Social media in health care in Canada


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Some supplementary information for the UBC Centre for Health Care Management Workshop

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Social media in health care in Canada

  1. 1. Social media in health care in Canada<br />Hashtag#hcsmca<br /><br />
  2. 2. Social media in health care in Canada<br />New Brunswick doctors told social media and medicine don’t mix, Vancouver Sun, June 2011<br />
  3. 3. Social media in medicine because…<br /><br />…evidence-based medicine (EBM) does not always answer all the questions we have…. Dr. Scott Strayer<br />What do you think about Dr. Stryer’s view of social media?<br />3<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  4. 4. Where are you on social media?<br /><br />
  5. 5. What social media/web 2.0 tools do you use?<br />
  6. 6. Ways social media is used in health<br /><ul><li> recruitment for clinical trials
  7. 7. inter-professional communication / collaboration
  8. 8. medical education / virtual training
  9. 9. illness support groups – health advocacy
  10. 10. to promote funding opportunities – fundraising
  11. 11. public health alerts
  12. 12. infectious disease monitoring – e.g., flu tracking, H1N1</li></ul>e.g., CDC Social Media Toolkit<br />Image:<br />6<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  13. 13. Social media in health care in Canada<br />“…social networks hold considerable potential value for health care organizations because they can be used to reach stakeholders, aggregate information and leverage collaboration …”<br />  Deloitte’sSocial Networks in Health Care<br />
  14. 14. So… what is web 2.0?<br />“‘Web 2.0’ describes a change in the way people interact with information online, moving from passive consumption to active creation of content.”<br /> Scanfeld, D., Scanfeld, V., Larson, E.L. “Dissemination of health information through social networks: Twitter and antibiotics.” American Journal of Infection Control. April 2010; 38(3),182-188. <br />
  15. 15. Major themes of web 2.0<br />
  16. 16. What is web 2.0?<br />Web 2.0 applications are called social media<br /><ul><li>Popular: Twitter had “1460% increase between June 2008 and June 2009
  17. 17. Open“space[s] for the informal sharing of health information and advice</li></ul>Social media provides a way to:<br /><ul><li>Connect to the public: Organizations are maximizing quick messages to get their news and info out to highly targeted audiences.
  18. 18. Correct inaccuracies: Twitter “demonstrate[s] the reach of this medium for dissemination of both valid and invalid information. It is important for health professionals to have some understanding of social media and the nature of health-related information shared on them.”</li></ul> Scanfeld, D., Scanfeld, V., Larson, E.L. “Dissemination of health information through social networks: Twitter and antibiotics.” American Journal of Infection Control. April 2010; 38(3),182-188. <br />
  19. 19. Social media…<br /> “….will almost certainly influence health behaviors.Health is a logical area in which individuals will want to seekopinions from others and communicate their experiences. In thisnew era, public health officials need to learn how to more effectivelylisten to these messages and, simultaneously, develop more livelyand engaging messages themselves to communicate with the public.”<br /> Wilson & Keelan. Coping with Public Health 2.0<br />
  20. 20. What is social media?<br />“…social media refers to tools that enable collaboration, two-way interaction<br />and sharing – also known as web 2.0 services that contain text, images, audio <br />and video… some popular tools are blogs, wikis, Twitter and …?”<br />How can we work towards an evidence-informed use of social media?<br />Image:<br />12<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  21. 21. What’s a blog?<br />…blog is short for “weblog” – a free, easy-to-publish website where bloggers post information & essays in sequential order<br />A recent, peer-reviewed article surveying medical bloggers said:<br />Blogs stimulate discussion, open enquiry and lifelong learning<br />“Medical bloggers are highly educated and devoted writers, faithful to their sources and readers. Sharing practical knowledge and skills as well as influencing how people think are major motivators for bloggers. [They] frequently pick up stories from the mainstream media… [and] influence medical and health policy” <br />Kovic, JMIR 2008<br />Image: Blogs<br />13<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  22. 22. WebMD Blogs<br /><br />
  23. 23. Diabetes Mine<br /><br />
