• Save
Accept, Reject, or Ignore - Primary Care in the Age of Social Media
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

Accept, Reject, or Ignore - Primary Care in the Age of Social Media

on

  • 593 views

Talk delivered at Stoeckle Center Seminar, Massachusetts General Hospital

Talk delivered at Stoeckle Center Seminar, Massachusetts General Hospital

Statistics

Views

Total Views
593
Views on SlideShare
518
Embed Views
75

Actions

Likes
1
Downloads
0
Comments
0

2 Embeds 75

http://themetrc.org 40
http://scholar.harvard.edu 35

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Article appeared a few years back, two viewpoints. Really got me thinking… this will be a balance of this talk. Not simple. Think about this
  • Encyclopedia salesman is gone
  • The ‘crowd’ now edits the word…
  • Hidden Slide
  • Lesley story
  • Rate 13-25%
  • 15 groups, 15 wall posts
  • http://www.youtube.com/watch?v=FABfYl3Ay60
  • Video
  • Reputation
  • 300 physicians
  • 21 events, 1034 viewers
  • Google blurs
  • Identities can blurCarriemorgansteinsttory
  • Disparaging Patient StoriesInfluence Guidelines

Accept, Reject, or Ignore - Primary Care in the Age of Social Media Presentation Transcript

  • 1. Medicine & Technology Research Collaborative www.themetrc.orgApprove, Deny, or Ignore:Primary Care in the Age of Social MediaBradley H Crotty, M.D.Instructor in Medicine, Harvard Medical School& Chief Resident, Beth Israel Deaconess Medical Center Medicine & Technology Research CollaborativeStoeckle Center Seminar, October 28, 2011 www.themetrc.org
  • 2. Conflict of Interest Disclosure Bradley Crotty, M.D.I have no financial relationshipswith a commercial entity producinghealthcare-related products and/orservices.
  • 3. This morning’s discussion…• What are „Social Media‟ and who uses them?• How does this relate to patients and clinicians today?• How can clinicians use these tools professionally?• How could (will?) we use social media in the future in primary care? Medicine & Technology Research Collaborative www.themetrc.org
  • 4. Hawn, C., 2009. Health Affairs. Medicine & Technology Research Collaborative www.themetrc.org
  • 5. Some Definitions: Web 2.0.. Not a new internet, but a new way of using the internet to interact with others and share content.Giustini, D., 2006. British Medical Journal.Barsky, E., 2006. Journal of the Canadian Health Libraries Medicine & Technology Research Collaborative www.themetrc.org
  • 6. Some Definitions: Web 2.0.. Not a new internet, but a new way of using the internet to interact with others and share content. Content UsersGiustini, D., 2006. British Medical Journal.Barsky, E., 2006. Journal of the Canadian Health Libraries Medicine & Technology Research Collaborative www.themetrc.org
  • 7. Some Definitions: Web 2.0.. Not a new internet, but a new way of using the internet to interact with others and share content. Content UsersGiustini, D., 2006. British Medical Journal.Barsky, E., 2006. Journal of the Canadian Health Libraries Medicine & Technology Research Collaborative www.themetrc.org
  • 8. Some Definitions: Web 2.0.. Not a new internet, but a new way of using the internet to interact with others and share content.Giustini, D., 2006. British Medical Journal.Barsky, E., 2006. Journal of the Canadian Health Libraries Medicine & Technology Research Collaborative www.themetrc.org
  • 9. Some Definitions: Web 2.0.. Not a new internet, but a new way of using the internet to interact with others and share content.Giustini, D., 2006. British Medical Journal.Barsky, E., 2006. Journal of the Canadian Health Libraries Medicine & Technology Research Collaborative www.themetrc.org
  • 10. Some Definitions:Social MediaWebsites and Internet-based tools that facilitate informationsharing among groups of people or the public at large. Medicine & Technology Research Collaborative www.themetrc.org
