Mounting interest in the field of mHealth—the provision of health-related services via mobile communica-tions—can be traced to the evolution of several interrelated trends. In many parts of the world, epidemicsand a shortage of healthcare workers continue to present grave challenges for governments and healthproviders. Yet in these same places, the explosive growth of mobile communications over the past decadeoffers a new hope for the promotion of quality healthcare. Among those who had previously been left behindby the ‘digital divide,’ billions now have access to reliable technology.There is a growing body of evidence that demonstrates the potential of mobile communications to radicallyimprove healthcare services—even in some of the most remote and resource-poor environments. This reportexamines issues at the heart of the rapidly evolving intersection of mobile phones and healthcare. It helps thereader to understand mHealth’s scope and implementation across developing regions, the health needs towhich mHealth can be applied, and the mHealth applications that promise the greatest impact on heath careinitiatives. It also examines building blocks required to make mHealth more widely available through sustain-able implementations. Finally, it calls for concerted action to help realize mHealth’s full potential.
Doctors in social media: the story so far, with Creation Pinpoint (slides)CREATION
Today we are seeing an explosion in doctors using public social media channels to talk with each other about clinical and practice matters. In this webcast, Daniel Ghinn presents some milestones in doctors' use of social media from recent years and reveals first-time insights from millions of analysed conversations between doctors online using Creation Pinpoint.
Also available as video webcast here: http://www.slideshare.net/CreationHealthcare/doctors-in-social-media-the-story-so-far
What is patient engagement? How do we create it? This talk proposes that focusing on human qualities and applying user experience design processes can help health information technology professionals with this key goal.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
Mounting interest in the field of mHealth—the provision of health-related services via mobile communica-tions—can be traced to the evolution of several interrelated trends. In many parts of the world, epidemicsand a shortage of healthcare workers continue to present grave challenges for governments and healthproviders. Yet in these same places, the explosive growth of mobile communications over the past decadeoffers a new hope for the promotion of quality healthcare. Among those who had previously been left behindby the ‘digital divide,’ billions now have access to reliable technology.There is a growing body of evidence that demonstrates the potential of mobile communications to radicallyimprove healthcare services—even in some of the most remote and resource-poor environments. This reportexamines issues at the heart of the rapidly evolving intersection of mobile phones and healthcare. It helps thereader to understand mHealth’s scope and implementation across developing regions, the health needs towhich mHealth can be applied, and the mHealth applications that promise the greatest impact on heath careinitiatives. It also examines building blocks required to make mHealth more widely available through sustain-able implementations. Finally, it calls for concerted action to help realize mHealth’s full potential.
Doctors in social media: the story so far, with Creation Pinpoint (slides)CREATION
Today we are seeing an explosion in doctors using public social media channels to talk with each other about clinical and practice matters. In this webcast, Daniel Ghinn presents some milestones in doctors' use of social media from recent years and reveals first-time insights from millions of analysed conversations between doctors online using Creation Pinpoint.
Also available as video webcast here: http://www.slideshare.net/CreationHealthcare/doctors-in-social-media-the-story-so-far
What is patient engagement? How do we create it? This talk proposes that focusing on human qualities and applying user experience design processes can help health information technology professionals with this key goal.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
Patient Engagement: Health Consumer Insights from Gen Xers and Millennials InCrowd, Inc.
Patient Engagement: Health Consumer Insights from Gen Xers and Millennials
Pathways to Patient Engagement is a webinar series designed to foster collaboration and discussion between all involved in the healthcare process.
During the first webinar we explored physician insights and found 40% of the primary care physicians surveyed were not participating in any patient engagement activities.
During the second webinar we highlighted feedback from health consumers, specifically Gen Xers and Millennials. We found Millennials to be more patient engagement savvy than their Gen X counterparts.
Review the deck and to get a health consumer perspective on patient engagement.
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Wake up Pharma and look into your Big data Yigal Aviv
The vast volumes of medical data collected offers pharma the opportunity to harness the information in big data sets
Unlocking the potential in these data sources can ultimately lead to improved patients outcomes
This presentation describes consideration how to maximize the impact of Big Data.
its methodology, practical challenges and implications.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
Patient engagement isn’t just a buzz word, it is becoming one of the key factors in independent practice success. It can help you recruit new patients, retain existing patients, and access increased reimbursement as the industry shifts to value-based payment programs.
Patient engagement and practice marketing expert John Kim and practicing physician Molly Maloof will show you how you can improve patient engagement in your practice and see a return on your investment.
