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Kevin A. Clauson, Pharm.D.
Associate Professor
How and
are Changing
Healthcare
Objectives
 Define and differentiate between Web
1.0 and Web 2.0
 Identify uses of Web 2.0 tools in
healthcare
 Explore pitfalls associated with the use
of Web 2.0 applications
What Does Web 2.0
Mean to You?
Evolution of the Web
• Web 1.0 (one-way Web)
 Static, pull
• Web 2.0 (two-way Web)
 Dynamic, push
 Collaborative, participatory
• Web 3.0/3D/Semantic Web (TBD)
How Facebook and Twitter are Changing Healthcare
Why should you care about
Web 2.0?
Reason #1
Well…your tax dollars did just
help to fund $27 MILLION worth
of projects that hope to build
‘Facebook for Scientists’
www.nih.gov/news
Reason #2
Your aunt, niece, daughter or
granddaughter might be one of
the 106,000 people getting
information from the Gardasil
page on Facebook
Reason #3
Your colleagues of tomorrow
are immersed in these tools
TODAY
Acad Med 2009;84(11):1479-81.
Reason #4
Web 2.0 tools are already being
used by your patients to
exchange information and help
with smoking cessation, diabetes
management, medication
adherence, influenza alerts, etc.
http://socialnomics.net/2009/08/11/statistics-
show-social-media-is-bigger-than-you-think/
HOW FACEBOOK
IS CHANGING:
Social
Expectations
How Facebook and Twitter are Changing Healthcare
17% of all time
spent online in
2009 was on social
networking sites!
Nielsen – August 2009
Navigating Social Networking
What about the Dunbar
Number?
What about
the Dunbar
Number?
Behavioral and Brain Sciences 1993; 16 (4):681-735.
When Generations Collide!
HOW FACEBOOK
AND TWITTER ARE
CHANGING:
Business of
Healthcare
Advertising Age – March 2009
Gaining one member per second
Site visitors doubled since last year
45% of hiring
managers use
social networking
sites to screen
candidates
Harris Interactive/CareerBuilder Survey 2009
Background
Did NOT hire when profile
indicated:
 Provocative/inappropriate photographs
or information (53%), alcohol or drug
use (44%)
 Shared sensitive information from
previous employment (20%)
Harris Interactive/CareerBuilder Survey 2009
Did hire when profile indicated:
 Good organizational fit (50%), candidate
creativity (38%)
Harris Interactive/CareerBuilder Survey 2009
Three Things To Know About
and Stent Advert
1. $7500 investment for
video
2. Generated over 160,000
views and almost 1000
comments
3. Increased the number of
site hits for company by
>180%
www.thespanner.com
YouTube Case Study
http://www.youtube.com/watch?v=W-jB9RDN-mE
How Facebook and Twitter are Changing Healthcare
FDA Hearing on Social Media
HOW FACEBOOK
AND TWITTER ARE
CHANGING:
Healthcare
Models
Patient
Passive role
Information is given to
them
Top down delivery of
healthcare
Paternalistic medicine
ePatient
Active (engaged) role
They seek out
information (Internet)
Partner in their
healthcare
Participatory medicine
Participatory Medicine
Patient driven changes to healthcare system
Healthcare professionals scrambling to catch-up
May require education/retraining of workforce
What Type of Patient Is This?
“As opposed to the
doctor-centric,
curative model of
the past, the future
is going to be
patient-centric and
proactive.”
Elias A. Zerhouni, M.D.
Former Director of the
National Institutes of
Health (2002-2008)
HOW FACEBOOK
IS CHANGING:
Delivery of
Healthcare
Hospitals and Web 2.0 Tools
410 Hospitals
297 Twitter
219 Facebook
202 YouTube
48 Blogs
Source: ebennett.org/hsnl
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
Take the Fact Check: HPV quiz to see
how much you really know about
Human Papillomavirus, a common
sexually transmitted disease that can
cause cancer and genital warts. Others
will not know you’ve taken the quiz
unless you want them to.
HOW FACEBOOK
IS CHANGING:
Biomedical
Literature &
Perceptions
Facebook Gone Wild!
