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Twitter, the social media service that permits 140-character posts or “tweets,” is undergoing rapid uptake by physicians.1 Twitter allows physicians to communicate, interpret, highlight, and curate information as well as engage in discussion or debate with other physicians, patients, patient advocates, researchers, investors, and industry employees. More than 60% of tweets authored by medical professionals in the United States are health-related, and approximately 14% mention commercial products or services.2 Yet, to our knowledge, there has been no investigation of the prevalence of financial conflict of interest (FCOI) among these users.
Rationale and Objective
The purpose of this study was to evaluate themes related to patients' experience in undergoing mammography, as expressed on Twitter.
A total of 464 tweets from July to December 2015 containing the hashtag #mammogram and relating to a patient's experience in undergoing mammography were reviewed.
Of the tweets, 45.5% occurred before the mammogram compared to 49.6% that occurred afterward (remainder of tweets indeterminate). However, in patients undergoing their first mammogram, 32.8% occurred before the examination, whereas in those undergoing follow-up mammogram, 53.0% occurred before the examination. Identified themes included breast compression (24.4%), advising other patients to undergo screening (23.9%), recognition of the health importance of the examination (18.8%), the act of waiting (10.1%), relief regarding results (9.7%), reflection that the examination was not that bad (9.1%), generalized apprehension regarding the examination (8.2%), interactions with staff (8.0%), the gown (5.0%), examination costs or access (3.4%), offering or reaching out for online support from other patients (3.2%), perception of screening as a sign of aging (2.4%), and the waiting room or waiting room amenities (1.3%). Of the tweets, 31.9% contained humor, of which 56.1% related to compression. Themes that were more common in patients undergoing their first, rather than follow-up, mammogram included breast compression (16.4% vs 9.1%, respectively) and that the test was not that bad (26.2% vs 7.6%, respectively).
Online social media provides a platform for women to share their experiences and reactions in undergoing mammography, including humor, positive reflections, and encouragement of others to undergo the examination. Social media thus warrants further evaluation as a potential tool to help foster greater adherence to screening guidelines.
Conclusions: Analyzing parent forums about health care using an automated analytic approach, such as the one presented here, allows the detection of widespread narrative frameworks that structure and inform discussions. In most vaccination stories from the sites we analyzed, it is taken for granted that vaccines and not vaccine preventable diseases (VPDs) pose a threat to children. Because vaccines are seen as a threat, parents focus on sharing successful strategies for avoiding them, with exemption being the foremost among these strategies. When new parents join such sites, they may be exposed to this endemic narrative framework in the threads they read and to which they contribute, which may influence their health care decision making.
This content is copyrighted strictly for Electronic Health Reporter.
The Internet of Medical Things (IoMT) is set to change the way that the medical industry delivers healthcare. As with the other disruptive changes that have come from the IoT and other digital revolutions, there will be challenges that face the IoMT.
This whitepaper discusses the protocols platforms and equipment that are driving the Internet of Medical Things, including:
Purpose of review
Social media is increasingly utilized by patients to educate themselves on a disease process and to find hospital, physicians, and physician networks most capable of treating their condition. However, little is known about quality of the content of the multiple online platforms patients have to communicate with other potential patients and their potential benefits and drawbacks.
Patients are not passive consumers of health information anymore but are playing an active role in the delivery of health services through an online environment. The control and the regulation of the sources of information are very difficult. The overall quality of the information was poor. Bad or misleading information can be detrimental for patients as well as influence their confidence on physicians and their mutual relationship.
Orthopedic surgeons and hospital networks must be aware of these online patient portals as they provide important feedback on the patient opinion and experience that can have a major impact on future patient volume, patient opinion, and perceived quality of care.
Alors que la France et l’Europe songent à encadrer les applications mobiles dédiées à la santé (la mHealth) je vous propose un guide des mauvaises pratiques illustré par des applis réellement proposées sur les stores.
