On innove à l'hôpital
2.3K views | +0 today
Follow
On innove à l'hôpital
De l'idée aux soins
Curated by Chanfimao
Your new post is loading...
Your new post is loading...
Rescooped by Chanfimao from Social Media and Healthcare
Scoop.it!

Social Media and Physician Conflict of Interest.

Social Media and Physician Conflict of Interest. | On innove à l'hôpital | Scoop.it

The use of social media by physicians has increased substantially in recent years, with some estimates reporting increases from 41.6% in 2010 to as high as 90% in 2011.1 While personal use is more common, 65% of physicians interact with various social media platforms for professional reasons.1 For example, some physicians use social media to promote positive health behaviors, debate health care policy, network with colleagues, and educate their patients, peers, and students.

As such, there is great potential that physician use of social media can help to improve health outcomes. However, protection of patient and physician privacy, distribution of inaccurate healthcare information, violation of personal–professional boundaries, misrepresentation of credentials, and bias in physicians' recommendations on social media remain significant concerns. Recognizing this, in 2010, the American Medical Association and, in 2013, the American College of Physicians (ACP) and the Federation of State Medical Boards (FSMB) published guidelines for the ethical use of social media by physicians.2, 3 The ACP/FSMB policy statement advises that physicians must disclose any potential conflicts of interest (COI) when discussing their professional experiences online. These recommendations were (and remain) innovative; we are not aware of similar recommendations applying to other professional groups using social media (e.g., lawyers and scientists). Despite this recommendation, data suggest that lack of disclosure by physicians continues to be a significant problem. In this commentary, we examine the challenges of disclosure on social media and propose potential solutions.

 
The Importance of Disclosure

Industry relationships may explicitly or implicitly bias physicians in their reporting of research study results and in their declared medical management recommendations. Such conflicts may create risks for individual patients and can also undermine the integrity of the doctor-patient relationship. Disclosure of potential COI ensures such influences can at least be acknowledged and incorporated into the interpretation of online information. Physicians are already required to disclose potential COI during conference presentations, on submissions to medical journals, and to their employing institutions (e.g., academic medical centers). While some may argue that disclosure can lead to misguided trust in the discloser,4 in general, disclosure serves to 1) caution readers, and 2) serve as a deterrent from engaging in these relationships when unethical.

 
Current Status in Social Media

Are physicians following the ACP/FSMB policy recommendation on disclosure, and should consumers of social media be concerned about potential COI amongst physician's distributing healthcare information on these platforms? Available studies raise concerns.

Data about physicians' failure to disclose potential conflicts online predate the 2013 ACP/FSMB policy statement. In a 2012 survey of osteopathic and medicine boards in the United States, 92% indicated that at least 1 online professionalism violation had been reported to their board, and approximately 20% of these violations related to failure to disclose COI online.5

Data in the wake of the ACP/FSMB recommendations suggest that the current state of disclosure online is no better. In a study of US haematology-oncology specialists using Twitter, 79.5% had at least one financial COI.6 In a subsequent study, researchers analysed the contents of the tweets of 156 haematology-oncology physicians with a financial COI of at least $1000 in general payments in 2014.7 81% of physicians mentioned at least one drug from a company for which they had a COI.7 Comparing 100 tweets about potentially conflicted drugs with 100 tweets about non-conflicted drugs at random, conflicted tweets were more likely to be positive, similarly likely to be neutral, and less likely to be negative.7 Of utmost concern, only 1.3% of these physicians included disclosures of their payments.7 Whether such potential biases exist among other specialties warrants further study.

 
Future Directions

Current evidence suggests that physicians using social media commonly have potential COI, often discuss medications from a company for which they have a financial COI, are more likely to discuss these medications in a positive manner, and are rarely reporting their potential COI. In an era where disclosure of potential COI is standard in medical journals and conference presentations, why has it been so challenging to get physicians to disclose on social media, which has the potential to influence millions? Several possible explanations exist, each of which suggests a way forward to improve disclosure.

