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Physicians' Social Networks: A New Tool in Global Health

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Presentation first given at the Digital Health Summit Turkey, Istanbul, December 17 2015. Focus of the presentation is the emerging role of physicians' social networks in supporting national health reform programmes and managing pandemic threats.

Published in: Health & Medicine
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Physicians' Social Networks: A New Tool in Global Health

  1. 1. Physicians’ social networks A new tool in global health Len Starnes Digital healthcare consultant Digital Health Summit Turkey Istanbul 17 – 18 December 2015
  2. 2. What are they? Communities of authenticated medical professionals
  3. 3. Why do doctors use? Trust in confidentiality of closed networks Seeking 2nd opinion on diagnoses & treatment Monitoring latest research findings Discussing health policy issues Catching up with colleagues Participating in CME programmes
  4. 4. 1 Global dimensions Pandemic threats 3 Health reform programmes 2
  5. 5. Global dimensions
  6. 6. 9 years of sustained growth 20102007 > 140 networks > 7m HCPs Aggregate global membership 2016 5m 10m Based on annual stated membership numbers 2007 - 2016 1st network 2007: Sermo
  7. 7. 9 years of sustained growth 20102007 > 140 networks > 7m HCPs Aggregate global membership 2016 5m 10m Based on annual stated membership numbers 2007 - 2016 1st network 2007: Sermo > 140 networks > 5.5m doctors
  8. 8. Asia Pacific inc China, Korea, Japan > 5m members EU, CEE, Russia, Americas, inc Mexico, Brazil > 2m members Asia Pacific dominates Sales
  9. 9. USA Only the paranoid survive* Continuous innovation New players Expanding globally * With thanks to Andy Grove
  10. 10. Doximity Sermo (US/global) Physician Connect Healtheva Relaxdoc SocialMD Clinical Village iMedExchange Ozmosis Medical Plexus Within3 Rad Rounds MyPacs MedTrust MedicSpeak NASS Spineconnect QuantiaMD MDsConnect Mdlinx CareConnectix Medversation Student Doctor Network
  11. 11. First HCPs-only community Pioneers in services & business models 500k members globally
  12. 12. First HCPs-only community Pioneers in services & business models 500k members globally Overtaken in US by Doximity 2014
  13. 13. 66% US doctors using 500k members Focused on mobile usage Secure HIPPA-compliant P2P communications Jeff Tangney, CEO ex CEO Epocrates
  14. 14. North/South divide CEE countries surging Driving global alliances Europe Heterogeneous
  15. 15. Doctors.net.uk (UK) Coliquio (D,CH,AT) MedUniverse (SE) Medcenter (ES,P) Konsylium24 (PL) DocCheck Faces (D) MedOnline (AT) Terve (FI) Esanum (D,AT,CH, F,ES,IT) Docactus (F) Egora (F) iVrach (RU) Doktorsitesi (TK) Univadis (global) doc2doc (UK/Global)
  16. 16. Largest in Europe Over 90% UK doctors using
  17. 17. Driving global alliances
  18. 18. Largest in Turkey Physician driven Patient orientated
  19. 19. Asia Pacific Turbo-charged Breakneck growth Gargantuan membership numbers
  20. 20. Haoyisheng (Good Doctor) (CN) dxy.cn (Lilac Garden) (CN) China Asthma Alliance (CN) China obgyn.net (CN) Orthochina (CN) Indiaheartbeat.com (IN) Doctors Hangout (IN) Doctor.VG (IN) Medtitans (IN) Protomedica (IN) DelloDr (IN) Smartdoc (IN) M3.com (JP) MedPeer (JP) Carenet (JP) NM Online (JP) MT Pro (JP) Medigate( KR) eHealthspace (AU) New Media Medicine (NZ)
  21. 21. China Largest and most innovative
  22. 22. Haoyisheng Over 2m members Serves 6,000 hospitals, 13,000 health centres
  23. 23. Column2 Hospital doctors 47% Pharmacists 6% Senior nurses 41% Medical technicians 6% Haoyisheng membership status September 2011 Almost 50% doctors
  24. 24. MENA region & Africa No national or regional networks
  25. 25. Health reform programmes
  26. 26. Major benefits Accelerate dissemination of medical expertise Extend medical expertise from urban to rural areas Support national CME initiatives
  27. 27. Leading to Improved health outcomes Lower health service costs
  28. 28. Haoyisheng actively supports Chinese HC Reform Delivers over 1,000,000 CME modules/year on evidence-based medicine
  29. 29. Network proposal to support KSA Health Reform* Public/Private partnership Integration with clinical & admin workflows Interoperability with EHRs Comprehensive CME resources *Presented at 5th Saudi eHealth Conference, Riyadh, 18 – 20 November 2014 http://www.slideshare.net/lenstarnes/saudi-e-health-conf-nov-2014public-final24-nov
  30. 30. Pandemic threats
  31. 31. Same health priorities Same health system Same language 2007 – 2010 Doctors strongly preferred national networks
  32. 32. Ebola Avian influenza SARS Antibiotic-resistant microorganizms Middle-East respiratory syndrome coronavirus MERS-CoV Cholera
  33. 33. Dr James Wilson Director Centre of Infectious Disease Forecasting University of Nevada-Reno ‘ ’ Ebola and the recent measles epidemic have shown us that disease outbreaks have no borders…
  34. 34. ‘ ’ Contagion travels at jet speed between busy airports *A geometric approach to network-driven contagion phenomena, Dirk Brockmann, http://rocs.hu-berlin.de/projects/hidden
  35. 35. www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)00946-0/abstract
  36. 36. The most egregious failure was by WHO in the delay in sounding the alarm… Ashish K. Jha Director Harvard Global Health Institute ‘ ’
  37. 37. One thing is clear: we need to decentralize information and have open discussion with the world's frontline healthcare providers Dr James Wilson Director Centre of Infectious Disease Forecasting University of Nevada-Reno ‘ ’
  38. 38. Argentina Australia Canada Denmark France Germany Ireland Mexico Netherlands New Zealand Norway South Africa Spain Sweden UK USA Cross-border P2P communication is here 2015
  39. 39. Solving difficult patient cases Education on new medical techniques & approaches Safe place to talk with other physicians 2015 Attitudes shifting towards use of global networks* *Based on Sermo survey of 1360 physicians in 7 countries, 2015
  40. 40. Global crowdsourcing in action
  41. 41. Decentralize information Connect the right information at the right time with the right people Increase resilience Bypass official alerting & response mechanisms Eliminate 'politics' Remove threat of 'being wrong' for health officials who are politically exposed Social networks enable
  42. 42. …communication between doctors in the face of the next global health crisis will not only be of utmost importance, it could be the key to saving lives on a truly massive scale. Dr James Wilson Director Centre of Infectious Disease Forecasting University of Nevada-Reno ‘ ’
  43. 43. lenstarnes@gmail.com T: + 49 30 781 5513 M: + 49 172 1788253 Skype: lenstarnes www.linkedin.com/in/lenstarnes www.twitter.com/lenstarnes www.slideshare.net/lenstarnes Len Starnes Len Starnes Digital Healthcare Research & Consulting
  44. 44. A sincere thanks to the following for their support in developing this presentation • Dr Erden Asena Founder & CEO DoktorSitesi.com @doktorsitesi • Dr Linda Girgis Family physician, New Jersey, USA @DrLindaMD • Dr James Wilson Director, Centre of Infectious Disease Forecasting, University of Nevada-Reno Co-Founder and Director, Ascel Bio National Infectious Disease Forecast Station @iceaxe5

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