Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders [4 Aud 1100 Seeman]
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Transcript of Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders [4 Aud 1100 Seeman]
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Seeman, N.Inside the Health Blogosphere: Governance, Quality and the New Opinion Leaders
• This slideshow, presented at Medicine 2.0’08, Sept 4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
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© Copyright IBM Corporation 2008
Inside the Health Blogosphere:Governance, Quality
and the New Opinion Leaders
Neil Seeman, JD, MPH
IBM Health Care & Ryerson University
Medicine 2.0 Congress, Sept. 4, 2008
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© Copyright IBM Corporation 2007
What is an “Opinion Leader”?
Think of a person who is an “opinion leader”.
● Opinionated?● Annointed by Status?● Track record of success?● Trust? ● Likeability?● Creativity?● Ability to spot trends?
3 © Copyright IBM Corporation 2008
Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
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© Copyright IBM Corporation 2007
SNA proves that “opinion leaders” do not always enjoy status or hierarchical authority
Source: Cross, R., Parker, A., Prusak, L. & Borgatti, S.P. 2001. Knowing What We Know: Supporting Knowledge Creation and Sharing in Social Networks. Organizational Dynamics 30(2): 100-120.
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
On social networks, “opinion leaders” are everyday people writing about health problems
Source: Adapted from, Seeman N, Electronic Healthcare, 2008
10Alcohol Dependency
9Obsessive Compulsive Disorder
8Chronic Pain
7Chronic Fatigue
6Obesity
5Diabetes
4Autism
3Cancer
2Bipolar Illness
1Depression
Rank among Chronic Illness Communities
Focus
Based on N=100, MySpace.com
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
Among physicians, there are also nodes. Blogs are tools to lead opinion.
Source: Valdis Krebs, http://www.orgnet.com/KOL.html
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
What attributes do leading health blogs share?
Run by subject matter experts (SMEs)?
Discuss health news that matters?
Protect user privacy?
Highly used?
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© Copyright IBM Corporation 2008
For patients: benefits of health blogs
Navigate the continuum of care
Empowerment
Share challenges and solutions
Knowledge of treatments and medications
Single access point
Source: Adapted from, Seeman N, Electronic Healthcare, 2008
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
For health professionals: benefits
Intellectual capital
Collaboration
Understanding patient needs
Protocols to support clinical treatment
Source: Adapted from, Seeman N, Electronic Healthcare, 2008
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
For hospitals and health regions: benefits
Client health literacy
Philanthropy and volunteer recruitment
Patient self-care, goal-setting
Research and educational activity
Source: Adapted from, Seeman N, Electronic Healthcare, 2008
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
The blogosphere is expanding rapidly…
Source: Technorati, 2006
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
…with blogs pushing the information frontier
8% (12 million) adult users of Internet in the US keep a blog; 39% (57) million read one - 2006, Pew Internet and American Life Project
Blogs contributed to increase of ~ 50 million new websites in 2007 - 2007, Netcraft Web Server Survey
Blogs are increasingly “breaking news stories”
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
The influence of newspapers is in decline
0.05-9.85United Kingdom
-1.34-2.23Sweden
-0.94-1.73Spain
19.44 NASlovenia
-4.17-8.55Slovakia
-3.88 NAPortugal
9.8021.63Poland
-3.67-10.58Netherlands, The
-2.251.46Latvia
0.03-5.25Italy
2.1628.91Ireland
-0.68-12.31Hungary
-4.05-11.62Greece
-2.5-9.63Germany
-1.6-7.38France
-0.67-2.99Finland
-0.39-0.78Estonia
-2.64-11.4Denmark
4.880.87Czech Republic
-1.35-4.25Belgium
0.420.09Austria
2005/2004%2005/2001%Country
14 out of 21 EU countries saw newspaper circulationdecline in 2005. 16 out of 20 EU countriessaw newspaper circulationdecline from 2001-2005.
Source: World Association of Newspapers
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
But do health blogs provide important news? … are they safe? …
are they well-governed?
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
Analyzing health blog quality and governance
Using a literature review, identify key features of a well-governed blog capable of systematic review
Calculation of a “blog governance score” out of 20 based on review of governance features
Statistical cross-tabulations and correlations run to test observations of blog characteristics
Comparative analyses of popular health blogs to general-interest newspapers
Aggregation of most visible and prevalent health blogs using multiple methodologies/ rankings
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
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High density health blogs
11. Awful Plastic Surgery
12. Running a Hospital
13. Pharma Marketing Blog
14. Emergiblog
15. Polite Dissent
10. World of Psychology and Mental Health
9. Junkfood Science
8. NHS Blog Doctor
7. The Health Care Blog
6. Diabetesmine.com
5. Kevin M.D. Medical Blog
4. Sharpbrains.com
3. Wall Street Journal Health Blog
2. Medgadget.com
1. BadScience.net
15 Top Health Blogs in the Web (March, 2008)
*Source Data: Bloglines, Google, Technorati. Aggregation of scores compiled by author (at March 10, 2008). N=100
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
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Old media vs. health blogs: Which are better?
“Reporters who are trained … provide the news stories, and the news sites gather them up and the bloggers comment on them.”
- R. Smith, The Globe and Mail, March 27, 2008
“Blogging has in the past couple of years exploded into a cottage industry churning out increasingly compelling content.”
- The Economist, “Weblogging,” March 27, 2008
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
Do blogs discuss important medical news?
Parkinson's Disease Drugs Linked to Valvular Dysfunction
Fish Oil Added to Statin Therapy Reduces Risk for Major Coronary Events
NSAIDs for Heart Disease Patients
Rosiglitazone (Avandia) Increases MI and CV Death in Meta-Analysis
Immunization schedule change recommendations for children/ adults
New approach to Tdap Vaccine for Adults
New guidelines for venuous thromboembolism diagnosis
New guidelines for treatment of acute ischemic stroke
Soft Drink Consumption linked to increased metabolic risk
New Guidelines for the Management of Lower Back Pain
10 Most Important Medical News Stories of 2007*
* As so defined by a conensus of more than 60 leading clinical experts across North America, compiled by Medscape and WebMD. Available at:http://www.webmd.com/news/20071214/top-10-doc-stories-2007
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
© Copyright IBM Corporation 2008
Niche and focus may drive higher loyalty and use
SME monitoring is strongly linked to good blog governance
Health blogs can and should do a better job in promoting user privacy and SME monitoring
Conclusions
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Sept. 4, 2008 Presentation to Medicine 2.0 Congress, Toronto, Canada
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Discussion
For further information, please contact: [email protected]