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Definition of Health 2.0 and Medicine 2.0: A Systematic Review

Definition of Health 2.0 and Medicine 2.0: A Systematic Review | eHealth - Social Business in Health | Scoop.it
Definition of Health 2.0 and Medicine 2.0: A Systematic Review
ABSTRACT

Background: During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new “Web 2.0” technologies are used in health care, the terms “Health 2.0" or "Medicine 2.0” may be used.
Objective: The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions.
Methods: A systematic literature review of electronic databases (PubMed, Scopus, CINAHL) and gray literature on the Internet using the search engines Google, Bing, and Yahoo was performed to find unique definitions of Health 2.0/Medicine 2.0. We assessed all literature, extracted unique definitions, and selected recurrent topics by using the constant comparison method.
Results: We found a total of 1937 articles, 533 in scientific databases and 1404 in the gray literature. We selected 46 unique definitions for further analysis and identified 7 main topics.
Conclusions: Health 2.0/Medicine 2.0 are still developing areas. Many articles concerning this subject were found, primarily on the Internet. However, there is still no general consensus regarding the definition of Health 2.0/Medicine 2.0. We hope that this study will contribute to building the concept of Health 2.0/Medicine 2.0 and facilitate discussion and further research.

(J Med Internet Res 2010;12(2):e18)

During the last decade, the Internet has become increasingly popular and now forms an important part of our daily life [1]. In the Netherlands, the Internet is even more popular than traditional media like television, radio, and newspapers [2]. Furthermore, the impact of the Internet and other technological developments on health care is expected to increase [3,4]. Patients are using search engines like Google and Bing to find health related information. In Google, five percent of all searches are health related [5]. Patients can express their feelings on weblogs and online forums [3], and patients and professionals can use the Internet to improve communication and the sharing of information on websites such as Curetogether [6] and the Dutch website, Artsennet [7] for medical professionals. The use of Internet or Web technology in health care is called eHealth [1,8].

In 2004 the term “Web 2.0” was introduced. O’Reilly defined Web 2.0 as “a set of economic, social, and technology trends that collectively form the basis for the next generation of the Internet, a more mature, distinctive medium characterized by user participation, openness, and network effects” [9]. Although there are different definitions, most have several aspects in common. Hansen defined Web 2.0 as “a term which refers to improved communication and collaboration between people via social networking” [10]. According to both definitions, the main difference between Web 1.0 (the first generation of the Internet) and Web 2.0 is interaction [11]. Web 1.0 was mostly unidirectional, whereas Web 2.0 allows the user to add information or content to the Web, thus creating interaction. This is why the amount of “user-generated content” has increased enormously [12]. Practical examples of user-generated content are online communities where users can participate and share content. Examples are YouTube, Flickr, Facebook, and microblogging such as Twitter. Twitter, for example, improves communication and the sharing of information among health care professionals [13]....

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Review!

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eHealth - Social Business in Health
ehealth, integrating care, health monitoring, on line communication, interaction and (mobile) technology to care for health better
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Europe's Doctors Embrace Digital Helpers—Up to a Point - eMarketer

Europe's Doctors Embrace Digital Helpers—Up to a Point - eMarketer | eHealth - Social Business in Health | Scoop.it
Most doctors in France, Germany and the UK believe innovations such as wellness apps and wearable monitors are here to stay. However, they also see some drawbacks.

See this blog by eMarketeer based on research by Ipsos Healthcare


Doctors throughout Europe already work in an environment full of advanced technology, including highly sophisticated diagnostic and surgical equipment and other state-of-the-art devices. These days, though, they also need to deal with the gadgets in the hands of consumers—their patients. And doctors have mixed feelings about the explosion of mobile apps, wearables and other digital tools aimed at boosting consumers’ awareness and control of their own health.

 That’s not to say that medics don’t see essential value in a lot of the new tools on offer. According to the “Digital Doctor Report 2015” from Ipsos Healthcare, 72% of doctors polled in France, Germany and the UK had either used or recommended an app, online health forum or wearable technology in the previous year.

While four in every five doctors felt technology was increasingly important and would play a permanent role in healthcare, many were unsure what that role would be. For example, most doctors sampled by Ipsos were wary of overstating the benefits of mobile health apps. Some 13% said that mobile technology would eventually replace routine checkups for stable patients with chronic problems—but 26% disagreed. One in 10 said that disease/compliance monitoring apps used alongside drugs would become a prerequisite for patients being reimbursed by insurance companies for their health expenses—but 37% said this wouldn’t happen. Asked whether apps were key to improving patients’ adherence to health regimes, 15% of doctors said they agreed—but 21% said apps were not key.

Moreover, significant numbers of doctors had doubts about the usefulness of some digital health solutions, at least in their current form. Mobile technology such as apps and wearables were a particular focus of concern—though the level of worry varied from one country to another. In the UK, for example, the overwhelming majority of the sample agreed that “mobile technology is a reliable means of monitoring health data”; just 11% disagreed. But in France, 24% disagreed, and in Germany, the proportion was 29%.

Similarly, most doctors did think mobile technology would help simplify access to healthcare. But more than one in 10 in the UK and Germany did not agree. In France, a notable 33% of doctors did not subscribe to this view.

Many doctors in the Ipsos study were also thinking ahead to potential conflicts arising from consumer use of apps and other digital tools. After all, most healthcare professionals in advanced economies have already seen large numbers of patients self-diagnosing with the aid of Google search or the websites of medical organizations—and arguing with their doctors as a result.