  24. 24. A wiki is…<br />…a communal website where content can be quickly & easily edited. Wikis support <br />collaboration & information-sharing; feature multimedia such as video, slides,<br /> photographs & allow anyone to edit whereas others are password-protected…. <br />
  25. 25. Medpedia <br /><br />
  26. 26. Google docs<br />
  27. 27. Dropbox<br />
  28. 28. Review sites<br />Definition<br /><ul><li>Opinions/comments posted by users
  29. 29. Variety of topics: places of interest (ie: restaurants, shopping) and people (ie: doctors, lawyers)</li></li></ul><li>Rate<br /><br />
  30. 30.
  31. 31. Google Mashup shows spread of H1N1<br />
  32. 32. Find others with your symptoms<br /><br />
  33. 33. Twitter is…<br /><ul><li>Tweets
  34. 34. Retweets
  35. 35. Mentions
  36. 36. Lists
  37. 37. Hashtags</li></ul>25<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  38. 38. Microblogs<br />Clients <br /><ul><li>Twitter
  39. 39. FriendFeed
  40. 40. Identica</li></ul>Health Examples<br /><ul><li>Twitter Health
  41. 41. Duke Global Health Institute
  42. 42. UNC Institute for Global Health Infectious Disease
  43. 43. Intrahealth</li></li></ul><li>Twitter health<br /><br />
  44. 44. Microblogging on Mobile Devices<br />
  45. 45. Presentation Sharing<br />
  46. 46. Nova 1918 Flu<br /><br />
  47. 47. Health & medicine on YouTube<br /><br /><br />
  48. 48. Social Bookmarking<br />Definition<br /><ul><li>System for storing, organizing, searching, & managing online bookmarks
  49. 49. Publicly accessible
  50. 50. Tag-based classification
  51. 51. Like favorites on your pc, translated to the cloud</li></li></ul><li>Social Bookmarking<br />
  52. 52. Social Bookmarking - Diigo<br />
  53. 53. Social Networking<br />Definition<br /><ul><li>Online communities of people with similar interests
  54. 54. Communities of practice</li></ul>Platforms<br /><ul><li>Facebook
  55. 55. MySpace
  56. 56. Google Buzz
  57. 57. Ning</li></li></ul><li>Social Networking<br />
  58. 58.<br /><br />
  59. 59.
  60. 60. Professional Networking<br />
  61. 61. Virtual Worlds<br />Definition<br /><ul><li>Computer-simulated environments
  62. 62. Interaction via avatars
  63. 63. Communication is typically textual
  64. 64. Everything is user generated</li></li></ul><li>Centers for Disease Control in SL<br />
  65. 65. Dieting in Second Life<br />Increases awareness about the health effects and consequences of eating fast food<br />
  66. 66. Difficulties with web 2.0<br /> “Web 2.0 facilitates both expert and general public communicationof health-related knowledge, which can be particularly problematicfor public health authorities. …it juxtaposes vettedscientific opinion against information from critics, crusadersand conspiracy theorists, which undermines the critical foundationof trust between public health officials and the public. Thistrust is necessary for activities that sometimes require restrictionson individual liberties …for thebenefits of the population.”<br />Kumanan Wilson, MD MSC and Jennifer Keelan, PhD. Coping with Public Health 2.0,<br />
  67. 67. Barriers To Using Social Media<br /><ul><li>Confidentiality & medical ethics
  68. 68. Should patients friend their doctors on Facebook?
  69. 69. Make policies for what info will be shared
  70. 70. Establish authority online
  71. 71. Consult professional organization literature
  72. 72. Scholarly articles
  73. 73. Online certification
  74. 74. Teach evaluation skills
  75. 75. Current awareness
  76. 76. Get to know IT staff for knowledge and firewalls </li></li></ul><li>POST Method<br />A four-step approach to devising a social media strategy<br />P People <br />…with whom do you want to communicate?<br />O Objectives<br />…what do you want to accomplish?<br />S Strategy <br />…how will you ensure your strategy will be successful?<br />T Technology <br />…which tool (or tools) will you try?<br />POST is taken from “Groundswell: Winning in a World Transformed by Social Technologies” <br />by Li and Bernoff<br />45<br />Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011<br />
  77. 77. What is most important to you?<br />  <br /><ul><li>Accuracy
  78. 78. Currency
  79. 79. Relevancy
  80. 80. Bias 
  81. 81. Intended Audience
  82. 82. Credibility
  83. 83. Source </li></li></ul><li>Activity: Sign up for an account<br /><ul><li>Increasing your online presence</li></ul>Will you use Facebook, Twitter … or another tool?<br />PatientsLikeMe, Revolution Health?<br /><ul><li>What? </li></ul>Create an account <br />Will you do so anonymously?<br />Form communities<br />Start using accounts to manage, promote, discover, etc. <br />