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How have facebook and               It’s free and always will be.

other social media                 Stephanie Conklin

affected the patient’s             Andrew Guvetis

role in the provision of           Janel Pizarro


health care?                       Vesna Zunic
Define social media and identify
trends in its usage
  Describe our methodology and
results
  Discuss the impact of social media
on the patient’s role
background
Blogs
Microblogging
 File Sharing
Social Networking
         PM R 2010;2(11):1046-50.
Currently, facebook.com has over




                                                                   active users.




                                   http://www.facebook.com/press/info.php?statistics
80% of internet users look for
health information online




        Pew Internet and American Life Project. Fox, S. Health Topics. 2/1/2011.
methods
Databases
 PubMed, IPA, MDConsult, EMBASE

Example Search Terms:
 Facebook, providers, relationship, “social media”, Twitter

Inclusion Criteria:
 Articles pertaining directly to the impact of social media on
 patient-provider relationships, English language

Exclusion Criteria:
 Journal articles only, not clinics or news reports
AANA Journal 2010;78(4):270-4.
results
Themes identified and number of results (n=45)


            7%                 Communication Facilitation
                               (n=17)


     20%            38%        Patient Empowerment (n=16)



                               Professionalism/Liability (n=9)

           35%
                               Public Perception/Marketing
                               (n=3)
2003 Study:
     Why are patients
     consulting physicians on
     the internet?

     52% - Convenience
     36% - Anonymity
J Med Internet Res 2003;5(4):e26
Health Aff (Millwood) 2009;28(2):361-8.
Poor Communication
    Knowledge Gaps




                                             Patient-oriented
                                             Incorporates patient’s
                                             knowledge, thoughts, and
                                             feelings into decisions
Med Care Res Rev 2009;66(1 Suppl):53S-74S.
education
  Education



              Urology 2011;77(3):558-562.
• Unprofessional Behavior
   - Alcohol consumption
   - Explicit Language

• Privacy Violations
J Gen Intern Med 2008;23(7):954-7.
Promotion of the practice
   Physician-Rating Sites