While doctors polled by Ipsos generally acknowledged that technology could help with therapy and monitoring chronic conditions such as diabetes and heart ailments, 27% feared that mobile apps would create more conflict with patients.

Again, the top worries varied by country. Nearly two-thirds of doctors in the UK were concerned that patients could misinterpret data from digital health tools. In Germany, about six in 10 respondents felt these tools could fuel hypochondria, and in France, more than half of doctors were unhappy about the lack of security and privacy involved in using them.

Because the application of digital technology to day-to-day consumer healthcare is pretty new, most doctors (73%) couldn’t say exactly what they wanted it to do. But among those that did have a clear view on this, monitoring was the top function they identified.

See more at: http://www.emarketer.com/Article/Europes-Doctors-Embrace-Digital-HelpersUp-Point/1012837?ecid=NL1002#sthash.bqTvbQbq.dpuf

rob halkes's insight:

Inspiring information on Doctors' views on ehealth!

Do they represent doctors' beliefs in digital apps? Are they cautious about negative impact on therapy, diagnosis? Don't they trust their patients with digital? Or be it all concerns about the sustainability of their medical business, fear for fundamental change? Who would say? I guess further research!

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Portal me - a dream?

Portal me - a dream? | eHealth - Social Business in Health | Scoop.it
"Portal me" ... It is the way we finally want to go: integrated hard and software all directed at a healthier life in cooperation with professionals, insitutes, family, friends and peers we do want...

Jeff Belden inspires!

rob halkes's insight:

Jeff Belden message may inspire lots of health care professionals, authorities and others to more activity towards development of ehealth applications. It doesn't need to be through a all in once leap, but a step by step process may benefit all stakeholders! See him motivate!

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Philips and Leiden University Medical Center extend collaboration with new research agreement on healthy aging and personal health

Philips and Leiden University Medical Center extend collaboration with new research agreement on healthy aging and personal health | eHealth - Social Business in Health | Scoop.it
  • Collaboration aims to build scientific foundation for development of  health-related wearable and mobile technologies
  • Partners will run clinically relevant trials among the elderly to identify and improve how people respond to lifestyle intervention programs that use health and activity sensors
  • Goal is to promote healthy living and active ageing lifestyles, prevent chronic disease, tailor clinical care and manage the aging process

 

Amsterdam, the Netherlands – Royal Philips (NYSE: PHG, AEX: PHIA) and Leiden University Medical Center (LUMC) today announced a new research collaboration aimed at improving preventative care and chronic care through wearable technologies. The organizations intend to attain new data-driven insights into the relationship between lifestyle and health in elderly people. This will support the development of personalized coaching solutions using wearable sensors to help people to age more healthy and reduce the impact of illness and chronic conditions.

 

As people live longer and lifestyles change, more people are confronted with chronic disease. In addition to having a major impact on people’s quality of life, this puts increased pressure on healthcare systems.

 

New wearable sensor technologies are rapidly becoming available and could play an important role in healthy lifestyles and treatment compliance. The current challenge is to turn the data these new devices offer into clinically relevant information. This will help build scientifically proven and clinically validated solutions to improve the outcomes of lifestyle intervention programs and medical treatments.

 

See more here

rob halkes's insight:

We know by now of the potential of digital applications in health, mhealth and wearables. But we need these intitiatives like Philips and LUMC announced today to gain insights whether it works, bbut also how it works and how it might me implemented in real care. Congrats!

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What do patients and carers want from health apps? Summary of outcomes of global survey by PatientView

What do patients and carers want from health apps? Summary of outcomes of global survey by PatientView | eHealth - Social Business in Health | Scoop.it

Visit the post for more.

rob halkes's insight:

Great Insights from patients' themselves baout their experiences as unmet needs in usoing their health apps!

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Michael Seres's curator insight, November 22, 2014 8:14 AM

some fascinating patient insights here.

 

Ginny Dillon's curator insight, December 28, 2014 4:48 PM

"What patients want" ... listen .....

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Telemonitoring reduces readmissions 44 percent in 4-year, 500-patient study | mobihealthnews #hcsmeu

Telemonitoring reduces readmissions 44 percent in 4-year, 500-patient study | mobihealthnews #hcsmeu | eHealth - Social Business in Health | Scoop.it

Via IHEALTHLABS EUROPE
rob halkes's insight:
Research on eHealth now presents data that it really can safe costs. Not "just like that" of course, but one needs to accommodate to get to these results. See for instance here, to things to be thought through: http://www.healthbusinessconsult.com/telemedicine-ehealth-mobile-health/
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Michael Seres's curator insight, November 22, 2014 8:16 AM

Will that percentage increase with the growth of #wearables

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My TED Talk: Leading in the Digital Era - Charlene Li

My TED Talk: Leading in the Digital Era - Charlene Li | eHealth - Social Business in Health | Scoop.it

{…]

The title of my talk was “Giving Up Control: Leading in the Digital Era”. One key data point from Gallup that continues to astound me is that worldwide only 13% of people are engaged in their work. It’s higher in the US, standing at 30% but that’s still terrible!

I believe that a big reason for this is that we don’t give enough autonomy to, and respect the growing agency of our employees, especially for the Millennials who crave purpose and meaning in their work. The hierarchies that exist in our organizations were designed for a bygone era where efficiency and scale were paramount. But today, speed, innovation, and creativity are the sources of competitive advantage.

Companies have been responding, deploying collaboration platforms and enterprise social networks to connect people throughout the organization. Shrinking the distance between previously siloed departments, or between executives and the front lines sounds great — unless you’re a middle manager.