Que ce soit chez google ou apple, ces applis sont disponibles dans les catégories « médecine » et « santé / forme », ce référentiel des mauvaises pratiques se focalise sur les apps à la frontière du médical, en excluant tout ce qui est sport/régime/relaxation …
Via Rémy TESTON
When people see me presenting health trackers and wearables in my use, they often ask me how I have time for measuring my health. It is true that I’m quite an avid health tracker. Previously, I have described how I track sleep and stress or how you could live healthier with the help of technology. I also shared how I created a measurement system for my health parameters with the help of a single Excel spreadsheet. I have to acknowledge it could seem so that I spend every second of my free time either measuring my health or by thinking about how to live healthier. But I have to say, I only spend maximum one hour every day with managing my health.
The potential of digitization is well understood, yet healthcare systems are struggling to convert ambition into reality. Here’s what we recommend.
Health systems around the world clearly recognize the potential of digital health: over the past decade, they have invested heavily in national e-health programs. Yet most have delivered only modest returns when measured by higher care quality, greater efficiency, or better patient outcomes. And in some cases, e-health projects have been cancelled due to significant cost overruns and delays, such as the National Program for IT in the United Kingdom’s National Health Service (NHS).1That’s because such ambitious information-technology initiatives—with a clear focus on IT support for clinical professionals—are typically beyond the core mission of healthcare systems, which also often struggle with legacy systems that impede data integration.
There seems to be a new tool for communication appearing on a weekly basis, be it a closed messaging app or broad social sharing tool, there is always a new medium for us to connect with the world.
Data shows that doctors, nurses and other medical professionals have flocked to tools like Twitter to share their opinions and engage with their peers on a multitude of topics, but where do they go from there? Do doctors use Snapchat? Is your pharmacist on Instagram?
Tools such as Facebook and Twitter are a decade old and have become part of the social consciousness of a generation. For many, social networks have become the primary individual communication platforms between friends, peers and groups, and these personal interactions have spread into all sectors and markets, including healthcare.
The rise Of Dr Millennial
These 'millennial' HCPs grew up with digital tools, researching not in libraries or using books, but using the Internet, collaborating and questioning their peers through social communities. Naturally their usage continued through both their medical study years and their qualified practice.
Most of the world aged 40 and under can now be found across multiple social networks both personally and professionally, and the healthcare community is no different. It would, however, be wrong to say that social activity is the reserve of the millennial HCP generation.
At the other end of the spectrum, there are highly-skilled and experienced healthcare professionals, wanting to stay relevant and adapting the way they work to incorporate social media and new technologies into their daily lives.
These individuals are pioneers who have embraced change and more often than not, use their professional credibility to lead the conversation and influence others.
The combination of these two groups has created a confluence of conversation that results in a resource of in-depth knowledge and insight provided online for all to access.
Millennial HCPs grew up using digital tools and social communities
Moving beyond 140-characters
Some, perhaps frustrated by Twitter's limited 140-character posting limit, have migrated to Medium.com, the site where users share stories, as well as interacting with each other.
Medium was created by Twitter co-founder Evan Williams in 2012, with a vision of offering the same broad accessibility of information that Twitter provided, but with much longer-form, in-depth content.
The site attracts roughly 30 million monthly visitors, and preliminary research showed a significant number of HCPs on the platform, with some writing, some engaging and others simply listening to the conversation.
The predominant content from HCPs on Medium was advice around specialist topics, usually a disease or therapy area.
These articles range from health tips, as with a post from orthopaedic surgeon Paul McDonough MD (@DrPaulMcDonoughMD) on looking after your back, to deep analysis of focused topics, such as a data-backed analysis of the single payer system in the US by Pat Salber MD (@Docweighsin), an emergency physician and founder of 'The Doctor Weighs In' blog. Pat has used Medium to spark conversation around this and many other topics on policy and governance in healthcare.
