American Voices - Aligned for Health

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Kaiser Permanente has released the results of a new data analysis focused on how physicians, health reporters and policymakers talk about health. The analysis found significant differences among the three groups studied, underscoring a need for greater alignment among key influencers around pertinent health issues impacting Americans. The data will be presented today at an expert panel discussion event sponsored by Kaiser Permanente's Institute for Health Policy. The event, "American Voices--Aligned for Health," will be held at the Kaiser Permanente Center for Total Health in Washington, DC.

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American Voices - Aligned for Health

  1. 1. American Voices – Aligned for HealthGreg MatthewsFebruary 26, 2013 Contents are proprietary and confidential. #AVA4H | @chimoose1
  2. 2. My use of twitter allows me to expand the diversity of my network, and therefore my knowledge in my areas of interest : prevention, diversity/equity, integrated care, and Washington, DC (the #epicenter!). It also allows me to model open leadership as a physician, and promote this approach among my medical and nursing colleagues. Ted Eytan Family Medicine, Kaiser Permanente twitter.com/tedeytan linkedin.com/in/tedeytan tedeytan.com Contents are proprietary and confidential. #AVA4H | @chimoose2
  3. 3. Internet users are searching for health info 72% 140 Million American AdultsPew Internet and American Life – Online Health 2013 3 Contents are proprietary and confidential. #AVA4H | @chimoose
  4. 4. Self-diagnosis is mainstream 35% of internet users are considered “self- diagnosers”Pew Internet and American Life – Online Health 2013 4 Contents are proprietary and confidential. 4 #AVA4H | @chimoose
  5. 5. Twitter is an information accelerator • 25% of physicians use social media daily as an information source* • Facebook has passed 1B users; • Twitter has surpassed 500M UsersJournal of Medical Internet Research – September 24, 2012 5 Contents are proprietary and confidential. #AVA4H | @chimoose
  6. 6. Tweets Over Time Trending steadily upward45004000350030002500200015001000 500 0 1 11 21 31 41 51 61 71 81 91 101 111 121 131 141 1516 Contents are proprietary and confidential. #AVA4H | @chimoose
  7. 7. The American Voices study7 Contents are proprietary and confidential. #AVA4H | @chimoose
  8. 8. AVA4H Data Sets 2.3M 132,108 464,272 218,934 36,300* 71,606*Journalist-written articles 8 #AVA4H | @chimoose
  9. 9. 5,0009 #AVA4H | @chimoose
  10. 10. 10 #AVA4H | @chimoose
  11. 11. 403,00011 #AVA4H | @chimoose
  12. 12. 12 #AVA4H | @chimoose
  13. 13. 2,300,00013 #AVA4H | @chimoose
  14. 14. 14 #AVA4H | @chimoose
  15. 15. Not just tweets this time … 326,84015 #AVA4H | @chimoose
  16. 16. 16 #AVA4H | @chimoose
  17. 17. 17 #AVA4H | @chimoose
  18. 18. 18 #AVA4H | @chimoose
  19. 19. Making Sense of the Data19 Contents are proprietary and confidential. #AVA4H | @chimoose
  20. 20. Topical Breakdown• CDC Disease list• Broad Health Topics from Subjects’ tweets20 #AVA4H | @chimoose
  21. 21. What we Learned21 Contents are proprietary and confidential. #AVA4H | @chimoose
  22. 22. At the highest level … Health Education Business of Health Politics of Health Contents are proprietary and confidential.22 #AVA4H | @chimoose