The biggest problem leaders face in the digital era is that power and influence are being decoupled from titles and organizational structure. So how can you be an effective leader? Here are the three things that organizations can do:

  1. Create a Culture of Sharing. Instead of hoarding information to be powerful, leaders have to become facilitators who accelerate the sharing of information across a networked organization.
  2. Encourage the Practice of “Followership”. The size and quality of your network, not your title, determines how much power and influence you have, and thus, how much you can get done. If employees could build their “followership” across the organization and even outside the organization, then even if their titles or jobs changed, they could still be highly effective. This creates tremendous security that allows these managers to make tough decisions that might otherwise jeopardize their livelihood.
  3. Ensure Networks are being used to Make Meaningful Decisions. People are smart — they won’t devote time to engaging unless they know it’s going to make a difference. The biggest mistake I’ve seen organizations do when trying to transition into the digital era is to use these new tools to create the equivalent of a digital water cooler — talking rather than getting work done. No wonder they don’t last! Get leaders to pay attention, make key decisions on these networks and people will come.

What each of these has in common is the need to give up control. In the talk, I shared the journey I’m going through as the parent of teenagers, as they push for greater autonomy and trust to make their own decisions. In our work, if we truly want to have an engaged workforce, then we’re going to have to lead differently, and establish a new kind of relationship and trust that’s created and deepened with these digital tools.

rob halkes's insight:

Working within the health care market I do witness daily the struglle of employers and employees, both within organizations of health care providers and of the industry to respons in a meaningful way to digital "disruption". Digital disruption has its potential to turn upside down every routine one uses tot get the job done, to approach customers/clients and to create value to business

How to respond to forces that do have this 'threat'? Charlene discusses the leadership role. It goes further than that, but this is crucial. When leadership cannot acommodate, how sould the rest of the organization cope? This is certainly true for much of the pharma and devices companies, where leaders tend to hold on to market approaches that were successful in the days gone by.

They should orientate themselves to new possibilities of customer approaches, not as an add on to what was done before, but to a new integrated system of engagement. Believe me, I could tell!

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House Bill Introduced to Promote Telehealth Through ACOs « Center for Telehealth and e-Health Law

House Bill Introduced to Promote Telehealth Through ACOs « Center for Telehealth and e-Health Law | eHealth - Social Business in Health | Scoop.it

Representatives Diane Black (R-TN) and Peter Welch (D-VT) introduced bipartisan legislation in the U.S. House of Representatives  to build upon the progress of Accountable Care Organizations (ACOs) in shifting the reimbursement of healthcare providers away from the traditional “fee for service” model to a focus on improving the health outcomes of patients.

The ACO Improvement Act (H.R. 5558) will improve the ACO model by providing additional incentives focused on health outcomes, increasing collaboration between patients and doctors, and providing ACOs with additional tools, according to a news release issued from their offices.

According to an article in Med City News, the legislation would allow ACOs to utilize remote patient monitoring tools and maintain and share technology that delivers images with more remote providers.   Many current restrictions that apply to originating care sites would be waived for telemedicine provided through ACOs, according to the bill.

“As a nurse of over forty years, I know firsthand the challenges facing health care professionals as they seek to provide their patients with the best care possible,” said Congressman Black. “It is unfortunate that the current fee for service payment system does little to encourage and incentivize providers and patients to use the most appropriate and effective health care options.  By incentivizing providers to focus on improving health care outcomes instead of increasing the quantity of services provided, this legislation will help improve care coordination, increase efficiency, and mostly importantly, ensure the patient receives the best care possible.”

“If we are going to reduce health care costs and increase quality, the incentives built into the provider payment system need to be changed.  In short, we need to reward value, not volume,” said Rep. Welch.  “Paying health care providers based on improvements in patient health rather than the number of procedures they perform is the way of the future.  Our legislation will advance these payment reforms and is based on the experience of ACOs in Vermont and around the country.”

Rep. Black is a member of the House Ways and Means Committee and Rep. Welch is a member of the House Energy and Commerce Committee.  These two committees are the primary House committees that consider healthcare-related legislation


rob halkes's insight:

Great move towards broader implementation of telehealth and ehealth. Let'shope the House will pass that..


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Top 12 Movies About The Future Of Medicine

Top 12 Movies About The Future Of Medicine | eHealth - Social Business in Health | Scoop.it

After I published my white paper, The Guide to the Future of Medicine, the feedback was amazing and I had several really interesting (sometimes mind-blowing) discussions. One of these resulted in the idea of collecting those movies that predict, picture and demonstrate the future of medicine. Feel free to add your choices! Enjoy!.:

  1. Elysium (2013)
  2. Gattaca (1197)
  3. Blade Runner (1982)
  4. Brazil (1985)
  5. Cloud Atlas (2012)
  6. A.I. Artificial Intelligence (2001)
  7. Eternal Sunshine of the Spotless Mind (2004)
  8. Forbidden Planet (1956)
  9. Inception (2010)
  10. Prometheus (2012)
  11. Robot & Franl (2012)
  12. The fifth Element (1997)
rob halkes's insight:

Looking for visuals about the future of health, here they are ;-)

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Stanford Medicine X | 2014 Schedule

Stanford Medicine X | 2014 Schedule | eHealth - Social Business in Health | Scoop.it

Schedule for Thursday September 4th to Sunday September 7th


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Are you going? 


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Medical engagement | The King's Fund

Medical engagement | The King's Fund | eHealth - Social Business in Health | Scoop.it
by John Clark  and Vijaya Nath July 10th
Incl. Report download
What is good medical engagement? In those organisations where it exists, how has good medical engagement been created and sustained? These questions are at the heart of this report, which builds on earlier work from The King’s Fund on medical leadership.

