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Social technologies power in in collaborative health policy and practicea collaborative seminar Gonzalo Bacigalupe, EdD, MPH Ikerbasque Research Professor email@example.com bacigalupe.wordpress.com Session # C4a Oct. 22, 2010 - 3:30-5:00 Collaborative Family Healthcare Association 12th Annual Conference October 21-23, 2010 Louisville, Kentucky U.S.A.
Faculty Disclosure I have not had any relevant financial relationships during the past 12 months.
Need/Practice Gap & Supporting Resources What is the scientific basis for this talk? Systematic review of research and clinical literature Peer review article by author: basis to justify need An iterative analysis of e-Health sites Expert review via open invitation to and participation by #CHSM #CHSMEU Participation of collaborative health practitioners and researchers in ongoing model development
Objectives Define the scope of collaborative health activities shaped by the use of social technologies; Create a categorical classification of emergent communication, social media, & social technologies to evaluate their impact; Discuss results of a systematic analysis of the literature on social networking technologies and its impact on patients, healthcare providers, and policy makers; Evaluate critically the challenges & ways of approaching a task that questions professional and personal lives.
Expected Outcome Acknowledge potential of social technologies ability to strengthen collaborative health practices. Discuss criteria and categories of e-health tools in light of collaborative health care assumptions and goals. Triangulate ongoing systematic qualitative research analysis via participation in checking for accuracy in development of model linking collaborative health and social technologies.
Social media / Social technologies Highly accessible tools (ICTs) that allow you to connect with others via a diverse set of digital devices. Tools allow not only to observe what others have produced but also to engage in the production of media.
Applications Blogs: Frequent updates, invites dialogue, identity defined by blogger Microblogs: Brief blog entries (i.e., 140 characters) Podcasts: Audio/video downloadable to many digital devices Wikis: Website designed for collaboration Social Networks: Virtual communities; main purpose is social interaction Web-Conferencing: Audio/video synchronic interaction MUVE: Multi Users Virtual Environments
Methodology Sarasohn- Kahn’s (2009) report on how online and mobile tools help both doctors and patients manage chronic illnesses was a starting point for generating a draft list of e-Health tools. Extensive search via Pubmed, Google Scholar, Google, and Twitter. Referenced works from retrieved articles were also used. During data collection period, inclusion criteria refined to include variables that may inform power to foster collaboration: interoperability, viability, sustainability, scalability, number of hits. Assessed if there were reports about the tools on LexisNexis (media), Pubmed (healthcare), Google Scholar (social sciences), and Google (business, market, general public) For websites that required user accounts for access, we reviewed the self-reported number of users. We also joined sites to try their features.
Criteria for Inclusion eHealth Core: Is it main goal and focus healthcare? Is it directed to patients and/or health care providers? Is it recommended/approved by #hcsm experts? Technical Access: Does the site work? Is it not under construction? Is it platform neutral? Has it have any activity in the last month? Should we consider other criteria?
Tools: Collaborative Potential Very Low: No interaction between creators and users Low: Users able to comment on content but creators do not necessarily interact with audience Moderate: Users able to interact without moderation High: Intends that users interact with each other Very High: Allows multiple stakeholders (patients, researchers, healthcare providers) to interact with each other using a variety of tools
Primary Care e-Practices Gives health care providers the ability to provide services to patients remotely - via the web, cellular phones, and other mobile devices www.tplusmedical.com
Primary Care e-Practices Gives health care providers the ability to provide services to patients remotely - via the web, cellular phones, and other mobile devices www.Inrangesystems.com
Primary Care e-Practices Gives health care providers the ability to provide services to patients remotely - via the web, cellular phones, and other mobile devices www.healthvault.com
Collaborative Variables Criteria? Communication direction Audience Author Ownership? Profit/or not Purpose Source (clinical, personal, EBM) Type of tool Interoperability Sustainability Scalability Access (cultural attention)
Future Research Steps Survey of sites Scoring Scale development Measuring actual impact
Rethinking the paradigm(s) How could it change your practice? What seems difficult to imagine? What solutions emerge? What challenges are ahead?