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
This presentation is the full version of one I'm delivering several times in September 2009, and is posted here for reference. It's updated with some of our latest Mayo Clinic social media activities.
What do MDs think about patient engagement? What's the gap between today's healthcare marketplace and the marketplace of the future? What is pathway to patient engagement?
Join us for our 4-part webinar series with the latest real time market intelligence on patient engagement.
Patient Engagement: Health Consumer Insights from Gen Xers and Millennials InCrowd, Inc.
Patient Engagement: Health Consumer Insights from Gen Xers and Millennials
Pathways to Patient Engagement is a webinar series designed to foster collaboration and discussion between all involved in the healthcare process.
During the first webinar we explored physician insights and found 40% of the primary care physicians surveyed were not participating in any patient engagement activities.
During the second webinar we highlighted feedback from health consumers, specifically Gen Xers and Millennials. We found Millennials to be more patient engagement savvy than their Gen X counterparts.
Review the deck and to get a health consumer perspective on patient engagement.
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Wake up Pharma and look into your Big data Yigal Aviv
The vast volumes of medical data collected offers pharma the opportunity to harness the information in big data sets
Unlocking the potential in these data sources can ultimately lead to improved patients outcomes
This presentation describes consideration how to maximize the impact of Big Data.
its methodology, practical challenges and implications.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
Patient engagement isn’t just a buzz word, it is becoming one of the key factors in independent practice success. It can help you recruit new patients, retain existing patients, and access increased reimbursement as the industry shifts to value-based payment programs.
Patient engagement and practice marketing expert John Kim and practicing physician Molly Maloof will show you how you can improve patient engagement in your practice and see a return on your investment.
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
This presentation is the full version of one I'm delivering several times in September 2009, and is posted here for reference. It's updated with some of our latest Mayo Clinic social media activities.
A quick introduction to these Social Media technologies: blogs, Delicious, SlideShare, podcasts, YouTube and Twitter.
Some suggestions / examples for their possible use in teaching and learning
How could you use them in your teaching?
Maartens Journey presentation for Healthcare 2.0 eventLensFitzgerald
Presentation for the presentatie for the Healthcare 2.0 event event in Nijmegen, the Netherlands on March 24th 2009.
Its the first time that i share my experiences with cancer on stage. There are some video's that you cant see on this presentations version.
http:/maartensjourney.com
http://www.mindz.com/events/Zorg_2_0_Event
Google+ Guide for beginners. Google+ is the latest social media innovation with several new features including Circles, Sparks, Hangouts, Mobile, Location, Instant Upload, and Huddle. We’ll go through each feature.
Pazienti 2.0. Temi e relazioni di una community di pazienti diabeticiAgnese Vardanega
Presentata l'11 ottobre 2013 al Workshop "Nuove tecnologie, mutamento sociale e
costruzione del Sé", nell'ambito del Convegno "La qualità del sapere sociologico", AIS-Associazione Italiana di Sociologia, (Firenze 10-12 ottobre 2013).
The Patient Empowerment Initiative: Empowering Patients to Change Cancer Policy Around the World. Visit http://livestrong.org/What-We-Do/Our-Actions/Programs-Partnerships/Survivor-Empowerment-Initiative for more information.
In these slides, I briefly outline how the Internet is changing healthcare by empowering the consumer and the e-patient. We look at data and examples from the USA and Europe, and consider the impact of ratings websites, online health records, and the way in which doctors are responding to the e-patient.
Patients Rising: How to Reach Empowered, Digital Health Consumerse-Patient Connections
Kru Research's white paper discussing how to reach out to empowered, digital, health consumers or e-Patients. Discussion of participatory medicine, digital health consumers, e-Patients, web 2.0, the power of social media, ROI of social media, regulatory concerns, HIPAA, FDA, adverse event reporting, and the future of social media in health marketing.
Social Media & Pharma - DIA Clinical Forum, Lisbon 13 October 2010CREATION
Slides from Daniel Ghinn's presentation at DIA (Drug Information Association) 4th Annual Clinical Forum, Lisbon, 13 October 2010.
This session was part of the Medical Information & Communications track, and was aimed at orientating medical information professionals to the role of social media in healthcare engagement. It's a basic introduction to the changing roles of healthcare stakeholders and especially the 'e-Patient'; and includes examples of social media's role in healthcare engagement including a brand new case study of Pfizer's 'Can you feel my pain' strategy in Europe.
