“ Le développement du secteur médical sur Internet et les réseaux sociaux est porteur d'espoir pour les patients comme pour les professionnels. Il reste cependant ralenti par la trop grande diversité des outils, la difficulté pratique pour les déployer à grande échelle, et la complexité des modèles économiques.”
Via Denise Silber
L'Institut National du Cancer (INCa) a rappelé vendredi qu'un nouveau test de dépistage du cancer colorectal sera proposé progressivement aux 16 millions de personnes concernées par le programme national de dépistage dès le printemps 2015. Plus simple d’utilisation et encore plus performant, ce test doit faciliter la participation au dépistage qui reste encore très insuffisante.
Le Club Digital Santé est partenaire du premier congrès dédié à l’éthique et la compliance santé qui sera organisé le 23 juin prochain à Paris : PharmaCompliance. Ce premier évènement consacré à l’éthique et la compliance santé est organisé par EuroHealthNet (PharmaSuccess) et Market iT, en partenariat avec l’AFAR (Association Française des Affaires Réglementaires). PharmaCompliance, …
The Idea: Does the use of social media by medical journals improve article impact metrics?
The Study: Articles were randomized to receive (or not receive) social media exposure onCirculation’s Facebook and Twitter feeds. The primary end point was 30-day article page views. Studied subgroups included article type (clinical, population, or basic science articles), whether the article had an editorial, or whether the article author was from the US.
The Findings: Almost 250 articles were randomized, with no difference in median 30-day page views. No differences were observed in any of the subgroups.
The Takeaway : The study concludes that a social media strategy for a cardiovascular journal did not increase the number of times an article was viewed. It is important to note that this study just looked at ONE social media intervention from ONE institution. There are a couple reasons why we shouldn’t generalize broadly and disregard social media based on these findings:
The authors, universities, and other online blogs were still able to tweet and share their publications.The articles on the website still had links for facebook, twitter, google+, reddit and other social networks that I haven’t even heard of (“CiteULike”?). Readers could use these links to increase the reach of the articles.There’s an argument to be made “page views” may not be the only important metric. If people in your social network see a post, and gather the information they want from a 160 character tweet, the article and the journal may still obtain recognition without leading to a page view.
As noted on other blogs, it is interesting that despite the articles “negative” result, social media sharing has led to Altmetric rating this article to be in the 99% for all articles of a similar age with respect to online attention (references on blogs, twitter, and facebook).
La gamme de montres analogiques Activité de Withings, équipées d’un suivi d’activité physique et d’un design haut-de-gamme est désormais compatible avec Android, la plus grande plateforme mobile au monde.
Patients have come to expect unprecedented access to their physicians, especially through technology-based means; a large part of that is social media. However, many physicians are leery of wading into uncharted waters that have the potential to open them up to legal risk and possibly blemish their reputation. Yet refusing to embrace social media could ultimately harm your practice. Younger tech-savvy patients expect to see their physicians online. If they don't, they may choose to leave your practice for one that has a more robust online presence.
Pediatrician Wendy Sue Swanson, aka Seattle Mama Doc, started blogging for Seattle Children's Hospital five years ago in response to the media frenzy over the MMR vaccine. She realized that she had limited time in the exam room to educate her patients and their families. "To me it seemed that I was not going to be the pediatrician and advocate that I wanted to be if I continued to stay just in the exam room," says Swanson.
Through blogging, expanding her role on Facebook and Twitter (@SeattleMamaDoc), and utilizing other platforms like health advocacy and public speaking, Swanson now has 25,000 followers on Twitter. But she says that number is really not important. "You can have 24,000 followers or 24 followers, but if the 24 followers are the right followers — people who need your advice — then that's really good."
So take heart, you can begin with little steps. Here's what our experts say you should know about "getting social."
WHY SHOULD YOU USE SOCIAL MEDIA?
One of the best reasons for using social media is that you can reach your patients where they are increasingly active — online. Smartphones and other mobile devices are ubiquitous, and, in one sense, just a more sophisticated vehicle for word-of-mouth marketing. Patients continue to ask each other for the name of a good pediatrician or family doctor, but now they are doing that online.
Customer engagement is an important part of any business. Founder of practice-management consulting firm Physicians Practice Expert, Audrey "Christie" McLaughlin says practices that establish a presence on social media are connecting with their patients and the local community in ways that will position them as the go-to experts in the field. She adds this goes a long way to building the first steps to patient engagement: cultivating the "like, know, and trust factors" with a physician.
