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JAMA Challenges at the Intersection of Team-Based and Patient-Centered Health Care

Team-based health care may help the United States achieve improved health and improved health care at a sustainable cost.1 It is central to many reforms of health care delivery, both actual and proposed. Team-based care can occur in many settings (eg, home, office, hospital); focus on different problems (eg, specific diseases); and include team members with a variety of backgrounds.

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Co-creation in health
E-citizens, e-patients, communities in shaping e-health, health literacy.
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Take a peek at the world's most exquisite libraries - CNN.com

Take a peek at the world's most exquisite libraries - CNN.com | Co-creation in health | Scoop.it
Take a peek at the world's most exquisite libraries

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Art Jones's curator insight, May 28, 11:58 AM

Simply Beautiful!

Classical Architecture, Frescos and so many Books

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What if everything we know about poor countries' economies is totally wrong?

What if everything we know about poor countries' economies is totally wrong? | Co-creation in health | Scoop.it
Economist Morten Jerven explains why our economic indicators for poor countries are so lacking, and what it means for those who use them.
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Ma ai medici non si può imporre il trattamento più efficace

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Revisions to the Cochrane Commercial Sponsorship Policy: what do contributors need to know? | The Cochrane Collaboration

Revisions to the Cochrane Commercial Sponsorship Policy: what do contributors need to know? | The Cochrane Collaboration | Co-creation in health | Scoop.it

There are four key points to the policy:

• no authors can be current employees of pharmaceutical companies or similar organisations (such as manufacturers of healthcare products);

• the majority of authors and lead author on a Cochrane Review should not have any conflicts of interest relevant to the review topic;

• authors of Cochrane Reviews cannot be funded by  pharmaceutical companies or industry to undertake the review;

• no part of the Cochrane Review process can be funded by pharmaceutical companies or similar organisations.

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Doc, the Internet says I have cancer

Doc, the Internet says I have cancer | Co-creation in health | Scoop.it

The Internet is creating new-age hypochondriacs, an all-India doctors’ survey reveals


A recent survey, conducted across 27 cities including Mumbai, Pune, Delhi, Kolkata, Chennai, Bangalore, Hyderabad and Ahmedabad revealed that doctors have been struggling to deal with patients who use the internet to find out what ails them.

Making matters worse are hundreds of thousands of online forums where people discuss their ailments and symptoms, which often result in patients indulging in self-medication, and also end up arguing with doctors upon being told that their ailmentisnotevenclosetotheworsediseasestheyhad imagined, said majority of the 650 doctors who participated in the survey.

The doctors, including specialists and super specialists, termed people's increasing dependence on the internet to find medical cures and search for symptoms as a "major strain on the doctor-patient relationship".

Overloaded with information 
Forty-four per cent of the 650 doctors surveyed said that most of their patients were "overloaded with information", while 37 per cent doctors were of the opinion that their patients considered themselves "medical experts" after reading about the ailments on the internet.

As many as 38 per cent of the doctors surveyed said that majority of their patients who participated in online forums to discuss their ailments were "grossly misinformed" about the symptoms.

Dr Pratit Samdani, a general physician at the Breach Candy Hospital said he often comes across patients who imagine the worst after an online search of the ailments.

"One of my patients, a woman in her 30s, was convinced she was suffering from lung cancer. She had been coughing incessantly, and obviously the internet search said it was the most basic symptom of lung cancer. She assumed the worst, but it turned out to be a very minor infection," he said.

Dr Bharat Shivdasani, a cardiologist at Jaslok Hospital, said that it becomes difficult to convince patients who are loaded with "internet information". He said,"A few weeks ago,a man in his 40s visited me for consultation. He was convinced that he suffered from a heart ailment only because he was experiencing pain in left arm. When I told him that was not the case, he ended up arguing with me."

Samdani termed the internet a "medical menace", saying the woman who had assumed she was suffering from cancer insisted on undergoing a series of tests. "I spent an hour trying to convince her that she didn't need to undergo the tests. Internet cannot diagnose ailments or treat anyone," he said.

