The New Patient-Doctor e-Relationship
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The New Patient-Doctor e-Relationship
How is the patient-physician relationship changing due to the internet, online social networks, and mobiles?
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Doctors integrate iPads into practicing medicine

When one thinks of receiving medical attention, they don’t think of iPads. The saying “technology is the wave of the future” is true, though, and mobile technology is beginning to work into how doctors diagnose illnesses and talk to their patients.

(...) "Hospitals across the country have embraced iPads to help create a more efficient workflow for practitioners, and health care organizations now are beginning to integrate EMR with mobile devices so doctors can pull up e-scripts, lab and X-ray results at the patient’s bedside instead of collecting them from physical departments.

“Showing patients their chest X-rays in real time and their lab results on the iPad, and I think engaging the patient more in their health care and making them more educated about their own problems, has been a big component of the study,” Nuss said.

The other major part of the study is how the technology of the iPad helps medical professionals deliver a higher quality of care.

“There are questions all day long. Patients come in, and doctors ask if they should stop one treatment and start another or if they should order a set of tests or not, which blood test should a person be worked up with,” Nuss explained.

An example is someone comes to the hospital and doctors find something in his or her bloodstream during tests. To know the best way to treat it, a doctor can look up the latest treatment options available through a medical resource, the Centers for Disease Control and Prevention or another evidence-based site, and determine the proper approach to treat the patient while standing bedside.

“That in the moment, clinical decision making support and being able to look it up quickly is important,” Nuss said." (...)

CE: Shallow coverage of a relevant issue; comes out as free publicity for Apple, sadly.


Via PEAS Healthcare, Giuseppe Fattori
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Physicians use mobile health apps for research and patient education |

Physicians use mobile health apps for research and patient education | | The New Patient-Doctor e-Relationship |

mobile health adoption among patients is booming, with 53% of US adults in possession of a smartphone, and just over half of those users accessing medical information from their devices. With ownership rates and device capabilities expanding every day, physicians, pharmacists, and other medical professionals are using apps to make an impact during clinical visits and behind the scenes.

There are between 20,000 and 30,000 healthcare related apps available for Apple and Android platforms, and 17,000 of those are geared towards purely medical use. Pharmacist Timothy August, for example, told the Las Vegas Review-Journal that he uses a pill identification app on a daily basis, inputting the shape, size, and color of a medication and receiving the name of the pill almost instantly. The technology has become invaluable to him during his community outreach work when a patient has her pills in hand, but hasn’t brought the prescription bottle.

Medical calculators and reference information are also popular among doctors and students who need to check symptoms or want a quick refresher on a procedure. Epocrates, one of the oldest companies developing mobile apps for medical professionals, has over one million users of their drug reference software, and is now branching out to educational apps, like Anatomy on the Go and an echocardiography atlas, for use on standard smartphone devices as well as the iPad.

Patient education is one reason some physicians use smartphones in the exam room. John Cox, CEO of Visible Health, notes that “somewhere around the order of 80 percent of all information communicated between a physician and a patient is lost when a patient walks out of the room.” With Visible Health’s drawMD software, physicians can create personalized diagrams to explain tumors and other injuries without needing to take out a sketch pad and pencil. The diagram can be printed or emailed afterward, or added to the patient’s medical record, ensuring that the patient can retain the information and its context.

Via Andrew Spong
eMedToday's curator insight, August 19, 2013 10:30 PM

Doctors want apps that education and reference information.


Just follow what epocrates.


Pharma should provide this information to doctors

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Where growth is coming in telemedicine -

Where growth is coming in telemedicine - | The New Patient-Doctor e-Relationship |
Home health care and disease monitoring are areas where physicians might find more opportunities in remote care, according to a new report.

Via dbtmobile
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Finding The Doctors Your Doctor Trusts

Finding The Doctors Your Doctor Trusts | The New Patient-Doctor e-Relationship |
Insurance websites or Yelp can give you patient reviews of a doctor, but neither give you the most crucial piece of information – whether other doctors trust their medical expertise.