Pediatrician Natasha Burgert makes liberal use of social media tools in her group practice, Pediatric Associates, a 13-provider medical practice in Kansas City, Mo. In addition to seeing patients full time, she is also the "social media community manager" for her practice. She says patients most often find out about her practice's social media accounts through word of mouth. "Moms talk to moms and they let [each other] know information is available. During the clinic visit I will tell them 'If you want to find out more, just follow us on Facebook, or you need to follow [my] blog,'" says Burgert.
Burgert says her patients' parents have come to trust the information they get from the practice's Facebook page or her personal blog, KCKidsDoc.com. In fact, the impetus for starting a practice social-media channel was the H1N1 epidemic in 2009. Burgert says her practice was being inundated with phone calls from panicked parents. They created a practice Facebook page where Burgert posted daily updates; when patients called, they were directed to Facebook.
SOCIAL MEDIA DO'S
Once you decide to plunge into social media, make sure you develop a plan. As with any worthwhile endeavor, it helps to have a playbook. Here are several factors you should consider first:
• Identify your goals. The first step to creating an online presence should be to define your social media goals as a practice. Julie Song, patient safety risk manager for medical malpractice insurer The Doctor's Company, says it is a mistake to lightly enter into the social media arena. She cautions against creating a Facebook or Twitter account because all the other groups in your community are doing so. "Determine what would be the best medium to portray your practice to the intended audience," Song says.
• Find your ideal patient. When working with practices, McLaughlin asks them to identify their "ideal" patient; the group of people your practice wants to speak to in its marketing and social media efforts. That has a lot to do with the type of social media channel that you choose. Burgert suggests that physicians register with Google+ and also create a profile on LinkedIn and Doximity. McLaughlin says Instagram and Pinterest are also good options for some practices.
• Make it fun. Make the learning process fun to remove some of the perceived drudgery of yet more administrative work. Swanson suggests starting a personal Facebook page around a hobby or family activity. She says using the social media tool in a "low-risk environment" will make it easier to learn the ropes, before you apply your new skills to your medical practice.
• Set a time commitment. Another hurdle that practices worry about is the time commitment they will have to make to their social media efforts. Busy physicians barely have time to see patients, let alone contribute to social media platforms on a regular basis. Burgert recommends finding that "one voice" to be responsible for posting to all social media platforms (with backup, of course, in the case of emergencies).
• Partner with staff. An acceptable alternative to doing it yourself is to identify that one staffer who has an interest and the skill set to represent your practice online. Swanson says she knows from personal experience how hard it is to treat patients full time and manage a social media presence. She says a physician can partner with staff members in the practice to share relevant, thought-provoking, or educational material that they can then disseminate to patients online.
• Decide how often you'll post. Burgert says she likes to post to Facebook at least twice a day. Twitter is much more "live-time, interactive," she says, so she posts when she is on the site, throughout the day. McLaughlin recommends practices post seven times to 10 times a week to Facebook, until they get a better idea of what their followers want and like. She suggests using Facebook Insights (a free data analytics tool) to dig into the data. That way you'll know when your people are online.
SOCIAL MEDIA DON'TS
Many physicians are unreasonably afraid of establishing a social media presence online, says McLaughlin: "Really, I think a lot of the fear is hyped up." As long as physicians keep common-sense tenets in mind, like not posting protected health information (PHI), she says they'll be fine.
However, there are a few social media pitfalls that physicians should be on the lookout for. Here are some things to be mindful of:
• Guard against HIPAA violations. It is important to protect your practice and patients against HIPAA violations. The best way to do this, says Song, is to have a HIPAA policy in place and to train your staff members on its execution. She advises that only HIPAA-trained staff members should engage with the public through social media. And to be thorough, your "office policy should dictate that staff are not to comment about patients or office-related matters on their personal social media accounts," says Song.
• Don't blur professional and personal profiles. Illinois-based healthcare attorney Ericka L. Adler says physicians should never combine personal and professional social media accounts. They should be kept strictly separate. She also advises against "friending" patients on a physician's personal Facebook page. "Patients don't need to see pictures of you partying to all hours of the night, or whatever it is," Adler says.