44.5% of medical
students and
residents
(n=813) at UF
had a Facebook
account
J Gen Intern Med 2008;23(7):954-7.
Facebook Study at UF - Groups
63% of Facebook
users in study joined
‘groups’ including:
 PIMP (Party of
Important Male
Physicians)
 Physicians
looking for trophy
wives in training
J Gen Intern Med 2008;23(7):954-7.
Facebook Study at UF - Profiles
70% contained
pictures of drinking
10-50% ‘excessive’
Findings driving
changes in policy
J Gen Intern Med 2008;23(7):954-7.
Social Network Use by
Pharmacy Students at NSU
82.7%
30.9%
1.5%
Proceedings of Medicine 2.0 – 2009
Facebook & Pharmacy Students
 Study of 299 pharmacy students in three
Colleges of Pharmacy
 57% responded it was “unfair” for
employers to use Facebook content
 45% said College should not be able to
use as evidence of students lacking
professionalism
AJPE 2009;73(6):article 104.
Boston College Quit
Issuing Email Accounts to
Students in 2009
Chronicle of Higher Education
November 2008
Pitfalls with Facebook
How to Get Fired From an NFL
Team in Two Easy Steps
by Dan Leone gate chief
1. Get upset about your employer cutting
your favorite player (Dawkins)
2. Immediately post on Facebook:
"Dan is [expletive] devastated about
Dawkins signing with Denver ... Dam
Eagles R Retarted!!"
sports.espn.go.com/nfl/news
Two hospital staff were fired
after a nurse appeared on
Facebook in ‘a revealing
pose’…the picture also
showed a patient in the
background!
NursingTimes.net February 2009
Beliefs & Social Media
53% of employee respondents
said their social networking sites
are “none of an employers’
business”
 Compare to results of pharmacy
students’ attitudes in study
Deloitte LLP 2009 Ethics & Workplace Survey
Eight Percent of Companies
Have Fired Employees Due
to Issues With Social Media
Sites
www.proofpoint.comom
HOW TWITTER IS
CHANGING:
Communication
Microblog
"a small-scale form of
blogging, generally
made up of short,
succinct messages,
used…to share news,
post status updates and
carry on conversations".
- Mike Templeton
Science 2.0 for TEL workshop at ECTEL09
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
Individual
 Customized news
feed & analysis
 Live Tweeting
 Job leads
 Social networking
Institution
 Internal
communications
 Live Tweeting
 Recruitment
 Engagement
How Facebook and Twitter are Changing Healthcare
Twitter Usage
19% of all adults
online use
Twitter
Source: Pew Internet & American Life Project Survey 2009
HOW TWITTER IS
CHANGING:
Delivery of
Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
Twitter Mobile
TweetDeck
TwitterBerry
TwitterFon
140 Uses for Twitter in
Healthcare
philbaumann.com
CDC & Twitter
Pandemics in the
Age of Twitter:
Content Analysis
of “Tweets”
During the H1N1
Outbreak
Proceedings of Medicine 2.0 - 2009
HOW TWITTER IS
CHANGING:
Coverage of
Live Medical
Events
Live Tweeting
Most commonly at conferences
Use of Hashtags
#USPasm, #Med2, #ASHPMCM?
How Facebook and Twitter are Changing Healthcare
Tweeting During Conference
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Other Speaker Organizer Attendee Online
42.9
71.4
100
90
50
57.1
28.6
0
9.1
50
Not Tweet
Tweet
Proceedings of EduMedia conference 2009;145-156.
