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Measuring the patient’s experience – some thoughts

Measuring the patient’s experience – some thoughts | Health promotion. Social marketing | Scoop.it
Measurement of the patient’s experience of the care received is essential for the delivery of high quality care throughout the patient’s journey from diagnosis. In October 2011 the NHS ...
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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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eHealth Promotion: Social media "Patient included"

#e-HealthPromotion: social media “Patient included” Giuseppe Fattori Laboratorio promozione della salute: organizzazione, nuovi media, indicatori.


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How social media impacts public health

How social media impacts public health | Health promotion. Social marketing | Scoop.it


Given how prevalent social media is nowadays, it's not surprising that some have used it for public health purposes. However, the capabilities reach far beyond raising awareness about health issues. Novel applications of social media that have impacted public health include emergency response and epidemic tracking.

Nonetheless, as easy as it might be to disseminate good information, there is little that can be done to screen for inaccuracies. And, unfortunately, some of these inaccuracies can lead to adverse health and financial outcomes.

Here's a look at major public health initiatives in which social media is making an impact.

1. Flu tracking through social media
Studies have shown that social media can be used to accurately estimate flu prevalence when compared to the CDC-ILINet (Influenza-like Illness Network) tracking system. University of Pennsylvania researchers also detailed in a New England Journal of Medicine (NEJM) article that after tweeting the location where flu vaccines were offered, the VA Health Department noted a surge in vaccinations. Similarly, when public figures like Barbadian singer Rihanna tweeted about the flu, searches for "flu" spiked.

Researchers also looked into sentiment toward the 2009 H1N1/09 vaccine. Of 470,000 tweets collected, 318,000 were relevant, 256,000 were of neutral opinion, 35,000 were positive, and 26,000 were negative. They demonstrated that for those who had positive or negative sentiments, information spread in a manner that geographically clustered. As a result, some communities were at risk for diminished herd immunity. Identification of such pockets could allow resources to be targeted to these areas.

One study looked at misconceptions about the flu and antibiotics by searching keywords: 345 status updates reaching 175,000 followers used "flu" and "antibiotics" incorrectly together and 305 status updates reaching 850,000 followers used "cold" and "antibiotics" incorrectly together. Misuse of "leftover" or "shared" antibiotics were also examined.

2. Promoting behavior through social media
Patients, advocacy groups and companies alike have used social media to deliver certain messages to the public. The Dove "Evolution" campaign went viral and helped bring to light how magazine covers and advertisements place an unrealistic standard on beauty. As expected, other groups have used social media to educate and raise awareness about a wide variety of health issues from breast cancer and healthcare policy to safer sex and smoking cessation.

When people voice their opinions on a public forum, potentially hazardous public health effects may follow. More recently, the anti-vaccination movement promoted by several high-profile public figures caused alarm among public health experts. What's even more worrisome is how these views spread across country borders. One study attributes 26,000 cases of measles in the past year in Europe to social media influence.

3. Emergency response and Ushahidi
Ushahidi, meaning "witness" in Swahili, was a social media platform that originated in Mogadishu but was key to emergency response following the 2010 Haiti earthquake. Mobile providers in Haiti opened access to the platform, which allowed those reporting emergencies (fires, missing people, contaminated water, infectious diseases, food shortages, theft, roadblocks, floods, etc.) to be linked to help. Further upstream, resource providers were linked the resource suppliers. GPS location also made it easier for relief organizations to reach areas in need. In addition, the technology reportedly helped crowdsource the most detailed roadmap in Haiti to date with 1.4 million edits at the time. The mobile provider Digicel also noted how 630,000 people were displaced out of Haitian capital Port-au-Prince, which helped track a cholera outbreak.

4. Medical Journals on Twitter
Several studies have looked at how medical and scientific journals share their content on Twitter. He findings indicate that 3,725 out of 3,812 journals have Twitter accounts, including high-impact publications such as Nature, Science, NEJM and The Lancet. Between 2010 and 2012, 9.4 percent (or 135,000) of 1.4 million journal articles were posted on Twitter. NEJM for instance tweeted nearly half (48 percent) of their 1,580 papers during that period.

However, popularity on Twitter doesn't seem to necessarily translate to how frequently cited or how scientifically robust the paper is. In fact, popular papers may be more pertinent to current events. The top two most highly-tweeted papers were papers from PNAS related to the Fukushima disaster and nuclear contamination. Similarly, journals that tweet more aren't necessarily the most cited either.

5. Social media as a research tool
As mentioned earlier, social media content has been used to track flu epidemics and highlight misconceptions about antibiotics.  Various researchers are looking into both "primary data" (directly asking the public a question on social media and gathering responses) and "secondary data" (analyzing the content of tweets). As social media becomes more recognized as a source of data, developing metrics will more efficiently and accurately measure its content. Beyond the scientific focus of medicine, linguistic studies are also being conducted to examine how storytelling can be used as a coping mechanism for cancer survivors on social media sites.


