Web 1.0 is a term to to define the internet as we understood it as its inception, which became commonplace in the 90’s. This internet at that time was used primarily for email and as a static source of information in the form of websites. Web 1.0 users visited these internet sites and extracted information as if it were a digital library. It was more one dimensional than the web today…..
Web 2.0, the internet as it has evolved this past decade, is no longer only a source of content for passive viewing, but has become an interactive, dynamic arena for idea and information exchange. Now this exchange of ideas occurs, in many applications, in real-time.
Web 2.0 is a phrase coined in 1999 by Darcy DiNiucci, who a well-known author and editor for information and technology magazines. The term, however, was not widely used until 2004. “O'Reilly Media (formerly O'Reilly & Associates) is an American media company established by Tim O'Reilly that publishes books and web sites and produces conferences on computer technology topics.” “Web 2.0” became the name for the influential Web 2.0 Summit run by O'Reilly Media and TechWeb (formerly CMP Media) in 2004. The company then registered Web 2.0 as a Service Mark &quot;for arranging and conducting live events, namely trade shows, expositions, business conferences and educational conferences in various fields of computers and information technology.” It essentially describes the internet as it has evolved to how we know and use it today….. As a collection of “web associations that facilliate interactive information sharing, interoperability, user-center design and collaboration on the WWW.”
The Social Media Starfish is a diagram created by Robert Scroble to illustrate the different channels that people use to interact on the web. This is one great and easy way to visualize the evolving social media landscape.
These are some of the Web 2.0 icons with which you may or may not be familiar. Hopefully, by the end of this presentation you will all know what to do with them.
Social media gives people ownership of their information and enables sharing of that information.
Social media, as opposed to mainstream media, is becoming a strong influence of public opinion.
Social media is enabling people from various backgrounds on a global level, who previously may not have never had the opportunity, the ability to find a common ground a communicate.
According to a poll by Beyond.com last year, approximately 70% use social networking sites for professional purposes.
… . This indicates that people are searching for information. With social media applications, they are now sharing information more efficiently and effectively.
The idea is to utilize these available tools to promote patient-empowered Healthcare and enable patients to make rational decisions by providing them with all available information.
Health 2.0, also referred to as Medicine 2.0, emphasizes collaboration, participation, and openess in order to empower consumers to take responsibility for their own health. A major component of this concept is utilizing web tools to strengthen the relationships and communication within the health professional community. Most of the talk will focus on this idea. Finding healthcare, locating physicians, receiving online care, keeping personal health records, electronic charting, support groups
One concrete example of Health 2.0 in action in the conception of personal health records or PHR. Currently, online PHR, as is virtually most web content, are user-generated, meaning generated by the patient, then posted online on secure sites. These PHR can accessed at anytime by any physician with web access after user consent; so, it’s usefulness is obvious. Like many other e-patient sites, most of these allow users to share health information after consent. Since 61% of Americans…… this seems like idea that many Americans will soon adopt. In the UK, a universal PHR is currently under construction. One roadblock they are facing, however, is that it is not compatible with the system in France, their very close neighbor.
Hospitals across the country have begun to employ web tools to communicate with the public. As of Nov 2009, 441 hospitals in the US use some form of social media.
HITECH Act= Health Information Technology for Economic and Clinical Health Act $19.2 billion intended to increase use of EHR by physicians and hospitals
There are too many social networking sites to mention, and new communities forming everyday. The most popular are…..
Let’s talk about Facebook since it is currently the most popular social networking site. Average # of friends on FB usually makes people realize how many people they know, or realize how many people they can meet
China. India, USA, Facebook.
Twitter has created the real time search engine concept. The numbers reflect that people on a global level are obviously taking advantage of this free tool.
It’s easy to drown in the huge ocean of information that has become Twitter. So there are many ways to decipher between useful facts and the mindless commentary. Specifically, there are a number of Twitter Directories to help navigate through all this. For example, you can search Twitter by searching for people by name or using a directory of people categorized by interests (WeFollow ) or a directory of businesses. You may see icons similar to these on various websites; they are used by those individuals or organizations with Twitter accounts. Clicking on the icon will link you to their Twitter account and allow you to follow their Twitter feed.