This report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. Based on interviews with a range of executives, senior and junior doctors, the report presents key features of each of the four trusts. Its final analytical section highlights common themes and includes a checklist to allow organisations and individuals to assess how far medical engagement is being sought and developed.


Key Findings

  • Medical engagement needs to be part of an overall organisational approach, from board to ward, and needs time to evolve. It is a journey that requires doctors to be motivated and to assume greater engagement with and responsibility for improving the quality of patient care in partnership with clinical and non-clinical colleagues and with input from patients.
  • The four trusts studied have all enjoyed long-term stable leadership, creating a firm foundation for cultural change. Senior leaders have shown total commitment to medical engagement and leadership.
  • All four trusts have clear strategies based on quality running throughout the organisations. The distinguishing feature is that these strategies form a way of working for the organisation – they are not isolated programmes.
  • Each trust has embraced a strong medical leadership structure with doctors in leadership roles at divisional and departmental levels, supported by managers. Despite making great progress, none claims to have a completely embedded medical engagement culture. 
  • Each trust puts considerable effort and resources into selecting senior staff including consultants, and none takes the stance that clinical expertise is sufficient.
  • Well-developed appraisal and revalidation processes exist in all four trusts. Talent management and leadership development are taken seriously, through education and training, and learning from other organisations.


Policy into practice implications

  • Medical engagement should be an integral part of the culture of all health care organisations and should be a priority for NHS boards and leaders.
  • It requires investment in development and training and also in governance arrangements to support the culture.
rob halkes's insight:

Must read to be inspired!

Report of case studies about developing "medical engagement." Although the term hasn't been defined precisely in the report it denotes its meaning at two points. It is stated that medical engagement is intended to lead to "...enhanced clinical and organisational outcomes, and to real benefits for patients and staff.."(p.39). Also, it is said in the conclusions, that a "..sustained and collective vision" .. will enable to create an "..organisational culture where all staff, particularly doctors, are motivated to share in delivering the highest quality of care." (p.41)

In summary, what is needed to bring about this fundamental change, is, in my words:

- an overall and integrated program, led by explicit starting points that may act as a guiding philosophy,

- a collective leadership that endorses and leads the change,

- explicit selection of doctors and staff, with the needed attitude and intentions, also a program of development, training and learning that initiates and continues inspiration to the right development, and

- enough time to make it work and allows for genuine change.

So, in retrospect, the report tells us that change and development is hard work like any implementation of innovation and development. The distinction here, in the report, is the concrete case findings and examples of how it was brought about. That makes it very worthwhile to read it.

However, some comment is in order: patients' benefits are only indicated but mostly absent from the report. It is all about the staff and doctors' activities directed to "medical engagement" - a strange term for a self evident responsibility to a medical institute. But if the terms helps to motivate, that is fine with me, but in my personal reflection, in these cases, it has little to do with patient engagement.

Add to the project a working method with patients, in a co-creative way and patient benefit will readily arise!
See here for further information about co-creation in care.

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Medical professionalism: an experimental look at physicians’ Facebook profiles

Medical professionalism: an experimental look at physicians’ Facebook profiles | eHealth - Social Business in Health | Scoop.it
Med Educ Online. 2014; 19: 10.3402/meo.v19.23149.
Published online Jun 18, 2014. doi:  10.3402/meo.v19.23149

Abstract
Background

Use of social networking services (SNS) is on the rise. While many users sign in for personal purposes, it is not uncommon for professionals to connect over SNSs with clients, students, and patients.

Methods

The present study used an experimental approach to examine how medical doctors’ SNS profiles impacted potential patients’ impressions of professionalism. Participants (N=250 students) were randomly assigned to view one of six Facebook profiles. Profiles were populated with 1) solely professional material, 2) personal material that was strictly healthy, or 3) personal material that included unhealthy behavior. Profiles portrayed a male or female physician resulting in a total of six experimental conditions. Medical professionalism was measured with the First Impressions of Medical Professionalism (FIMP) scale, specifically developed for this study.

Results

There was a large and statistically significant main effect for profile type, F(2, 250)=54.77, p<0.001, η2p=0.31 Post hoc tests indicated that personal profiles that contained healthy behavior were rated as most professional followed by profiles with strictly professional content. Personal unhealthy profiles were rated as least professional. Additionally, female profiles consistently received higher professionalism ratings across all three profile types [F(1, 250)=5.04, p=0.026, η2p=0.02].

Conclusion

Our results suggest that a physician's SNS profile affects a patient's perception of that physician's medical professionalism. A personal, healthy profile may augment a patient's perception of that physician's character virtues if the profile content upholds the decorum of the medical field.

Keywords: professionalism, Facebook, professionalism scale, social networking

rob halkes's insight:

Two statements come to mind when reading this report:

1) Doctors/Physicians: when you intend to be active on social media, be sure first to adopt a healthy life style yourself..;

2) Patients: it proves you right in the way you interpret your doctors' professionalism - let it guide you in your preferences

Very interesting and must read piece on how doctors present themselves on social media!

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The Doctor's Office of 2024: 4 Predictions for the Future

The Doctor's Office of 2024: 4 Predictions for the Future | eHealth - Social Business in Health | Scoop.it

What’s next on the horizon for doctors and patients? Medical experts predict the biggest changes likely to occur in primary care over the next decade.
[...]

- Doctors will rely on Wearbale tech for Real-time Insights..

[...]

- Waiting Rooms will be phased out ..

