Saudi e-health conference Bob Gann


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Saudi e-health conference Bob Gann

  1. 1. NHS Choices: an international model for public information on health Prof. Bob Gann Director of Partnerships & Strategy NHS Choices Department of Health, UK
  2. 2. Public demand for information: an internationalphenomenonWhen faced with a symptom:• 75% of patients research their condition online before seeing doctor• And 70% go online afterwards to learn moreHaving found health information online:• 55% changed their lifestyle or health behaviour• 52% made a self-diagnosis• 49% started an over the counter treatmentStudy commissioned by Googlefrom research company OTXReported on CNN Health 4 October 2010
  3. 3. UK Government Policy“Our vision is of an information revolution in which peoplehave the information they need to stay healthy, to takedecisions about and exercise more control of their care,and to make the right choices for themselves and theirfamilies”Liberating the NHS White Paper July 2010
  4. 4. NHS Choices – strategic objectives• Access to trusted health information for patients & public in England• Make it easier to find, rate, choose and compare services• Reduce avoidable contacts & increase appropriateness in primary care• Support people to live healthier lives• Help people manage their long term condition and social care needs• Respond to demand for public information in public health emergency
  5. 5. NHS Choices www.nhs.ukThe National Health Servicewebsite for patients in England80,000 pages of information150m visits a year Translate button on every page for 30 languages Used for these screenshots
  6. 6. Conditions & treatmentsEvidence based, NHS branded information on 800 conditions & treatmentsMultimedia formats including text, video, animationsMajor databases of medicines & clinical trials
  7. 7. Positive health & preventionHundreds of interactive tools to support healthy lifestylesBody mass index calculator most visited page on NHS ChoicesCouch to 5K exercise podcast downloaded over 3million times
  8. 8. Health newsBehind the Headlines – looking at the evidence behind stories in popularnewspapers1-2 stories analysed every day
  9. 9. Finding & using local servicesSearchable directories of local health servicesLinks through to online transactions including hospital appointment bookings& electronic prescribing
  10. 10. Provider profiles and patient ratingsDetailed profile pages for all healthcare providers – edited by providersthemselves within national templatePatients provide ratings & comments – “TripAdvisor for health”Comments moderated before publication & providers notified so they can reply
  11. 11. Open data on clinical qualityNHS Choices pioneered opening up clinical performance of providersComparative scorecards in simple “Compare the Market” format whichconsumers are used to in other areas of life600 clinical indicators published including hospital infection rates, readmissionrates, mortality, waiting times etc.
  12. 12. What users look at 34% Treatments 16% 8% & Conditions NHS Service Live Well 3,880,445 visitors Directories 846,098 visitors 1,800,115 visitors 7% 1% Carers Front Direct page 100,914 visitors 765,540 visitors 7%1% Medical Common advice now Health Questions 116,591 visitors 751,842 visitors Behind the NHS in 4% headlines Home Page England 2% 249,078 visitors 460,869 visitors Planners Tools 305,354 visitors 338,570 visitors 3% Scorecard 3% 360,301 visitors 3%
  13. 13. Driving up website trafficWebsite optimised for bestsearch results on GoogleTop of search results for widerange of common healthtermsBiggest contributor toincrease in website trafficQuality assurance – easier tofind good information thanbad
  14. 14. Building the evidence baseResearch is beginning to show statisticallysignificant correlations between patientratings & more objective measures ofprovider and physician qualityAssociations Between Web-Based Patient Ratings andObjective Measures of Hospital QualityGreaves et al.Archives of Internal Medicine.2012; 0:16751-2The changing Landscape of Physician Quality Reporting:Analysis of Patients’ Online Ratings of Their PhysiciansOver a 5-Year PeriodGuodong Gordon Gao et alJ Med Internet Res 2012;14(1):e38
  15. 15. Building the evidence baseMinor ailments make up fifth of all GP appointments,account for 57m GP visits a year & cost NHS £2bn a year37% of visitors to NHS Choices said they’d avoided theneed for a GP appointmentUse of NHS Choices website for primary care consultationsMurray et alJ R Soc Med Sh Rep 2011;2:56
  16. 16. Bridging the digitaldivide8.5 million people in UKhave never used theinternetMore likely to be olderpeople, people withdisabilities & people fromlow incomes – those mostlikely to need health careservicesWorking throughintermediaries like libraries& community groups
  17. 17. The mobile revolutionMore mobile phones than people inthe world23% of online surfing via mobiledevice (27% of visits to NHS Choices)50% of iPhone users have used theirphone to make a health related searchNHS Choices – site optimised formobile, health apps, find localservices, patient commentMobile Advertising Insights Report:Health and Dating Using the iPhoneGreystripe., February 2010
  18. 18. Syndication: extending reach& supporting innovationOver 200 partners taking NHSChoices content feeds (APIs) freeof charge to include in their ownsites Major portals Social networking sitesAs many visits to NHS Choicescontent via partners as Local NHS sites Other countries
  19. 19. Thank youFor any questions please Bob_Gann