011, Ammar Siddiqui, a senior medical student at the Icahn School of Medicine at Mount Sinai in New York City, was volunteering in the East Harlem Health Outreach Partnership, a student-run clinic for uninsured patients. As the student overseeing referrals, he was overwhelmed by hundreds of daily emails from students asking questions -- from whom to call to refer a patient to a specialist to how to order a medical test, he recalled.To stem the tide of emails, Siddiqui built a website where students could find answers to their questions independently. That site grew into an app, developed by Siddiqui and several other medical students. Launched in June 2012, it laid out the clinic's often labyrinthine protocols, generally invisible to patients, in step-by-step fashion. With it, figuring out how to scan documents or order medical tests could be done with the tap of a finger. Soon, Siddiqui and his colleagues had built a generic version of their app, which they called CareTeam, and began delivering customized versions to a growing number of clinics at Mount Sinai Hospital as part of the East Harlem Software Company, which they incorporated this year.
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