(...) "Using a map (right), HealthTap lays out all the referrals a particular doctor receives from around their city, state, or the entire U.S. You can see that, say, your general care physician Dr. Smith always refers his patients with heart problems to cardiologist Dr. Jones. You can assume that Dr. Smith trusts Dr. Jones’ work and likely shares a similar approach of caring for a patient. Likewise, if Dr. Jones gets frequent referrals from 10 different doctors, you can trust that she’s a competent practitioner.

Dr. Jeff Livingston, an OBGYN based in Texas who uses HealthTap, contends that the way a patient chooses a doctor is broken. “Often patients read online reviews and make a choice based on the friendliness of the receptionist or availability of parking, not the actual quality of a doctor,” he says. He hopes that going forward, when he gives a patient a referral to two different doctors, they use DOConnect to research each provider and find the one who is right for them. Livingston also sees people using it as filter to find their first, or a new, general care doctor based on how many doctors refer to them." (...)

Via Alex Butler
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Mobile Healthcare Faces The Future [Infographic]

Mobile Healthcare Faces The Future [Infographic] | The New Patient-Doctor e-Relationship |

The Mobile Revolution continues to change how industry after industry goes about day-to-day business. Yet one industry has been surprisingly slow to embrace the benefits of mobile: healthcare. Many observers find that strange, since healthcare could clearly benefit from the power of smartphones and tablets attached to the cloud.

Via Alex Butler
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When the Rx is an app -

When the Rx is an app - | The New Patient-Doctor e-Relationship |
As apps monitor, manage and control almost every aspect of health care, some physicians are finding they help increase patient compliance and education.

(...) "There are no definitive numbers on how many doctors prescribe apps. But most industry watchers say such prescribing will grow more common as outcome-based payment models become more prevalent among payers and more patients buy smartphones and look for ways to use them for health management. Dr. Mohabir, a pulmonologist at Stanford Hospital and Clinics in Palo Alto, Calif., said his patients have been helped by apps he has prescribed: ones that track medications and monitor weight and cholesterol.

What apps are making headway
For the moment, there are a lot of reasons why many physicians aren’t prescribing apps to patients. Most industry insiders agree there is limited evidence regarding the efficacy of apps. There also are concerns about a lack of regulation that will inform physicians and patients about an app’s quality. And the number of health app users is small: A November 2011 report from Pew Internet & American Life Project found 10% of smartphone users have downloaded health-related apps.

However, mobile health advocates say these barriers are being overcome. A handful of controlled trials looking at the efficacy of apps to control chronic conditions show that mobile technology has great promise in improving the way patients are monitored and in reducing costs by keeping patients away from the physician’s office. The Food and Drug Administration has approved a select number of apps that deal with clinical care. Its oversight may expand if a bill expected to be introduced in the U.S. House of Representatives calling for the creation of an FDA Office of Mobile Health makes its way through Congress. And the number of smartphone users is only going up." (...)

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The Electronic Health Record (EHR). A good augury for the doctor-patient relationship?

The Electronic Health Record (EHR). A good augury for the doctor-patient relationship? | The New Patient-Doctor e-Relationship |
There is change happening in Health Care. In hospitals, and in neighbourhood clinics. The traditional method by which doctors and nurses recorded a patient’s visit in the outpatient or documented a...

(...) "But how does a patient or as a user of healthcare services benefit?

  1. Improved Care: By having all your medical records in one place, your primary care doctors and specialists, as well as nurses and paramedical staff can coordinate treatment and care better. By putting all information about a patient in one place, a cooperative interaction between doctors and treatments is automatically effected and repetition of tests and prescription errors erased
  2. Access: By having access to records and doctors’ notes; a patient is transformed into an active participant in his/her own health
  3. Inclusion and Control: EHRs foster the doctor-patient relationship by promoting patient participation and inclusion. Patients also feel a greater sense of control by being able to access their own data. A few hospitals in the US have launched OpenNotes - an interactive format that allows patients to contribute and access a doctor’s notes in an outpatient setting. These simple measures are a first step to rebuilding trust between provider and patient. By having access to information, patients also are motivated to assume more responsibility over their own health
  4. System change: Fewer prescription errors, reduced time of information sharing and reporting, and better follow up
  5. Patient tools for self-monitoring: Often, variations and swings in symptoms and metrics like blood glucose levels, heart rate and blood pressure happen at home. A doctor is not witness to these fluctuations. Smart Phone applications for monitoring health metrics (currently in use for: blood sugar, blood pressure, ECGs) are making a rapid entry into home-health. This form of healthcare that uses smart phone and medical app technologies to facilitate home monitoring by patients is called mHealth (short for mobile health). mHealth allows self tracking by a patient and can alert both patient and doctor to early signs of change in a medical condition. In addition an easy and simple form of record keeping (by and for patients), of all this tracked data is being introduced and is called the Patient’s Health Record (PHR)." (...)

