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How have facebook and other social media affected the patient’s role in the provision of health care?

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Stephanie Conklin

Andrew Guvetis

Janel Pizarro

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

AA

NA

Jou

rna

l20

10

;78

(4):2

70

-4.

results

38%

35%

20%

7% Communication Facilitation (n=17)

Patient Empowerment (n=16)

Professionalism/Liability (n=9)

Public Perception/Marketing (n=3)

Themes identified and number of results (n=45)

2003 Study:

Why are patients consulting physicians on the internet?

52% - Convenience36% - Anonymity

J Med Internet Res 2003;5(4):e26

Hea

lth

Aff

(Mill

wo

od

)2

00

9;2

8(2

):3

61

-8.

Poor CommunicationKnowledge Gaps

Patient-orientedIncorporates patient’s knowledge, thoughts, and feelings into decisions

Med Care Res Rev 2009;66(1 Suppl):53S-74S.

Educationeducation

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 practicePhysician-Rating Sites

More informed and selective consumers

Fam Pract Manag 2009;16(3):9-11.

conclusionsThrough social media, patients are becoming:1. More adept communicators2. Educated, active decision-makers3. Greater sources of potential legal and/or

ethical dilemmas4. More informed consumers

limitations

• Very young concept-Lack of published original research

• Subjective nature of classification system• Possible publication bias

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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):e486. 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.

references

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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.

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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

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Intern Med. 2010 Nov;25(11):1152-6. Epub 2010 Jun 11.

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.

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