From Broad Street to California

•

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This document discusses how geolocated health data can be used to help communities. It provides examples from the 1854 Broad Street cholera outbreak where John Snow was able to identify the water pump handle as the source by geolocating cases, and a current project in California called the HOME Project that aims to help elderly patients navigate healthcare options using their location data. The document advocates for greater use of coordinated, location-based health information and services to improve care, especially for vulnerable populations.

Healthcare Technology Health & Medicine

leveraging the power of geolocated data to impact the health of communities
alberta soranzo | friday, london | @albertatrebla
From Broad Street to California

What is Health Data?
Epidemiology information related to health
conditions, reproductive outcomes, causes of
death, and quality of life.

!
!
— http://medical-dictionary.thefreedictionary.com/

Epide… what?
The branch of medicine which deals with the
incidence, distribution, and possible control of
diseases and other factors relating to health.

London, 1854
Image courtesy of ohnsnowbicentenary.lshtm.ac.uk//

Image courtesy of www.esriuk.com/industries/health

California, 2014
Image courtesy of onlinemaps.blogspot.com

A few facts
California USA
Population 37,721,600 310,197,500
Elderly (over 65)
4,419,800 
(12%)
43,287,500
(14%)
Medicare (utilization)
4,344,967
(85%)
41,116,359
(81%)
Data : Kaiser Family Foundation (2012 data)

Meet Louis*
• 76 years old

• suﬀers from Parkinson’s disease and
depression

• no retirement beneﬁts

• relies on public programs for healthcare
(*not his real name)

CC Image courtesy of prayitnophotography on ﬂickr.com

CC Image courtesy of jczart on ﬂickr.com

A few (big) numbers
• 50-60,000 interviews / survey cycle

• 6 languages

• ± 800 questions / questionnaire

• > 1,000,000 records

The HOME Project
CC Image courtesy of aboutmrperez on ﬂickr.com

Coordinated Care Initiative
Integrated delivery of medical, behavioral, and
long-term care services.

The sensible solution
CC Image courtesy of ebatty on ﬂickr.com

Patient navigators
CC Image courtesy of pubweb.fccc.edu/

thank you!
alberta soranzo | @albertatrebla | alberta.soranzo@wearefriday.com

friday | wearefriday.com

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Introduction to Medical Sociology What is Sociology? Sociology • The study of people • Society • Social structure • Social institutions • Culture Sociology of Health, Illness and Healthcare • Social causes and consequences of health, illness, and healthcare • Social forces affect – Likelihood of health and illness – Experience of illness – Health care providers – Health care system Sociological Perspective Emphasizes • Social patterns over individual behavior • Public issues over personal troubles • Social groups and institutions over individuals • Power: Ability to get others to do what one wants Sociologists study: • Who has power • How groups get power • Consequences of having or lacking power Critical Sociologists • Emphasize sources and consequences of power relationships • Explore how social institutions and beliefs support existing power relationships • Question the basic structure of society The Development of Medical Sociology Before Medical Sociology… • 1879, John Shaw Billings, physician who complied Index Medicus, wrote about “hygiene and medicine” • Term medical sociology first appeared in an article written in 1894 by Charles McIntyre on the importance of social factors in health Elizabeth Blackwell, 1821–1910 • first woman to get a medical degree, 1849 • Geneva Medical College, Geneva NY • Blackwell wrote on the importance of social factors in health in 1902 • Bernard Stern (1894-1956) is first sociologist to consider medicine • Writes Social Factors in Medical Progress, 1927 • Talcott Parsons is Stern’s student The Development of Medical Sociology Talcott Parsons (1902-1979) – Publishes The Social System in 1951 – Structural-functionalist perspective – The sick role The Development of Medical Sociology Practical application versus theory – Robert Straus (1957) notes division between sociology in medicine and sociology of medicine What does it mean to be healthy? Are you healthy? Defining health Defining Health World Health Organization (WHO) definition: – A state of complete physical, mental, and social well-being, and not merely the absence of disease or injury exercise • Sketch a sick person. • What is their state of being? • What do they need? • What is their relationship to the people around them? • What is their relationship to their normal obligations? • Do they have obligations specific to being sick? History of Ideas about Health • Premodern societies tended to rely on supernatural explanations of illness • Hippocrates of ancient Greece represents first attempt to base understanding of the body on rational thought; • recognizes contribution of the environment to human well-being • But still far from science of today Greek Humoral Theory • Body made up of Humors: • Black bile • Yellow bile • Blood • phlegm • Middle Ages (Western Europe): • Pockets of continued scientific study of medicine • Most people.

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