Use of social networks for innovation in health Vicente Traver [email protected] Gwangju, 22th November 2014
Jul 04, 2015
Use of social networks for innovationin health
Vicente Traver [email protected]
Gwangju, 22th November 2014
Are you in a social network?
Social networks
Evolutive process in continuous change
+ FAR
+ FAST
+ INFOSocial networks + ICT
Are we using properly thetools we already have?
In addition to it works … what are theother questions we have to keep in mind?
Do we know choosing the
right tool?
Which criteriaare we following
to select theproper tool?
How do we convince our
colleagues that new tools are
better than the currently used
ones?
EVIDENCE
What is innovation?
Invention + commercialization
Something different –create, grow, change
Privilege rights to information access
1994 – Mr. Murphy’s case - EnglewoodHospital
2004 – Marian Sandmeier - Washington Post journalist. First use epatient term
Health or medicine ?
Hospital
Pharmacy
Specialist centre
General Practice
Home
Restaurant
Supermarket
Museum
Sports centre
Farm
Work
Car
Loop 1
Loop 2Regulated Health Market Unregulated Health Market
Data Information Knowledge
Take the right decision at the right time
Patients Citizens Patient’sassociations
Medical staff
Key decisionmakers
Social networks interact with the wholeecosystem
EMPOWERMENT is the process through which people gain greater control over decisions and actions affecting their health. Empowerment may be a social, cultural, psychological or political process through which individuals and social groups are able to express their needs, present their concerns, devise strategies for involvement in decision-making, and achieve political, social and cultural action to meet those needs. (WHO. Health promotion glossary, 1998)
awareness
freedom
Empowered patient
Doubts about social media?
Let’s destroy some myths ….
An analysis of the ACOR mailing list showed that erroneouscontent was very rare and most of the times quickly corrected by the community• Esquivel, A, F. Meric-Bernstam, et al. Accuracy and self correction of information received from an
internet breast cancer list: content analysis. BMJ 2006 332(7547):939-42.
Only 3% US citizens can state that they or somebody known havesuffered a problem derived from content or medical advice found onInternet. This rate is stable since 2006.
• Susannah Fox, Sidney Jones. The Social Life of Health Information. Pew Research Center’s Internet & American Life Project. URL:http://www.pewinternet.org/Reports/2009/8-The-Social-Life-of-Health-Information.aspx.
The excess of information in Internet does not diminish confidence in the physician, but it is even increased.
• Hesse B, Moser R, Rutten L. Surveys of Physicians and Electronic Health Information. NEJM 2010 Mar 4;362(9):859-60.
77% doctors interviewed said that the consultation is of better quality when the patient has been previously informed through Internet. Despite an obvious bias (online survey), many physicians are happy with the patient empowerment.• Analysis of 9th HON Survey of Health and Medical Internet Users. Health On The Net
Foundation. URL: http://www.hon.ch/Survey/Survey2005/res.html.
83% doctors trust more than what is documented in the network that their past experiences.
• Connecting with Physicians Online: Searching for Answers. Hall & Partners, Nov 2009. Cited and accesible Pamela Lewis Dolan. 86% Of Physicians Use Internet To Access HealthInformation. American Medical News. URL:http://www.ama-assn.org/amednews/2010/01/04/bisc0104.htm.
Key factors for innovation
Make the healthiest the easiest option
Be known – broadcast the message
Customise the message
Include gamification techniques
Citizen’s behaviour and the health impact
Health status determinants
Health system (10%)
Environment(5%)Behavioral
(40%)
Social(15%)
Genetic (30%)
McGinnis et al., Health Affairs 21(2), 2002
Make the healthiest the easiest option
Who takes care of our Internet searches ?
Who makes useasy?
You Tube – 321.000 videos
Google - 93.000.000 Links
82.000 apps (iTunes, Google Play)
ARTHRITIS
Make the healthiest the easiest option
Who likeshurling?
NOBODY likesunknown
issues
Be known – broadcast the message
Communication strategy
Why? For what? How do wemeasure?
It’s not justa matter of
buyingTwitter or
FB followers
Be known – broadcast the message
Customise the message
Juegos serios vs Ludificación
GAMIFICATION is the use of game thinking and game mechanics in non-game contexts to engage users in solving problems and
increase users' self contributions. Gamification has been studied and applied in several domains, with some of the main purposes being to engage, teach, entertain, measure, and to improve the
perceived ease of use of information systems
Include gamification techniques
Through gamification desired behaviors are encouraged, using psychological
predisposition of humans to play games.