    More informed and
    selective consumers
Fam Pract Manag 2009;16(3):9-11.
conclusions
Through social media, patients are
becoming:
1. More adept communicators
2. Educated, active decision-makers
3. Greater sources of potential legal and/or
   ethical dilemmas
4. More informed consumers
limitations
• Very young concept
   -Lack of published original research
• Subjective nature of classification
system
• Possible publication bias
references
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   technologies: patients, systems, and data perspectives. Telemed J E Health. 2010 Jan-Feb;16(1):93-5.
2. Agarwal S, Lau CT. Remote Health Monitoring Using Mobile Phones and Web Services. Telemed J E Health. 2010
   Jun;16(5):603-7.
3. Bos L, Carroll D, Marsh A. The impatient patient. Stud Health Technol Inform. 2008;137:1-13.
4. Cain J, Romanelli F, Fox B. Pharmacy, Social Media, and Health: Opportunity for Impact. J Am Pharm Assoc
   (2003). 2010 Nov-Dec;50(6):745-51.
5. Chou WyS, Hunt YM, Beckjord EB, Moser RP, Hesse BW. Social Media Use in the United States: Implications for
   Health Communication. J Med Internet Res 2009;11(4):e48
6. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011 Feb 9;305(6):566-8.
7. Christodoulou M. Networking: The New Social Revolution in Health Care. Lancet Oncol. 2011 Feb;12(2):125.
8. Clauson KA, Elkins J, Goncz C. Use of blogs by pharmacists. Am J Health-Syst Pharm. 2010 Dec;67(23):2043-8.
9. Clauson KA, Seamon MJ, Fox BI. Pharmacists' duty to warn in the age of social media. Am J Health Syst Pharm.
   2010 Aug;67(15):1290-3.
10.Dixon RF. Enhancing Primary Care Through Online Communication. Health Aff (Millwood). 2010 Jul;29(7):1364-9.
11.Dixon RF, Stahl JE. Virtual Visits in a General Medicine Practice: A Pilot Study. Telemed J E Health. 2008
   Aug;14(6):525-30.
12.Earnhart SW. Are you Twittering, getting friends on Facebook, and YouTube?. Same Day Surg. 2009
   Nov;33(11):105-7.
13.Eckler P, Worsowicz G, Rayburn J. Social Media and Health Care: An Overview. PM R. 2010 Nov;2(11):1046-50.
14.Farmer AD, Bruckner Holt CEM, Cook MJ, Hearing SD. Social networking sites: a novel portal for communication.
   Postgrad Med J. 2009 Sep;85(1007):455-59.
15.Ford S, Myles E. Using New Technology Tools to Raise Awareness: World Hemophilia Day Case Study. Haemophilia.
   2010;16Suppl4(108).
16.Fox BI, Felkey BG. 10 Ways to Use Twitter in Community Pharmacy. ComputerTalk. 2009 Sep/Oct:44-46.
17. Frost JH, Massagli MP. Social Uses of Personal Health Information Within PatientsLikeMe, an Online Patient
    Community: What Can Happen When Patients Have Access to One Another’s Data. J Med Internet Res
    2008;10(3):e15
18. Greene JA, Choudhry NK, Kilabuk E, Shrank WH. Online Social Networking by Patients with Diabetes: A
    Qualitative Evaluation of Communication with Facebook. J Gen Intern Med. 2011 Mar;26(3):287-92. Epub 2010
    Oct 13.
19. Greysen SR, Kind T, Chretien KC. Online Professionalism and the Mirror of Social Media. J Gen Intern Med. 2010
    Jul;25(11):1227-9.
20. Guseh II JS, Brendel RW, Brendel DH. Medical Professionalism in the Age of Online Social Networking. J Med
    Ethics. 2009 Sep;35(9):584-586.
21. Hader A, Brown E. Patient Privacy and Social Media. AANA Journal. 2010 Aug;78(4):270-4.
22. Hassol A, Walker JM, Kidder D, Rokita K, Young D, Pierdon S, Deitz D, Kuck S, Ortiz E. Patient Experiences and
    Attitudes About Access to a Patient Electronic Health Care Record and Linked Web Messaging. J Am Med Inform
    Assoc. 2004 Nov-Dec;11(6):505-13. Epub 2004 Aug 6.
23. Hawn C. Take Two Aspirin and Tweet Me in the Morning: How Twitter, Facebook, and Other Social Media Are
    Reshaping Health Care. Health Aff (Millwood). 2009 Mar-Apr;28(2):361-8.