The survey, conducted by Ipsos Healthcare and Ruder Finn, an international public relations firm, aims to educate people on the dangers of 'over-information' when it comes to ailments. One such victim of medical overload, Dahisar resident Vikas Vyas, said he recently spent sleepless nights assuming the worst of diseases after searching the causes of throat pain on the internet.

The curse of internet 
Out of the 650 doctors surveyed, 44% said their patients were "overloaded with medical info gathered online". Thirty-seven per cent doctors said that many of their patients think of themselves as medical experts.

Fifty per cent of the doctors surveyed said internet has made their interaction with patients "difficult".


more at http://timesofindia.indiatimes.com/life-style/health-fitness/health/Doc-the-internet-says-I-have-cancer/articleshow/33815433.cms



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Evidence based medicine: a movement in crisis?

Evidence based medicine: a movement in crisis? | Co-creation in health | Scoop.it
  •  Evidence based medicine: a movement in crisis?

I have three criticisms of Greenhalgh et al’s interesting article (1).

First, it conflates two issues in an unhelpful way. The first is their main topic, EBM and the many pitfalls which make it difficult for clinicians both to get high-quality evidence and to use it in discussions with patients. The second issue is the whole enterprise of prevention or risk reduction, which began decades before EBM was invented, in a shift to ‘surveillance medicine’(2, 3) which extended medicine’s remit to include people who feel well . It is this enterprise which is often in tension with a patient-centred focus (4, 5), not the evidence which nowadays underpins it.

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The limits of palliative care -Graham Winyard - bmj

Patients wanting the sort of open discussion about their impending death that Boyd and Murray advocate will have one topic denied them; taking their own life should palliative care prove ineffective.1 This option is important because the medical literature demonstrates clearly the limits of even the best palliative care.2 The medical and religious establishments accept this but contend that the suffering of a small number of individuals is a necessary price to pay to protect the vulnerable.

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The Internet and Education - OpenMind

The Internet and Education - OpenMind | Co-creation in health | Scoop.it
The impact of the internet on education is not straightforward. The problem of unequal access makes traditional training models prevail.
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Méningite B : une politique vaccinale timide

Méningite B : une politique vaccinale timide | Co-creation in health | Scoop.it

Contre la méningite à méningocoque de type B, nous disposons désormais d’un vaccin. Et ceci depuis plus de 6 mois. Mais aujourd’hui les recommandations françaises sont encore très limitées.


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The Internet: Changing the Language - OpenMind

The Internet: Changing the Language - OpenMind | Co-creation in health | Scoop.it
With the speed of the change is difficult to keep up. How can we generalize about the stylistic language online?
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Per la farmaceutica ritmi di crescita al 5% l'anno e vendite per un trilione di dollari entro sei anni: le stime di Evaluate Pharma

Per la farmaceutica ritmi di crescita al 5% l'anno e vendite per un trilione di dollari entro sei anni: le stime di Evaluate Pharma | Co-creation in health | Scoop.it
Record di approvazioni di nuovi farmaci, una robusta pipeline e una produttività in ricerca e sviluppo notevolmente migliorata. Sono gli elementi che hanno consentito al mercato farmaceutico di mantenere la crescita della spesa al di sotto di quella delle vendite, dimostrando che per l'industria del settore potrebbe aprirsi una nuova era....
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How doctors' failures will lead to social unrest

How doctors' failures will lead to social unrest | Co-creation in health | Scoop.it
The cost of health care is contributing to the social unrest we’re seeing all around the world and doctors are utterly failing to respond. Those were the two things I learnt last week at the...
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Can ROI be Measured for Social Media?

Can ROI be Measured for Social Media? | Co-creation in health | Scoop.it

In part two of our social media myths series, we revealed several ways social media posts can help generate business for your medical or dental practice. For our third and final installment of the series, we’re going to debunk a common misconception about tracking the performance of your social media marketing campaign.

