Articles

Posted in #HIT, Ehealth

What’s the future of healthcare?

The man once hailed by GQ Magazine as one of the 12 “rock stars of science” doesn’t predict a rosy future for hospitals or medical clinics. But he does expect the individual consumer to be much more aware and proactive about healthcare.

In a Tuesday morning 2013 HIMSS Conference & Exhibition keynote replete with pop culture references and visual guides, Eric J. Topol, director of the Scripps Translational Science Institute and author of The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care, delivered a ringing endorsement of the smartphone as the healthcare delivery platform of the future.

Digital health has gotten to a point, he said, where the average consumer can measure and track vital signs and other physiological data through his or her smartphone, thereby creating a “Google map of each individual.” That, he said, flies in the face of America’s healthcare industry, which is poised to experience a technological revolution similar to the ‘Arab Spring” revolts that swept through the Mideast.

“We practice medicine today at a population level,” said Topol, who is also a cardiologist and the West Endowed Chair of Innovative Medicine at San Diego-based Scripps Health. “We do everything the same. We don’t recognize each person as an individual.”

And digital health, he said, will change all of that.

Topol argued that population health leads to wasteful and even potentially dangerous practices, such as prostate exams and mammograms. Digital health tools would enable each individual to determine if he or she would need a test, he said.

The smartphone – the “lab on a chip” – can and will replace the annual physical, Topol predicted, and offer opportunities to screen for a wide variety of ailments, from lung disease and eye problems to heart issues, high blood pressure and diabetes.

Topol predicted that healthcare would move away from the hospital – which George Orwell once called “the antechamber to the tomb” – and toward the home, with consumers in charge of their own health and health data and physicians propelled into the role of specialists.

He also touted the development of handheld genome sequencers, and said science and medicine are moving towards a day when an individual’s genomes can be mapped and used to detect, cure and possibly even prevent diseases like cancer.

And all it’s going to take, he said, is a sense of empowerment on the part of the individual, armed with a smartphone.

‘What we need to do is tear down that wall,” he said.

See on www.healthcareitnews.com

Posted in Doctor, HCSM

Is It Time For Surgeons To Get on Twitter?

No studies have looked specifically at the presence of surgeons on Twitter. If their usage is similar to that of oncologists and primary care doctors—the only two groups to have had their social media usage studied in a scientifically rigorous way—one survey suggests about 7% of clinicians use Twitter as part of their lifelong learning, 37% reported that they never plan to use Twitter as part of their lifelong learning and about 50% are on the fence, said Brian McGowan, PhD, a research scientist who specializes in medical education and author of the study (J Med Internet Res 2012;14:e117).

See on www.generalsurgerynews.com

Posted in HCSM

Patient-Centeredness, Patient Engagement & Health Care Quality Improvement – A Physician’s Perspective

Stephen Wilkins's avatarMind The Gap

naikA guest post by Aanand D. Naik, MD –  Chief, Education and Training Core in Health Services Research at Department of Veterans Affairs, Michael E. DeBakey VAMC and Assistant Professor of Medicine at Baylor College of Medicine. Houston, Texas.   Reposted from the Blog GeriPal

Improving the health outcomes of older adults with multiple chronic morbidities has been my calling as a physician.  During residency, my colleagues were interested in difficult, rare, or novel cases.  In contrast, I was attracted to the lingering, multiple everyday conditions that older adults faced.  I was also struck by the fact that providing all the recommended screening and treatments for each of their conditions often did more harm than good.

It became immediately clear to me that my role as a clinician was to partner with my patients.  In the end, it was the patient and their family that had to identify health and life…

View original post 479 more words

Posted in HCSM, HIPAA

Creating a Social Network for Adolescents with Cancer

 

Adolescents with cancer often feel isolated from family and friends. Their struggle with cancer is exacerbated by the marginalization that may occur. Online social networking might reduce the sense of isolation common to these children.