[...]

- Up to 35 Percent of Visits Will Happen Virtually—Or Not at All

[...]

- Patients Will Increasingly Control Their Medical Charts

[...]

The key for success, Burgert says, is for physicians to push through the learning curve and anxiety associated with many new technologies and be open to the changes that lie ahead. She explains: “Physicians who maintain their willingness to listen and learn, despite the common anxiety of not knowing everything in uncharted territory, will be better positioned in the future.”..

rob halkes's insight:

In the spirit of the trends, this oversight confirms them. See here and more specifically about what should be the trends here

Interesting ans inspiring however are the data mentioned in the referred studies, from Wolters Kluwer and from Software Advice.

  And surely: health care professionals need to "push through the learning curve.." - Great statement ;-)

See also my next scoop here and here - Thanks!

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Marcia Marinho's curator insight, July 11, 2014 11:25 AM

Como será o consultório médico em 2024?

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Co-Creation in Health Care

Co-Creation in Health Care | eHealth - Social Business in Health | Scoop.it

Experience co-creation in health care is an effective method to innovate value to patients in a personalized way, in collaboration with all relevant stakeholders.
It is intended to benefit patients in coping with their health conditions and to arrive at a satisfying state of quality of life, given their specific personal health conditions.


Working together is conditional to health care. But "Co-Creation" and "Experience Co-Creation" are not like “working together” in a traditional way. The concept of the method of co-creation is rather based on acknowledging the difficulties in health care to work together. “Experience co-creation in care” enables personalization of health care tailored to the patient conditions and preferences. It drives the effectiveness of the total process: efficacy of medical interventions, therapy, rehabilitation and lifestyle.

rob halkes's insight:

I just wanted to create a quick overview of what Co-creation in Care looks like.

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Personal Health Data - Getting and Sharing

Personal Health Data - Getting and Sharing | eHealth - Social Business in Health | Scoop.it

From HIMSS, by John Sharp:

Blogs, Journals, News, White Papers To help small practices, vendors need to think like patients

A report on a series of presentations on patient engagement at HIMSS15. The presentations included statistics on patients strong preferences to be notified by texting of appointments and other reminders and their desire to be equal partners in healthcare decision making

Telemedicine market to soar past $30B
An increasing aged population and healthcare costs are propelling the market growth.

Why what works for Uber may not work for medical apps

While many innovators and futurist like to see Silicon Valley startups with high valuations as a model for healthcare. This excellent piece points out the weakness of this argument - healthcare is based on a social contract, the risk of losing everything (not an option in healthcare),  unnecessarily galvanizing the opposition, misreading the law,  Uber’s strategy hasn’t even worked in the transportation industry yet (they now have 70 lawyers).

Patients and Families as Partners

Amer Haider of the startup Doctella shares his experience with his father’s hospitalization and the frustration of trying to obtain personal health information. Amer is an advocate of involving patients in patient safety through the use of checklist, but this hospital frustrated his attempts to get involved in a family member’s care.

My Medical Records | How To Get Them

From the Louisiana Health Quality Forum which is promoting getting one's health data - how and what to get - directly to patients. An important direct to consumer approach which should be copied by other states.

Will Personal Health Information Exchanges (PHIE) Lead the Consumer Medical Record Revolution and Bridge the Gap Between PHRs and EHRs?

This strong argument for patient access to medical records proposes an approach from a Frost and Sullivan white paper on using PHIEs rather than HIEs to get patients their data. Quotes leaders in the field including David Kibbe..

Sharing Your Fitness Tracker Data? ‘Pace’ Yourself

This article discusses the potential uses of fitness tracking devices in research. Runkeeper meets researcher.

Social Media Use in Chronic Disease: A Systematic Review and Novel Taxonomy

From the American Journal of Medicine, this literature review showed that "48% of studies indicating benefit, 45% neutral or undefined, and 7% suggesting harm. Using social media to provide social, emotional, or experiential support in chronic disease, especially with Facebook and blogs, appears most likely to improve patient care."

5 Things You Should Know About Your Electronic Medical Records

From the Cleveland Clinic blog, a good basic primer for patients on their portal.  The author, Steven Nissen, MD, warns that it may include medical jargon you may not understand but it will keep you well informed about your health numbers and your doctor's recommendations (assuming your portal has Open Notes).


The 2015 #HIT99 Results Are In..


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rob halkes's insight:

Very inspiring collection of presentations and outcomes of the HIMSS meeting! Every bit a stimulating read.

Each a fundamental aspect of getting to ehealth

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Lionel Reichardt / le Pharmageek's curator insight, August 10, 6:03 AM

Very inspiring collection of presentations and outcomes of the HIMSS meeting! Every bit a stimulating read.

Each a fundamental aspect of getting to ehealth

SergePPlourde's curator insight, August 10, 9:47 PM

Very inspiring collection of presentations and outcomes of the HIMSS meeting! Every bit a stimulating read.

Each a fundamental aspect of getting to ehealth

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eHealth - the Introduction

eHealth - the Introduction | eHealth - Social Business in Health | Scoop.it
eHealth - The Introduction..
See in a short overview what ehealth actually is and what steps you may take to apply it to your proper organization.
Furthermore: learn about the ehealth thought lab...
rob halkes's insight:

A precis about ehealth = Learn how you could direct your way to ehealth initiatives and the direction into your future of provision of care

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Your eHealth Initiative - Three Strategic Steps

Your eHealth Initiative - Three Strategic Steps | eHealth - Social Business in Health | Scoop.it
Implementing an eHealth initiative is the first step in moving your healthcare organization to the forefront of eHealth technology. For instance, how would your organization make use of this revolutionary eHealth initiative innovation? How would you react if patients began asking to connect their eHealth applications to your information system?  eHealth initiatives require an analysis of your entire workflow from operations to systems and technology, from clinical and financial performance to implementation.

eHealth initiative general outcomes expected include benefits to providers and to patients, rapidly expanding technological tools, and even more use of internet based activities.