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Health Care Harnesses Social Media - US News

Health Care Harnesses Social Media - US News | Health promotion. Social marketing | Scoop.it
More and more doctors and nurses are using Facebook, Twitter and other platforms to interact with - and monitor - their patients.
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Open Data & Health: food for thoughts

La presentazione portata all'evento Open Sanità per stimolare in circa 20 minuti spunti e riflessioni sulla salute, open data, spunti da alcuni paesi europei e…
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Decision Aids for Chest Pain: How much is too much information? - Ed in the ED

Decision Aids for Chest Pain: How much is too much information? - Ed in the ED | Health promotion. Social marketing | Scoop.it
Shared decision making and decision aids for chest pain, the future for low-risk chest pain care? http://t.co/U9DpPCAitp

Via Informed Medical Decisions Foundation
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CT scans to find lung cancer in smokers When you need them—and when you don’t

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When to say ‘Whoa!’ to doctors. A guide to common tests and treatments you probably don’t need

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DON'T LET THE TRUTH GET IN THE WAY OF A GOOD STORY: AN ILLUSTRATION OF CITATION BIAS IN EPIDEMIOLOGIC RESEARCH

DON'T LET THE TRUTH GET IN THE WAY OF A GOOD STORY: AN ILLUSTRATION OF CITATION BIAS IN EPIDEMIOLOGIC RESEARCH | Health promotion. Social marketing | Scoop.it

The production of scientific knowledge is susceptible to bias at every stage of the process, from what questions are asked by the investigator, to which method is chose to gather data, to which analyses are conducted (e.g., “P-hacking,” wherein the method of statistical analysis and the degrees of freedom are manipulated until they yield statistically significant results) (1). Even after completion of a study, authors sometimes choose not to submit their work for publication because they are not satisfied with the results (i.e., the “file drawer” problem) (1), or they encounter difficulties with getting results published because of reviewer or editorial bias (“publication bias”) (24).

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Canadian Cardiovascular Societ Five Things Physicians and Patients Should Question - Choosing Wisely Canada

Canadian Cardiovascular Societ Five Things Physicians and Patients Should Question - Choosing Wisely Canada | Health promotion. Social marketing | Scoop.it
Don’t perform stress cardiac imaging or advanced non-invasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present.

Asymptomatic, low-risk patients account for up to 45 percent of unnecessary “screening”. Testing should be performed only when the following findings are present: diabetes in patients older than 40-years-old; peripheral arterial disease; or greater than 2 percent yearly risk for coronary heart disease events.

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Breaking Language Barriers in Healthcare Using Digital Technology

Breaking Language Barriers in Healthcare Using Digital Technology | Health promotion. Social marketing | Scoop.it

The non-English speaking patient population in the U.S. accounts for an estimated 30 million people. Navigating our health system is challenging enough for native speakers, but what about for those for whom English isn’t their first language?

Language barriers have been demonstrated to lead to a number of adverse health outcomes including:

Decreased patient satisfactionLack of preventive health servicesRepeat visits to the emergency roomLonger hospital staysNon-compliance with treatmentIncreased number and severity of medical errorsHowever, digital technology has opened an entirely new frontier for addressing communication problems. eCaring is one of the first health care technology companies to address the issue head on. Our copyrighted icon-based language was designed in mind for people with limited technology skill and for whom English may not be a first language. Our home care monitoring interface allows home care aides and patients, regardless of English literacy, to capture huge amounts of information about the real-time care and condition of patient’s at home, including clinical, behavioral measures as well as medication adherence information.MedCity News shares more about how eCaring’s unique icon-based program is breaking down language barriers in home health care, here. 

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Via Emmanuel Capitaine , Philippe Marchal/Pharma Hub, dbtmobile, Lionel Reichardt / le Pharmageek, Clara Hamelin
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The association between ownership of common household devices and obesity and diabetes in high, middle and low income countries

The association between ownership of common household devices and obesity and diabetes in high, middle and low income countries | Health promotion. Social marketing | Scoop.it

Interpretation: The ownership of household devices increased the likelihood of obesity and diabetes, and this was mediated in part by effects on physical activity, sitting time and dietary energy intake. With increasing ownership of household devices in developing countries, societal interventions are needed to mitigate their effects on poor health.

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Inequality Is Not Inevitable

Inequality Is Not Inevitable | Health promotion. Social marketing | Scoop.it
AN insidious trend has developed over this past third of a century. A country that experienced shared growth after World War II began to tear apart, so much so that when the Great Recession hit in late 2007, one could no longer ignore the fissures that had come to define the American economic landscape. How did this “shining city on a hill” become the advanced country with the greatest level of inequality?
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Reallocating Time to Sleep, Sedentary Behaviors, or Active Behaviors: Associations With Cardiovascular Disease Risk Biomarkers, NHANES 2005–2006

Reallocating Time to Sleep, Sedentary Behaviors, or Active Behaviors: Associations With Cardiovascular Disease Risk Biomarkers, NHANES 2005–2006 | Health promotion. Social marketing | Scoop.it

These findings provide evidence that MVPA may be the most potent health-enhancing, time-dependent behavior, with additional benefit conferred from light-intensity activities and sleep duration when reallocated from sedentary time.