One explanation is simply that disclosure online is difficult because social media pose inherent challenges for disclosing potential COI. Content is often brief, with characters limits often making it difficult to report disclosures. Furthermore, information distributed and shared by users of social media may not necessarily contain the original disclosure present in the initial post or physicians profile, if it was included. Lastly, a layperson may not fully comprehend potential conflicts in a manner similar to other physicians and scientists. Yet, these technical challenges are not insurmountable. On weblogs, this may be achieved by explicitly reporting disclosures in the relevant post. Ideally, this should be reported in simplified language which a layperson could interpret. When using social media platforms where character limits apply (e.g. Twitter), disclosure could be accomplished by providing an electronic ‘tag’ or link to a standardized disclosure form e.g. International Committee of Medical Journal Editors (ICJME) or to a public reporting database.8 Links could be made to publicly available online databases, such as the Centers for Medicare and Medicaid Services Open Payments system.

Another explanation could be that physicians are unaware of recent ethics guidelines. Just as uptake of new clinical guidelines is notoriously delayed, so too might be uptake of ethical guidelines. However, this explanation is unconvincing. Ethics guidelines for disclosure on social media did not create a new ethical obligation; they applied an existing and well-established obligation to a new media. Nevertheless, additional educational efforts highlighting the importance of conflict of interest disclosure and management amongst physicians using social media could increase awareness of the requirement to disclose. These efforts should be developed with special attention to the undergraduate medical school level (as these future physicians are more likely to use social media and are at a critically impressionable period of their professional development).

A third explanation is the lack of enforcement online. Perhaps, as an unintended consequence of COI disclosure policies being formalized and enforced at conferences, in journal publications, and at physicians' institutional employers, physicians have a blind spot regarding social media. The blurred boundaries of social media between the personal and professional realms may also contribute to this. The absence of enforcement online only makes physicians' self-regulation as a profession more important. Medical professionals using social media must realize that the obligation to disclose is fundamentally an ethical one, independent of whether they are required to disclose as a matter of policy. Physicians should not post content for which they have a potential conflict when they cannot assure adequate disclosure. In certain circumstances, physicians may also need to consider reporting other physicians whom they know fail to disclose, perhaps to their professional associations.

With mounting evidence that industry relationships may bias the content of social media content, physicians who post must recognize their fundamentally ethical duty to disclose and manage potential COI in social media. In the meantime, more research examining the prevalence, impact of physician's COI on social media, and appropriate management strategies are clearly warranted.

Without improvements in COI disclosure and management on social media networks, trust in the medical profession and the validity of social media as an outlet for medical education are both in danger.

 
References
Modahl M, Tompsett L, Moorhead T. Doctors, Patients & Social Media. 2011 Available at: http://www.quantiamd.com/q-qcp/social_media.pdf.American Medical Association. Opinion 9.124. Professionalism in the use of social media. 2010. AMA Code of Medical Ethics.Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627.Sah S, Fagerlin A, Ubel P. Effect of physician disclosure of specialty bias on patient trust and treatment choice. Proc Natl Acad Sci U S A. 2016;113(27):7465-9.Greysen SR, Chretien KC, Kind T, Young A, Gross CP. Physician violations of online professionalism and disciplinary actions: a national survey of state medical boards. JAMA. 2012; 307 (11) 1141-1142.Tao DL, Boothby A, McLouth J, Prasad V. Financial conflicts of interest among hematologist-oncologists on Twitter. JAMA Intern Med. 2017;177: 425–27.Kaestner V, Brown A, Tao D, Prasad V. Conflicts of interest in Twitter. Lancet Haematol. 2017;4(9):e408-e409.Decamp M. Physicians, social media, and conflict of interest. J Gen Intern Med. 2013;28(2):299-303.

Via Plus91
more...
No comment yet.
Rescooped by Chanfimao from Web Community
Scoop.it!

Trello. La gestion visuelle de tous vos projets

Trello. La gestion visuelle de tous vos projets | On innove à l'hôpital | Scoop.it
Trello est un outil de gestion de projet en ligne déjà ancien inspiré de la méthode Kanban. Il offre la possibilité de mettre en place et de gérer des projets en équipe sous la forme de tableaux ra…

Via Jean-Jacques Roland
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Première expérience de "chirurgie augmentée" avec les lunettes HoloLens* à l'hôpital Avicenne (AP-HP)

Première expérience de "chirurgie augmentée" avec les lunettes HoloLens* à l'hôpital Avicenne (AP-HP) | On innove à l'hôpital | Scoop.it
"booster la révolution numérique de deux secteurs" que sont la formation des chirurgiens par la simulation, et l'avènement d'une "chirurgie augmentée" qui doit amener une "standardisation des procédures" et "limiter les erreurs humaines".
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Sainte-Anne: de l'"asile de fous" champêtre à l'hôpital ouvert sur la ville

Sainte-Anne: de l'"asile de fous" champêtre à l'hôpital ouvert sur la ville | On innove à l'hôpital | Scoop.it
more...
No comment yet.
Rescooped by Chanfimao from Social Media and Healthcare
Scoop.it!

