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Advancing our Knowledge of How Medical Decisions are Made

The research areas we have supported are varied, but have generally included one of the
following research goals:
1. To understand drivers of practice variation in medical care
2. To assess how decisions are being made and to develop measures of decision quality
3. To learn how best to convey medical information to patients
4. To learn how to activate patients to become informed and involved in decisions about their
health
5. To learn how to best facilitate productive interactions between patients and their doctors

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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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Rescooped by Giuseppe Fattori from Marketing Sociale - Newsletter 132
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Social marketing guide for public health programme managers and practitioners

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The Public Health Responsibility deal: has a public-private partnership brought about action on alcohol reduction? (UK)

The Public Health Responsibility Deal in England was launched in 2011 by the Department of Health as a public–private partnership. Together with government, industry and other partners developed a set of commitments or ‘pledges’ including associated targets and actions which business, health, community and public organisations can commit to in order to improve health. The health topics addressed were food, alcohol, physical activity and health at work. The featured article from a university unit funded by the Department of Health to evaluate the Responsibility Deal presents an analysis of the pledges in the alcohol domain.

The Public Health Responsibility Deal for alcohol in England offers a set of pledges which alcohol industry and other bodies can choose to commit to with a view to improving health.

Rather than being prompted by the deal, the actions committed to were usually already done or underway. Even if implemented, acompanion paper has judged the pledges unlikely to significantly improve health.

The pledge on lower strength alcohol products could be effective in certain circumstances, but government calculations that it helped remove 1.3 billion units of alcohol from the UK market have been disputed.

Whatever its effects on consumption, the Responsibility Deal seems to have helped forestall a more effective measure – a minimum per unit price for alcohol.

Although at the time of the featured study there were eight alcohol pledges, it focused on four key pledges: A1 – alcohol labelling (92 signatories); A4 – tackling underage alcohol sales (63 signatories); A6 – advertising and marketing alcohol (92 signatories); and A8 – alcohol unit reduction (32 signatories)  panel below. These were selected because they cover much of what is proposed in the remaining pledges.



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ReGenUC's curator insight, July 14, 7:45 PM

Useful research on industry resistance to meaningful reform.

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Many women - especially smokers - drink alcohol while pregnant

Many women - especially smokers - drink alcohol while pregnant | Health promotion. Social marketing | Scoop.it

While medical guidelines recommend complete abstinence, a large survey of women in the UK, Ireland, Australia and New Zealand finds drinking alcohol during pregnancy to be a prevalent practice.

Smokers were 17% more likely to drink during pregnancy.
The study in the online journal BMJ Open found the following ranges of proportions in alcohol use during pregnancy: 20-80% in Ireland and 40% upwards in the UK, Australia and New Zealand.

There were also high levels of binge drinking during pregnancy - over 45% in the Irish center of one of the cohorts.

The prevalence was consistent across social groups. However, women who smoked were found to be 17% more likely to drink during pregnancy.

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The Employer-Led Health Care Revolution

The Employer-Led Health Care Revolution | Health promotion. Social marketing | Scoop.it

In the years leading up to 2009, Intel tried a number of popular approaches to tame its soaring health care costs. To encourage employees and their families to be more involved in the purchase of their care and aware of its actual cost, the company implemented “consumer-driven health care” offerings such as higher-deductible plans with lower premiums, tax-advantaged accounts, and tiered-provider options. To save employees time and improve access, it opened primary care clinics at Intel work sites in Oregon, New Mexico, and Arizona. It offered wellness and fitness incentives, including optional annual health checks that would reduce premiums or deductibles, health coaches, and free on-site fitness classes.

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Pain Medicine News - Expert: Nondrug Therapies May Be Most Effective Treatments for Fibromyalgia Pain

Pain Medicine News - Expert: Nondrug Therapies May Be Most Effective Treatments for Fibromyalgia Pain | Health promotion. Social marketing | Scoop.it
PALM SPRINGS, CALIF.—Given that fibromyalgia pain stems primarily from the central nervous system (CNS), nonpharmacologic therapies may provide greater benefits than opioids and narcotic analgesics, according to a presenter at the 2015 American Pain Society Annual Scientific Meeting.
 
Fibromyalgia, now largely considered a lifelong CNS disorder—and the second most common rheumatic disorder after osteoarthritis—is still widely misunderstood and can be difficult to diagnose, according to Daniel Clauw, MD, professor of anesthesiology at the University of Michigan, Ann Arbor.
 
“Fibromyalgia can be thought of both as a discreet disease and also as a final common pathway of pain centralization and chronification,” said Dr. Clauw during a plenary session on the neurologic basis for fibromyalgia. “The condition can be hard to diagnose if one isn’t familiar with classic symptoms because there isn’t a single cause and no outward signs.”
 