  23. 23. At the highest level … Health Education Business of Health Politics of Health Contents are proprietary and confidential.23 #AVA4H | @chimoose
  24. 24. Strongest Focus Areas Healthcare Conversation Topics 100% 90% 23% 15% Percentage of Healthcare Conversation 80% 47% 5% 70% 10% 15% 60% Treatment 6% 22% 50% Research 40% Prevention 27% 11% Policy 30% 64% Business 20% 14% 33% 10% 6% 0% Doctors 2% Media Congress24 #AVA4H | @chimoose
  25. 25. Where education makes a difference25 #AVA4H | @chimoose
  26. 26. Making a comeback Contents are proprietary and confidential.26 #AVA4H | @chimoose
  27. 27. A new #1 Vaccine-Preventable Diseases27 #AVA4H | @chimoose
  28. 28. Doctors armed for combat Contents are proprietary and confidential.28 #AVA4H | @chimoose
  29. 29. Disease Conversation Volume Over Time 100 90 80 70 60 50 40 30 20 10 0 Diabetes Breast Cancer Prostate Cancer29 Contents are proprietary and confidential. #AVA4H | @chimoose
  30. 30. The PSA Controversy 36 117 Doctors who state an opinion are more than 3:1 Against the USPSTF’s 182 ruling on PSA Tests Negative Neutral Positive30 Contents are proprietary and confidential. #AVA4H | @chimoose
  31. 31. The Voice of the Patient Matters31 Contents are proprietary and confidential. #AVA4H | @chimoose
  32. 32. Doctors discuss Breast Cancer and Lung Cancer 100% 90% 80% 70% 60% Breast Cancer 50% Lung Cancer 40% 30% 20% 10% 0% Mortality/1,000 Conversation Frequency32 #AVA4H | @chimoose
  33. 33. HIV/Aids and Heart Disease 100.0% 80.0% 60.0% 40.0% AIDS/HIV Heart Disease 20.0% 0.0% Contents are proprietary and confidential.33 #AVA4H | @chimoose
  34. 34. Vaccines - HPV HPV makes up 18.2% of media vaccine conversations 100% 4.2% 90% 18.2% 80% 70% 60% 95.8% 50% 40% 81.8% 30% 20% 10% 0% Doctors Media Other Vaccine Conversation HPV34 #AVA4H | @chimoose
  35. 35. Content Gap Analysis Methodology Corpus 1 Corpus 2 • The Content Gap Analysis is a statistical comparison of word frequencies between 147 documents 80 documents two corpora of text 1,789 words 917 words • These two corpora are typically either: • A subset of one corpus compared against the Word Frequency Word Frequency whole corpus medicine 10 vaccine 6 • Two distinct corpora compared directly ƒ(x) drug 8 medicine 6 vaccine 7 drug 4 against each other vaccination 7 vaccination 3 wellness 6 health 2 • The outcome is a list of words that appear in both corpora with an associated Word G2 “oddness” score that medicine 3.42 denotes how much more (or drug 2.81 less) each word appears in vaccine 1.14 one corpus versus the other vaccination 1.1235 #AVA4H | @chimoose 35
  36. 36. Interventions – MDs and the Media36 #AVA4H | @chimoose
  37. 37. The untouchable – and the social?37 #AVA4H | @chimoose
  38. 38. Medicaid and Mandela38 #AVA4H | @chimoose
  39. 39. High Risk/Low Effort • Doctors discuss 67% more than the media; • 483% more than congress39 #AVA4H | @chimoose
  40. 40. Insurance and reimbursement• Congress & the media lead the way in exploring how we’ll pay for care in the future• Physicians, while concerned about patients’ access to care and the viability of primary care, can be better informed 14% 48% Doctors 38% Media Congress40 #AVA4H | @chimoose
  41. 41. Aligning communications – what’s next?• Patient-centeredness first• Create more robust and transparent networks (inter- and intra-group)• Build consensus on the balance between “most important health stories”• Monitor progress with a public “dashboard”41 #AVA4H | @chimoose
