Health care in an era of web 2.0

Providing health care in an era of web 2.0 …an introduction for workshop participants

Dean Giustini / UBC Biomedical Branch Librarian UBC Centre for Health Care Management, Fall 2011

[ surgical tweets -- made news in 2010 ]

Health care in an era of web 2.0

• Learn what web 2.0 is and what it might offer managers

• Identify some useful features of web 2.0 use

• Find out how to connect with colleagues worldwide

• Discuss where web 2.0 fits (if at all) into health caresocial engagement, education & collaboration

What role do mobile devices play in web 2.0?

Would you ‘tweet’ for help?

Dean Giustini, UBC biomedical librarian | [email protected] | Fall 2011

What is web 2.0?

“… web 2.0 is commonly associated with web tools that facilitate sharing, interoperability, user-centred design … and collaboration on the web. These

sites give users the free choice to interact or collaborate as consumers & creators of content in a virtual community … most websites are limited to viewing content only …some popular examples include social-networking

sites, blogs, wikis, video-sharing, mashups & folksonomies …”

- Wikipedia, July 2011

What role might web 2.0 play in CANMEDS?


• Two-way interactivity • hallmark of web 2.0 = interaction with others

• Social networking • users post and share personal opinions, artistic creations and connect with

others having similar interests

• Decentralized knowledge production • a combination of experts and users generate content by uploading files,

using online word processors & sharing online documents

McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169

Features of web 2.0


• Syndication • subscribe to content which comes to you based on your needs

• Software gets better as more people use it • users contribute & others review & organize it… as user base grows, so does

quantity and quality of content

• Other features? Do you have any concerns?

Features of web 2.0 (cont’d)

McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169


Google is not just a search company It’s a web 2.0 company Follows your online activities Use a pseudonym or anonymizer

Google creates many web 2.0 tools for use in the cloud

blogs, wikis, calendars, media, writing tools,YouTube, iGoogle, even more …

Google Books & Google Scholar Search for surgical literature

The “Google Factor”


“…web 2.0 is difficult to define …the web as platform and architecture of participation are used to describe it [but] rather than the platform it's the spirit of open sharing and collaboration that is important…the more we share and exchange information… the more open and creative the platform becomes; hence, the more useful it is in our work.”

Giustini Dean. How web 2.0 is changing medicine. BMJ 2006;333: 1283-84.

How web 2.0 is changing medicine (BMJ, 2006)


A few popular Web 2.0 technologies

• Twitter (microblogging) http://twitter.com

• Facebook (social networking) http://facebook.com • Wikipedia (encyclopedia) http://wikipedia.org

• YouTube (video-sharing) http://youtube.com

• LinkedIn (professional networking) http://linkedin.com


Openness I(Surgical Tweets)

@HenryFordNews


Openness I(Surgical Tweets)

Medical encyclopedias

• AskDrWiki http://askdr.wiki.com/• Ganfyd http://www.ganfyd.org

Medical education

• Medpedia http://medpedia.com• Meducation http://www.meducation.net

Communities of practice

• Asklepios http://www.cma.ca/asklepios• Wikisurgery http://wikisurgery.com

A few popular Web 2.0 tools in medicine


AskDrWiki: a medical wiki

http://askdrwiki.com


Medpedia – recent wiki project


Described as having these main features:

1. Social Networking

2. Participation

3. Collaboration

4. Apomediation (‘stand-by’ wisdom of crowds)

5. Openness

Reference: Eysenbach G. Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. J Med Internet Res 2008;10(3):e22.

Medicine 2.0 – Eysenbach et al (2008)


Sarringhaus MM. The great divide: social media's role in bridging healthcare's generational shift. Journal of Healthcare Management. 2011; 56(4):235-244. “…social media, a resource largely untapped in the healthcare field, presents opportunities and advantages and, if used properly, can innovate healthcare…”

Question to you:

How might web 2.0 technologies be used to enhance your management practices ?

Health care management in a web 2.0 era – of value?


RSS Feeds(pubmed.gov)(pubmed.gov)

• Save PubMed searches for periodic updates • Keep up with today’s literature using RSS feeds

• Receive literature updates in your e-mail

• Scan updates on iGoogle or other ‘RSS readers’


RSS Feeds +Medscape.comMedscape.com

http://www.medscape.com/generalsurgery


Participation (Facebook)(Facebook)


Online Doctoring

Salter, C. “The Doctor of the Future” Fast Company 2009 Jay Parkinson MD MPH


Openness (Ethics, professionalism)

Do ‘live tweets’ contravene HIPAA regulations? PIPEDA in Canada?Do ‘live tweets’ contravene HIPAA regulations? PIPEDA in Canada?

There are 18 identifiers that must not be present about a case


Using web 2.0 technologies

Use Web 2.0 tools to connect / network globally with colleagues / experts

Many medical websites use web 2.0 tools for social engagement, education & collaboration

Web 2.0 + health care management = Health care 2.0

Mobiles, virtual & ‘immersive’ reality take us to web 3.0


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Health care in an era of web 2.0

Health & Medicine