Social media and modern healthcare

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Lecture for pharmacy year one students in the pharmacy informatics course.

Lecture for pharmacy year one students in the pharmacy informatics course.

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  • 1. Natalia Shcherbakova,B.S.Pharm, M.S.Pharm, Ph.D. October 25, 2012 Presented at Western New England University College of Pharmacy, Springfield, MA
  • 2. 1. Facebook 88%2. Twitter3. LinkedIn4. Pintrest5. Blog6. PharmQD7. Delicious 31% 25% Other 22%8. 17%9. I do not engage with 5% 3% 9% social media 0% 1 2 3 4 5 6 7 8 9
  • 3. 1. Facebook2. Twitter 43%3. LinkedIn4. Pintrest 31%5. Blog6. PharmQD7. Delicious8. Other 10% 10%9. I do not engage with social media 3% 2% 2% 0% 0% 1 2 3 4 5 6 7 8 9
  • 4.  Web 2.0 Social Media & Patients Social Media and Healthcare Providers Research Findings How to get involvedQ & A
  • 5.  Web 2.0 can broadly be defined as “social programming for everyone “ whereby the interaction between user and internet transformed from „read-only‟ to „read-write- participate‟ form.22Lupianez-Villanueva F, Mayer MA, Torrent J. Opportunities and challenges of Web 2.0 within the health care systems: an empirical exploration. Inform Health Soc Care. 2009 Sep;34(3):117-26.
  • 6.  Br it an n ica On lin e  Wikip ed ia Per so n al w eb sit es  Blo g g in g Dir ect o r ies  Tag g in g (Flickr, Delicio u s )o Pu b lish in g o Par t icip at io n
  • 7.  Social writing applications  Collaborative knowledge base  Research coordination  Brainstorming Wiki Platforms1 and examples of academic wikis2 : wiki for educational use University of Calgary : Brown University: The University of Texas at Austin: ; J, & Fox BI (2009). Web 2.0 and pharmacy education. [Review]. Am J Pharm Educ 73: 120.
  • 8.  Educating (oneself and others) Meeting folks who are smarter Curating knowledge Sharing what we learn@hjluks: or-retreat-medicine-social-media/
  • 9. @hjluks:
  • 10.  EdX (8 courses) Coursera (over 100 courses) Udacity (18 courses) Anything useful for pharmacy students? Health in Numbers ( Harvard School of Public Health, EdX) Writing in the Sciences (Stanford School of Medicine, Coursera)
  • 11.  Social media as “an enabler of public health engagement and improvement” through educating patients on healthcare issues, organizing communities to find and resolve health care problems, as well as offering new solutions to health problems.”11 Cain J, Romanelli F, Fox B. Pharmacy, social media, and health: Opportunity for impact. J Am Pharm Assoc (2010). Nov-Dec;50(6):745-51.
  • 12. Patients ePatients Passive Role  Active (engaged) role Information given to  They seek out them information (internet) Top down healthcare  Partner in healthcare delivery Paternalistic Medicine  Participatory medicineAdapted from Poikonen J. “Social Media & Health 2.0,” October 2011
  • 13. E-health in the United States, Boston Consulting Group, 2003
  • 14. What’s lacking:1. Doctor-patient email2. How to determine the correct tests and txs3. More in-depth information on quality of care4. The ability to schedule doctor appointments online5. Direct internet access to online doctors6. Free access to fee-only medical journals7. Online diagnostic tools8. Access to medical records and test results9. Better ways to connect with local resourcesFerguson T. (2007). E-patients: how they can help us heal healthcare Retrieved December 16, 2010, from
  • 15. 1. A review on Amazon2. A review on Yelp 42%3. A review on Vitals/Healthgrades 33%4. A review on RateMyProfessors 30%5. Other online reviews 22%6. I do not write online reviews 12% 2% 1 2 3 4 5 6
  • 16. Image credits:
  • 17.  West Virginia pharmacists: • Attendees (50) of West Virginia Pharmacy Association Convention (2009) • Findings: two thirds of pharmacists used some sort of social media (Facebook, Youtube , Wikipedia, Blogs) • About 15% of pharmacists used Facebook for professional purposes1Alkhateeb FM, Clauson KA, Latif DA. Pharmacist use of social media. Int J Pharm Pract. 2011 Apr;19(2):140-2.
  • 18. Shcherbakova N, Shepherd M, Makhinova T. Assessment of Internet and SocialNetwork Use by Texas Independent Community Pharmacists. Journal of AmericanPharmacists Association 2012; 52 (2):272.
  • 19. 1. Determine the extent community pharmacists use text messaging, email, Facebook, Twitter and/or other social networks for professional communication (patients, pharmacists, other healthcare professionals);2. Identify perceptions of community pharmacists towards using social media for patient-pharmacist communication.3. Determine the extent independent pharmacists have developed and employed their pharmacy websites for the provision of drug information and patient care services.
  • 20.  Sample size: 1196 independent community pharmacists (random sample of ~ 50% of independent community pharmacists in Texas) Data collection: mail questionnaire with an option to complete online Survey : a 25-item survey instrument with questions addressing the objectives of the study Pretest for content and clarity: 10 practicing community pharmacists
  • 21.  16 surveys were completed online 297 surveys were completed via mail questionnaire 284 usable questionnaires were analyzed Response rate: ~24%
  • 22.  Gender: 70% male Average age: 54 (± 11) Average years since graduation with pharmacy degree: 28 (± 13) Pharmacy degree: 83%- BS Pharm, 17%-PharmD
  • 23.  Respondent Practice setting: • 45% -metropolitan • 18%-small urban • 19%- small community • 18%-rural Store owners: 60% (167) Internet access in the pharmacy: 98% of the pharmacies Familiar with the term ‘social media’: 91% Provision of MTM services: 25% Completion of 50% or more CE courses online: 76% National and/or state professional organizations: 80% of pharmacists indicated holding membership
  • 24. • Pharmacy Website: 54% (154)• Patient Emails: 40% (113)• Pharmacy Facebook Account: 28% (80)• Twitter Account: 3.6% (10)
  • 25.  “The use of smart phones will increase use of social media exponentially over next 5 years. The problem is to get seniors to adopt the use of social media to improve their healthcare knowledge. “ “It depends on the pharmacy location. When a pharmacy is located at a low income area, all Medicaid or welfare, they cannot afford having a computer or they do not have access to internet on a daily basis to check their email, Facebook or Twitter. This pharmacy is located in a low income area, contacting and communicating with patients only by phone.” “I use YouTube to show how to use inhalers and website to help on disease education.” “All this stuff is good, I am just a dinosaur.” “Many of my customers have my cell phone number and Im frequently 4 to 5 times a week answering drug questions over texts.” “I would like to use social media in my pharmacy more. However, I do not have time and none of my employees seem to have the knowledge.”
  • 26.  Clauson et al. identified 44 pharmacist blogs  68.2% anonymous  43% pharmacists practicing at community settings  Pharmacists practicing in the community were more likely to use unprofessional and critical languageClauson KA, Ekins J, & Goncz CE (2010). Use of blogs by pharmacists. Am J Health Syst Pharm 67: 2043-2048.
  • 27.
  • 28.  Forum for discussion of course-related topics Reflective journaling medium Life-long learningCain J, & Fox BI (2009). Web 2.0 and pharmacy education. [Review]. Am J Pharm Educ 73: 120.Example:• student blogger from the Bouvé College of Health Sciences at Northeastern University:• UCSF “Report from the pharm”:
  • 29.  Twitter thought-leaders: Physicians:@kevinmd, @FarrisTimimi, @KentBottles Pharmacists:@kevinclauson, @poikonen,@DrJeffCain Conferences:Medicine 2.0, MedX