  • 11. Some Definitions:Social MediaWebsites and Internet-based tools that facilitate informationsharing among groups of people or the public at large. Social Network Sites Blogs Wikis Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 12. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large.Websites such Social Network as Facebook, SitesPatientsLikeMe, that facilitate sharing Blogs Wikis informationamong a group Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 13. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large. Web Social Network + Log Sites Blog Self- Blogs Wikis Publication,Interaction with Photo followers Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 14. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large. Web Social Network + Log Sites Blog Self- Blogs Wikis Publication,Interaction with Photo followers Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 15. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large. Websites Social Network i.e. Flickr or Sites YouTube that allowusers to share Blogs Wikis pictures and video Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 16. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large. Social Network Topical Sites websites collectivelyauthored by a Blogs Wikis user community Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 17. Some Definitions: Social Media Websites and Internet-based tools that facilitate information sharing among groups of people or the public at large. Social Network Topical Sites websites collectivelyauthored by a Blogs Wikis user community Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 18. WHO USES SOCIAL MEDIA? Medicine & Technology Research Collaborative www.themetrc.org
  • 19. All generations use the internet … and many use to search for health info Go Online E-Mail Use Search Health Info News Shopping 100 90 Percentage of Survey Respondents 80 70 60 50 40 30 20 10 0 18-34 35-46 47-56 57-65 66-74 75+ GenerationFox S. Health Topics. A Report of Pew Internet & American Life Project. 2/11/2011Fox S, Jones S. The Social Life of Health Information. Pew Internet & American Life Project. 6/11/2009. Medicine & Technology Research Collaborative www.themetrc.org
  • 20. All generations are using social networking more 50% of Internet Users age 50-64 use social networkingMadden M and Zickhur K. Pew Internet & American Life Project. 8/26/2011 Medicine & Technology Research Collaborative www.themetrc.org
  • 21. Social media use is prevalent across race/ethnicity groups (…of Internet Users) 100% 84%* 80% 73%* 63% 65% 61% 60% 56% 40% 20% 18%* 13%* 10%* 5% 3% 5% 0% Social networking sites Online video Twitter Location services White Black LatinoSmith A. Pew Internet & American Life Project. 9/17/2011 Medicine & Technology Research Collaborative www.themetrc.org
  • 22. We have potential to reach patients on mobile devices 100% (…of cell phone owners) 80% 60% 40% 25%* 19% 20% 15% 15%* 11% 7% 0% Use phone to look up health info Have apps to track or manage health White Black LatinoSmith A. Pew Internet & American Life Project. 9/17/2011 Medicine & Technology Research Collaborative www.themetrc.org
  • 23. Your teenagers are not theonly ones using social media!• Most adults „go online‟• Many of these also use social media• Health is a major driver of use• Different socioeconomic groups may have differential use
  • 24. HOW ARE OUR PATIENTS USING SOCIAL MEDIA? Medicine & Technology Research Collaborative www.themetrc.org
  • 25. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning Medicine & Technology Research Collaborative www.themetrc.org
  • 26. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning • General social networks for ad hoc support Medicine & Technology Research Collaborative www.themetrc.org
  • 27. Social Networking Communities CanProvide Support to Patients Medicine & Technology Research Collaborative www.themetrc.org
  • 28. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning • General social networks for ad hoc support • General social networks for disease specific support and information sharing Medicine & Technology Research Collaborative www.themetrc.org