Social Media Savvy Doctor Helps Patients Online

Social Media Savvy Doctor Helps Patients Online | On innove à l'hôpital | Scoop.it

A lot of people share their lives on social media, what they eat, where they go, so this doctor figured it’s a good way to check on patients online to help keep them healthy.

Dr. Vicki Bralow is checking up on her patients via social media. On Instagram, she sees a patient at a concert and suggests the person uses ear protection in case the music gets too loud.

 

“I’m trying to find different ways that i can reach out to my patients,” Dr. Bralow said.

The Society Hill primary care doctor says social media provides a more comprehensive view of how her patients’ lives and it covers a lot more than usually gets discussed with in-person visits.

“Social media is a great way to connect on what’s going on in people’s lives at the time, which is very important,” Dr. Bralow said.

“Social media is a way to connect with people that aren’t sitting in front of me.”

Facebook and Instagram checkups are meant to augment regular doctor appointments.

Kim Verdell, who had stomach cancer, says Dr. Bralow’s interaction on social media has helped her keep her diet in better shape.

Researchers: Popular Diet May Help With Multiple Sclerosis

“I was really happy to see her do it,” she said. “It was a way that I could really keep in touch with her.”

Verdell, who is 55 years old, says she likes sharing her life with friends online and with her doctor, keeping her health in good shape.

“I love it i love it,” she said.

Dr. Bralow says because social media isn’t private, she’s very careful about what she says, never revealing anything personal or embarrassing about patients, and there’s never any shamming if she sees bad behavior.


Via Plus91
more...
No comment yet.
Rescooped by Chanfimao from #eHealthPromotion, #SaluteSocial
Scoop.it!

Doctors use Snapchat and other social media to better share patient information with colleagues

Doctors use Snapchat and other social media to better share patient information with colleagues | On innove à l'hôpital | Scoop.it

Doctors in the National Health Service (NHS) are sharing images of patient scans using social media tools like Snapchat in a bid to get round old and inflexible systems. 

That is the warning of a panel of experts, chaired by former Cambridge Liberal Democrat MP Dr Julian Huppert, which revealed that clinicians are using Snapchat, along with similar camera apps, to record particular details of patient information and share it with colleagues. 

 

The move has been criticised as "insecure and risky", by critics, but the panel suggested that was partly because NHS IT has failed to keep up. 

 

In the report, commissioned by Google-owned DeepMind Health (of all organisations), the panel describes the move as "clearly an insecure, risky, and non-auditable way of operating, and cannot continue". 

But it added that as "the digital revolution has largely bypassed the NHS" clinicians are turning to online technology to make their job easier. 

"It is difficult to criticise these individuals, given that this makes their job possible.

"The NHS, in 2017, still retains the dubious title of being the world's largest purchaser of fax machines.

"Many records are insecure paper-based systems which are unwieldy and difficult to use. Seeing the difference that technology makes in their own lives, clinicians are already manufacturing their own technical fixes."

The panel also noted that the average NHS Trust has 160 different computer systems in operation - and there are around 150 different NHS trusts across the UK. 

This report comes out just days after the Information Commissioner's Office ruled that a data-sharing deal between the Royal Free NHS Trust and Google DeepMind was illegal.

 

The deal, which saw the details of 1.6 million patients passed to Google DeepMind without patient's knowledge "failed to comply with the Data Protection Act". 

The Royal Free and Google DeepMind previously attempted to defend the deal by saying that "implied consent" was assumed because the Streams app was delivering "direct care" to patients. 