Myth #3: ROI cannot be measured for social media marketing.

As with any aspect of a business, justifying the investment you put into social media marketing based on the return it yields for your practice is essential to ensuring its worth. One thing to understand is that social media is not a tool for direct sales, therefore, we cannot use traditional return on investment (ROI) metrics. While the textbook definition of ROI – exact dollar profit for dollars spent – may be a little harder to pinpoint, measuring the value of your investment for social media is not impossible. In fact, doing so can be relatively easy. Here are three ways to measure social media ROI in order to track the efficacy of your practice’s social media marketing efforts:

1. Create specific goals.

You must understand the purpose of your social media campaign in order to measure success. Create specific, measurable goals, such as: lead generation, increasing traffic to your practice website, and facilitating customer service. When people call or email your practice, you can ask how they heard about your practice and track the number of times social media is cited. HootSuite, Twitter Analytics, and Facebook Insights can track engagement with your followers, and engagement is a way for you to provide online customer service, thus reducing the time and money spent for overall customer service. Tools like Google Analytics track the amount of web traffic generated from social media, as well as which specific social media sites have the highest referral rates to your website.

2. Track campaigns.

Track the number of social media followers, comments, likes, retweets, etc., on a monthly basis to determine if your social strategy is actually increasing the amount of engagement with your practice. In addition to social media engagement, you can track other things like web traffic and conversions to quantitatively analyze if your social media efforts are increasing the number of viewers to your website, as well as the number of people who contact you through an email contact form on your website.

3. Establish a baseline.

One thing you may want to know is if your social media efforts are directly impacting the number of new patients or overall number of procedures performed. You can establish a baseline figure prior to the start of your social media campaign by tracking the number of overall patients and the number of procedures performed monthly. As your social media activity increases, you can see if the number of new patients and procedures performed increases as well.



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Why Communicating With Patients Using Social Media is a Good Idea

Why Communicating With Patients Using Social Media is a Good Idea | Co-creation in health | Scoop.it

Most companies have a Facebook or twitter page; medical practices should also communicate with their patients using social media. The medical field has been less proactive when it comes to maintaining a social media presence. It’s an effective way to make sure your practice is branded in your specific field of expertise. Don’t overlook social media as a great way to communicate with your patients. People are looking for doctors who care and take time to get know their patients, this is where social media can shine.

Communicating with patients using social media creates a personal connection without having an appointment. Create a discussion on your facebook page where people can go to get answers to common questions regarding scheduling or areas of expertise within your practice. The way you respond to questions or complaints can carry a lot of weight; if people see that you take concerns seriously and respond in a timely fashion to requests it shows you care.

Social media is an easy way to get a message out to your patients. Post reminders about flu shots or sports physicals, whatever your specialty might be. Show your support for the local charities and fund drives you participate in. Ask your followers to fill out a patient survey, introduce new staff, link to beneficial health articles. Utilize social media as a new way to get important information to your patients. It’s a fast and free way to get important information and news to your patients.

Having a good social media presence will draw new patients in. It makes you easier to find and many potential new clients do their research for medical recommendations online. The reputation of a medical practice can be influenced by social media which is a good reason to learn how to manage yours.


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The impact of social media on cancer care

The impact of social media on cancer care | Co-creation in health | Scoop.it
The reality is that there hasn't been much impact of social media on cancer care, except in a few areas.
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Doctors should consult patients before imposing non-resuscitation notices unless it would cause harm, Court of Appeal rules

An NHS trust breached a patient’s human rights when doctors placed a “do not attempt cardiopulmonary resuscitation” (DNACPR) notice on her records without her knowledge, the Court of Appeal has ruled.

Cambridge University Hospitals NHS Foundation Trust violated Janet Tracey’s right to respect for her private life in not discussing the decision with her, declared three senior judges headed by the Master of the Rolls, Lord Dyson.