We began Bingu.org in 2011 as a social network for adolescent patients ages 13-21 at Mount Sinai Medical Center’s Hematology/Oncology outpatient clinic. MSMC, located in East Harlem, provides comprehensive services to patients throughout the New York metropolitan area. Bingu.org allows teens to blog, post photos, and discover other teenagers who understand what they’re going through.

Research has shown that adolescent patients may slip through the cracks of our healthcare system. This is evident in most pediatrics clinics, where cartoonish wallpaper, arts & crafts activities, and simple toys are meant to entertain younger patients. Today’s teenagers require interaction with peers, and for many of them this means online social networking.

Although many Bingu members have a Facebook account, such a diffuse and public community may not meet their needs. Bingu – an acronym for “But I’m Not Giving Up” – allows young patients with cancer or blood disorders to connect in a secure and candid environment. The content of the site is unavailable to search engines, and new members must be approved by the site administrator. This level of security is important to allow teens to share openly and to reassure parents.

From 9/2011-4/2012, Bingu has registered 28 members. Those recently diagnosed reach out to patients in remission and ask them what to expect. Teenagers receiving chemotherapy send each other messages of support and strength. Before joining the site, almost no teen knew of other patients with a similar condition. Now they each know over two dozen.

Although there are other, larger social networks for sick children, Bingu offers a more personal environment for those who share similar conditions in the same geographical area. The personal involvement of the moderator allows attention to the cultural and economic challenges of the community in which the site is based.

Our goal is that other hospitals across the country will create their own social networks for their communities, resulting in a regional strategy for patients with similar challenges. Such sites may be created with no professional training in computer science or web design. We used the social network service SocialGo, creating Bingu using their graphical user interface and without writing a single line of code.

The greatest challenge in creating Bingu and other similar sites may be in overcoming peoples’ fears of allowing teenagers to use the internet. Such projects may meet a skeptical and nervous response from hospital administrators. There may be concerns that giving teens the ability to connect online will inevitably lead to cyber-bullying, HIPAA violations, and inappropriate relationships. These concerns are real and must be addressed, but they should not deter us from the great benefit these online communities may provide to sick children.

Future plans include expanding support for adolescents with different medical conditions, branching out to other local hospitals, and obtaining resources to provide computers for adolescent cancer patients unable to purchase their own.

See on www.medicine20congress.com

Posted in HCSM, Pharma

Patient-centered research in the Internet age

This article is about patient-centered research in the age of social media and digital technologies.

In a time when drug development success is becoming scarcer and more expensive, the industry is looking everywhere it can for new, innovative approaches to improving health. Increasingly we hear of the need for patient-centered research. In a highly regulated, process-oriented field such as clinical research, such changes, while essential, are highly disruptive and the outcomes are uncertain. What does patient-centered research mean? For an industry already beset with challenges, is it yet another complex burden, or can it provide a pathway to make the research process more targeted, smarter, and efficient?

See on www.pharmaphorum.com

Posted in HCSM

Medicine and Technology: Summary of the #HIMSS13 keynote by Dr. Eric Topol

See on Scoop.it – Health Care Social Media Monitor

This morning on the second day of the 2013 HIMSS conference, Dr. Eric Topol gave an entertaining, engaging keynote about the future of medicine and the emergence of digital health.

Marie Ennis-O’Connor‘s insight:

He came on stage wearing his Walking Gallery jacket painted by Regina Holliday. We saw a surge of tweets from the medical community praising Regina for her patient advocacy efforts through her growing Walking Gallery.

See on newsle.com

Posted in Gaming For Health, HCSM, mHealth

Digital health: five focal points

  1. Social objects can be used to frame social media experiences.
  2. mHealth is everywhere.
  3. Gamification can work, but it must involve the users at every step of the creation process.
  4. Testing digital programs to build evidence of their efficacy is challenging, but possible. Success is more likely when you build on strategies you already know work.
  5. Best of digital usually involves the blending of digital and physical experiences.

Read more: smexchange.ogilvypr.com