CE: Hopeful... realistic?

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5 ways to start engaging patients on social media | Articles | Main

5 ways to start engaging patients on social media | Articles | Main | The New Patient-Doctor e-Relationship |
We like this tip: Listen. See what this communicator learned at #mayoragan.


"5 ways to start engaging patients

  • Listen more than you speak: It’s an easy enough adage. Social media is a great monitoring tool. Yes, you should be tweeting and posting relevant important information about your hospital or health system, but remember to listen. Use social media as a way to connect directly to your users—there’s nothing between you but a screen.
  • Have a great story to tell: You don’t always need to have a super touching narrative to tell, but have stories in your back pocket you use to engage people. As human beings, we have an aching need to connect. Don’t forget how you learned your earliest lessons about life—from stories. Make sure you are using different types of stories as you engage with your communities.
  • Focus on your content: Content is a BIG word for a much smaller word—information. Think about it. When you hear content, you probably get nervous. When you hear information, it’s an easy, familiar concept. So remember, your content is simply information molded into a recognizable content type for your users. Ads, direct mail, press releases, tweets and posts—they are all versions of content that people instantaneously recognize. Work this and choose the right type of content to best serve the story.
  • Hire a community engagement manager—NOT a social media person: What I hear is that most hospitals want to hire a social media “guy” or “gal.” What you need is someone who understands how to transform your hospital’s online social activities into a community. Then the engagement part needs to happen by LISTENING to what patients, families and visitors want and need.
  • Encourage teamwork: Community engagement is really the intersection of several different parts of an organization: marketing, PR, customer service, crisis communications and emergency response. Work with other people in those departments: ensure you are delivering the best possible experience for your customers as they engage with your brand using these technologies.
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Docs involved in patient portal creation more likely to recommend use - FierceHealthIT

Docs involved in patient portal creation more likely to recommend use - FierceHealthIT | The New Patient-Doctor e-Relationship |

Physicians involved in the creation and content of a web portal for young diabetes patients were more likely to use it and recommend it to their patients, according to a study published this week in the Journal of Medical Internet Research.

Via dbtmobile, Lionel Reichardt / le Pharmageek
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The Dos and Don'ts of Responding to Online Reviews About Your Practice | Healthcare IT News

The Dos and Don'ts of Responding to Online Reviews About Your Practice | Healthcare IT News | The New Patient-Doctor e-Relationship |


"The Absolute Can’ts

  • Never publicly discuss patient specifics. A patient can post anything they want about their visit with you, but it is a major HIPAA violation for you to say anything about them in a response.
  • Never email patients without their consent. In many states, doctors need a patient’s written consent to communicate with them electronically. Unless you’re certain you’re not in one of those states or have consent, use the telephone instead.

The Suggested Shouldn’ts

  • Don’t respond when you’re upset. We get it. You take your business personally. It is natural to want to respond on the defensive. However, McGirr suggests that you should first follow a 24-hour rule. Respond a day so the wound is less fresh.
  • Don’t get into drawn-out he-said/she-said discussions. No one wins a back and forth battle about who did what. Plus, search engines and review sites generally give more weight to newer content. This means that you draw more attention to a negative review every time you reply. Also, a response from the owner of the business validates the original comment in the eyes of the review site, making it much harder to have that review removed later.