The Internet has been rapidly changing the consumer’s view of medicine. As the use of the Internet for health information becomes more widespread, risk to the overall consumer quality of care increases. There is social concern about the yet-undetermined effects the Internet has had and will continue to have on consumer behaviors and health outcomes. This study examines such behaviors and makes recommendations for the enrichment of future care.
Social Media and Medicine: Fad or Shift?Gregg Masters
A social media tutorial for client medical group, including details on physician immersion in the broadly cast "digital health channel'. Some key trends in digital health, including both primary and secondary market research are recapped to suggest certain forward implications for a 'cloud based web presence'. Is social media a fad, I don't think empirical evidence would suggest such a conclusion.
Collaborative Digital Pharma Marketing: A Role Model for Asia Pacific Healthc...Len Starnes
Presentation first given 10th March 2011 in Singapore at the Campaign Spotlight 'From Drugs to Brands' conference. Reviews the potential of collaborative marketIng in the Asia Pacific region with focus on physicians and patients.
Information systems for health decision making - a citizen's perspectiveErdem Yazganoglu
We make health decisions everyday. We get our information from the Internet. As a society we are investing large amounts of funding for the health information systems. In this presentation, I tried to look from the perspective of a citizen and tried bringing a different perspective.
An experiment in preparing a 'user guide' to working with Paul Grant as a leader of a team. The objective was to share a common understanding of what is expected, as well as have a little fun providing some insight into the person.
The Command Center - one screen to rule them allPaul Grant
A presentation from the Advancing Data Analytics conference in Canberra on 25th July 2018.
- The business case;
- Cross-functional data integration;
- Guiding principles;
- Command and control: actionable insights to inform operational efficiency
Wildfire Operations Future Capability - SlidesPaul Grant
Working group slides to collaborate on a strategic vision and framework about wildfire operations that attempts to envision a near-future, without consideration of any current political, economic, cultural or other such inertial constraints.
Wildfire Operations Future Capability in Australia - SchematicPaul Grant
Dependency and interoperability of near-future tools, technologies, and deployment strategies. Taken from a comprehensive strategic vision and framework for improving Wildfire Operations Future Capability in Australia.
Future Capability and the World of TomorrowPaul Grant
In the near future, continuous and rapid technological advancements will enhance and challenge our current way of working. How do we reliably plan for the capability we will need as individuals and organizations, to adapt for success in this changing world? What are the core tenets of a data-driven world that will help us flourish and survive the disruption to come?
This presentation was delivered as an opening technology keynote for the 29th DIA Medical Affairs & Scientific Communication meeting near Palm Springs, California on March 19-21, 2018.
SOcial, LOcal, MObile, and the impact on health informationPaul Grant
A version of this presentation was delivered for the DIA Clinical Forum at The Hague, in October 2012.
The entire presentation was delivered from an iPhone 4S, mirrored to an AppleTV, switching to live demonstrations of health applications - including an augmented reality scenario where a medicine had a holographic virtual assistant.
The audience, of predominantly medical information professionals from the pharmaceutical industry, were seeking to understand how emerging channels may help to provide context-sensitive health information to patients and HCPs.
The impact of social media on the pharmaceutical sectorPaul Grant
A presentation delivered to an audience of medical information, researchers, and clinical trial colleagues from within the pharmaceutical industry at the DIA Clinical Forum in Basel, 12th October 2011
On the 15th April, Creation Healthcare presented the winners of the Healthcare Engagement Strategy Awards 2010 at the Hilton Park Lane in London, United Kingdom.
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
3. Global internet access *Estimates Source:ITU World Telecommunication /ICT Indicators database
4. 1996: “Web 1.0” 250,000 websites The Internet Published content User Generated Content (UGC) 45 million global users Source: Adapted from http://socialcomputingjournal.com
5. Collective intelligence > 80 million websites The Internet User Generated Content (UGC) Published content 2006: “Web 2.0” > 1 billion global users Source: Adapted from http://socialcomputingjournal.com
6. The Internet for health 2004 2008 36% increase 33% increase 27% increase 23% increase 18-34 years 35-44 45-54 55+ Source: “The State of eHealth: Trends of Today’s eHealth Consumer” Manhattan Research, 2008
7. Reasons for discussing health Find other people's experiences regarding treatment Find other people's experiences regarding an illness Share own experiences regarding an illness Share own experiences regarding treatments Other N=642; UK, France, Germany, Spain, Italy Source: IMR International (Australia) Pty Ltd “Social Media and Healthcare” (March 2010)
9. The ‘e’ in e-Patient Equipped with the skills to manage their own condition Enabled to make choices about self-care and those choices are respected Empowered Engaged in their own care Equals in their partnerships with the various physicians involved in their care Emancipated Expert patients can improve their self-rated health status, cope better with fatigue and other generic features of chronic disease such as role limitation, and reduce disability and their dependence on hospital care Source: E-Patient, //en.wikipedia.org/w/index.php?title=E-Patient&oldid=437847665 (last visited Oct. 4, 2011).