Another long-form content channel largely utilised by HCPs is Quora. The network applies a simple question and answer format to its content and hosts a wealth of knowledge, some broad, around topics such as technology, with wide interest groups, as well as other very specific conversations, such as evolutionary genetics, with few contributors, but rich depth of content.
With any channel, cutting through the noise of generalist conversation is often a challenge; Quora, however, is more approachable than others in that it breaks down conversations into topics and groups, as well as by user.
While it would be wrong to call Quora an 'emergent' site, having been set up in 2009, it is one that has recently seen a lot of activity from healthcare professionals. The number of interactions and the size of groups have grown steadily and are now at a point where it can be considered a significant outlet for HCP engagement.
The largest group to feature HCPs on Quora was 'Medicine and Healthcare'. At the time of writing, the topic had over 157,000 questions and 1.6 million individuals following the conversation. Of the top 10 writers within the topic, seven were HCPs.
A secondary topic group is 'Doctors', a group with over half-a-million followers and 18,500 questions. Of the ten most active writers, nine were HCPs.
Many physicians use Quora to test theories and ask questions of other HCPs. Sometimes these discussions are around disease areas or treatment methodologies.
In one response from radiation oncologist Marc-Emile Plourde to the question 'As a medical doctor, what is the biggest mistake that you've made?', he shares details about a mistake involving drug administration that resulted in a very negative experience for his patient. As this is in print, I cannot link to it, but I encourage you to look it up.
Plourde moved on from this mistake, which happened early in his career, to create a mobile app called MD on Call, to provide other healthcare professionals with advice on frequently encountered 'on-call' medical situations.
More often than not, social media channels and online networks can appear one-sided, with communication being very outward looking. Quora changes this dynamic. By using questions instead of statements as the starting point, conversations flow more naturally.
Many physicians use Quora to test theories and ask questions of other HCPs
Smile, you're on camera!
One that has caused a furore, both in the healthcare world and with the wider public, is that of surgeons taking their surgery global through video and photo live sharing networks like Facebook live, Instagram and Snapchat.
These social trailblazers, generally from the field of cosmetic surgery, have opened up their theatres to tens of thousands of people, all of whom chose to watch plastic surgeons in action.
Dr Sandra Lee, otherwise known as 'Dr Pimple Popper,' performs blackhead extractions and more to an audience of about 1.6 million on Instagram.
The California based, board-certified dermatologist has performed thousands of procedures, all documented through Instagram. From an analysis of the comments, many seem to find her work fascinating, while others use the innovative interactive approach to ask questions, relating either to a personal condition or advice regarding the profession of cosmetic surgeon.
Other examples of 'live' surgery include plastic surgeon, Matthew Schulman MD, who uses Snapchat to share images and video of a variety of plastic surgery procedures, including those performed under general anaesthesia such as liposuction and hernia repair.
While these videos garner huge media attention, and views in the millions, not everyone is pleased with this latest development. Many physicians claim that the videos distract from the procedure and can potentially pose a threat to the patient.
In 2013 the General Medical Council introduced a set of guidelines on how HCPs should conduct themselves on social media. However, with constantly evolving social and technological changes, a further revision will soon be needed to keep up with the pace of innovation.
The way we interact has changed beyond recognition over the past decade and will continue to do so over the decade to follow. For those in healthcare, social media and technology provide new and innovative opportunities to educate, engage and learn. The challenges for healthcare professionals will be to find the balance between what is possible and what is best for the patient.
Via Plus91, Lionel Reichardt / le Pharmageek
Wearing a fitness tracking device could earn you cash from your health insurance company. At first, this sounds lucrative for the people who participate, and good for the companies, who want healthier insurance customers. But it’s not quite so simple.
Under the program, people who have certain health insurance coverage plans with UnitedHealthcare can elect to wear a Fitbit activity tracker and share their data with the insurance company. The data would be analyzed by Qualcomm Life, a company that processes medical data from wireless sensors for doctors, hospitals and insurance companies. Depending on how active participants are, as measured by the Fitbit, they could earn as much as US$1,500 toward health care services each year.
