The use of social media can have good or bad impacts on healthcare, particularly mental health. It has been proven that during disaster, social media is a good tool to connect people. However, the increasing trend of doctor shaming limits HCP use of social media and further widens the gap between physician-patient relationship. This was a lecture delivered during the postgraduate course of Perpetual Succour Hospital in Cebu.

1. Social Media:
An Alternative Sounding Board
Helen V. Madamba, MD MPH-TM
Member of #HealthXPH

2. Merriam-Webster Definition:
forms of electronic communication (as
websites for social networking and
microblogging) through which users
create online communities to share
information, ideas, personal
messages, and other content
What is Social Media?
http://www.merriam-webster.com/dictionary/social%20media
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4. http://www.adweek.com/socialtimes/social-media-stats-2014/495727
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5. Why Should HCPs be on
Social Media?
Social Media is P2P (person to person)
We tend to forget that both
ends of social media
conversations and
networks are people.
http://remomd.com/social-media/why-healthcare-professionals-should-be-on-social-media.html
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6. Why Should HCPs be on
Social Media?
Social media is public space, no
matter how private your
settings are.
http://remomd.com/social-media/why-healthcare-professionals-should-be-on-social-media.html
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7. Why Should HCPs be on
Social Media?
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http://www.slideshare.net/isiptan/social-media-and-psychiatry?

8. SOCIAL MEDIA AS
PSYCHOLOGICAL FIRST AID

9. https://ajem.infoservices.com.au/items/AJEM-27-01-08
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10. What people were doing on
social media
https://ajem.infoservices.com.au/items/AJEM-27-01-08
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11. How use of social media was
making people feel
https://ajem.infoservices.com.au/items/AJEM-27-01-08
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12. The role of social media as
psychological first aid as a support
to community resilience building
• use of social media in disasters can
assist in the delivery of
psychological first aid to those
affected by disasters and support
community resilience
https://ajem.infoservices.com.au/items/AJEM-27-01-08
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13. The role of social media in this
context is not to replace face-to-face
support or contact, or to replace
official warning services, but it can
expand capacity to deliver
information, extend the reach of
official messages and limit the
psychological damage caused by
rumours and sensationalised media
reporting.
https://ajem.infoservices.com.au/items/AJEM-27-01-08
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14. Self-regulation and careful
administration are elements that
serve to ensure that the sites
that succeed are those that listen
and support the needs of their
users.
https://ajem.infoservices.com.au/items/AJEM-27-01-08#sthash.9D5jOd1J.dpuf
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15. 5 Social Media Content Ideas
Readers Love
One of the biggest challenges of social
media is developing constant content
that compels followers to come back for
more.
1. Create lists.
2. Go negative.
3. Share infographics.
4. Provide how-to posts.
5. List case studies.
http://sounding-board.net/5-social-media-content-ideas-readers-love
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16. 1. Pregnancy is the dominant topic
for female users in drug review
websites and health Web forums,
whereas for male users, it is
cardiac problems, HIV, and back
pain, but this is not the case for
Twitter.
http://www.ncbi.nlm.nih.gov/pubmed/27296242
Demographic-Based Content Analysis of
Web-Based Health-Related Social Media
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17. 2. Younger users (0-17 years) mainly
talk about attention-deficit
hyperactivity disorder (ADHD) and
depression-related drugs, users
aged 35-44 years discuss about
multiple sclerosis (MS) drugs, and
middle-aged users (45-64 years)
talk about alcohol and smoking.
http://www.ncbi.nlm.nih.gov/pubmed/27296242
Demographic-Based Content Analysis of
Web-Based Health-Related Social Media
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18. Demographic-Based Content Analysis of
Web-Based Health-Related Social Media
3. users from the Northeast United
States talk about physical
disorders, whereas users from the
West United States talk
about mental disorders and
addictive behaviors.
4. Users with higher writing level
express less anger in their posts.
http://www.ncbi.nlm.nih.gov/pubmed/27296242
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19. The Effect of Social Support Features
and Gamification on a Web-Based
Intervention for Rheumatoid
Arthritis Patients: Randomized
Controlled Trial
• Social support sections on the
website decreased health care
utilization and medication overuse
and increased empowerment.
http://www.jmir.org/2015/1/e14/
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20. The Effect of Social Support Features
and Gamification on a Web-Based
Intervention for Rheumatoid
Arthritis Patients: Randomized
Controlled Trial
• Gamification alone or with social
support increased physical activity
and empowerment and decreased
health care utilization.
http://www.jmir.org/2015/1/e14/
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21. SOCIAL MEDIA AS COMPLAINTS
SOUNDING BOARD

22. Why Social Media is the
Complaint Sounding Board
• Complaints on social media are not
anything new but big brands need
to be listening.
• The key is to use social media
accounts to build relationships and
not just quote corporate policies.
http://robertbcairns.com/2014/11/13/why-social-media-is-the-complaint-sounding-board/
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23. Doctor Shaming
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24. When Doctors are Shamed on
Social Media
http://ronibats.ph/2016/when-doctors-are-shamed-on-social-media/
“Ipa-viral ‘yang doktor/intern na ‘yan!”
(Let’s make this doctor/intern viral!)
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25. When Doctors are Shamed on
Social Media
http://ronibats.ph/2016/when-doctors-are-shamed-on-social-media/
• First, it is unlikely to stop, not while
our health system is far from ideal.
• Second, the practice discourages
doctors from using social media.
• Last and most important, I doubt if
any doctor-shaming post ever led
to a positive resolution.
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26. http://www.slideshare.net/isiptan/social-media-and-psychiatry?
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27. Doctor Shaming
“Doctors are held to a higher
standard of behavior but patients are
not.
Social media policies cover personnel
but not patients because while the
hospital can sanction its personnel, it
cannot do so for patients.”
Iris Thiele Isip-Tan, #HealthXPH
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32. I am a healthcare provider and
I will conduct myself in a
manner worthy of my
profession, even online. I will
not use online platforms to
rant or bash patients and
healthcare professionals.
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33. “First, do no harm.”
Recognizing this and the
trust that comes with my
profession, I will ensure that
the information I post, like
or share is accurate.
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34. Whatever I post online in relation
to my clinical expertise should be
of benefit to my countrymen. I
will prioritize the promotion and
advancement of health rather
than of medicinal products. I will
not practice plagiarism.
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35. I will refrain from posting
information online that will
compromise patient
confidentiality and privacy.
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36. I will value the patient’s dignity and
privacy by not taking selfies, groufies
or videos during encounters with
patients that include patients’ body
parts, surgical specimens or that show
patients in the background without
their consent.
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37. #HealthXPH tweetchat
Healthcare Conversations on Twitter
Saturdays 9:00 p.m. to 10:00 p.m.
@helenvmadamba
Helen V. Madamba
https://www.facebook.com/helenvmadamba
Sleepless in Cebu
http://helenvmadamba.blogspot.com
These slides are available on
http://www.slideshare.net/HelenMadamba/

38. #HealthXPH tweetchat
August 6, 2016 Saturday on
twitter.com from 9PM – 10PM
http://healthxph.net/healthcare/soft-skills-in-the-hard-reality-of-healthcare.html
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39. Social Media:
An Alternative Sounding Board
Helen V. Madamba, MD MPH-TM
Member of #HealthXPH