Working with The Fox Group’s eHealth experts through our three strategic eHealth Thought Lab meetings allows you to get customized knowledge on the processes and strategic changes that must be made in order to maximize the eHealth initiative potential within your organization. Each eHealth Thought Lab meeting will be tailored to your situation, and can jump-start your organization’s eHealth initiatives.  By the end of this series of three strategic meetings, you will have an appreciation of the potential for your organization to embark on a meaningful eHealth initiative. [..]

I.  The Current eHealth Initiative: a short, to the point workshop introducing the main elements of the eHealth initiative, a working definition, the effectiveness and implications of eHealth in the future.  You select the proper internal stakeholder audience of your organization.

  • This workshop is a quick tour around basic issues, examples of effective applications, and rationales for undertaking an eHealth initiative.
  • Benefits include (1) development of a common frame of reference within your internal stakeholder audience; (2) correction of mis-perceptions and biases; (3) clarify expectations as to the impact of an eHealth initiative; (4)  follow up; and (5) motivation to get things going.

II.  eHealth Discussion and Analysis: a workshop reviewing your current eHealth applications, including electronic health record systems, mobile health, internet-based, social media interaction tools, telemedicine, and similar components.  It will also address your organizational enthusiasm and/or challenges to creating a strategic planning process addressing the future in eHealth technologies as they unfold.  Discussion between your representatives and experts from The Fox Group will run deep into several aspects of the eHealth initiative phenomenon.

  • Using tailored examples fitting your organization, moderators of The Fox Group will demonstrate how eHealth technologies pertinent to providers, patients and your organization can result in a successful eHealth initiative for your organization.
  • Implications for your organization to be addressed include (1) consequences of the use of eHealth technologies to operations, organization, and Information Technology resources; (2) costs of care and administration;  and (3) satisfaction of patients and other stakeholders.

III. eHealth Strategic Planning: a strategic workshop, where you discuss currently existing concepts, modules, and devices available to you and your patients.  The final step is to identify the strategic  actionable steps to implement your eHealth initiative, bridging the gap between what is available and what needs to be developed.

  • Within the workshop, you and your selected stakeholders will reflect on the organization’s actual situation, both from a medical, organizational (structures, processes, staff, IT), and financial and patient perspective.  Wishes, challenges, and criteria for a successful eHealth initiative development path are explored. Initial ideas about a specific eHealth initiative can be discussed and placed in a framework of pros and cons.
  • Financial considerations will be addressed as well.  This strategic plan outline will be tailored to capture the ROI, patient and provider benefits and ultimate outcome expectations of your eHealth initiative. Government, payor, and regulatory issues are addressed as well.
  • Expectations and outcome: The output is a structured roadmap defining the path to development and implementation of your eHealth initiative, fully tailored to your specific situation. [..]
rob halkes's insight:

This is my and the Fox group's take on approaching ehealth. Yes it is promotional, but firmly based on experience and expertise. I thought one could do with the three step approach: update on what, discussing the impact for you and setting up a clear and effective plan to accomodate and develop your practice in health

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Dutch eHealth-monitor 2014 - Nictiz.nl - Nivel.nl

Dutch eHealth-monitor 2014 - Nictiz.nl - Nivel.nl | eHealth - Social Business in Health | Scoop.it

The Dutch ehealth monitor of the Netherlands has been released recently. There is no English translation yet, nor a summary, but a English infographic is presented at this post on the website. Here you can see that ehealth is steadily but I guess, firmly growing in NL.


More healthcare users say their GP allows them to make online appointments: from 7% in 2013 to 13% in 2014; or request repeart prescriptions: from 21% to 30%.

More GP's, 93% to 98% (!) and medical specialists, 66% to 75% use mainly or exclusively electronic records!


However no major shifts are found in the use of eHealth compared to 2013.

There will be greater coordination in the area of eHealth. The Ministry of Health Welfare and Sport sets concrete objectives, and parties 'in the field' seek each other out for joint activities!


Four things stood out in the study:

  1. eHealth in the workplace is still not always 'plug and play'
  2. Process innovation is difficult
  3. Healthcare users and healthcare providers do not always see sufficient added value
  4. Healthcare users are often unaware of possibilities already available

For a real, large scale use of eHealth a good balance is needed between the investment in money and effort and the experience added value in terms of imprived care, convenience and financial benefits.


See here for Nictiz  and here for Nivel the sources and down;oads of inforgroaphic (in English too) and the report (Dutch).

rob halkes's insight:

I would say that experience demonstrates that ehealth initiatives may be initiated by small efforts to digital services from physicians to patients, like repeat prescriptions. These are relatively easy first steps.
However, when it comes to more complicated developments in digital health involving interaction, exchange of data and information, and communication between professionals and patients, that is a more heavy change to conquer. It needs more motivation, organization and perseverance on the site of the professionals besides the readiness of technology. More support to implementation seems to be necessary.

I reckoned that on the basis of my own experience from early on.

See some information to this here.

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Health 2.0 London _ Inspiring in relation with PatientView: new acknowledgements about patients preferences for health apps!

From Rob Halkes, manager Patient View in the Netherlands, and advisor to Health20.


