Seeman, N. Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders <ul><li>This slideshow, presente...
Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders Neil Seeman , JD, MPH IBM Health Care & Rye...
What is an “Opinion Leader”? <ul><li>Think of a person who is an “opinion leader”.  </li></ul><ul><ul><li>Opinionated? </l...
SNA proves that “opinion leaders” do not always enjoy status or hierarchical authority Source : Cross, R., Parker, A., Pru...
On social networks, “opinion leaders” are everyday people writing about health problems Source : Adapted from, Seeman N,  ...
Among physicians, there are also nodes.  Blogs are tools to lead opinion. Source :  Valdis Krebs, http://www.orgnet.com/KO...
What attributes do leading health blogs share? <ul><li>Run by subject matter experts (SMEs)? </li></ul><ul><li>Discuss hea...
For patients: benefits of health blogs <ul><li>Navigate the continuum of care  </li></ul><ul><li>Empowerment </li></ul><ul...
For health professionals: benefits <ul><li>Intellectual capital </li></ul><ul><li>Collaboration </li></ul><ul><li>Understa...
For hospitals and health regions: benefits <ul><li>Client health literacy </li></ul><ul><li>Philanthropy and volunteer rec...
The blogosphere is expanding rapidly… Source : Technorati, 2006
… with blogs pushing the information frontier <ul><li>8% (12 million) adult users of Internet in the US keep a blog; 39% (...
The influence of newspapers is in decline <ul><li>14 out of 21 EU countries  </li></ul><ul><li>saw newspaper circulation <...
But do health blogs provide important news? … are they safe? …  are they well-governed?
Analyzing health blog quality and governance Using a literature review, identify key features of a well-governed blog capa...
High density health blogs *Source Data : Bloglines, Google, Technorati. Aggregation of scores compiled by author (at March...
Old media vs. health blogs: Which are better? “ Reporters who are trained … provide the news stories, and the news sites g...
Do blogs discuss important medical news? *  As so defined by a conensus of more than 60 leading clinical experts across No...
<ul><li>Niche and focus may drive higher loyalty and use </li></ul><ul><li>SME monitoring is strongly linked to good blog ...
Discussion For further information, please contact: neil@ca.ibm.com
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Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders [4 Aud 1100 Seeman]

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Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders [4 Aud 1100 Seeman]

  1. 1. Seeman, N. Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders <ul><li>This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team </li></ul><ul><li>Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) </li></ul><ul><li>Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php </li></ul>
  2. 2. Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders Neil Seeman , JD, MPH IBM Health Care & Ryerson University Medicine 2.0 Congress, Sept. 4, 2008
  3. 3. What is an “Opinion Leader”? <ul><li>Think of a person who is an “opinion leader”. </li></ul><ul><ul><li>Opinionated? </li></ul></ul><ul><ul><li>Annointed by Status? </li></ul></ul><ul><ul><li>Track record of success? </li></ul></ul><ul><ul><li>Trust? </li></ul></ul><ul><ul><li>Likeability? </li></ul></ul><ul><ul><li>Creativity? </li></ul></ul><ul><ul><li>Ability to spot trends? </li></ul></ul>© Copyright IBM Corporation 2008 Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
  4. 4. SNA proves that “opinion leaders” do not always enjoy status or hierarchical authority Source : Cross, R., Parker, A., Prusak, L. & Borgatti, S.P. 2001. Knowing What We Know: Supporting Knowledge Creation and Sharing in Social Networks. Organizational Dynamics 30(2): 100-120. © Copyright IBM Corporation 2008 Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
  5. 5. On social networks, “opinion leaders” are everyday people writing about health problems Source : Adapted from, Seeman N, Electronic Healthcare , 2008 Based on N=100, MySpace.com 10 Alcohol Dependency 9 Obsessive Compulsive Disorder 8 Chronic Pain 7 Chronic Fatigue 6 Obesity 5 Diabetes 4 Autism 3 Cancer 2 Bipolar Illness 1 Depression Rank among Chronic Illness Communities Focus
  6. 6. Among physicians, there are also nodes. Blogs are tools to lead opinion. Source : Valdis Krebs, http://www.orgnet.com/KOL.html
  7. 7. What attributes do leading health blogs share? <ul><li>Run by subject matter experts (SMEs)? </li></ul><ul><li>Discuss health news that matters? </li></ul><ul><li>Protect user privacy? </li></ul><ul><li>Highly used? </li></ul>
  8. 8. For patients: benefits of health blogs <ul><li>Navigate the continuum of care </li></ul><ul><li>Empowerment </li></ul><ul><li>Share challenges and solutions </li></ul><ul><li>Knowledge of treatments and medications </li></ul><ul><li>Single access point </li></ul>Source : Adapted from, Seeman N, Electronic Healthcare , 2008