You can also search conversations and subjects by searching for keywords that can be identified by hashtags which are # immediately preceeding keywords that can be searched. Tagging has become one of the most popular and helpful ways to retrieve and share information. You may see these icons on sites at the end of articles or blogs. Clicking on them will allow you post a link back to the site on your Twitter acount to share that interesting bit of information.
In 2009, the second most popular topic on Twitter was the “swine flu”.
Currently, the most popular Twitter accounts belong to very high profile celebrities and organizations. These accounts are “verified” by Twitter to indeed belong to these users. However, the majority of Twitter users with large followings are non-celebrities who have opinions and information to share.
# of physicians using iPhones doubled in last year.
Breastfeeding app, bilitool….
YouTube= #1 most popular site to view videos online #2= Hulu #3 Facebook (Nielson VideoCensus, Nov 2009)
Let’s talk now about this useful application, RSS. Blockbuster vs Netflix
Going to Blockbuster vs Netflix Sign up for Reader (Google Reader, Bloglines, Newsgator, my Yahoo!) Connect your websites to your Reader by finding icons (RSS) “Subscribe now” or copy URL to add subscriptions/feed onto your Reader.
Nature 2005: “Internet encyclopedias go head to head”- accuracy of Wikipedia is close to Encyclopedia Brittanica
In Dec 2006, Time magazine named “You” the Person of the Year, “You” being the millions of anonymous contributors of user-generated content to these web tools that we consider reliable sources of information.
So, now that we have entered a new decade, how will the web evolve from here? Web 1.0- library Web 2.0- conversations and connections Web 3.0- conversations with giant database and memory
Remember, also, that anonymity cannot be guaranteed internet, and that privacy can be easily violated.
Neonatology Fellows’ Workshop 2010 CAN/AAP District IX SOPP 16 th Annual Conference CLARA SONG, MD USC Division of Neonatal Medicine of the LAC+USC Medical Center and Childrens Hospital Los Angeles Keck School of Medicine University of Southern California Los Angeles, CA Establishing a Virtual Team in the NICU
Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.”
Social media uses Internet and web-based technologies to transform broadcast media monologues (one to many) into social media dialogues (many to many). It supports the democratization of knowledge and information, transforming people from content consumers into content producers.
“… the use of a specific set of Web tools (blogs, Podcasts, tagging, search, wikis, etc.) by actors in healthcare including doctors, patients, and scientists, using principles of open source and generation of content by users, and the power of networks in order to personalize healthcare, collaborate, and promote health education.”
Healthcare Application and Network Platform Architecture
Secondary Use of Electronic Health Record Data
On December 18, 2009, David Blumenthal, M.D., Department of Health and Human Services National Coordinator for Health Information Technology, announced plans to make $60 million available to support the development of Strategic Health IT Advanced Research Projects (SHARP).
“ For physicians, ..unique online environment in which clinical observations can be exchanged in real-time… build consensus on products and issues, take advantage of financial opportunities, and improve patient care by working directly with colleagues…”
For Sermo clients, .. a way to target and engage physicians… capture real-world physician insights into treatments, medications and devices…
Old home page: “ Twitter is a service for friends, family, and co-workers to communicate and stay connected through the exchange of quick, frequent answers to one simple question: What are you doing ? Join the conversation!”
“ Share and discover what’s happening right now, anywhere in the world.”
unique visitors increased by 1,382% in a year
475,000 in Feb 2008 7 million in Feb 2009
As of Feb 2009, largest Twitter group 35-49 year olds (42%)
“ The least common thing in the world is common sense.” – overheard from Istvan Seri
Review the terms of service of the online communities.
Review your professional liability policy.
Review your employment agreement.
Review your posting before you post.
Be aware that you may not remain anonymous.
Include a disclaimer.
Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
“ In an e-mail to students and faculty of Harvard Medical School, Dean for Medical Education Jules Dienstag wrote: ‘ Caution is recommended . . . in using social networking sites such as Facebook or MySpace. Items that represent unprofessional behavior that are posted by you on such networking sites reflect poorly on you and the medical profession. Such items may become public and could subject you to unintended exposure and consequences.’ ” Source: Jain. Practicing Medicine in the Age of Facebook. NEJM. 2009.
Future doctors share too much on Facebook Source: news.ufl.edu/2008/07/10/facebook/