The Cans and Shoulds

  • Pick your battles. First, determine whether the review is worth responding to. Figure out how valid the person’s concern is and take the appropriate action.
  • Use the feedback to improve your practice. Most negative feedback has nothing to do with the doctor’s technical competence but rather the management of the practice itself. Criticism about the office staff, appointment access, and appointment wait times are very common. These comments can be used as a catalyst to improve your practice, coming from a sincere place of wanting to do better.
  • Craft a response that demonstrates a commitment to improvement. As mentioned previously, doctors need to tread carefully to avoid violations. But one good reason to respond would be to update patients on changes you’ve made to the practice in response to their feedback. If you can identify the patient based on their comments, you can absolutely reach out to them by phone. And if you can’t identify the patient, feel free to post a public comment inviting the reviewer to contact you. Yelp reports “lots of success stories from business owners who were polite to their reviewers and were accordingly given a second chance.”
  • Get libelous reviews removed. Libel is to defame through the use of false words or pictures. Sever defamation can impact your practice, so it’s worth your time to get it removed. Check the site’s Terms and Conditions section for the best method to do this. If that fails, contact a lawyer for more options.
  • Encourage happy patients to post reviews. There’s no rule against asking patients to write an online review. To ensure a healthy mixture of positive reviews, contact patients (through their preferred, HIPAA-approved method) 48 hours after their visit and encourage them to let you know how you’re doing. (...)
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What E-patients Want From the Doctor-Patient Relationship: Content Analysis of Posts on Discussion Boards

What E-patients Want From the Doctor-Patient Relationship: Content Analysis of Posts on Discussion Boards | The New Patient-Doctor e-Relationship |
What E-patients Want From the Doctor-Patient Relationship: Content Analysis of Posts on Discussion Boards...


People with diabetes valued doctors who showed respect for them and their knowledge, and were willing to listen and openly discuss their options. Patients felt that they could and should take responsibility for and control of their day-to-day disease management. They saw doctors as having a role in this process, but when this was lacking, many people felt able to use alternative means to achieve their goal, although the doctor’s function in terms of gatekeeping resources could create difficulties for them in this respect.

Via ChemaCepeda
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Blogging 101 For Doctors

Blogging 101 For Doctors | The New Patient-Doctor e-Relationship |

"As scientists, medical practitioners, and teachers, doctors have a unique advantage to maintaining a blog that can educate and be beneficial to the public. Doctors can take advantage of the blogging platform to inform the public. The public wins because we can learn and use that knowledge to take better care of ourselves. The doctor wins because he/she will be in the front of peoples’ minds when they’re searching for a new doctor, or referring friends to a doctor.

Doctors, nurses, and other medical professionals have many options for content. Here are three content categories with some ideas for topics.

#1 Basic knowledge

  • Blood pressure chart
  • Ways to get more fiber in your diet
  • Common medical misconceptions (i.e. starve a fever, feed a cold)
  • Differences between pain medications

#2 Events

  • CPR trainings
  • Caring for a loved one with Alzheimers
  • Caring for a loved one with Cancer
  • Charity fundraisers

#3 Conversation starters

  • Best lunches for kids
  • Easy to pack travel foods
  • Stretches to do at work
  • Safe walking paths

Taking an hour a week to write and edit a post and then a few minutes to answer questions will instill trust and build your reputation as a medical professional.

I’d love for you to share some examples of good blogs from doctors, nurses, or other medical leaders. What topics would you like to see on a doctor’s blog?"

Via Marie Ennis-O'Connor, Lionel Reichardt / le Pharmageek
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Doctors tell how they use social media as professional watercooler -

Doctors tell how they use social media as professional watercooler - | The New Patient-Doctor e-Relationship |
A survey describes how physicians check sites to filter information and gauge what developments are the most meaningful.


"Closed vs. open communities
Physicians are congregating at various social media sites. Many surveyed for the study say they prefer social networks that are closed communities of physicians. McGowan said he was not surprised by this, because participating in closed environments seems safer than public forums such as Twitter and Facebook.