• Badges• Scores• Comparison among
peers, ratings• Levels• Feedback
Gametechniques
Include gamification techniques
Gamificacion
• Read webpages• Follow a diet• Do physical exercise• Take drugs
Help forboringtasks
• Learn in a new context• Increase engagement• Social capital (identity and status)
Extra motivation
Include gamification techniques
Include gamification techniques
Serious games vs gamification
Foto libro
InnovationPatient –
Health careprovider
PatientOpinion
InnovationPatient –
Health careprovider
PatientOpinion
Innovation Citizen –Friends Stickk
Innovation Citizen –Friends Stickk
Innovation Citizen –Society
The ALS Ice bucket
challenge
ALS Ice Bucket Challenge, is an activity involving dumping a bucket of ice water on someone's head to
promote awareness of the disease amyotrophic lateral sclerosis (ALS) and encourage donations to research
Innovation Citizen –Society
The ALS Ice bucket
challenge
ALS Ice Bucket Challenge, is an activity involving dumping a bucket of ice water on someone's head to
promote awareness of the disease amyotrophic lateral sclerosis (ALS) and encourage donations to research
The ALS association informed the donations number - “as of monday 25 of august 2014, $79.7 million in donations compared to $2.5 million during the same time period last year (July 29 to August 25).” This is a +3,000% rise
Innovation Citizen –Society
The ALS Ice bucket
challenge
ALS Ice Bucket Challenge, is an activity involving dumping a bucket of ice water on someone's head to
promote awareness of the disease amyotrophic lateral sclerosis (ALS) and encourage donations to research
The ALS association informed the donations number - “as of monday 25 of august 2014, $79.7 million in donations compared to $2.5 million during the same time period last year (July 29 to August 25).” This is a +3,000% rise
$2M in 1month
Innovation CDC –Medical staff
H1N1 flu(swine flue)
2009 Contestamong
medical staff to explain
swine flu and how to prevent
> 250 related videos produced for free with a viral effect for $2.500
Innovation CDC – Young people
Emergencies– Zombie
attack
Viral campaignoriented to Young people based onthe ‘The Walking
Dead’
Participants need to show in 60’ that they
know how to be prepared for an
emergency (zombis, hurricanes, floodings,…)
InnovationPatient –Patients’
community
Blog SixUntilMe
A diabetic bloggersexplains how to hide the
insulin pump in thewedding dress
Innovation Public Health– Citizens
Tweets aboutEbola in the
affected area
BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g5975 (Published 02 October 2014)
Innovation Public Health– Citizens
Tweets aboutEbola in the
affected area
BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g5975 (Published 02 October 2014)
Technological advancements do not guarantee that the disseminated information is correct
Only 36% included correct medical information
Major mistakes: wrong information ( Ewedu, blood transfusion, salted water) or not updated information
Erroneous tweets were retweeted more than the right ones.
Innovation Public Health– Citizens
Tweets aboutEbola in the
affected area
BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g5975 (Published 02 October 2014)
Technological advancements do not guarantee that the disseminated information is correct
Only 36% included correct medical information
Major mistakes: wrong information ( Ewedu, blood transfusion, salted water) or not updated information
Erroneous tweets were retweeted more than the right ones.
InnovationPatient –Pharma –
Health Ministry
App -mepedigree
App in Ghana – mpedigree to check with a code whetherthe drug is valid or a fake
And you?Which is the message you want to transmit?
Messages to take home
Social networks are a means, not an end. They are a very powerful tool but only a tool.
Innovation= invention + commercialization. Any innovation mustproduce a return ( not necessarily financial).
Key factors for the innovation in health: customisation, ease of use, broadcast and gamification.
Why? For what? Need of an strategy for presence in social media with clever metrics for further evaluation and improvement.
Useful mentioned references (I)
http://emergency.cdc.gov/socialmedia/zombies_blog.asp CDC Ataque Zombi
http://www.walkonproject.org/blog/ WOP Project
http://www.patientslikeme.com/ PatientsLikeMe
http://www.mpharma.org/mpedigree/index.php mpedigree
http://observatics.com/ OBSERVATICS
https://www.patientopinion.org.uk/ Patient Opinion
Useful mentioned references (II)
http://av.conferencearchives.com/pdfs/091105/604.2.pdf CDC - Swine flucampaign
http://www.stickk.com/ Stickk
http://sixuntilme.com/wp/ SixUntilMe
http://www.hsjdbcn.org/ Hospital Sant Joan de Dèu
http://www.salupedia.org Salupedia
http://www.slideshare.net/vtraver This presentation
Vicente Traver [email protected] @vtraver
Use of social networks for innovation in health