• Never give specific medical advice online. "I do not doctor online. I'm not sharing health information. I'm not sharing things that contain PHI without families' permission," says Burgert, of her social media platforms. She says only two of her patients have ever asked her personal health questions online. If they do, it is best to direct patients to call the office if they wish to speak with a physician.
• Don't acknowledge a physician-patient relationship. Another pitfall that physicians need to be aware of is acknowledging online that a person is their patient. Adler says that "simply acknowledging that somebody is your particular patient can create a HIPAA issue." If you are responding to a compliment about your practice, for instance, be neutral says Adler — you can say something like, "Thank you for your kind words."
In some cases, having a discussion with someone online could establish a patient-physician relationship where there is none, says Song. "Many practices do not realize that social media can create confusion about when the patient-physician relationship was established," she says.
A woman posted an update on the social media last December: “My baby has swallowed my ring, what should I do?”
Commenters on the post, mostly mothers who had experienced a similar incident, offered all manner of well-meaning pieces of advice to help the distraught counterpart, albeit from a layman’s point of view.
“Give the baby a banana, she will poop the ring,” wrote one mother and another added: “Give her porridge.” A couple of hours later, another post appears on the page from an enraged nurse who had handled a “serious case of endangering the life of a child because of seeking medical opinion from the wrong sources”.
Around the same period, a young man now deceased, sat at the bone marrow transplant unit in India, writing in detail about his experience and struggles of being at the hospital. Many commented on the post from danielmbugua.wordpress.com, assuring him of their prayers and some with a similar condition drawing strength from his resilience.
These examples are a reflection of the growing influence of the social media on health matters. There is no doubt that Kenyan social media users have placed the country on the global map of tech-savvy nations. They are Africa’s top Twitter users, only second after South Africa, according to iHub Research 2013, and by the end of last year the Communications Authority of Kenya reported that there were 14.8 million Internet users in the country.
When it comes to healthcare issues, the use of social media narrative changes. In Mercy Mutune’s case, for example, Facebook page Kilimani Mums came in handy in her search for a specialist.
“I was transferred from Kisumu to Nairobi, which made me leave behind my regular trusted doctor. When I came here I visited many doctors who disappointed me until this lady on Kilimani Mums referred me to her gynaecologist,” she says.
While Ms Mutune was given a referral to a doctor, medics such as Kisumu-based Patrick Oyaro are offering their services to the public on the social media. The doctor is the director of the Family Aids Care and Education Services (also known as Just Faces), a HIV/Aids management unit of the Kenya Medical Research Institute (Kemri).
Aware of the cultural impediments that have stagnated the war on HIV, the decision to interact with people on his Facebook account was deliberate.
“Many people come to my wall to make general comments, some elated that they have gathered new information that they did not have on matters such as male circumcision,” Dr Oyaro told the Business Daily.
“Others contact me through my inbox and ask questions about where they can get tested for HIV and what they would do should they test positive and we take it from there.”
The doctor’s case is also a testimony of a complex relationship between medicine and the social media — the fragile illusion of privacy on the Internet is slowly creeping into the medical fraternity where confidentiality is crucial.
An avid preventive medicine advocate, he uses his personal Facebook account to engage the public on communicable diseases such as tuberculosis, pneumonia and sexually transmitted infections.
Dr Oyaro’s approach to healthcare is not only a Third World affair. Two thirds of American doctors use the social media for professional purposes, often preferring an open platform as opposed to closed online forums, reports the Doctor’s Tech Toolbox, a national forum established in 2009 to spur use of health IT systems by doctors and hospitals.
According to a 2012 McKinsey Global Institute research report, use of social tools to enhance communications, knowledge sharing, and collaboration among institutions has a lot of benefits. The MGI study shows that firms adopting social technologies raise workplace productivity and interaction by between 20 and 25 per cent. Use of social media is also crucial in boosting traffic to hospitals’ websites and YouTube views.
La santé connectée est à nos portes. De plus en plus d'applications nous permettent non seulement de mesurer nos pas et nos calories dépensées, mais aussi notre rythme cardiaque, notre tension artérielle, notre taux de glucose ou de cholestérol.
Paris, 26 fév 2015 - Prescriptions, efficacité des médicaments, causes de décès, honoraires ou remboursements : les milliards de données de santé constituent une mine d'or bien gardée des administrations publiques mais que le gouvernement promet de partager davantage.
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