Skills for Health has today launched a comprehensive social media toolkit for the UK healthcare sector, providing healthcare organisations and professionals with sector-specific insight, advice and best practice on using social media effectively.
The free toolkit, created with support from Public Health Wales, key industry experts and employers, has been written with healthcare organisations of all sizes and social media capabilities in mind: whether organisations are new to social media and unsure where to start, or want to make sure their existing social presence is fit for purpose.
The toolkit covers everything from strategy to content creation, including guides to the key platforms and leading influencers to follow, examples of best practice, downloadable templates and additional resources, as well as advice on how to encourage organisations to embrace a digital culture.
Dawn Bratcher, Senior Marketing Manager for Skills for Health said:
‘30% of adults said they would share information about their health on social media and more than 40% said information found via social media affects how they deal with their health. Social media plays an ever-growing role in our daily lives, including the way we access and share information. Starting conversations online enables healthcare organisations to raise awareness, share information, engage with existing audiences and reach out to new ones.’
Download and share the social media toolkit here: skillsforhealth.org.uk/socialtoolkit
This article encourages nurses to use Twitter to engage in professional discussions, share information and raise awareness of alternative views to enhance practice and patient care. Twitter is an online social media service that enables users to send and read 140-character messages called tweets.»
Twitter is free and accessible across multiple platforms and devices, providing immediate contact with professionals, organisations and the public worldwide.»
Many healthcare professionals use Twitter to share ideas and information.»
Responsible use of Twitter creates opportunities to access information, discuss issues and challenge misconceptions to support professional nursing behaviours.
‘How to’ articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of:1.
How you could develop your use of Twitter for professional learning and interaction with healthcare professionals and others.2.
How you could support a colleague to use Twitter for the first time.
Importance New dissemination methods are needed to engage physicians in evidence-based continuing medical education (CME). Objective To examine the effectiveness of social media in engaging physicians in non-industry-sponsored CME. Design We tested the effect of different media platforms (e-mail, Facebook, paid Facebook and Twitter), CME topics, and different “hooks” (e.g., Q&A, clinical pearl and best evidence) on driving clicks to a landing site featuring non-industry sponsored CME. We modelled the effects of social media platform, CME topic, and hook using negative binomial regression on clicks to a single landing site. We used clicks to landing site adjusted for exposure and message number to calculate rate ratios. To understand how physicians interact with CME content on social media, we also conducted interviews with 10 physicians. Setting The National Physicians Alliance (NPA) membership. Participants NPA e-mail recipients, Facebook followers and friends, and Twitter followers. Main Outcomes and Measures Clicks to the NPA’s CME landing site. Results On average, 4,544 recipients received each message. Messages generated a total of 592 clicks to the landing site, for a rate of 5.4 clicks per 1000 recipients exposed. There were 5.4 clicks from e-mail, 11.9 clicks from Facebook, 5.5 clicks from paid Facebook, and 6.9 clicks from Twitter to the landing site for 1000 physicians exposed to each of 4 selected CME modules. A Facebook post generated 2.3x as many clicks to the landing site as did an e-mail after controlling for participant exposure, hook type and CME topic (p<0.001). Twitter posts (p = 0.13) and paid Facebook posts (p = 0.06) were not statistically different from e-mail in generating clicks to the landing site. Use of different hooks to engage physicians had no impact on clicks to the landing site. Interviews with physicians suggested that social media might not be a preferred vehicle for disseminating CME. Conclusions Social media has a modest impact on driving traffic to evidence-based CME options. Facebook had a superior effect on driving physician web traffic to evidence-based CME compared to other social media platforms and email.
La fibrillation auriculaire (FA) est l'arythmie clinique la plus fréquente. Bien souvent asymptomatique, elle n’en est pas moins responsable d'au moins 15% des accidents vasculaires cérébraux et constitue même la principale cause d'AVC chez les patients de plus de 75 ans. Aussi, la détection précoce de la FA constitue un enjeu important de santé publique.