16. Impact of health searches 4 in 5 Internet users search online for health information. Of these so-called ‘e-Patients’; 1 in 3 consumers compared doctorsbefore choosing one 6 in 10 say the information found online affected a decision about how to treat an illness or condition 1 in 2: it led them to ask a doctor new questions, or to get a second opinion from another doctor 1 in 2: it changed the way they think about diet, exercise, or stress management 1 in 3: it affected a decision about whether to see a doctor 1 in 3 consumers compared prescription treatment options Source: Susannah Fox, Sydney Jones “The Social Life of Health Information” Pew Internet, June 2009
17. Discussed online info at appointment Used Internet instead of doctor Said online info influences health decisions Asked doctor to prescribe Rx/change Txbecause of online info Challenged physician's diagnosis b/c of online info Actions taken by e-Patients 50 m Source: Manhattan Research, Cybercitizen Health® Europe v10.0 (2010) > 76m European e-Patients
18. The new “Second Opinion” Source: Health Influence in the Era of Public Engagement. Edelman, (January 2009)
19. Participatory role in outcomes It is also largely accepted that when patients play a role in their care, there are benefits: Improved experience and thus better overall outcomes (Stewart et al., The Impact of Patient-Centred Care on Outcomes, Journal of Family Practice, September 2000, Vol. 49, No. 9) Improved adherence (Robinson et al., Patient-centered care and adherence: definitions and applications to improve outcomes, J Am Acad Nurse Pract. 2008 Dec;20(12):600-7)
20. People >> technology “...patients are arguably the greatest untapped resource…” Source: Corrigan P, DIY doctors: patients can boost NHS’s value, Health Service Journal 30 April 2009, pp12–13
21. Doctors seek online information Professional info sources used among physicians Double digit % growth since 2007 Source: Manhattan Research, Taking the Pulse® Europe v10.0 (2010) Source: Manhattan Research, Taking the Pulse® Europe v10.0 (2010)
22. Changing channels for HCPs Print and Online Journals Colleagues New Technologies Pharma Reps Social Media Pharma Sources Smartphones and other mobile devices Online networks Source: Meredith Ressi, President, Manhattan Research
23. Two-way impact on health Nearly half of EU Physicians recommend websites to patients; Source: “Cybercitizen Health Europe” Manhattan Research, 2009
24. Real-time Information, Tools, Data 2020 2011 2000 Static Content Participatory Medicine Physician-directed Medicine A rapidly changing landscape Source: Meredith Ressi, President, Manhattan Research
25. Pharma Pharma Media Hospital Patient The Internet Pharma Specialist Doctor Pharmacist Pharma Pharma Insurer
31. Opportunities for Pharma Empower consumers to shift from online health information seeking to online health management and participation Creating tools to bridge the ‘digital divide’ between patients and providers Beyond social media: ‘Engaging’ with customers A holistic view of healthcare delivery Service as marketing Source: Meredith Ressi, President, Manhattan Research
32. Get the strategic edge! Subscribe for the e-Journal for business leaders and communicators in healthcare:www.engagementstrategy.com
Editor's Notes
When the Internet first became a public entity, communicators could only see the potential as another advertising or PR channel. For many, a website was simply and electronic version of the company brochure. A few individuals would publish content, and a small majority would digest this content. The audience demographic was not particularly balanced, as having access to the early Internet meant: Having the technologyKnowing how to use itHaving an interest in the latest thingThese are not necessarily characteristics of the mass population, particularly in the mid 1990s.
In the past decade, an exponential change has occurred in the ubiquity and usefulness of the Internet. Those three defining characteristics of an Internet user are no longer a factor.More importantly, ‘One-way’ publishedcommunication has become ‘Two-way’ conversationalcommunication and Web 2.0 is characterized by user generated content, networking, sharing, participation, collaboration, etc.Not only have the numbers increased, but the whole mode of operation has changed. The Internet is not a broadcast medium, it is a dynamic and lively place for information exchange.
That said, we find that the majority of patients/consumers spend more time looking for information than they are prepared to spend sharing it.