24. Jain SH. Practicing medicine in the age of Facebook. N Engl J Med. 2009 Aug 13;361(7):649-51.
25. Kamel Boulos MN, Wheeler S. The emerging Web 2.0 social software: an enabling suite of sociable technologies
    in health and health care education. Health Info Libr J. 2007 Mar;24(1):2–23.
26. Lane SH, Twaddell JW. Should Social Media Be Used To Communicate With Patients?. MCN Am J Matern Child
    Nurs. 2010 Jan-Feb;35(1):6-7.
27. Lo B, Parham L. The Impact of Web 2.0 on the Doctor-Patient Relationship. J Law Med Ethics. 2010
    Spring;38(1):17-26.
28. Mattingly TJ 2nd, Cain J, Fink JL 3rd. Pharmacists on Facebook: online social networking and the profession. J
    Am Pharm Assoc (2003). 2010 May-Jun;50(3):424-7.
29. McKenna MP, D’Alessandro D. Social Networks and the Practice of Medicine: Harnessing Powerful
    Opportunities. J Pediatr. 2011 Jan;158(1):1-2.
30. Mostaghimi A, Crotty BH, Landon BE. The Availability and Nature of Physician Information on the Internet. J Gen
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31. Moubarak G, Guiot A, Benhamou Y, Benhamou A, Hariri S. Facebook activity of residents and fellows and
    its impact on the doctor-patient relationship. J Med Ethics. 2011 Feb;37(2):101-4. Epub 2010 Dec 15.
32. Pasternak A, Scherger J. Online Reviews of Physicians: What Are Your Patients Posting About You?. Fam
    Pract Manag. 2009 May-Jun;16(3):9-11.
33. Petrovski G, Dimirovski C, Bogoev M, Ahmeti I. Carelink, Skype, and Facebook improve diabetes control in
    adolescents on pump therapy. Diabetologia. 2010 Sep;53(1):[Suppl1]S416
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    Apr;15(3):255-60.
35. Schneider A. Social Media Networking: Facebook and Twitter. J Med Pract Manage. 2010 Nov;26(3):156-7
36. Sepucha K, Mulley AG. A Perspective on the Patient’s Role in Treatment Decisions. Med Care Res Rev.
    2009 Feb;66(1 Suppl):53S-74S. Epub 2008 Nov 10.
37. Sood A, Sarangi S, Pandey A, Muruglah K. Youtube as a Source of Information on Kidney Stone Disease.
    Urology. 2011 Mar;77(3):558-562. Epub 2010 Dec 3.
38. Sublet V, Spring C, Howard J; National Institute for Occupational Safety and Health. Does social media
    improve communication? Evaluating the NIOSH science blog. Am J Ind Med. 2011 Jan 18. doi:
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39. Terry M. Twittering Healthcare: Social Media and Medicine. Telemed J E Health. 2009 Jul-Aug;15(6):507-
    10.
40. Thompson LA, Black E, Duff P, Paradise Black N, Saliba H, Dawson K. Protected Health Information on Social
    Networking Sites: Ethical and Legal Considerations. J Med Internet Res. 2011 Jan;13(1):e8
41. Thompson LA, Dawson K, Ferdig R, Black E, Boyer J, Coutts J et al. The Intersection of Online Social
    Networking with Medical Professionalism. J Gen Intern Med. 2008 Jul;23(7):954-7.
42. Umefjord G, Petersson G, Hamberg K. Reasons for Consulting a Doctor on the Internet: Web Survey of
    Users of an Ask the Doctor Service. J Med Internet Res. 2003 Oct;5(4):e26
43. Waegemann CP. mHealth: The Next Generation of Telemedicine?. Telemed J E Health. 2010 Jan-
    Feb;16(1):23-5.
44. Wen KY, Kreps G, Zhu F, Miller S. Consumers’ Perceptions About and Use of the Internet for Personal
    Health Records and Health Information Exchange: Analysis of the 2007 Health Information National Trends
    Survey. J Med Internet Res 2010;12(4):e73
45. Yap KY, Chan A, Chui WK. Improving Pharmaceutical Care in Oncology by Pharmacoinformatics: The
    Evolving Role of Informatics and the Internet for Drug Therapy. Lancet Oncol. 2009 Oct;10(10):1011-9
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Social Media and the Patient's Role