Via Philippe Marchal
Background: Concerns over online health information–seeking behavior point to the potential harm incorrect, incomplete, or biased information may cause. However, systematic reviews of health information have found few examples of documented harm that can be directly attributed to poor quality information found online.
Objective: The aim of this study was to improve our understanding of the quality and quality characteristics of information found in online discussion forum websites so that their likely value as a peer-to-peer health information–sharing platform could be assessed.
Methods: A total of 25 health discussion threads were selected across 3 websites (Reddit, Mumsnet, and Patient) covering 3 health conditions (human immunodeficiency virus [HIV], diabetes, and chickenpox). Assessors were asked to rate information found in the discussion threads according to 5 criteria: accuracy, completeness, how sensible the replies were, how they thought the questioner would act, and how useful they thought the questioner would find the replies.
Results: In all, 78 fully completed assessments were returned by 17 individuals (8 were qualified medical doctors, 9 were not). When the ratings awarded in the assessments were analyzed, 25 of the assessments placed the discussion threads in the highest possible score band rating them between 5 and 10 overall, 38 rated them between 11 and 15, 12 rated them between 16 and 20, and 3 placed the discussion thread they assessed in the lowest rating band (21-25). This suggests that health threads on Internet discussion forum websites are more likely than not (by a factor of 4:1) to contain information of high or reasonably high quality. Extremely poor information is rare; the lowest available assessment rating was awarded only 11 times out of a possible 353, whereas the highest was awarded 54 times. Only 3 of 78 fully completed assessments rated a discussion thread in the lowest possible overall band of 21 to 25, whereas 25 of 78 rated it in the highest of 5 to 10. Quality assessments differed depending on the health condition (chickenpox appeared 17 times in the 20 lowest-rated threads, HIV twice, and diabetes once). Although assessors tended to agree on which discussion threads contained good quality information, what constituted poor quality information appeared to be more subjective.
Conclusions: Most of the information assessed in this study was considered by qualified medical doctors and nonmedically qualified respondents to be of reasonably good quality. Although a small amount of information was assessed as poor, not all respondents agreed that the original questioner would have been led to act inappropriately based on the information presented. This suggests that discussion forum websites may be a useful platform through which people can ask health-related questions and receive answers of acceptable quality.
Qual è il rapporto che la nuova generazione dei giovanissimi (dai 12 ai 17 anni) e dei Millennials più giovani (dai 18 ai 24 anni) ha con la sessualità e la prevenzione da infezioni e malattie sessualmente trasmesse?
Everyone is looking for an edge to promote their business or service and the healthcare industry is no different. One of the most powerful tools doctors have in their bag to promote them self is social media. It is a digital resource unlike any other when it comes to allowing the ability to acquire new patients, stay connected with current patients, and build relationships that prove beneficial in a multitude of ways.
Social media is hardly new to anyone at this time, yet for a number of doctors, it is still something they are not especially adept at. Sure, they are well aware of what social media is, but when it comes to harnessing that power to promote them self in a meaningful way, they are lost.
Others are fairly well aware of how to use social platforms, but choose not to out of fear that they will make mistakes that damage their reputation and possibly, their career. Regardless of experience level or sometimes irrational fears, the importance of social media has never been greater than it is now.
Doctors are human, and as humans, they tend to make the same mistakes on social media that many professionals do. Whether you have been on social media for years, or you are just beginning, these are common mistakes doctors tend to make on social media.
Not having a strategy in place
Entering into social media with no plan is no kind of entry. It’s akin to asking to fail before you even really begin. You have to know why you are using social media, how to use it, and then you have to follow through on your strategy. Blindly posting content and hoping for the best is not a strategy. Take the time to produce or procure content that will inform and engage, then follow through with conversation as necessary.