  • 29. Patients can use Social Networks for ad hoc support • Authors surveyed participants from 5 online psoriasis forums • 260 respondents • Most reported increased I have made friends through the online group that I now communicate with outside of the social support, some better support group, and with whom I feel comfortable discussing personal situations quality of life, psoriasis and health. This has allowed me to gain and give more one-on-one support.Idriss, S., Kvedar, J. & Watson, A., 2009. Archives of Dermatology. Medicine & Technology Research Collaborative www.themetrc.org
  • 30. What is the quality of this information?Greene, J.A. et al., 2011. Journal of General Internal Medicine. Medicine & Technology Research Collaborative www.themetrc.org
  • 31. Video shared of a young Man with diabetes and his Experience with diagnosishttp://www.youtube.com/watch?v=FABfYl3Ay60
  • 32. Social Media Also Supports Families
  • 33. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning • General social networks for ad hoc support • General social networks for disease specific support and information sharing • Patient specific social networks for support and information sharing Medicine & Technology Research Collaborative www.themetrc.org
  • 34. Social Networking Communities Can Provide Support to Patients PatientsLikeMe • Social network for healthcare • Tracks treatments, patient outcomes • Research Communityhttp://www.patientslikeme.com Medicine & Technology Research Collaborative www.themetrc.org
  • 35. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning • General social networks for ad hoc support • General social networks for disease specific support and information sharing • Patient specific social networks for support and information sharing • Social media for behavior change Medicine & Technology Research Collaborative www.themetrc.org
  • 36. Behavior Change… with social mediahttp://www.stikk.com
  • 37. Patients use Web 2.0 and SocialNetworking for education and support • Wikipedia for background learning • General social networks for ad hoc support • General social networks for disease specific support and information sharing • Patient specific social networks for support and information sharing • Social media for behavior change • Social media for physician ratings Medicine & Technology Research Collaborative www.themetrc.org
  • 38. Bates, D.W. & Gawande, A.A., 2000. HealthAffairs
  • 39. • 88% of physicians had a rating site listing; • On average, 1.4 reviews for 300 physicians • Physicians appeared to have added their own reviewsLagu T et al. 2010. JGIM
  • 40. HOW CAN CLINICIANS WORK WITHPATIENTS USING SOCIAL MEDIA? Medicine & Technology Research Collaborative www.themetrc.org
  • 41. Health teams are engaging with patients • Share and/or spread reliable information Medicine & Technology Research Collaborative www.themetrc.org
  • 42. Medical Practices & Institutions Adopt Twitter for Patient Educationhttp://www.twitter.com Medicine & Technology Research Collaborative www.themetrc.org
  • 43. Medicine & TechnologyResearch Collaborativewww.themetrc.org
  • 44. Health teams are engaging with patients • Share and/or spread reliable information • Advertisinghttp://www.twitter.com Medicine & Technology Research Collaborative www.themetrc.org
  • 45. We also can ‘advertise’… Medicine & Technology Research Collaborative www.themetrc.org
  • 46. Health teams are engaging with patients • Share and/or spread reliable information • Advertising • Learning from patients Medicine & Technology Research Collaborative www.themetrc.org
  • 47. Social Media for Post-Marketing Drug SurveillanceKnezevic, M.Z. et al., 2011. Drug safety. Medicine & Technology Research Collaborative www.themetrc.org
  • 48. Learning with our Patients …tuanalyzeWeitzman, E.R. et al., 2011. PLoS ONE Medicine & Technology Research Collaborative www.themetrc.org
  • 49. If we can learn from large groups, can we learn about individual patients?Jent, J.F. et al., 2011. The Journal of Adolescent Health Medicine & Technology Research Collaborative www.themetrc.org
  • 50. of web users search the web about doctors or other health proessionalsFox S. Health Topics. A Report of Pew Internet & American Life Project.2/11/2011Fox S, Jones S. The Social Life of Health Information. Pew Internet & AmericanLife Project. 6/11/2009.