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Marketing Artists vs. Marketing Scientists - Blog About Infographics and Data Visualization - Cool Infographics

Marketing Artists vs. Marketing Scientists - Blog About Infographics and Data Visualization - Cool Infographics | Health promotion. Social marketing | Scoop.it

The Marketing Artists vs. Marketing Scientists infographic from Pardot highlights the assets of both kinds of marketers in the modern age. But the alliance between the two groups will create the best end product.

In a great article published last week, Stan Woods of Velocity Partners offered his thoughts on how fast marketing has developed over the past few months, and the new marketing roles this change has created.

In his closing paragraph, Woods distinguishes between the creative-driven and data-driven marketers by referring to them as “marketing artists” and “marketing scientists,” respectively. Although a slight oversimplification, these distinctions hold a lot of truth about the current divide that exists within many marketing departments.



Via Jeff French
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Pharma Guy's curator insight, June 23, 8:54 AM

How many marketers does it take to calculate ROI? 

None. There's a lot of talk about ROI, but no one's got the time, money or the inclination to do the math.

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Trends in Current Cigarette Smoking - Smoking & Tobacco Use - CDC

Trends in Current Cigarette Smoking - Smoking & Tobacco Use - CDC | Health promotion. Social marketing | Scoop.it
Data and Statistics Tables data on trends in current cigarette smoking.
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What will public health look like in 2030? - MedCity News

What will public health look like in 2030? - MedCity News | Health promotion. Social marketing | Scoop.it

Historical days like the 238th anniversary of American independence offer a chance to get some perspective of how far we have come in improving medical standards and access to healthcare. These articles, here and here offer some details if you want specifics. But a new report offers four potential scenarios that explore how public health will shake out in the next 16 years, from hugely optimistic to bitterly depressing.


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A Pordenone un ciclista viene colto da un attacco cardiaco. Ma l'intervento di una farmacista con il defibrillatore gli salva la vita - Quotidiano Sanità

A Pordenone un ciclista viene colto da un attacco cardiaco. Ma l'intervento di una farmacista con il defibrillatore gli salva la vita - Quotidiano Sanità | Health promotion. Social marketing | Scoop.it
Un semplice defibrillatore, utilizzato tempestivamente, può cambiare le sorti di un’esistenza, sospesa sul filo sottilissimo e delicato che divide vita e morte. Non è la trama di un cruento thriller americano, ma la lezione fornita da un episodio avvenuto sulla strada di Colto Alto (Pordenone) e per fortuna condito da un happy end. Un ciclista, 49 anni, esce con altri quattro corridori amatoriali, tra cui il fratello. All’altezza di Piancavallo, viene colto da un malore che causa una violenta caduta, tanto da piegare fortemente il manubrio della bici. Un amico allerta immediatamente il 118 e dalla sala operativa parte un’ambulanza, poiché l’elisoccorso è impegnato in un’altra operazione. Tuttavia l’attesa rischia di diventare fatale, in quanto l’ospedale più vicino dista circa 30 chilometri.
 
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Public health group calls for levy on tobacco firms to help fight smoking

Public health group calls for levy on tobacco firms to help fight smoking | Health promotion. Social marketing | Scoop.it

The government should impose a new levy on tobacco companies to help pay for the harm they cause, according to 120 public health organisations launching a proposed new strategy against smoking.

By 2035, the proportion of the population who smoke should be brought down from 18.5% to just 5%, says the group, which is led by Action on Smoking and Health (Ash), Cancer Research UK and the British Heart Foundation.

They hope their proposed five-year strategy document, Smoking Still Kills, will be taken up by government in the same way that their previous reports have informed government policy. In 2008, they published Beyond Smoking Kills, named after the Labour government’s 1998 white paper, Smoking Kills, which proposed many measures that later became law, such as the ban on tobacco displays in shops.

Smoking costs the NHS at least £2bn a year and a further £10.8bn in wider costs to society, including social-care costs of more than £1bn, says the document. With the public health budget now set to lose £200m a year, the group says that the tobacco industry should pay an annual levy to offset those costs and assist with the effort of stopping young people picking up the habit as well as helping smokers to quit.


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What makes health promotion research distinct?

Health promotion research can be broad in scope and can cover a vast array of topics, settings and populations.  As Co-Director of the Centre for Health Promotion Research at Leeds Beckett University, I can vouch for this diversity.  Just looking over the past few years, our Centre’s research portfolio includes studies focussing on prison health; volunteering and health; burnout in employees; e-cigarettes; physical activity in children; homelessness; mental health; condom distribution schemes; toothbrushing; self-care; poverty; climate change…..the list goes on.

