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Health Care Reform Will Accelerate Health 2.0

 
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The new Pew study on the impact of the Internet on American life came out last week, and as usual, someone, @mrinaldesai to be exact, Tweeted it and I found it :-) Yes, this is what Twitter is for: DISCOVERY.

In 2000, 46 percent of Americans had access to the Internet. Less than a decade later, 74 percent of Americans are online, and 61 percent of them are searching for health information. Pew refers to them as e-patients.

What does this mean? Well, besides the obvious, it means that access to care and information from reliable sources isn’t as available as it should be compared to the demand.

And while most Americans still prefer to ask a health professional for information, they will also consult a friend or family member, or go online. And when they go online, they’re not necessarily looking for information for themselves; more than half of online health inquiries are on behalf of someone other than the person searching. Once they find something, e-patients talk to someone else about what they found. Looking for health information has become a social experience. But it’s pretty discreet because of this silly system we play in today.

Significantly, people who look online for health information seem to prefer user-generated content. This will be a shock to the Medscapes and the Mayo Clinics of the world. That’s because they are looking for something 1)recent and 2) tailored for someone who has had a similar experience to the person they are looking on behalf of:

* 41 percent of e-patients have read someone else’s commentary or experience about health or medical issues on an online news group, Web site or blog.

* 24 percent of e-patients have consulted rankings or reviews online of doctors or other providers.

* 24 percent of e-patients have consulted rankings or reviews online of hospitals or other medical facilities.

* 19 percent of e-patients have signed up to receive updates about health or medical issues.

* 13 percent of e-patients have listened to a podcast about health or medical issues.

Ironically, while we are all looking for user-generated content, very few of us are actually producing it. A very small number of Pew’s population of e-patients are actively contributing. This isn’t very different from what Forrester Research finds about social media and user-generated content overall: a small number of people do most of the “production,” even though these platforms enable all of us to be publishers.

* 6 percent of e-patients have tagged or categorized online content about health or medical issues.

* 6 percent of e-patients report that they have posted comments, queries or information about health or medical matters in an online discussion, listserv or other online group forum.

* 5 percent of e-patients say they have posted comments about health on a blog.

* 5 percent of e-patients have posted a review online of a doctor.

* 4 percent of e-patients have posted a review online of a hospital.

* 4 percent have shared photos, videos or audio files online about health or medical issues.

If you add up all the ways to participate, and assume there are no duplications, it’s still only 37 percent, and I’d bet — with my non-statistical hat on — that it’s more like the same 6 percent who do all of those things :-)

A relatively small number of people are sharing their health information in the general places, like MySpace and Facebook. And I can see why: especially if you have a serious condition, you are not likely to make it public in the current health insurance environment, where a pre-existing condition can lose you coverage or even a job.

* 39 percent of e-patients use a social-networking site like MySpace and Facebook and, of those, only a small portion have followed their friends’ personal health experiences or updates, posted their own health-related comments, gotten any health information or joined a health-related group.

* 12 percent of e-patients use Twitter or another service to share updates about themselves or to see updates about others, and of those, few have posted comments, queries or information about health or medical matters.

My educated guess is that there would be a lot more contributing and sharing if the health care system were reformed, and people were not trying to keep their pre-existing conditions out of sight of the insurers who rate them and the employers who recruit them. In fact, gurus are now giving classes in “what not to put on your Facebook page,” and health information is part of their advice. So there may be more people secretly consuming the health information and sharing personal experiences than we know about. After all, the Internet is about discovery. We don’t know how many people search for cancer on Twitter and just never tell us about it because they fear losing their livelihood or their coverge.

Link to blog: http://ushealthcrisis.com/2009/06/health-care-reform-will-accelerate-health-20/

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Anonymous

Hopefully the medical establishment will finally embrace the internet and electronic records and join the rest of us in the 21st century. All that whining from doctors about being rated online by patients at sites like HealthcareReviews.com is an indication of their backward mentality and stubborn ignorance.

June 24, 2009 - 9:44am
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