  • 51. Number of MDs with Attributable Hits Massachusetts Number of Hits per MD Internists Type of Search Findings Personal, Professional Subgroup Analysis250 physicians Differences between Physician GroupsMostaghimi A, Crotty BJ, Landon BE. 2010. JGIM
  • 52. Information found for 93.6% of physicians • 92.8% had professional information • 32.4% had personal information • 11% had a public social networking page • 86.4% had physician rating sites (only 3 physicians had more than 5 reviews)Mostaghimi A, Crotty BJ, Landon BE. 2010. JGIM
  • 53. Jain, S. 2009. NEJM
  • 54. Lagu T et al. 2010. JGIM
  • 55. 271 Medical Blogs 1/06 - 12/06 57% of authors could be identified Patients were described in 42% of blogs (16% Positively, 18% Negatively) 3 blogs had patient pictures Products promoted in 11% of blogsLagu T et al. 2010. JGIM
  • 56. Creating a standard for conduct by healthcare workers in a connected world that maintains confidentiality, honesty, and trust in the medical profession.Mostaghimi A and Crotty BH. 2011. Ann Int Med Medicine & Technology Research Collaborative www.themetrc.org
  • 57. Digital Domains Medicine & Technology Research Collaborative www.themetrc.org
  • 58. Public,M.D. Private,M.D.
  • 59. Dual Citizenship
  • 60. Recommendations• Perform “electronic self-audits” to monitor your online presence• Maximize online privacy settings for personal profiles and social networking sites• Develop “dual citizenship” online with separate professional (public) and personal (private) networking profiles• Develop a professional biography for patients and others to preferentially find using search engines.
  • 61. WHAT DOES THE FUTURE HOLD FOR PATIENTS AND PRIMARY CARE Medicine & Technology Research Collaborative www.themetrc.org
  • 62. Social Media & the Future of Primary Care• Health Promotion• Chronic Disease Management• Population Management• Revolutionized Documentation Medicine & Technology Research Collaborative www.themetrc.org
  • 63. • Can notes be living documents?• Who is the master of the note?• Will this be useful, a distraction, or harmful?• Will access to information benefit the patient?Delbanco et al. 2010. Ann Internal Med
  • 64. Can Web 2.0 reinvent our practices? Can we Social Network redefine the Sites team? Can we connect proactively? Blogs Wikis Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 65. Can Web 2.0 reinvent our practices? Can we Social Network improve Sites population management with a “Twitter” Blogs Wikis like tool? Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 66. Dashboard for Provider, M.D. Frog,Hermit, 123-45-67 [Collapse] - 8/2/10 0845 – Jane Frog (family) wrote: “my father Hermit had a 5 lb weight gain over the weekend.” - 8/2/10 1000 – Don Lane (clinical RN) wrote: “have increased lasix, will follow-up in 2 days. (OMR Note) -8/2/10 1130 – Michael Daniels (Cardiology) wrote: “ Thanks Don; if worse, schedule in HF center for IV lasix.” Piggy, Miss 324-23-23 [Expand] - 8/2/10 0934 – Don Lane (Clinical RN) wrote: - “Patient will be coming into HF clinic today for palpitations.
  • 67. Can Web 2.0 reinvent our practices? Instead of a separate note Social Network each visit, can Sites we just amend the patient‟s story/condition Blogs Wikis s? Photo Sharing Sites Medicine & Technology Research Collaborative www.themetrc.org
  • 68. This morning’s discussion…• Social media are easy to use internet tools and sites to share information and content with others• Many adults are already using social networking and social media sites, and many for health information• Clinicians should adopt „dual citizenship‟ to separate personal from professional identities• How could (will?) we use social media in the future in primary care? … I leave that to you Medicine & Technology Research Collaborative www.themetrc.org
  • 69. Acknowledgements / My Social NetworkMedicine & Technology Research -Bruce LandonCollaborative-Arash Mostaghimi Division of General Medicine &-Yonas Tamrat Primary Care, BIDMC - Tom DelbancoShapiro Center for Education - Russ Phillips- Sigall Bell - Jan Walker- David Roberts - Kaitlin Baratta- Chris Smith - Nadine Farag - Neha TrivediDept of Health Care Policy, HMS Medicine & Technology Research Collaborative www.themetrc.org