This uear's edition of Health20, London, November 10-12, will especially be of large interests to both Health App developers, Healthcare providers and patients. Alexandra Wyke from PAtient View will present the outcomes of the first global research for Patients' wishes and demands regarding their health apps.

Here is a first view to the outcomes,

But at the conference more will be presented!

rob halkes's insight:

I am very thrilled to view the scoop presentation by  dr. Alexandra Wyke on the first day of Health20 in London2014, November 10th: "Choosing and Prescribing an App!" - based on the first global research of patients' wishes and demands about their Health Apps.


Do you wan to come, make your reservation with this 15% reduction code: SPCL15 ! You're welcome!

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ACOs held back by poor interoperability | Healthcare IT News

ACOs held back by poor interoperability | Healthcare IT News | eHealth - Social Business in Health | Scoop.it
Most accountable care organizations have health information technology in place to improve quality and lower costs, but many say difficulties with data exchange are keeping them from reaching their potential.

Of the 62 ACOs polled by Premier healthcare alliance this past summer, 88 percent report "significant obstacles" in integrating data from disparate sources. Also, 83 percent say they have a hard time fitting analytics tools into their workflow. As ACOs grow, gathering data from more and different care settings, these challenges become more accute, according to Premier.

Cost and ROI are also cited as key roadblocks to more effective implementation of health IT, according to 90 percent of respondents.

Even when ACOs have successfully merged health IT systems, "they aren't able to effectively leverage data and analytics to derive value out of their investments given the pervasive issues with data quality, liquidity and access, as well as issues with integrating data from disparate sources," said Keith J. Figlioli, Premier's senior vice president of healthcare informatics, in a press statement announcing the findings.


The numbers reported in the survey suggest interoperability is a "pervasive problem among ACOs, and it could stymie the long-term vision for ACO cost and quality improvement if not addressed," Figlioli added.

The good news is that ACOs are reporting heartening improvements in clinical quality (66 percent), preventive screenings and vaccinations (63 percent), chronic disease management (59 percent) and health outcomes (55 percent). But those percentages could be even higher.

"While accountable care organizations are providing quality care for many patients, even more could be accomplished if interoperability issues were addressed," said Jennifer Covich Bordenick, chief executive officer, eHealth Initiative. "However, the cost of interoperability can be prohibitive for many organizations."

In a Sept. 24 call discussing the report's findings, Bryan Bowles, Premier's vice president for population health solution management, noted that this new era of shifting risk from payers to providers requires a lot of these organizations, necessitating that they manage health at both an indvidual and population level, and make smart use of clinical, claims, financial and administrative data.

See more here in the original blog

rob halkes's insight:

A great example showing that there's more to ehealth than just technology. Apart from this, taking ehealth initiatives, means a good think through of all aspects of the health care process. But we are getting there. Let people with experience help!

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Mobile Applications for Diabetes Self-Management: Status and Potential

Mobile Applications for Diabetes Self-Management: Status and Potential | eHealth - Social Business in Health | Scoop.it

Journal of Diabetes Science and Technology, Vol. 7, Issue 1 Jan. 2013.

El-Gayar, Timsina and Nawar.


ABSTRACT

Background:
Advancements in smartphone technology coupled with the proliferation of data connectivity has resulted in increased interest and unprecedented growth in mobile applications for diabetes self-management. The objective of this article is to determine, in a systematic review, whether diabetes applications have been helping patients with type 1 or type 2 diabetes self-manage their condition and to identify issues necessary for large-scale adoption of such interventions.
Methods:
The review covers commercial applications available on the Apple App Store (as a representative of commercially available applications) and articles published in relevant databases covering a period fromJanuary 1995 to August 2012. The review included all applications supporting any diabetes self-management task where the patient is the primary actor.
Results:
Available applications support self-management tasks such as physical exercise, insulin dosage or medication, blood glucose testing, and diet. Other support tasks considered include decision support, notification/alert, tagging of input data, and integration with social media. The review points to the potential for mobile applications to have a positive impact on diabetes self-management. Analysis indicates that application usage is associated with improved attitudes favorable to diabetes self-management. Limitations of the applications include lack of personalized feedback; usability issues, particularly the ease of data entry; and integration with patients and electronic health records.
Conclusions:
Research into the adoption and use of user-centered and sociotechnical design principles is needed to improve usability, perceived usefulness, and, ultimately, adoption of the technology. Proliferation and efficacy of interventions involving mobile applications will benefit from a holistic approach that takes into account patients’ expectations and providers’ needs.


J Diabetes Sci Technol 2013;7(1):247–262    

rob halkes's insight:

There is good perspective to mobile health (ehealth) applications to self management in diabetes. However, as this research review suggests: we need to know more about use and socio technological influences. As I repeat myself: ehealth mhealth is NOT about technology: it is about implementation. Let's go for that!

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VPO Press Release - New Survey Signals Promise For Mobile Technology To Advance Mental Healthcare Treatment

VPO Press Release - New Survey Signals Promise For Mobile Technology To Advance Mental Healthcare Treatment | eHealth - Social Business in Health | Scoop.it

Clinical psychologists believe mobile technology applications geared to mental healthcare treatment have potential to improve patient care and practice management, based on a recent national survey conducted by market research firm Sigma Research. According to industry experts, the new research signals a readiness among mental healthcare professionals to adopt new mobile technologies that can bridge data gaps to improve therapy practice.


rob halkes's insight:

It helps! Apps for tracking mental care effects!