Via Plus91, Giuseppe Fattori
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Iseult, l’IRM médical le plus puissant au monde

Iseult, l’IRM médical le plus puissant au monde | On innove à l'hôpital | Scoop.it
Le campus de Paris-Saclay (Yvelines) accueille un aimant exceptionnellement puissant qui permettra de voir en détail tumeurs et lésions.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

QUELLES RÉFORMES POUR L'HÔPITAL ? - FAST & CURIOUS

Rencontre avec Nathalie, infirmière depuis 25 ans à l'hôpital Saint-Antoine à Paris. Elle m'explique les difficultés de son métier. Un éclairage plu
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

SECLIN - À l’hôpital, la chirurgie ambulatoire servie sur un plateau

SECLIN - À l’hôpital, la chirurgie ambulatoire servie sur un plateau | On innove à l'hôpital | Scoop.it
Le plateau de chirurgie ambulatoire du groupe hospitalier Seclin-Carvin (GHSC) a été inauguré officiellement lundi, deux mois après sa mise en service. Un équipement qui répond à la fois aux nouvelles attentes des personnes hospitalisées et aux préconisations de l’agence régionale de santé.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Toulouse. À l’Hôpital des nounours, fini la peur du docteur

Toulouse. À l’Hôpital des nounours, fini la peur du docteur | On innove à l'hôpital | Scoop.it
L’université Toulouse III Paul Sabatier accueille l’Hôpital des Nounours, jusqu'au 17 mars prochain. L’opération est destinée aux enfants de trois à six ans
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Les hôpitaux vont pouvoir proposer des hébergements non médicalisés à leurs patients - Actualité Weka

Les hôpitaux vont pouvoir proposer des hébergements non médicalisés à leurs patients - Actualité Weka | On innove à l'hôpital | Scoop.it
Un récent décret fixe les modalités de l’expérimentation des hébergements temporaires non médicalisés de patients.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Gaël, paraplégique, remarche grâce à un exosquelette: J’avais des flammes dans les yeux, c’était génial!

Gaël, paraplégique, remarche grâce à un exosquelette: J’avais des flammes dans les yeux, c’était génial! | On innove à l'hôpital | Scoop.it
Partiellement paralysé des membres inférieurs depuis un accident du travail, Gaël est à la recherche constante de nouveaux moyens pour faciliter son quotidien. L’acquisition d’un exosquelette se présente comme la solution la plus radicale, lui permettant d’enfin sortir de sa chaise. Ses premiers essais l’ont enthousiasmé et convaincu d’en acheter un.
more...
No comment yet.
Rescooped by Chanfimao from Sécurité, protection informatique
Scoop.it!

Adoption du BYOD en entreprise : comment gérer les risques associés ? - @Sekurigi

Adoption du BYOD en entreprise : comment gérer les risques associés ? - @Sekurigi | On innove à l'hôpital | Scoop.it
L’utilisation d’appareils mobiles personnels dans un cadre professionnel devient une pratique très tendance de nos jours. Pour preuve, près de 150 millions de terminaux personnels sont aujourd’hui employés en entreprise. Ainsi les frontières entre sphère professionnelle et sphère privée sont de plus en plus floues. Alors, comment gérer les risques associés ? Le BYOD incarne la... Lire la suite

Via Stephane Manhes
more...
Stephane Manhes's curator insight, January 11, 2017 9:47 AM

(...) L’enjeu du BYOD est plus ou moins complexe, car le concept ne consiste pas à autoriser l’utilisation personnelle d’un appareil fourni et contrôlé par l’entreprise. Au contraire, il cherche à intégrer des applications nécessaires au travail du salarié sur son appareil mobile personnel. 

Rescooped by Chanfimao from Buzz e-sante
Scoop.it!

Un cœur artificiel universel veut remplacer les grands cœurs malades

Un cœur artificiel universel veut remplacer les grands cœurs malades | On innove à l'hôpital | Scoop.it
Des chercheurs de l'Oregon Health and Science University élaborent un cœur artificiel qui siérait aux adultes comme aux enfants, et ce pour toute la vie.

Via Rémy TESTON
more...
No comment yet.
Rescooped by Chanfimao from DOC-ACTU Risques psychosociaux
Scoop.it!

Quand la compassion rend malade

La compassion est une qualité attendue des personnels de soins. Face à l’empathie qui correspond à la capacité de percevoir ce que ressent autrui, ses émotions ou sa douleur, la compassion est une (...)

Via crdocsmpe
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

JIM.fr - Faut-il fixer un nombre minimal d’infirmiers par patient dans les hôpitaux ?