While at first glance, these projects may seem completely disparate they all, in fact, constitute health promotion research.  For me, the litmus test is whether a research project gives us greater understanding of the determinants of health.  If a study has the potential to help understanding of health inequalities and (more importantly) potentially provide evidence-based policy and practice implications to reduce health inequalities in communities – then this, in my view, constitutes health promotion research.  Critics would argue that such a definition is useless as conceivably ‘anything’ and ‘everything’ can have impacts on health – but health promotion itself is a very broad-church, highly multidisciplinary, drawing on a range of academic disciplines.  Health promotion research, therefore, must mirror this.

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Strokes, behaviour change and austerity

May is National Stroke Awareness Month in the UK. The Stroke Association and NHS official data show that the number of middle aged people suffering a stroke increased dramatically last year. In England, men aged 40 to 54 saw a rise of 46% over the last fifteen years, from the year 2000 to now. That’s 4,260 men in 2000 to 6,221 last year. Women of the same age saw a 30% rise, and for all those aged 20-64, there was a 25% increase. So the message seems to be that people of working age are experiencing strokes, and that strokes are happening at younger ages. The reasons put forward for these rises – at least in the popular media and by the government – are obesity and sedentary lifestyles. The Stroke Association is quite right to point out the dangers of strokes, and to publish information so that people can educate themselves about risks and lifestyle. However, there is perhaps more to the statistics and more to the discussion of causes that needs to be interrogated.

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Global Public Goods: Too Little, but Not Too Late

Global Public Goods: Too Little, but Not Too Late | Health promotion. Social marketing | Scoop.it
Despite the growing prominence of global challenges, such as climate change, cross-border health threats, security risks, and financial crises, most development-oriented funds are spent on individual programs in single countries.
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Sugary drinks 'harmful even for slim people' - BBC News

Sugary drinks 'harmful even for slim people' - BBC News | Health promotion. Social marketing | Scoop.it

Having regular sugary drinks may increase the chance of developing type 2 diabetes, even for slim people, researchers say.

And they suggest that cutting down on sugar-sweetened beverages could make a dent in the number of people developing diabetes in the UK.

Other experts, however, warn that being overweight and inactive are likely to play a stronger role in the disease.

The study appears in the British Medical Journal.

'Everyone benefits'

Scientists have warned of a link between obesity, sugar-sweetened drinks and diabetes for some time.

But few studies have unpicked whether people who consume lots of sugary drinks are more likely to develop diabetes, regardless of their weight.

Researchers at the University of Cambridge analysed 17 studies in this area.


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NY reports lowest recorded rates for smoking - YouTube

New York health officials report statewide smoking rates at their lowest recorded levels, down to 7.3 percent among high school students...

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Beauty and the Beast: Results of the Rhode Island Smokefree Shop Initiative

Beauty and the Beast: Results of the Rhode Island Smokefree Shop Initiative | Health promotion. Social marketing | Scoop.it
Licensed hairdressing facilities are prevalent in communities nationwide and represent a unique and promising channel for delivering public health interventions. The Rhode Island Smokefree Shop Initiative tested the feasibility of using these facilities to deliver smoking policy interventions statewide. A statewide survey of hairdressing facilities was followed by interventions targeted to the readiness level (high/low) of respondents to adopt smoke-free policies.
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Observational Study in Ten Beauty Salons: Results Informing Development of the North Carolina BEAUTY and Health Project

Researchers from the North Carolina BEAUTY and Health Project conducted an observational study in 10 North Carolina beauty salons to gain insight into naturally occurring conversations between cosmetologists and customers, and to assess features of the salon environment that might be used to inform the development of salon-based health promotion interventions. Results revealed that the social environment of a salon is a place where cosmetologists and customers talk openly about many subjects, including health. Information, advice, appraisal, humor, and empathy are typically shared in these health conversations. Several features of the physical environment of the salon may be mobilized to support health—access to healthy foods, snacks, and beverages; smoking restrictions; and availability of print or video materials, signs, or displays that include healthy messages. Implications for planning salon-based health promotion interventions—including the training of licensed cosmetologists to deliver health messages—are discussed in light of these findings.

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US Dietary Guidelines and Lifting the Total Dietary Fat Ban

US Dietary Guidelines and Lifting the Total Dietary Fat Ban | Health promotion. Social marketing | Scoop.it
Based on the Dietary Guidelines Advisory Committee’s recent recommendations, this Viewpoint urges the US Department of Agriculture and US Department of Health and Human Services to remove limits on total fat consumption in their 2015 Dietary Guideline to promote consumption of healthful fat.
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In England, children's exposure to second-hand smoke has declined by 79% since 1998

In England, children's exposure to second-hand smoke has declined by 79% since 1998 | Health promotion. Social marketing | Scoop.it

In England, children's exposure to second-hand smoke has declined by 79% since 1998, with continuing progress since smoke-free legislation in 2007. An emerging social norm in England has led to the adoption of smoke-free homes not only when parents are non-smokers, but also when they smoke.