“A DNACPR decision is one which will potentially deprive the patient of lifesaving treatment,” said Dyson. “There need to be convincing reasons not to involve the patient.”

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Too Much Medicine Is Bad For Our Health

Too Much Medicine Is Bad For Our Health | Co-creation in health | Scoop.it
The just completed conference 'Preventing Over Diagnosis' was easily the most important meeting I ever attended. Sponsored by the British Medical Journal, Consumer's Reports, and Dartmouth and Bond Universities, the goal was to identify the excesses in medical care and to figure out how to correct them.
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The BMJ is wrong: doctor assisted dying would overmedicalise death

The BMJ has decided to support the Assisted Dying Bill.1 This is a mistake.

Medicine wields at once too much power and too little. We are rather impotent, for example, around social inequalities.2 Despite evidence that financial gradients make health worse, we lack the clout to influence government policy to tackle them. Yet, on the flipside, medical power can be exerted firmly in places where a much lighter touch would have been far better.

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EFPIA - Mobile apps and pharma: health in your pocket

EFPIA - Mobile apps and pharma: health in your pocket | Co-creation in health | Scoop.it

Since 2010, pharma investments in smartphone apps, social media platforms, and wireless devices have constantly grown, according to the Ernst & Youngs annual global pharmaceutical report.

Here is a list that will give you a taste of how pharma approached mobile apps in 2013 –among the 50 apps belonging to the pharmaceutical industry in the Apple app store.


Via Philippe Marchal/Pharma Hub, Lionel Reichardt / le Pharmageek
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Le défi de la complexité - Edgar Morin, à l'USI

Complexus : ce qui est tissé ensemble. Complexité est un mot problème, non un mot solution. Notre éducation nous a appris à séparer et cloisonner les savoirs, non à les relier. Comment...

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Mais alors, qui sont vraiment les journalistes?

Mais alors, qui sont vraiment les journalistes? | Co-creation in health | Scoop.it
Exceptionnel 0 MAIS ALORS, QUI SONT VRAIMENT LES JOURNALISTES ? LEURS AMIS PENSENT QU’ILS FONT ÇA LEUR MERE PENSE QU’ILS FONT ÇA LA SOCIETE PENSE QU’ILS FONT ÇA LEUR CONJOINT PENSE QU’ILS FONT ÇA

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Mobile Phones Carry Owner Microbiome

Mobile Phones Carry Owner Microbiome | Co-creation in health | Scoop.it
The bacteria found on someone's mobile phone is a good match for the most common kinds of bacteria that live on their hands. Christopher Intagliata reports.
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What's pharma's impact on the mobile health app space? These 3 graphs offer some clues

What's pharma's impact on the mobile health app space? These 3 graphs offer some clues | Co-creation in health | Scoop.it
A report highlighting the mobile health app landscape charts pharma companies that have produced the most apps, such as Bayer, Merck and Novartis.
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Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults

Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults | Co-creation in health | Scoop.it

In general, after 12 months the print-delivered interventions resulted in stronger effects than the Web-based interventions. The participants’ baseline intention was the only significant moderator of the intervention effect. All other assessed user characteristics did not significantly moderate the effect of the intervention, which might indicate that the intervention is sufficiently tailored to the different participant characteristics. Additional efforts should be taken to increase the sustainability of Web-based interventions.

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Utiliser Pinterest pour sensibiliser et informer le public sur la santé

Utiliser Pinterest pour sensibiliser et informer le public sur la santé | Co-creation in health | Scoop.it
La popularité du média social américain

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Mhealth Usage and Adoption by Physicians

Mhealth Usage and Adoption by Physicians | Co-creation in health | Scoop.it

Olson Research recently polled physicians to understand what their current views are on mhealth, how they are using it in their practices today, and what they think the future looks like for this new technology.

 


Via Philippe Marchal/Pharma Hub, Rémy TESTON, Celine Sportisse
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Bettina Gifford's curator insight, June 28, 6:01 PM

An interesting study showing what physicians think of myhealthshare and where it's going..