However, Bryan Vartabedian, MD, a pediatric gastroenterologist at Baylor College of Medicine in Houston, said physicians who limit themselves to closed networks are missing some of social media’s benefits.

“Democratizing media has completely opened my eyes to the experience of the patient,” said Dr. Vartabedian, a co-author of the study. He said his social media connections with patient advocacy groups have given him “a huge appreciation for how they think.”

Dr. Vartabedian said the number of physicians willing to go beyond closed networks is starting to grow, from what he has seen. When he started using Twitter in 2008, he could count with one hand the doctors who use the site; before long, he lost count.

McGowan said the attention to the dangers of social media and the widespread circulation of a few horror stories have prevented many from embracing it. He said 20% of physicians think using social media sites is a bad idea, about 30% think it’s great, “then you have 50% in the movable middle.” McGowan said those 50% could move toward social media if more studies highlight its positive side."

CE: The use of Social Media in a focused way, with emphasis on professional development, seems to lead to an assessment of the nature of the relationships practitioners establish; with their peers, with their paitents, with knowledge itself.

Via Giuseppe Fattori
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Research Finds Health Care Content Marketing Lags Two Years Behind

Research Finds Health Care Content Marketing Lags Two Years Behind | The New Patient-Doctor e-Relationship |
Recent research finds that health care content marketing lags two years behind trends in overall content marketing, pointing up great opportunities for growth.

Via Dean Berg
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72 percent of european online consumers are Social Health users

72 percent of european online consumers are Social Health users | The New Patient-Doctor e-Relationship |

72 percent of European online consumers (ages 18 and older) are social health users*. According to the new Cybercitizen Health® Europe 2012 study from healthcare market research and advisory firm Manhattan Research, 44 percent of European online consumers used social networking websites for health, 33 percent read or posted patient testimonials and 34 percent used health ratings or reviews. The study surveyed 3,020 consumers (ages 18 and older) in France, Germany, Italy, Spain, and the United Kingdom online in October 2012, on their use of digital media and technology for health and its influence on treatment and product decisions.


Additionally, the study found that adoption of social media for health varies by country. For example, compared with the other surveyed countries online consumers in Spain and Italy are most likely to use Facebook for health, while health ratings and reviews see strongest adoption in Germany.


Social health users by country (percent is among those who are online in each country):


* All EU: 72 percent
* Spain: 83 percent
* Italy: 82 percent
* Germany: 76 percent
* France: 71 percent
* United Kingdom: 56 percent


“A large share of EU consumers is accessing health information from social feeds,” said Principal Analyst Christina Anthogalidis. “Although dedicated health communities have been struggling for consumer participation for years, health threads on general platforms are finally driving the adoption of social health feeds. We believe this finding is pointing at a significant shift in the EU online health content market.”


*Social health users have conducted any of the following activities online for health within the past 12 months: used a community, group or social networking website, or conducted any social-related activity online such as reading or posting on health blogs, message boards or health ratings websites.

Via Andrew Spong
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The prepared patient: information seeking of online support group members before their medical appointments [J Health Commun. 2012] - PubMed - NCBI


"The authors examined online support group members' reliance on their Internet community and other online and offline health resources as they prepare for a scheduled medical appointment. Adult members of an online support group (N = 505) with an upcoming medical appointment completed an online questionnaire that included measures of illness perceptions, control preference, trust in the physician, and eHealth literacy; a checklist of actions one could take to acquire health information; and demographic questions. A factor analysis identified 4 types of information seeking: reliance on the online support group, use of other online health resources, use of offline health resources, and personal network contacts. Previsit information seeking on the Internet was extensive and typically augmented with offline information. Use of online health resources was highest among those who believed they had control over their illness, who attributed many symptoms and negative emotions to it, and who were more eHealth literate. Reliance on the online support group was highest among those who believed they had personal control over their illness, expected their condition to persist, and attributed negative emotions to it. Trust in the physician and preferences for involvement in decision making were unrelated to online information seeking. Most respondents intended to ask their physician questions and request clinical resources based on online information."