  42. 42. Thank you #AVA4H | @chimoose
  43. 43. AcknowledgementsAnalytics Design – Seth Duncan (@PRResearch)R&D Lead – Matthew Hager (@iSmashew)Analyst – Kayla Rodriguez (@Kaylarodrigue11)Analyst – Dan Zhao (@denzelzhao)Analyst – Emma Ferguson (@EmmaAnAnalyst) #AVA4H | @chimoose
  44. 44. #AVA4H | @chimoose
  45. 45. Appendix #AVA4H | @chimoose
  46. 46. Physician Profiles 78 % identify themselves clearly as such in their twitter bio 32 % link to a personal blog or website 80 % contain a URL in their bio46 Contents are proprietary and confidential. #AVA4H | @chimoose
  47. 47. How are MDs using their accounts? Bio URL Distribution 6.90% 1.90% 93 % of all Plastic Surgery 37.70% URLs are links to their practice 31.90% Business Medical Resource Personal Blog/Website Practice47 Contents are proprietary and confidential. #AVA4H | @chimoose
  48. 48. Twitter and the MD Workflow Localized time Morning Workday Work PM Evening Overnight (0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459) 18 % 21 % 31 % 8% 22 % 31% 21% 22% 18% 8% 0500-0800 0801-1200 1201-1800 1801-2300 2301-045948 Contents are proprietary and confidential. #AVA4H | @chimoose
  49. 49. The Connected Physician49 Contents are proprietary and confidential. #AVA4H | @chimoose
  50. 50. Ratio of following to followers Ratio of Following to Followers 32.40% Median 21.50% Ratio 1.1 : 1 16.20% 14% 6.70% 4.90% 2.80% 1.60% 0.- .1:1 .11-.2:1 .31-.7:1 .71-1.5:1 1.51-3.0:1 3.1-11.0:1 11.1-100.0:1 100.1-2808:150 Contents are proprietary and confidential. #AVA4H | @chimoose
  51. 51. MDs Most likely to be followed by peers* 25% 53% Personal Blog/Website 27% Business/ Organization All_Doctors No Bio URL practice 34% 40% *Percentages measure MDs followed by at least 20 others in the data set51 Contents are proprietary and confidential. #AVA4H | @chimoose
  52. 52. How connected are online physicians? % 34 of all MDs are followed by at least 20 MDs Pediatrics Specialties who Emergency are followed by Medicine other MDs Family Medicine52 Contents are proprietary and confidential. #AVA4H | @chimoose
  53. 53. Mining the Data A sample • Breast Cancer: (breast AND (cancer OR carcinoma)) OR (inflammatory AND breast) OR (inflammation AND breast) OR (breast AND (metastasis OR metastic)) OR (duct AND (carcinoma OR cancer)) OR (lobe AND (carcinoma OR cancer)) OR "DCIS" OR "LCIS" OR (estrogen AND receptor AND positive) OR "HER2" OR (breast AND MRI) OR (breast AND biopsy) OR (breast AND ultrasound) OR "mammogram" OR "mammography" OR "tamoxifen" OR (aromatase AND inhibitor) OR "exemestane" OR "trastuzumab" OR "Herceptin" OR "lumpectomy" OR "mastectomy" OR "komen" OR "BRCA1" OR "BRCA2” • Diabetes: "Diabetes" OR "Mellitus" OR "Insipidus" OR "Diabetic" OR "Gestational" OR "blood glucose" OR "Blood Sugar" OR "NIDDM" OR "IDDM" OR "LADA" OR ("Antiduretic Hormone" OR "ADH") OR ("Arginine Vasopressin" OR "AVP") OR "oral glucose tolerance" OR "fasting plasma glucose" OR "glycated hemoglobin OR HbA1c OR A1c" OR "insulin" OR "SMBG" OR "hyperglycemia OR hyperglycemic" OR "biguanides" OR "Sulfonylureas" OR "Meglitinides" OR "thiazolidinediones" OR "alpha glucosidase inhibitor" OR "GLP-1 agonist" OR "DPP-IV inhibitors" OR "DKA" OR "HHS"53 Contents are proprietary and confidential. #AVA4H | @chimoose
  54. 54. Diabetes & Breast Cancer – Sample Search Contents are proprietary and confidential.54 #AVA4H | @chimoose

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