Henry Ford Hospital
Live Tweeted Surgery
Livestream to conference attendees
Educational for residents/students
Remove mystery for future patients
Pitfalls with Twitter
How Facebook and Twitter are Changing Healthcare
How Facebook and Twitter are Changing Healthcare
Not Twitteriffic
 HIPAA
 Ethical breaches
 Lack of formality
How Facebook and Twitter are Changing Healthcare
Summary Points
 Web 2.0 is changing the nature of
communication and social networks
 New healthcare models and opportunities
are available via tools such as Facebook
and Twitter
 Pitfalls exist with these tools requiring
creation of new guidelines and policies
Twittersphere & Blogosphere
Acknowledgements
Lee Aase
Phil Baumann
Ed Bennett
Susannah Fox
Cisco Grajales III
Shwen Gwee
Jen McCabe
Berci Mesko
Erik Qualman
Darren Rowse
Recommended Resources
Lee Aase’s Social Media University Global
(SMUG)
http://social-media-university-global.org/
Darren Rowse’s Twitter Tips for Beginners
http://www.twitip.com/twitter-tips-for-beginners-video/
Phil Baumann’s Leading on Twitter Primer
http://www.slideshare.net/philbaumann/priming-healthcare-for-twitter-
an-introduction-to-leading-on-twitter?src=embed
Expanded slidedeck
available at:
www.slideshare.net
Images
• http://socialnomics.net/2009/08/11/statistics-show-social-media-is-bigger-than-you-think/
• http://www.facebook.com
• http://www.myspace.com
• http://www.ning.com
• http://www.linkedin.com
• http://www.hi5networks.com/blog/
•
• http://malefis.u-strasbg.fr/site/images/homer-brain.jpg
• http://www.geekologie.com/2009/09/dont_friend_your_mom_more_face.php
• http://en.wikipedia.org/wiki/File:Elias_Zerhouni_close-up_official_photo.jpg
Images
• http://www.cdc.gov/SocialMedia/
• http://www.facebook.com/takeastepagainstcervicalcancer#/takeastepagainstcervicalcancer?v=box_3
• http://www.facebook.com/pages/Orlando-FL/UCF-Student-Counseling-Center/52063513049
http://holydogwater.files.wordpress.com/2007/10/borat-greatsuccess.jpg
• http://thenastyboys.files.wordpress.com/2008/01/huggybear.jpg
• http://media.photobucket.com/image/drunk%20student/silverbeam/A%20CSM%20Blog/Drunk.jpg
• http://www.bc.edu/bc_org/svp/st_org/mktacad/Images/511px-
Boston_College_with_Boston_skyline.jpg
• http://www.bc.edu/bc_org/svp/st_org/mktacad/Images/511px-
Boston_College_with_Boston_skyline.jpg
• http://media.photobucket.com/image/Pitfall%20video%20game/cliche_city2/pitfall.jpg
Images
• http://www.twitip.com/twitter-tips-for-beginners-video/
• http://z.about.com/d/politicalhumor/1/0/y/m/2/stop-or-tweet.gif
• http://twitter.com/jensmccabe/status/3073739543
• http://cache0.techcrunch.com/wp-content/uploads/2009/10/twitter_bird_logo_by_ipotion.jpg
• http://twitter.com/poikonen
• http://twitter.com/search/users?q=Walgreens&category=people&source=find_on_twitter
• http://twitter.com/Walgreens
• http://twitter.com/CVS_Cares
• http://twitter.com/rankospharmacy
• http://twitter.com/APhA_HCR
Images
• http://www.ignitelabs.com/pharmatwitter/
• http://www.telegraph.co.uk/telegraph/multimedia/archive/01369/twitter-pic_1369969c.jpg
http://www.flickr.com/photos/joeysplanting/2433679130/sizes/l/
• http://www.ci.redwood-city.ca.us/fire/disaster/preparedness%20overvew_clip_image001.jpg
• http://www.cdc.gov/socialmedia/campaigns/h1n1/#Microblogs
• http://www.nasddds.org/PanFlu/H1N1.jpg
• http://newmexicoindependent.com/wp-content/uploads/2008/12/twitter-art.jpg
• http://www.flickr.com/photos/30211781@N04/3937067223/in/set-72157622279693151/
• http://farm4.static.flickr.com/3365/3201878338_65aebe014d.jpg
• http://twitter.com/CVS_pharm/status/2794096289
Images
• http://thepcsecurity.com/wp-content/uploads/2009/08/twitter-risk-analysis.png
• http://tweetphoto.com/671561
http://www.flickr.com/photos/dosik/118828513/
http://www.flickr.com/photos/the_brownhorse/2553314429/
If thumbnail/URL not present, image has been purchased/licensed
Expanded slidedeck images can be found under notes tab
Thank you for your time!