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Overcome the 5 Barriers to Engaging Your Doctors on Social Media

Overcome the 5 Barriers to Engaging Your Doctors on Social Media | The New Patient-Doctor e-Relationship |

(...) "“Why aren’t your physicians involved in your social media program?”

Here is what we found:

The Top 5 Barriers to Docs on Social Media

1) Concern Over HIPAA Violations

First, let’s be clear: HIPAA regulations govern ALL personal health information (PHI), not only the information on social platforms. And to be honest, there are many (MANY) more HIPAA violations that occur in the hospitals and clinics – in elevators, clinic hallways, cafeteria, surgery waiting rooms, and other areas where healthcare personnel talk about patient issues – than have ever occurred on social media platforms.

"The SOLUTION relies on education. Your organization must have a clearly articulated Social Media Policy that is consistent with HIPAA. (...) Give regular in-service sessions. Be certain that you have made a good-faith effort to educate everyone in your organization about what the limits are, what is expected of them, what is acceptable, what is unacceptable, and what the potential ramifications are for violations.

Next, be certain to include any contractors and vendors who spend time in your practice or hospital." (...)

2) Don’t Have Time

Of course, there are many demands on a physician’s time. Placing additional time-demands on them won’t get you very far toward engaging them in your Social Media Program. (...)

3) Don’t Know How

This one always makes me laugh (a little). To compare again to your Traditional Marketing experience, not knowing how certainly didn’t stop you, did it? That is, when a hospital or practice wants to market itself using traditional marketing tactics, they simply hire someone who does know how. It’s the same with a Social Media Content Marketing Program.

The other option is to Learn How. (...)

4) Concerns About Negative Reputation

(...) For some reason, some docs believe that if they simply ignore the digital world it will go away. If they ignore social media they won’t have a reputation or “brand” in the digital world.

Here’s a shock for anyone thinking that: pay attention … your brand in the digital world exists already. With or without you. Like it or not.

If you have not developed your brand, it is already out there without you. Think of it as your Zombie Brand, wandering the digital world with a life of its own.

The SOLUTION is to get involved in that brand. Find your Zombie Brand. Breathe new life into it, inhabit it, make it your own. The solution to a negative reputation is to overpower it with a strong, pervasive positive brand. (...)

5) Don’t Know How to Tell if Our Program is Successful

(...) "Steps to take include:

Set up “listening posts” for your brand in the digital world
Install “analytics” to monitor your website(s), as well as your other platforms in social media – Twitter, Facebook, Google+, Pinterest, etc.

Use “landing pages” as the incoming gateways from those social media accounts to track traffic
Go old-fashioned: simply ask your new patients, on your intake forms, how they got to you.
Yes, it will take some coordinated effort to set these metrics in place, but you will be able to gauge your success of your digital program. " (...)

CE: This post is shamelessly selfpromotional, but delivers.

Via Dean Berg
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La era de los pacientes que perdieron la paciencia

La era de los pacientes que perdieron la paciencia | The New Patient-Doctor e-Relationship |
La Web democratizó el acceso a la información sobre salud y el 67% de los argentinos consulta allí sus síntomas...

(...) ""Los pacientes están asumiendo nuevos roles en su relación con los profesionales y con los servicios sanitarios que utilizan. El modelo paternalista está perdiendo vigencia. Diferentes factores -como el acceso a niveles educativos superiores, la consolidación de la cultura de los derechos del consumidor, la revolución de las tecnologías, la visualización de la salud como un bien individual y la eclosión de las asociaciones de pacientes- están propiciando una transición desde un modelo de paciente pasivo a un nuevo modelo más activo", sostiene la experta.

Fernández Maldonado alerta sobre la brecha digital que distancia a "los pacientes analógicos y quienes acuden al mundo online para resolver sus demandas informativas gracias a que cuentan con las habilidades necesarias para extraer de ese acceso el mayor beneficio posible, con los menores riesgos".

Reducir esta brecha "presupone, para todos los que trabajamos en educación para la salud y por un mayor empoderamiento del paciente en el automanejo de su condición de salud, el desarrollar estrategias encaminadas a ofrecer unas mejores y más accesibles fuentes de información inteligibles y adaptadas al nivel de conocimientos de las personas que los consultan, así como el desarrollo de las competencias y habilidades necesarias para lograrlo"." (...)