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Generation X: America’s neglected ‘middle child’

Generation X: America’s neglected ‘middle child’ | Health promotion. Social marketing | Scoop.it
Generation X has a gripe with pulse takers, zeitgeist keepers, and population counters like me. We keep squeezing them out of the frame.
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Find out which type of Social Media sharer are you?

Find out which type of Social Media sharer are you? | Health promotion. Social marketing | Scoop.it
Major list of social networking sites on powerful social media platforms by using various social media sharers to promote content on social sharing exchange
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Spunti tra Linked Data, Open Innovation, Crowdsourcing e Semantic Med…

Presentazione portata a Sci(bzaar)net, con spunti su come creare community basandosi su tecnologie gia' presenti del Linked Data, per rispondere a bisogni di …
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The BMJ Today: Choosing Wisely makes me happy

The BMJ Today: Choosing Wisely makes me happy | Health promotion. Social marketing | Scoop.it
Sometimes we all need cheering up on a Monday morning, and today I couldn't recommend more highly this parody of “Happy” by Pharrell W
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Enfants et ordinateurs : quelle protection ?

Enfants et ordinateurs : quelle protection ? | Health promotion. Social marketing | Scoop.it
Vous pensez peut-être que votre ordinateur et les données que vous stockez dedans ne sont pas importantes et nécessitent uniquement une protection de base, c’est à dire, les fonctionnalités déjà intégrées à votre système d’exploitation.

Via L'Info Autrement
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Cancer du sein métastatique et qualité de vie : Unicancer et Roche lancent une base de données

Cancer du sein métastatique et qualité de vie : Unicancer et Roche lancent une base de données | Health promotion. Social marketing | Scoop.it

Fondation reconnue d’utilité publique, l’Institut Curie associe l'un des plus grands centres de recherche européens en cancérologie et deux établissements hospitaliers de pointe.


Via catherine cerisey, Lionel Reichardt / le Pharmageek, Emmanuel Capitaine , Philippe Marchal/Pharma Hub
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India will make 50 essential drugs available free of charge - bmj

Fifty essential drugs are to be made available to the entire population of India free of charge, the Indian government has announced.

The government argues that the list of 50 drugs will be sufficient to deal with three quarters of most people’s medical needs and will enable it to negotiate pricing deals during procurement and provide more than a third more drugs for the same amount of money. The list includes analgesics, antibiotics, antihypertensives, and antidiabetes drugs.

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Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA : The Lancet

Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. By - Ursula E Bauer PhD, Peter A Briss MD, Dr Richard ...
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Bone-density tests: When you need them—and when you don’t | Choosing Wisely Canada

Bone-density tests: When you need them—and when you don’t | Choosing Wisely Canada | Health promotion. Social marketing | Scoop.it

A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent fractures and disability. Most men and women under age 65 probably don’t need the test because ..........

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Physical Activity and Sedentary Time. Male Perceptions in a University Work Environment

Promoting physical activity and reducing sedentary time in males can be challenging, and interventions tailored specifically for males are limited. Understanding male perceptions of physical activity and sedentary behavior is important to inform development of relevant interventions, especially for males working in an office setting. As part of a larger intervention study to increase physical activity and reduce sedentary time, male university employees aged 35 to 64 years were invited to partake in focus groups to discuss benefits, motivators, and barriers related to physical activity and sedentary time.

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Sedentary Behavior and Health Outcomes in Children and Adolescents

The purpose of this review was to summarize findings from epidemiological studies that determined if sedentary behavior was associated with obesity, metabolic risk factors, and cardiorespiratory fitness in children and adolescents. We noted if studies adjusted for moderate-to-vigorous physical activity (MVPA), dietary intakes, and/or sleep duration. Articles were identified through PubMed using the search terms: (sedentary OR sitting OR television) AND (adiposity OR blood pressure OR body mass index OR cardiometabolic OR metabolic risk OR waist circumference). The search was limited to ages 6 to 18 years, humans, and published between January 1, 2008 and September 26, 2012. 

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Intervening to reduce workplace sitting time: how and when do changes to sitting time occur? - Stephens et al. 48 (13): 1037 -- British Journal of Sports Medicine

Intervening to reduce workplace sitting time: how and when do changes to sitting time occur? - Stephens et al. 48 (13): 1037 -- British Journal of Sports Medicine | Health promotion. Social marketing | Scoop.it

Conclusion These analyses confirmed that this workplace intervention successfully modified sitting behaviour as intended (ie, fewer and shorter sitting bouts, with changes occurring throughout the day).

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CDC Traveler's Health

CDC Traveler's Health | Health promotion. Social marketing | Scoop.it

Via M Dolores Solé Gómez
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M Dolores Solé Gómez's curator insight, June 27, 11:44 AM

International business travel can present a variety of health risks to employees that can lead to economic consequences for employers.

Take advantage of CDC resources.