Shying away from conversation
You’re on social media to engage with people so it makes no sense to ignore people when they are trying to talk to you. If you view social media as some sort of one-sided advertisement where you shout your glories through a bullhorn and nothing more, you will fail. That is not speculation, it is fact. You have to respond to comments, listen to feedback (good or bad), and show that you are available and care enough to carry on the conversations directed toward you. Anything less is not going to work.
Remember how we said just a moment ago that social media isn’t a big one-sided advertisement? If not, we’re saying it again in a different way because it is that important for you to grasp it. Only about 20% of your posts should be aimed at promoting yourself. The remainder should be somewhat generically engaging content. It was what draws people in so that they do see the content that directly promotes you. As the song says, a spoonful of sugar helps the medicine go down!
Focusing on quantity over quality
It’s not all a numbers game. More in no way means better on social media. Focus on creating and sharing enough high quality content to keep people engaged, not piles of random postings in which you hope something catches on. Similarly, it’s not all about views, it’s about the quality of your views and if they come with engagement and shares. To just blindly post scads of content is a waste of everyone’s time and your money.
Not managing time and resources
Be efficient! Use tools to make your time on social media more effective. Most platforms have internal schedulers and for those that don’t, there are apps for that. This frees up more time for you to actually talk to the people commenting on your content which is what you are there for in the first place. Also, you don’t have to use every social network under the sun. Try the ones that appeal to you, but if a platform isn’t working for you or you just don’t like it, don’t waste time on it. Focus on what works!
This is self-explanatory. Don’t expect to rule the web in a week. Or month. Or ever! Go in knowing that success takes time and success is measured differently for everyone. Keep it cool and natural and don’t push! Social media is a triathlon, not a sprint.
Not setting up bio and profile picture correctly
You have to show people you take your presence on social media seriously if you want them to take you seriously. The first step in that is setting up your profiles correctly with banners, a real profile picture and all information fields filled in. If you can’t be bothered to do the basics, it looks unprofessional and no one is going to take you seriously. You have to lay the groundwork!
Not knowing the line between personal and professional
You have to know and respect the line between personal and professional. There are many aspects of your career that cannot be discussed or even alluded to online. If you cross the line, you will pay the price. That doesn’t mean you can’t talk about anything to do with your career, you just have to stay aware of the legal and ethical boundaries.
Not using it at all
If you’re not using social media, that is your biggest mistake. You are missing opportunities and that is more than unfortunate, it’s almost tragic. Your possibilities online are endless, seize them before you miss the chance to benefit!
Digital health technologies will transform healthcare. Mobile phones have given health care providers the ability to engage with patients 24-7 and patients are able to capture and share data that may be helpful in tracking and personalizing their health care. Genomics, analytics, artificial intelligence and deep learning technologies are all making inroads in this emerging sector. Although the amount of money invested in the sector slightly decreased from last year, according to Rock Health, venture capital interest in the digital health sector is still significant with $4.2 billion invested in 2016.
This is a time of digital innovation. Technology is continually changing the way people live, interact, learn, play and work, offering new opportunities to change the way Public Health England (PHE) reaches out and interacts with people. Digital tools offer new ways to gather and analyse data, to engage within PHE and with our stakeholders, and to deliver better public health outcomes. This rapidly-changing world offers many opportunities but also some challenges to public health. It requires new thinking about public health delivery models, data, governance, partnership and engagement.
Emergency physicians are finding new ways to connect with patients, with some growing an audience by posting messages to Twitter.
Researchers at the University of Washington analyzed Twitter posts for more than 2,200 emergency physicians to see which ones made the most out of their 140-character posts. The team identified about 60 doctors who are cultivating a following on the site both by measuring followers broadly and by looking at who’s connecting the most with other emergency physicians.
The team also looked at the content of posts to determine which physicians are more likely to spread and share key information. The researchers hope that their analysis can form the basis of future study on how emergency doctors are interacting with patients and their peers on social media. For instance, many of the doctors driving the conversations on Twitter also have blogs or podcasts where they discuss healthcare topics.
Via Marie Ennis-O'Connor