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Survey: 75 percent of patients want digital health services | mobihealthnews

Survey: 75 percent of patients want digital health services | mobihealthnews | eHealth - Social Business in Health | Scoop.it

According to a survey of thousands of patients in Germany, Singapore, and the United Kingdom, the adoption of digital healthcare services remains low because existing services are either low quality or not meeting patients’ needs. The survey, conducted by consulting firm McKinsey, included responses from at least 1,000 patients in the three countries.

“Many healthcare executives believe that, due to the sensitive nature of medical care, patients don’t want to use digital services except in a few specific situations; decision makers often cite data that point to relatively low usage of digital healthcare services,” McKinsey analysts Stefan Biesdorf and Florian Niedermann wrote in a recent blog post. “In fact, the results of our survey reveal something quite different. The reason patients are slow to adopt digital healthcare is primarily because existing services don’t meet their needs or because they are of poor quality.” 

McKinsey found that more than 75 percent of respondents would like to use some kind of digital health service. Many are interested in “mundane” offerings, the firm wrote.


rob halkes's insight:

Great Survey results, aligning with what experts already thought. Results generated by Germany, Singapore and the UK, but believed to be representative of patients in these advanced markets.


See my conclusions upon reading the report here

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Marisa Maiocchi's curator insight, July 25, 2014 10:32 AM

Los resultados de una encuesta parecen derribar algunos mitos respecto de la "salud móvil" o m-health como "Esta tecnología solo la usan los jóvenes".

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Researchers at Intermountain Medical Center develop new smartphone technology and app to diagnose and monitor adrenal gland diseases

Researchers at Intermountain Medical Center develop new smartphone technology and app to diagnose and monitor adrenal gland diseases | eHealth - Social Business in Health | Scoop.it
Diseases of the adrenal gland have long been difficult to diagnose. But now, researchers have found an affordable and easy way to diagnose and monitor endocrine diseases of the adrenal gland by using saliva and a smartphone.

Researchers at Intermountain Medical Center in Murray, Utah, have developed new smartphone technology to help screen patients for a number of adrenal gland diseases, including Cushing's syndrome. The new tool also helps to identify adrenal insufficiency, monitor cortisol replacement and assess physiologic changes in adrenal function.

Adrenal diseases are commonly overlooked because measuring cortisol, the so-called "stress hormone" that is released by the adrenal glands as part of the fight-or-flight mechanism, is costly and complicated, especially for those with limited resources, say researchers.

"When cortisol levels are overlooked too many people suffer and die because of excess or insufficient cortisol," said Joel Ehrenkranz, MD, director of diabetes and endocrinology at Intermountain Medical Center, and lead researcher of the project.

To help solve this problem, researchers developed a simple saliva test that uses a smartphone and an attached device that inexpensively feeds the results of a saliva test into the smart phone. An app then quantifies and interprets the results of a salivary cortisol assay and gives results in five minutes at the point of care.

"The cortisol assay is similar in design to a home pregnancy test and urine sample drug tests," says Dr. Ehrenkranz. "It's like having an endocrine specialist in your phone."

[...]

The new technology will especially help diabetic patients.

For diabetics, controlling stress levels is key to controlling cortisol levels, which helps prevent and control the disease. Stress increases the levels of cortisol in their body, and elevations in cortisol impair the body's ability to metabolize glucose. This increases blood glucose levels. High cortisol levels also affect the body's ability to fight infections, lose weight and recovery from injury.

"What this means is when blood cortisol levels are too high, insulin will not lower blood sugar," said Dr. Ehrenkranz. "Elevations in cortisol decrease the effectiveness of insulin and other drugs used in the treatment of diabetes. Having the ability to easily and inexpensively measure cortisol levels is important in managing diabetes."


See also http://mobihealthnews.com/34753/intermountain-researchers-develop-smartphone-based-lab-test-for-stress/

rob halkes's insight:

Great example of Intermountain Health development of Mobile Med Tech - a first step into further development of ehealth eco systems for diabetes and other chronic diseases needing "..to identify adrenal insufficiency, monitor cortisol replacement and assess physiologic changes in adrenal function"

This development however will take some next steps into adopting the right processes and actions to create functional interaction with patients. I would say: go on! ;-)

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Customer - customer journey - customer experience mapping

Customer - customer journey - customer experience mapping | eHealth - Social Business in Health | Scoop.it
Pins about Customer "hand-picked" by Pinner Rob Halkes | See more about customer experience, infographic and marketing.
Health care development is in the business of creating more patient - professional interaction in health care, improving interaction, communication and understanding. In preparing my consultancy work, e.g. to help health care professionals with co-creating care, I came across these pins. Maybe you like them.For your information see here: http://www.healthbusinessconsult.com/co-creation-in-health-care/
rob halkes's insight:
Pins with regard to putting "customers" first: how to, like mapping the customer journey and/or customer experience. Imagine when health care professionals would work like this..;-)
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Marcia Marinho's curator insight, July 11, 2014 11:22 AM

Costumer Experience Mapping

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Western Europe's Social Users Choose Personalization over Privacy

Western Europe's Social Users Choose Personalization over Privacy | eHealth - Social Business in Health | Scoop.it
Advertisers in Western Europe will spend $2.54 billion this year on social network ads to reach the region's 178.2 million social users, according to a new eMarketer report. While privacy concerns remain an issue, Western Europe's social networkers often put them aside for personalized experiences.
rob halkes's insight:

Yes we knew about this trend, but THE question remains whether this goes the same for all other kind of services AND for health services?  I don't think so if i take myself as representative example, but one never knows. I 'll be happy with anyone knowing about research with this distinction?

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