  • 1. Email Password Keep me logged in Forgotten your password? Sign Up How have facebook and It’s free and always will be. other social media Stephanie Conklin affected the patient’s Andrew Guvetis role in the provision of Janel Pizarro health care? Vesna Zunic
  • 2. Define social media and identify trends in its usage Describe our methodology and results Discuss the impact of social media on the patient’s role
  • 4. Blogs Microblogging File Sharing Social Networking PM R 2010;2(11):1046-50.
  • 5. Currently, facebook.com has over active users. http://www.facebook.com/press/info.php?statistics
  • 6.
  • 7. 80% of internet users look for health information online Pew Internet and American Life Project. Fox, S. Health Topics. 2/1/2011.
  • 9. Databases PubMed, IPA, MDConsult, EMBASE Example Search Terms: Facebook, providers, relationship, “social media”, Twitter Inclusion Criteria: Articles pertaining directly to the impact of social media on patient-provider relationships, English language Exclusion Criteria: Journal articles only, not clinics or news reports
  • 12.
  • 13. Themes identified and number of results (n=45) 7% Communication Facilitation (n=17) 20% 38% Patient Empowerment (n=16) Professionalism/Liability (n=9) 35% Public Perception/Marketing (n=3)
  • 14. 2003 Study: Why are patients consulting physicians on the internet? 52% - Convenience 36% - Anonymity J Med Internet Res 2003;5(4):e26
  • 15. Health Aff (Millwood) 2009;28(2):361-8.
  • 16.
  • 17. Poor Communication Knowledge Gaps Patient-oriented Incorporates patient’s knowledge, thoughts, and feelings into decisions Med Care Res Rev 2009;66(1 Suppl):53S-74S.
  • 18. education Education Urology 2011;77(3):558-562.
  • 19. • Unprofessional Behavior - Alcohol consumption - Explicit Language • Privacy Violations
  • 20. J Gen Intern Med 2008;23(7):954-7.
  • 21.
  • 22. Promotion of the practice Physician-Rating Sites More informed and selective consumers Fam Pract Manag 2009;16(3):9-11.
  • 23. conclusions Through social media, patients are becoming: 1. More adept communicators 2. Educated, active decision-makers 3. Greater sources of potential legal and/or ethical dilemmas 4. More informed consumers
  • 24. limitations • Very young concept -Lack of published original research • Subjective nature of classification system • Possible publication bias
  • 25. references 1. Ackerman MJ, Filart R, Burgess LP, Lee I, Poropatich RK. Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives. Telemed J E Health. 2010 Jan-Feb;16(1):93-5. 2. Agarwal S, Lau CT. Remote Health Monitoring Using Mobile Phones and Web Services. Telemed J E Health. 2010 Jun;16(5):603-7. 3. Bos L, Carroll D, Marsh A. The impatient patient. Stud Health Technol Inform. 2008;137:1-13. 4. Cain J, Romanelli F, Fox B. Pharmacy, Social Media, and Health: Opportunity for Impact. J Am Pharm Assoc (2003). 2010 Nov-Dec;50(6):745-51. 5. Chou WyS, Hunt YM, Beckjord EB, Moser RP, Hesse BW. Social Media Use in the United States: Implications for Health Communication. J Med Internet Res 2009;11(4):e48 6. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011 Feb 9;305(6):566-8. 7. Christodoulou M. Networking: The New Social Revolution in Health Care. Lancet Oncol. 2011 Feb;12(2):125. 8. Clauson KA, Elkins J, Goncz C. Use of blogs by pharmacists. Am J Health-Syst Pharm. 2010 Dec;67(23):2043-8. 9. Clauson KA, Seamon MJ, Fox BI. Pharmacists' duty to warn in the age of social media. Am J Health Syst Pharm. 2010 Aug;67(15):1290-3. 10.Dixon RF. Enhancing Primary Care Through Online Communication. Health Aff (Millwood). 2010 Jul;29(7):1364-9. 11.Dixon RF, Stahl JE. Virtual Visits in a General Medicine Practice: A Pilot Study. Telemed J E Health. 2008 Aug;14(6):525-30. 12.Earnhart SW. Are you Twittering, getting friends on Facebook, and YouTube?. Same Day Surg. 2009 Nov;33(11):105-7. 13.Eckler P, Worsowicz G, Rayburn J. Social Media and Health Care: An Overview. PM R. 2010 Nov;2(11):1046-50. 14.Farmer AD, Bruckner Holt CEM, Cook MJ, Hearing SD. Social networking sites: a novel portal for communication. Postgrad Med J. 2009 Sep;85(1007):455-59. 15.Ford S, Myles E. Using New Technology Tools to Raise Awareness: World Hemophilia Day Case Study. Haemophilia. 2010;16Suppl4(108). 16.Fox BI, Felkey BG. 10 Ways to Use Twitter in Community Pharmacy. ComputerTalk. 2009 Sep/Oct:44-46.