This is in keeping with a generalised model of participation, where most people are ‘audience’ with only key opinion leaders being actively engaged in creating content and interacting openly with others.
You have heard of ‘eMail’ and ‘eCommerce’; now we have a new term. Those that are actively engaged are sometimes referred to as ‘e-Patients.’ What does the ‘e’ refer to? It is about all kinds of active relationship words, such as ‘engaged’, ‘empowered’ and so on. Some call this the age of ‘Participatory Medicine’. The patient in some cases now wants to participate in the decisions about the management of their own health or treatment.In the same way that early adopters of the Internet were considered the ‘few’, so are the number of ‘e-Patients’. But this is rapidly changing as more and more people come online and see the benefits of taking control of their own health through access to information, resources, and people like themselves.
One community which has arisenfrom the possibilities afforded by social media and community, is a website for people to find other individuals with similar health issues. On one hand, PatientsLikeMe is a platform for people to record their own personal health journey; a life-log. But more importantly, it starts with the premise that with the Internet you can always find someone else in the world that is going through something like what you are.Particularly started for rarer diseases, this platform has spread globally.
A challenge for commercialised websites such as PatientsLikeMe, is how to generate income while maintaining the trust of the community. This is achieved through partnership with the pharmaceutical industry, to obtain data which may be useful in product development.But is this data ‘clinical’. Where does it sit in the evidence spectrum?
CureTogether is a platform for patients, by patients. Comprehensive surveys provide data which is aggregated. Lower Back Pain is 12th most popular condition community at CureTogether. 2,398 of contributed experiences with 21 symptoms and 46 different treatments that worked well and didn’t work so well.E-Patients access and make their own decisions based on these kinds of resources. What about misinformation? Who is ensuring that what ePatients find is helping and not harming them?
One thing is certain; Google is a significant influencer on what people see when they look for information about health.
Looking at an example of ‘high blood pressure’, Google is providing information which is in some ways customised to my personal online profile – but equally may include information from parts of the world which is not strictly appropriate for the regulatory territory in which I reside. It also does not differentiate between medical information, credible medical advice or support services, or experiential information.The Internet is ‘global’, yet our legal systems are designed to protect individual countries or regions. In reality, an e-Patient is not bound by these guidelines – only the companies within the territory are. If I were to search for treatments rather than conditions, I am exposed to marketing and promotional materials for products from other countries.
Eighty-eight percent of respondents noted that they turn to their physicians to validate online information, and the same number turn to other sources to validate information from their doctor. (n=5183, Global)
Although for a long time there has been research that indicates a common-sense notion, that people benefit when involved in their own health care – it is only now that the Internet and Social Media have evolved that it is truly possible for an ePatient to have the information and connections needed to be a participant.
Yet, even with our advances in technology – it is all still fundamentally about relationships between patients and those that can affect their health outcomes.
JnJ are an example of a company who has embraced the e-Patient population. More than 95% of videos are not product related, and conversation is allowed between users (and the company) to discuss health.
Very clear and plain English terms outline the mode of operation for the community. JnJ actively engage and steer conversation away from potential regulatory issues. Even so, the conversational tone is very personal and relational.
Recently, Facebook changed its platform so that it is no longer possible for a pharmaceutical company to disable conversations on company pages (unless specifically a page for a prescription product – in the US, obviously). For many, this meant removing their presence on Facebook – for others, it meant establishing a protocol in the absence of specific regulatory guidance from either the FDA or the PMCPA. This is difficult territory for pharmaceutical companies, as it is requires a paradigm shift in the way content is approved by legal and medical colleagues, and it requires the kind of ‘real-time’ response which is quite different from traditional communications.Whether it is easy or not, the empowered public – and particularly ePatients – EXPECT to be able to interact with a pharmaceutical company in exactly the same way as they would with Starbucks, Nike, Red Bull, Amazon, or any other brand which is an influence in their lives.
Janssen bravely established a real-time, post-moderation protocol which empowered communications colleagues to engage with the public – with medical and legal colleagues on alert via their mobile devices to action any content that they felt needed to be deleted or handled in a different way. Strictly speaking, this is not ideal, as non-compliant content may be on the Internet - if only for a brief time.Nonetheless, they have not been cited – and they are providing a valuable service to ePatients.
Once again, a simplified terms and conditions states the guidelines on comment moderation, enabling engagement.
Where can Pharma go with the changing landscape of ePatients and two-way interaction? There are large trends which provide opportunities for those companies that are willing to navigate sometimes uncharted waters. Here are some examples.