  9. 9. For health professionals: benefits <ul><li>Intellectual capital </li></ul><ul><li>Collaboration </li></ul><ul><li>Understanding patient needs </li></ul><ul><li>Protocols to support clinical treatment </li></ul>Source : Adapted from, Seeman N, Electronic Healthcare , 2008
  10. 10. For hospitals and health regions: benefits <ul><li>Client health literacy </li></ul><ul><li>Philanthropy and volunteer recruitment </li></ul><ul><li>Patient self-care, goal-setting </li></ul><ul><li>Research and educational activity </li></ul>Source : Adapted from, Seeman N, Electronic Healthcare , 2008
  11. 11. The blogosphere is expanding rapidly… Source : Technorati, 2006
  12. 12. … with blogs pushing the information frontier <ul><li>8% (12 million) adult users of Internet in the US keep a blog; 39% (57) million read one </li></ul><ul><ul><li>2006, Pew Internet and American Life Project </li></ul></ul><ul><li>Blogs contributed to increase of ~ 50 million new websites in 2007 </li></ul><ul><ul><li>2007, Netcraft Web Server Survey </li></ul></ul><ul><li>Blogs are increasingly “breaking news stories” </li></ul>
  13. 13. The influence of newspapers is in decline <ul><li>14 out of 21 EU countries </li></ul><ul><li>saw newspaper circulation </li></ul><ul><li>decline in 2005. </li></ul><ul><li>16 out of 20 EU countries </li></ul><ul><li>saw newspaper circulation </li></ul><ul><li>decline from 2001-2005. </li></ul>Source: World Association of Newspapers 0.05 -9.85 United Kingdom -1.34 -2.23 Sweden -0.94 -1.73 Spain 19.44   NA Slovenia -4.17 -8.55 Slovakia -3.88   NA Portugal 9.80 21.63 Poland -3.67 -10.58 Netherlands, The -2.25 1.46 Latvia 0.03 -5.25 Italy 2.16 28.91 Ireland -0.68 -12.31 Hungary -4.05 -11.62 Greece -2.5 -9.63 Germany -1.6 -7.38 France -0.67 -2.99 Finland -0.39 -0.78 Estonia -2.64 -11.4 Denmark 4.88 0.87 Czech Republic -1.35 -4.25 Belgium 0.42 0.09 Austria 2005/2004% 2005/2001% Country
  14. 14. But do health blogs provide important news? … are they safe? … are they well-governed?
  15. 15. Analyzing health blog quality and governance Using a literature review, identify key features of a well-governed blog capable of systematic review Calculation of a “blog governance score” out of 20 based on review of governance features Statistical cross-tabulations and correlations run to test observations of blog characteristics Comparative analyses of popular health blogs to general-interest newspapers Aggregation of most visible and prevalent health blogs using multiple methodologies/ rankings
  16. 16. High density health blogs *Source Data : Bloglines, Google, Technorati. Aggregation of scores compiled by author (at March 10, 2008). N=100 11. Awful Plastic Surgery 12. Running a Hospital 13. Pharma Marketing Blog 14. Emergiblog 15. Polite Dissent 10. World of Psychology and Mental Health 9. Junkfood Science 8. NHS Blog Doctor 7. The Health Care Blog 6. Diabetesmine.com 5. Kevin M.D. Medical Blog 4. Sharpbrains.com 3. Wall Street Journal Health Blog 2. Medgadget.com 1. BadScience.net 15 Top Health Blogs in the Web (March, 2008)
  17. 17. Old media vs. health blogs: Which are better? “ Reporters who are trained … provide the news stories, and the news sites gather them up and the bloggers comment on them.” - R. Smith, The Globe and Mail , March 27, 2008 “ Blogging has in the past couple of years exploded into a cottage industry churning out increasingly compelling content.” - The Economist , “Weblogging,” March 27, 2008
  18. 18. Do blogs discuss important medical news? * As so defined by a conensus of more than 60 leading clinical experts across North America, compiled by Medscape and WebMD. Available at: http://www.webmd.com/news/20071214/top-10-doc-stories-2007 <ul><li>Parkinson's Disease Drugs Linked to Valvular Dysfunction </li></ul><ul><li>Fish Oil Added to Statin Therapy Reduces Risk for Major Coronary Events </li></ul><ul><li>NSAIDs for Heart Disease Patients </li></ul><ul><li>Rosiglitazone (Avandia) Increases MI and CV Death in Meta-Analysis </li></ul><ul><li>Immunization schedule change recommendations for children/ adults </li></ul><ul><li>New approach to Tdap Vaccine for Adults </li></ul><ul><li>New guidelines for venuous thromboembolism diagnosis </li></ul><ul><li>New guidelines for treatment of acute ischemic stroke </li></ul><ul><li>Soft Drink Consumption linked to increased metabolic risk </li></ul><ul><li>New Guidelines for the Management of Lower Back Pain </li></ul>10 Most Important Medical News Stories of 2007*
  19. 19. <ul><li>Niche and focus may drive higher loyalty and use </li></ul><ul><li>SME monitoring is strongly linked to good blog governance </li></ul><ul><li>Health blogs can and should do a better job in promoting user privacy and SME monitoring </li></ul>Conclusions
  20. 20. Discussion For further information, please contact: neil@ca.ibm.com
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