JIM.fr - Faut-il fixer un nombre minimal d’infirmiers par patient dans les hôpitaux ? | On innove à l'hôpital | Scoop.it
more...
No comment yet.
Rescooped by Chanfimao from Santé connectée, Intelligence Artificielle, Robots... Aujourd'hui et Demain!
Scoop.it!

L’Intelligence Artificielle dans le domaine médical : la mutation du secteur est enclenchée #IA #hcsmeufr

L’Intelligence Artificielle dans le domaine médical : la mutation du secteur est enclenchée #IA #hcsmeufr | On innove à l'hôpital | Scoop.it
Les mentalités évoluent. Les populations sont de plus en plus enclines à intégrer l’Intelligence Artificielle (IA) dans leur quotidien. Pourtant considérée comme de la science-fiction il y

Via Pharmacomptoir / Corinne Thuderoz
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Washington health system launches virtual hospital to augment care in 7 facilities | FierceHealthcare

Washington health system launches virtual hospital to augment care in 7 facilities | FierceHealthcare | On innove à l'hôpital | Scoop.it
A Tacoma, Washington-based health system has launched a virtual hospital where 200 doctors and nurses assist in caring for patients in surrounding communities exclusively through telemedicine. The virtual initiative developed by CHI Franciscan Health augments care for patients in the organization's seven hospitals.
more...
No comment yet.
Rescooped by Chanfimao from Santé connectée, Intelligence Artificielle, Robots... Aujourd'hui et Demain!
Scoop.it!

La réalité virtuelle pour guérir les paralysies faciales - GoGlasses

La réalité virtuelle pour guérir les paralysies faciales - GoGlasses | On innove à l'hôpital | Scoop.it
Au Royaume-Uni, la réalité virtuelle et les avatars 3D vont être utilisés pour mieux soigner les paralysies du visage.

Via Rémy TESTON, Pharmacomptoir / Corinne Thuderoz
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

MAUBEUGE - À l’hôpital, les sages-femmes se déclinent aussi au masculin

MAUBEUGE - À l’hôpital, les sages-femmes se déclinent aussi au masculin | On innove à l'hôpital | Scoop.it
Vendredi, c’était la fête des sages-femmes. Plus de 15 ans qu’elle existe. L’occasion pour l’hôpital de Maubeuge de mettre en avant la profession, sorte de maillon fort de la chaîne hospitalière quand on va devenir parent.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Un hôpital des nounours pour sensibiliser les enfants à la médecine à Nice - France 3 Provence-Alpes-Côte d'Azur

Un hôpital des nounours pour sensibiliser les enfants à la médecine à Nice - France 3 Provence-Alpes-Côte d'Azur | On innove à l'hôpital | Scoop.it
Comment dédramatiser le monde de l'hôpital auprès des enfants ? A Nice, l'association a trouvé la solution avec une vraie fausse structure pour soigner les peluches.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

La Poste teste la livraison par drones entre deux hôpitaux

La Poste teste la livraison par drones entre deux hôpitaux | On innove à l'hôpital | Scoop.it
La Poste suisse, en collaboration avec le fabricant Matternet et le réseau hospitalier du Tessin EOC, lance à Lugan
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Ouverture d'un hôpital de médecine chinoise près de Barcelone

Ouverture d'un hôpital de médecine chinoise près de Barcelone | On innove à l'hôpital | Scoop.it
Un Centre de Médecine Traditionnelle Chinoise ouvrira ses portes prochainement à L'Hospitalet de Llobregat, près de Barcelone.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

Digitalisation de la santé : avec plus de temps passé devant les écrans qu’avec les patients, reste-t-il encore du temps pour soigner ?

Souvent critiquée et parfois remise en cause, la digitalisation du secteur de la santé en France est aujourd’hui bien en marche. En témoignent les nombreuses initiatives mises en place ces dernières années, à l’image des programmes gouvernementaux visant à financer la modernisation numérique des établissements de soins français et à encourager l’essor des startups dans le domaine de l’e-santé.
more...
No comment yet.
Scooped by Chanfimao
Scoop.it!

10 produits 100% French Tech qui ont bluffé le CES 2017

10 produits 100% French Tech qui ont bluffé le CES 2017 | On innove à l'hôpital | Scoop.it
Quelques heures à peine après la fermeture du salon de Las Vegas, nous souhaiterions mettre à l'honneur 10 produits 100% Made in France qui devraient changer
more...
No comment yet.