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How Patients are Saving a Trip to the Doctor’s Office With Online Treatment

How Patients are Saving a Trip to the Doctor’s Office With Online Treatment | The New Patient-Doctor e-Relationship |

When it comes to getting advice on one’s health, nearly 60 percent of people look to the internet. Furthermore, recent studies have revealed that telemedicine, especially in regards to mental health, can be just as effective as face-to-face visits.

Via Lionel Reichardt / le Pharmageek
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Dealing with the Growing Power of “Medical Googlers” | HealthWorks Collective

Dealing with the Growing Power of “Medical Googlers” | HealthWorks Collective | The New Patient-Doctor e-Relationship |


"If you talk to physicians, many are not thrilled with this new “patient empowerment” reality. Some physicians express frustration with patients coming into their offices apparently under the impression – often false – that they are as informed about their medical condition as their doctors. In addition, a new type of patient, the “cyberchondriac,” believes that his or her condition must be the worst one they read about online. This, of course, is not a new problem; even medical students are warned “When you hear hoofbeats, don’t assume they’re zebras.”

What can physicians do, and how can digital healthcare innovation help them? It’s estimated that two thirds of patients now want doctors to recommend reliable websites to them. Doctors should be able to do more than that, and digital technology should help them:

  • Use Google news alerts and other online tools to stay current with the same breaking information that will be read by patients—this will help keep up with consumers but also stay ahead of recent (say, announced that morning) FDA Drug Alerts and other developments.
  • Find and recommend patient groups and discussion communities that benefit patients. There are thousands of such groups online, with tens of thousands of patients. Quick searches will result in better exchange of information and satisfied patients. More of this information can be searched and downloaded via smartphones and other digital technology.
  • Encourage the use of reliable smartphone apps and online news bulletins, clinical research sites and university medical centers. By steering patients/consumers toward the better-designed and monitored sites, both sides benefit from sharing good information." (...)
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10 Innovative Ways to Improve the Patient Experience | HealthWorks Collective

10 Innovative Ways to Improve the Patient Experience | HealthWorks Collective | The New Patient-Doctor e-Relationship |


"DO... (% of respondents who said that this behavior would make their patient experience better)

  • ...hand a patient a printed summary of their visit as they leave the office, including the diagnosis and recommended plan of action (88%)
  • to a patient about changing their behavior rather than immediately prescribing a drug for their situation (86%)
  • ...provide a patient with a reliable estimate of their charges for a specific surgical procedure that they need (82%)
  • ...offer an app that allows a patient to log in securely to see their test results, send private messages to the doctor, etc. (66%)
  • ...send a patient a text message about 30 minutes before their scheduled appointment to tell them if the doctor is running on schedule (64%)
  • ...use a mobile device (smart phone or tablet) to look up information about a drug before telling a patient about it (60%)
  • ...offer free WiFi so that a patient can connect to the Internet while they are waiting to see the doctor (35%)

DON'T... (% of respondents who said that this behavior would make their patient experience worse)

  • ...spend most of your time typing on a computer, not making eye contact with a patient (84%)
  • ...schedule a patient to see their doctor but then have a nurse practitioner visit with them (67%)
  • ...avoid confronting or encouraging a patient to change their personal behaviors that are affecting their health (like smoking or obesity) (59%)" (...)

Via callooh
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For Health, People Consult the Internet Over Doctors

For Health, People Consult the Internet Over Doctors | The New Patient-Doctor e-Relationship |
Are you a bit shy when it comes to asking your physician personal health questions? Or maybe you avoid the doctor because you worry certain medical services won’t be covered by insurance? If so, you’re not alone, according to a survey by, a site that connects users to doctors, lawyers and other professionals for advice.

Via Alex Butler
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Half of smartphone owners consult the ‘doctor in their pocket’

Half of smartphone owners consult the ‘doctor in their pocket’ | The New Patient-Doctor e-Relationship |
In a study released Thursday, the Pew Internet & American Life Project reported that more than half of smartphone owners consult their devices for medical information and one-fifth of them say they have downloaded a health app.