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Eating chocolate may slightly lower your risk of stroke- NHS Choices

Eating chocolate may slightly lower your risk of stroke- NHS Choices | Health promotion. Social marketing | Scoop.it

“Two chocolate bars a day can SLASH the risk of heart disease and stroke,” the Daily Mirror reports.

The headline is prompted by the results from a large study involving Norfolk residents, investigating how chocolate is linked tocardiovascular diseases. These are diseases that affect the heart and blood vessels, such as coronary heart disease and stroke.

By comparing the highest chocolate consumers with complete chocolate abstainers, they found that chocolate was linked to a lower risk of stroke and cardiovascular disease. However, the risk for coronary heart disease was not statistically significant, so the aforementioned results could have been down to chance.

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SEPSY BACK: a medical parody music video aimed at spreading Sepsis awareness and promoting best practice.

A medical parody music video aimed at spreading Sepsis awareness and promoting best practice. Directed, shot, and edited by Imagin8r Produced by Joel Awerback What…
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ePatients and Trends Changing Health Care

ePatients and Trends Changing Health Care | Health promotion. Social marketing | Scoop.it

The concept of the ePatient - someone who is equipped, enabled and empowered by digital technology and social networks to make better decisions about their health care (and that of their loved ones) - is no longer a novelty. We have become increasingly familiar with the term and its leading proponents over the past few years.  What is perhaps more novel is the idea that the ePatient of the future will be the norm rather than the exception.

New technologies will enable all of us to monitor our health and gather sophisticated data which in turn will empower us to interact with our healthcare providers in a partnership.  Forced to increasingly take responsibility for our own care in a complex system, digitally savvy health consumers will combine information from doctors, the Web, electronic medical records and other sources to “hack” the health system to educate ourselves, navigate loopholes and ultimately get better, lower cost and faster care.

How this will come about is the subject of a new book by Rohit Bhargava (author of Likeonomics: The Unexpected Truth Behind Earning Trust, Influencing Behavior, and Inspiring Action) and healthcare futurist Fard Johnmar.  Featuring original research and stories of healthcare innovators from across the world, ePatient 2015: 15 Surprising Trends Changing Health Care acts as a guide to the rapid changes taking place in health. It shares 15 trends that are poised to fundamentally change the way health and medical care is delivered and received in the near future.

I recently interviewed Fard Johnmar on the main themes presented in the book. I started by asking him what he thinks is the biggest challenge facing health care today? 


Via Plus91
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Ginny Dillon's curator insight, September 19, 2014 11:27 PM

Educated, Engaged, Empowered patients!

Ginny Dillon's curator insight, November 11, 2014 4:57 PM

Great information re epatient movement! I see a potential hurdle / challenge in the area of HIPPA, Privacy and Online Security. We're not there yet ... better solutions needed.

ryan ceynar's curator insight, December 13, 2014 8:09 PM

Does having electronic technology hinder professional ethics?

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Co-Creation. “Scommetti che smetti?”, l'Ausl di Modena premia gli ex fumatori

Co-Creation.  “Scommetti che smetti?”, l'Ausl di Modena premia gli ex fumatori | Health promotion. Social marketing | Scoop.it

Estratti a sorte fra tutti quelli che hanno partecipato al concorso indetto dell’Ausl. La premiazione al centro commerciale La Rotonda. È di Maria Grazia Mandreoli lo slogan che ha vinto “Le parole per smettere” indetto dalla Gazzetta.

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The glacial pace of change in scientific publishing

The glacial pace of change in scientific publishing | Health promotion. Social marketing | Scoop.it
Most journals have not yet published papers submitted to them last November while in the meantime, NASA have managed to send a rocket to Mars and beam back images. Michael Eisen writes that academi...
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Caffeine and energy drinks - Mentor ADEPIS

Caffeine and energy drinks - Mentor ADEPIS | Health promotion. Social marketing | Scoop.it

As a stimulant found in tea, coffee and chocolate, caffeine is part of everyday life in the UK. However, too much caffeine can cause problems such as sleep disturbance. Energy drinks containing high levels of caffeine are a more recent development.

This briefing paper sets out what schools need to know about caffeine use by children and young people. It includes case studies of two schools (primary and secondary) who found that caffeine and energy drinks use was a problem for their pupils and how they addressed this.

This briefing paper is part of a series produced by Mentor ADEPIS on alcohol and drug education and prevention, for teachers and practitioners.


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