  • 26. 17. Frost JH, Massagli MP. Social Uses of Personal Health Information Within PatientsLikeMe, an Online Patient Community: What Can Happen When Patients Have Access to One Another’s Data. J Med Internet Res 2008;10(3):e15 18. Greene JA, Choudhry NK, Kilabuk E, Shrank WH. Online Social Networking by Patients with Diabetes: A Qualitative Evaluation of Communication with Facebook. J Gen Intern Med. 2011 Mar;26(3):287-92. Epub 2010 Oct 13. 19. Greysen SR, Kind T, Chretien KC. Online Professionalism and the Mirror of Social Media. J Gen Intern Med. 2010 Jul;25(11):1227-9. 20. Guseh II JS, Brendel RW, Brendel DH. Medical Professionalism in the Age of Online Social Networking. J Med Ethics. 2009 Sep;35(9):584-586. 21. Hader A, Brown E. Patient Privacy and Social Media. AANA Journal. 2010 Aug;78(4):270-4. 22. Hassol A, Walker JM, Kidder D, Rokita K, Young D, Pierdon S, Deitz D, Kuck S, Ortiz E. Patient Experiences and Attitudes About Access to a Patient Electronic Health Care Record and Linked Web Messaging. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):505-13. Epub 2004 Aug 6. 23. Hawn C. Take Two Aspirin and Tweet Me in the Morning: How Twitter, Facebook, and Other Social Media Are Reshaping Health Care. Health Aff (Millwood). 2009 Mar-Apr;28(2):361-8. 24. Jain SH. Practicing medicine in the age of Facebook. N Engl J Med. 2009 Aug 13;361(7):649-51. 25. Kamel Boulos MN, Wheeler S. The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education. Health Info Libr J. 2007 Mar;24(1):2–23. 26. Lane SH, Twaddell JW. Should Social Media Be Used To Communicate With Patients?. MCN Am J Matern Child Nurs. 2010 Jan-Feb;35(1):6-7. 27. Lo B, Parham L. The Impact of Web 2.0 on the Doctor-Patient Relationship. J Law Med Ethics. 2010 Spring;38(1):17-26. 28. Mattingly TJ 2nd, Cain J, Fink JL 3rd. Pharmacists on Facebook: online social networking and the profession. J Am Pharm Assoc (2003). 2010 May-Jun;50(3):424-7. 29. McKenna MP, D’Alessandro D. Social Networks and the Practice of Medicine: Harnessing Powerful Opportunities. J Pediatr. 2011 Jan;158(1):1-2. 30. Mostaghimi A, Crotty BH, Landon BE. The Availability and Nature of Physician Information on the Internet. J Gen Intern Med. 2010 Nov;25(11):1152-6. Epub 2010 Jun 11.
  • 27. 31. Moubarak G, Guiot A, Benhamou Y, Benhamou A, Hariri S. Facebook activity of residents and fellows and its impact on the doctor-patient relationship. J Med Ethics. 2011 Feb;37(2):101-4. Epub 2010 Dec 15. 32. Pasternak A, Scherger J. Online Reviews of Physicians: What Are Your Patients Posting About You?. Fam Pract Manag. 2009 May-Jun;16(3):9-11. 33. Petrovski G, Dimirovski C, Bogoev M, Ahmeti I. Carelink, Skype, and Facebook improve diabetes control in adolescents on pump therapy. Diabetologia. 2010 Sep;53(1):[Suppl1]S416 34. Randeree E. Exploring Technology Impacts of Healthcare 2.0 Initiatives. Telemed J E Health. 2009 Apr;15(3):255-60. 35. Schneider A. Social Media Networking: Facebook and Twitter. J Med Pract Manage. 2010 Nov;26(3):156-7 36. Sepucha K, Mulley AG. A Perspective on the Patient’s Role in Treatment Decisions. Med Care Res Rev. 2009 Feb;66(1 Suppl):53S-74S. Epub 2008 Nov 10. 37. Sood A, Sarangi S, Pandey A, Muruglah K. Youtube as a Source of Information on Kidney Stone Disease. Urology. 2011 Mar;77(3):558-562. Epub 2010 Dec 3. 38. Sublet V, Spring C, Howard J; National Institute for Occupational Safety and Health. Does social media improve communication? Evaluating the NIOSH science blog. Am J Ind Med. 2011 Jan 18. doi: 10.1002/ajim.20921. [Epub ahead of print] 39. Terry M. Twittering Healthcare: Social Media and Medicine. Telemed J E Health. 2009 Jul-Aug;15(6):507- 10. 40. Thompson LA, Black E, Duff P, Paradise Black N, Saliba H, Dawson K. Protected Health Information on Social Networking Sites: Ethical and Legal Considerations. J Med Internet Res. 2011 Jan;13(1):e8 41. Thompson LA, Dawson K, Ferdig R, Black E, Boyer J, Coutts J et al. The Intersection of Online Social Networking with Medical Professionalism. J Gen Intern Med. 2008 Jul;23(7):954-7. 42. Umefjord G, Petersson G, Hamberg K. Reasons for Consulting a Doctor on the Internet: Web Survey of Users of an Ask the Doctor Service. J Med Internet Res. 2003 Oct;5(4):e26 43. Waegemann CP. mHealth: The Next Generation of Telemedicine?. Telemed J E Health. 2010 Jan- Feb;16(1):23-5. 44. Wen KY, Kreps G, Zhu F, Miller S. Consumers’ Perceptions About and Use of the Internet for Personal Health Records and Health Information Exchange: Analysis of the 2007 Health Information National Trends Survey. J Med Internet Res 2010;12(4):e73 45. Yap KY, Chan A, Chui WK. Improving Pharmaceutical Care in Oncology by Pharmacoinformatics: The Evolving Role of Informatics and the Internet for Drug Therapy. Lancet Oncol. 2009 Oct;10(10):1011-9
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