clauson@nova.edu @kevinclauson

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How Facebook and Twitter are Changing Healthcare

Notas del editor

  1. http://www.cartoonart.org/images/twitter.jpghttp://justgiving.files.wordpress.com/2009/01/facebook_logo.jpg
  2. http://www.nih.gov/news/health/nov2009/ncrr-02.htm
  3. http://socialnomics.net/2009/08/11/statistics-show-social-media-is-bigger-than-you-think/
  4. http://www.facebook.comhttp://www.myspace.comhttp://www.ning.comhttp://www.linkedin.comhttp://www.hi5networks.com/blog/
  5. http://malefis.u-strasbg.fr/site/images/homer-brain.jpg
  6. http://www.geekologie.com/2009/09/dont_friend_your_mom_more_face.php
  7. http://www.youtube.com/watch?v=W-jB9RDN-mE
  8. http://i.bnet.com/blogs/pepsi_max_3.jpg
  9. http://en.wikipedia.org/wiki/File:Elias_Zerhouni_close-up_official_photo.jpg
  10. http://www.cdc.gov/SocialMedia/
  11. http://www.facebook.com/takeastepagainstcervicalcancer#/takeastepagainstcervicalcancer?v=box_3
  12. http://www.facebook.com/pages/Orlando-FL/UCF-Student-Counseling-Center/52063513049
  13. http://ischool.umd.eduwww.hpvfactcheck.org
  14. http://holydogwater.files.wordpress.com/2007/10/borat-greatsuccess.jpg
  15. http://thenastyboys.files.wordpress.com/2008/01/huggybear.jpg
  16. http://media.photobucket.com/image/drunk%20student/silverbeam/A%20CSM%20Blog/Drunk.jpg
  17. http://www.bc.edu/libraries/meta-elements/jpg/bclogo.jpghttp://www.bc.edu/bc_org/svp/st_org/mktacad/Images/511px-Boston_College_with_Boston_skyline.jpg
  18. http://media.photobucket.com/image/Pitfall%20video%20game/cliche_city2/pitfall.jpg
  19. http://www.co.lancaster.pa.us/shauns-site/lib/shauns-site/philadelphia-eagles-logo.jpg65039
  20. http:www.proofpoint.com
  21. http://www.twitip.com/twitter-tips-for-beginners-video/
  22. http://z.about.com/d/politicalhumor/1/0/y/m/2/stop-or-tweet.gif
  23. http://twitter.com/jensmccabe/status/3073739543
  24. http://cache0.techcrunch.com/wp-content/uploads/2009/10/twitter_bird_logo_by_ipotion.jpg
  25. http://twitter.com/poikonen
  26. http://twitter.com/search/users?q=Walgreens&category=people&source=find_on_twitter
  27. http://twitter.com/Walgreens
  28. http://twitter.com/CVS_Cares
  29. http://twitter.com/rankospharmacy
  30. http://twitter.com/APhA_HCR
  31. http://www.ignitelabs.com/pharmatwitter/
  32. http://www.telegraph.co.uk/telegraph/multimedia/archive/01369/twitter-pic_1369969c.jpg
  33. http://www.flickr.com/photos/joeysplanting/2433679130/sizes/l/http://www.ci.redwood-city.ca.us/fire/disaster/preparedness%20overvew_clip_image001.jpg
  34. http://www.cdc.gov/socialmedia/campaigns/h1n1/#Microblogs
  35. http://www.nasddds.org/PanFlu/H1N1.jpg
  36. http://newmexicoindependent.com/wp-content/uploads/2008/12/twitter-art.jpg
  37. http://www.flickr.com/photos/30211781@N04/3937067223/in/set-72157622279693151/
  38. http://farm4.static.flickr.com/3365/3201878338_65aebe014d.jpg
  39. http://media.photobucket.com/image/Pitfall%20video%20game/cliche_city2/pitfall.jpg
  40. http://twitter.com/CVS_pharm/status/2794096289
  41. http://twitter.com/ClinicalReader/statuses/2673399690
  42. http://thepcsecurity.com/wp-content/uploads/2009/08/twitter-risk-analysis.png
  43. http://www.slideshare.net