Via Alex Butler
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5 Healthcare Tools To Boost Patient Involvement

5 Healthcare Tools To Boost Patient Involvement | The New Patient-Doctor e-Relationship |
The 2012 Connected Health Symposium showcased a myriad of engagement tools that promote innovation and improve patient compliance.

"Leaders in healthcare delivery and design, academics and technology gathered Oct. 25-26 at the 2012 Connected Health Symposium in Boston to drive home a theme of innovation, accountable care and patient engagement. The symposium showcased more than 100 speakers and networking events, all with the aim of discovering new tools that help connect technology, healthcare and consumers.

Shahid Shah, software analyst, consultant and author of The Healthcare IT Guy blog, led a demonstration of various vendors' products. "The overview of the conference was to focus on what it means to have connected technology and how that may affect behavior," Shah said in an interview with InformationWeek Healthcare. "The medical world is focused on diagnostics, and ultimately, there's a fashion of health that can only be affected by behavior change ... that's a good [fashion] to centralize, and that's what these technologies are designed to help with."

The second theme that became apparent at the symposium, said Shah, was technology that provides immediate feedback. "It was about the feedback loop, and how providing feedback requires behavior change that affects health and wellness," he said. (...)

Irody MyPillSense

Irody is best known for its MyPillSense app, which allows a smartphone to scan and identify medications. The app is used to reduce patient medication errors, which are common and can increase medical costs and complications. (...)


Healthrageous offers a digital health management platform to organizations interested in supporting an individual's journey toward a healthy lifestyle. For individuals, it offers a tool that's part of a health and wellness offering from their employer, health plan, healthcare provider or health and wellness retailer. (...)


UbiTru is a mobile engagement delivery platform by UbiCare that promotes interaction within a targeted patient population. The platform focuses on emails and text messages, with the strategy that quick and constant bursts of information -- like reminder text messages -- will promote behavior changes and, essentially, a healthier lifestyle. With these email and text message prompts, a user will see true/false questions, information and opportunities for engagement. Patient responses are then aggregated and revealed in real time. (...)

Vignet Cancer Concierge

(...) "The company is known for offering medical device integration capabilities, and in this case, the program helps patients follow instructions given by their doctor. "Sometimes, with the number of interactions or medications for cancer patients, there can be gaps in care, so [Vignet] is trying to manage that and help with care coordination," said health IT blogger Shahid Shah. The app reports back to the oncologist, for example, allowing the doctor to see problems and steps happening on the patient's end. (...)


Anybots was founded in 2001 and performs robot research and development. Within the healthcare space, said health IT blogger Shahid Shah, AnyBots provides a type of immersive telepresence, meaning instead of focusing merely on audio and video communications, the AnyBots robot allows for movement controlled by a remote control. "If you're a doctor and have to manage 10 different nursing homes ... the robot can go in, and the doctor can control his movement and direction," Shah said. (...)

CE: Interesting selection; even though many of these tools promote empowerement, they requiere further exploration and, above all, a thorough understanding by providers who will use them... or barely tolerate them.

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Using Technology to Promote Health Literacy | HealthWorks Collective

Using Technology to Promote Health Literacy | HealthWorks Collective | The New Patient-Doctor e-Relationship |
Multimedia is a catch-all phrase for “alternatives to text.” As we discussed in previous chapters, the exclusive reliance on text – either printed or spoken – is often at the heart of health illiteracy.


"However, using even the most advanced technology cannot change patient behaviour on its own. After all, patients don’t just want access to data; they want answers to questions! When it comes to consumer messaging, we must first consider the following questions:

• What are we asking patients to do?
• Are we giving them the information and tools to take action?

Clinical data needs to be synthesised into concrete recommendations for patients, and this can be a challenging exercise. A blended model, which allows nurses or health coaches to send personalised messages to patients can be very helpful. (...)

CE: The whole article is a well developed rationale for using social media and other emerging ICTs for health communications, even in disadvantaged communities.

Via Giuseppe Fattori
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