"Smartphones and tablets have reached 80% of physicians across all practice types, locations and years in practice, and 25% of users are “Super Mobile” physicians who use both types of mobile devices. This is far beyond the general population’s 50% adoption of smartphones and 5% adoption of tablets."
"If you're old enough, you probably remember visiting the doctor's office in the 1950s. It was like walking into a church. The waiting room was quiet, and when you met with the doctor, it was: "Yes, doctor. No, doctor. Whatever you say, doctor." Mostly it was: Speak when you're spoken to.
That kind of reverential tone has disappeared from medical practice, mostly for the better. Patients have much higher expectations of their caregivers and shop around to find clinicians who are willing to communicate, not just face to face but electronically as well."
Aintree University hospital trust has reduced C. difficile infections by 69 percent and improved patient satisfaction by 20 percent in just 18 months, after modernising its approach to patient record keeping and information sharing.
First, we need to recognize there is a problem[...] It is dangerous and often flat-out wrong to assume that, just because the Internet has become ubiquitous, people know how to use it properly.
As for the age of the 'empowered e-patient', this study suggests that millions of people, perhaps tens or hundreds of millions, aren’t quite there yet.
Even today, medical professionals must act as curators of credible information. They shouldn’t assume their patients can identify and use evidence-based information from the Internet. Minimally, their job is to steer patients away from the sponsored sites and ones touting miracle cures, and towards the ones which are more reliable and free from bias."
"The University of Chicago's Internal Medicine residency program has implemented iPads as tools for the doctors.
It looks like a great initiative, but the question is: will it make life easier or will the residents just spend more time typing into the iPad than they would if they used normal computers on the wards?"
A provocative take on the recent 'Kawasaki disease diagnosed via facebook' story from pediatrician Russell Saunders, MD:
"I’m not a big, big fan of the Internet as source of medical information. I’m certainly no big fan of polling one’s friends for their diagnosis and using that as a basis for medical decision-making.
That said, two of the author’s facebook friends are pediatricians, and facebook was merely the medium by which informal medical advice was given. It’s really no different than when a good friend calls for a casual second opinion.
This article says more about the somewhat curious calm of this mother in the (literal) face of increasingly bad symptoms and seemingly piss-poor follow-up on the family doctor’s part. This mother shouldn’t have needed facebook, when an appropriately vigilant medical provider would have been the obvious choice."
"Imagine a discussion with your doctor or nurse at your regular office visit. Instead of asking you about your weight, or your recent exercise level, the health professional looks at a screen and begins a dialogue with you about how adherent you have or haven’t been to the care plan you agreed on.
Scary thought? Nowhere to hide? Perhaps, but once you have embraced the need for certain health behavior changes, these tools promote an honest dialogue with your provider."
'Despite blocked Internet service, new social media such as "speak-to-tweet” (which allows brief Twitter messages to be sent through a voice connection) were being used to improve communication about health and safety within the first few days of the 2011 Egyptian uprising, which had itself been organized by means of social media.
After Haiti's 2010 earthquake, Ushahidi, an open-source Web platform that uses “crowd-sourced” information to support crisis management, linked health care providers requiring supplies to those who had them, and victims trapped under the rubble used Facebook to reach out for help'
Walter van den Broek (@DrShock) summarizes the findings of a paper published in the Annals of Interval Medicine that presents a structured review of websites of 1,800 US hospitals focusing on their Facebook, Twitter and YouTube accounts:
* 21% use social media * More likely to be large, urban hospitals run by nonprofit, nongovernment organisations * More likely to participate in graduate medical education * Use social media to target a general audience (97%) * Provide content about the entire organization (93%) * Announce news and events (91%) * Further public relations (89%) * Promote health (90%).
"People’s expectations are higher than they were 10 years ago - of their local restaurant, their business hotel and yes, rightly or wrongly, of [their] hospital, GP surgery or clinic.
The lessons being learnt by big businesses about social media are equally applicable to [healthcare]. And, it’s often easier, more effective and cheaper to use these sites rather than traditional methods."
Cornwall’s population doubles every summer, putting extra pressure on Royal Cornwall Hospitals NHS Trust (RCHT) as the hospital’s pediatrics department is flooded with young patients suffering from illness or injury while on holiday.
The eDischarge solution from IMS MAXIMS helps the hospital manage patients more efficiently, ensuring faster service.
"I’d say in two years of Twitter I’ve been astounded at a health professional’s tweet maybe seven times. The most outrageous was a series of sexually explicit comments (from a shady lady) which had been happily retweeted by a paramedic I was ‘following’. How they could possibly have thought they were appropriate to share with a public audience I don’t know.
Medical students and, on occasion juniors, can also be thoughtless. I know of a nurse who is now subject to disciplinary proceedings for taking a picture of a patient’s wound with her phone and posting it on Facebook under the heading “Urrgghh!”. I’ve never seen a tweet from a doctor or medical student that breaches patient confidentiality like that, but I have read comments that compromise both individual and collective professionalism.
Expletive laden tirades about forthcoming exams, the end of a night shift, or the prospect of a night on the tiles, have been the most common. Medical students are infamous for their bar room antics, but what they need to understand is that social media takes their comments out of the college bar and drops them in squarely in the public bar, where there might be a lot of other people ‘listening’."
Data from nearly 3,800 US hospitals says that there’s been a 1.6 percent annual increase in the number of positive responses in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.
The findings are from HealthGrades, which looked at HCAHPS survey data from April 2009 to March 2010.
Patients were most satisfied with the discharge instructions; 81 percent of respondents said they received this information. And patients were least satisfied with the quietness of their rooms (55 percent satisfied) and explanation of medications (58 percent satisfied).
Online physician community Sermo has launched Sermo Mobile, a free medical app for its exclusive network of more than 120,000 physicians which allows doctors to access medical information in real-time.
The mobile app was derived from Sermo's current web platform, which provides an online resource to physicians nationwide across 68 specialties to consult and confer with on the highest quality care for their patients.
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