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The Reliability and Quality of YouTube Videos as a Source of Public Health Information Regarding COVID-19 Vaccination

The Reliability and Quality of YouTube Videos as a Source of Public Health Information Regarding COVID-19 Vaccination | Social Media and Healthcare | Scoop.it

Recent emergency authorization and rollout of COVID-19 vaccines by regulatory bodies has generated global attention.

 

As the most popular video-sharing platform globally, YouTube is a potent medium for the dissemination of key public health information.

 

Understanding the nature of available content regarding COVID-19 vaccination on this widely used platform is of substantial public health interest.

 


Objective: This study aimed to evaluate the reliability and quality of information on COVID-19 vaccination in YouTube videos.

 

Methods: In this cross-sectional study, the phrases “coronavirus vaccine” and “COVID-19 vaccine” were searched on the UK version of YouTube on December 10, 2020. The 200 most viewed videos of each search were extracted and screened for relevance and English language. Video content and characteristics were extracted and independently rated against Health on the Net Foundation Code of Conduct and DISCERN quality criteria for consumer health information by 2 authors.

 


Results: 48 videos, with a combined total view count of 30,100,561, were included in the analysis. Topics addressed comprised the following: vaccine science (n=18, 58%), vaccine trials (n=28, 58%), side effects (n=23, 48%), efficacy (n=17, 35%), and manufacturing (n=8, 17%). Ten (21%) videos encouraged continued public health measures. Only 2 (4.2%) videos made nonfactual claims. The content of 47 (98%) videos was scored to have low (n=27, 56%) or moderate (n=20, 42%) adherence to Health on the Net Foundation Code of Conduct principles. Median overall DISCERN score per channel type ranged from 40.3 (IQR 34.8-47.0) to 64.3 (IQR 58.5-66.3). Educational channels produced by both medical and nonmedical professionals achieved significantly higher DISCERN scores than those of other categories. The highest median DISCERN scores were achieved by educational videos produced by medical professionals (64.3, IQR 58.5-66.3) and the lowest median scores by independent users (18, IQR 18-20).

 


Conclusions: The overall quality and reliability of information on COVID-19 vaccines on YouTube remains poor.

 

Videos produced by educational channels, especially by medical professionals, were higher in quality and reliability than those produced by other sources, including health-related organizations.

 

Collaboration between health-related organizations and established medical and educational YouTube content producers provides an opportunity for the dissemination of high-quality information on COVID-19 vaccination.

 

Such collaboration holds potential as a rapidly implementable public health intervention aiming to engage a wide audience and increase public vaccination awareness and knowledge.

nrip's insight:

As said by so many others including me, there is so much scope for public private collaboration in the areas of patient education, health information and information therapy across all the digital mediums. Covid has highlighted the need for digital technologies to be adopted in healthcare as of yesterday, and in the same breath is showing us the problems of working with them in silos. No where is this highlighted more prominently in today time as it is in the fight against misinformation and imparting accurate and correct information to large populations.

harold john's curator insight, August 22, 2021 10:05 AM

  

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The tricky parts of medicine are hard - Work together

The tricky parts of medicine are hard - Work together | Social Media and Healthcare | Scoop.it

Googling does not mean I think I’m a doctor. It’s a sign of being an engaged, empowered “e-patient.” 

partner with great doctors – I don’t tell them what to do. And they welcome me doing it.

I personally am completely opposed to a patient going in and saying “I’ve decided I have condition X, and I want you to prescribe 42mg QID of medication Y.” I mean, have you ever seen the things medical students have to learn to get their license??

But I’m all in favor of a patient saying, “I have symptoms A and B, and from what I can tell from websites J and Q, that sounds like it could be M.” Explain your thinking, identify your source, and try to solve the diagnostic puzzle together: Collaborate

The flip side is that it’s demonstrably wrong for a doctor to insist that their diagnosis must be right; 

And to flip it again, patient engagement isn’t a synonym for “the patient is always right.”

Googling is a sign of an engaged patient. The only reason a patient ever searches for information is because they’re trying to learn more! To smack that down is to discourage engagement. 

That’s empowering. That’s modern. That’s participatory. Do it that way.

The tricky parts of medicine are hard. Work together.

read this classic and evergreen post at
https://participatorymedicine.org/epatients/2015/11/the-truth-about-the-your-googling-and-my-medical-degree-mug.html

 

nrip's insight:

I have shared this excellent post by Dave several times previously. This is a reminder to everyone to continue treating patients in moda collaborata as we hope to arrive at a post-covid era soon. A ton of unresolved issues will be brought forth, a number of symptoms swept under the carpet over the past year are going to be looked at. Unfortunately all that a number of  these patients may have done over the rough year gone by will have been to use google to try and figure out what can it be and ask a doctor friend to advice them medicines.

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Guide to optimize your campaigns for Voice Search  

Guide to optimize your campaigns for Voice Search   | Social Media and Healthcare | Scoop.it

Almost all American adults have a voice search tool with them at all waking hours. You probably have one on your person right now. For iPhone users, it’s Siri, which also is on the MacBook and iPad. For Samsung users, it’s Google Now. Last year, people completed 250 billion searches with their voices. That’s one in eight searches.

 

There’s no question the demand for voice search is growing significantly. But how can you ensure you take advantage of it? Here are ways to capitalize on the trend line.

 

Start by developing your SEO

 

The most common response from voice assistants is to connect a user to Google’s top results. For example, when you ask a device a specific question like, “What is Tom Steyer’s position on the economy?” it will often direct you to five results in a mobile web browser. 

 

Therefore, ensuring your campaign ranks at the top of Google has never been more important.

 

Use Schema.org

 

Voice assistants increasingly use microdata from Schema.org to surface results. So, make sure your pages have metadata from that site inputted. 

 

Get Off Twitter, and instead build for Google

 

Campaigns and consultants spend so much time on Twitter. But it’s worth remembering, just 22 percent of American adults are on Twitter. Meanwhile, 73 percent of them are on YouTube (the world’s second-biggest search engine).

 

It’s a habit and a mindset change, but spending less time on Twitter and more time on Google/YouTube, will pay huge dividends for campaigns who can prove they are disciplined.

 

Create an extended FAQ

 

What is the primary input of voice assistants? Questions.

 

Use AnswerThePublic.com to produce a tree of all of the questions people are asking. You should have a page on your website that answers all of those questions and more. Then use the above-mentioned Schema.org to create microdata for the page that will help voice assistants populate the information to voice searchers.

 

Build an Alexa skill

 

An Amazon Alexa skill is a voice application. Similar to how Apple has apps on its App Store, Amazon has apps that work on the Alexa and can be created by anyone. Alexa represents the potential for what voice technology, especially for campaigns holds.

 

On a recent trip to Seattle, I met with two Amazon Alexa staff members. They explained to me that practitioners in voice should focus on building for two distinct purposes. The first is consumer voice experiences. These are voice applications that answer questions or provide information for commands. 

 

The second purpose is conversational AI. These are advanced applications that make you feel like you are having a conversation with a person.

 

Develop CFIRs for your Alexa skill

 

CFIR stands for Can Fulfill Intent Requests. CFIRs populate Amazon Alexa’s database with information and are like keywords or key phrases that may invoke your skill.

 

Example: I was laying on my couch one day and feeling tired. So, I said, “Alexa, inspire me.” And a skill started playing and offering me inspirational quotes from Oprah, Muhammed Ali and other leaders. The creator of this skill had programmed “inspire me” as a CFIR.

 

These are similar to the questions and answers you put on your FAQ as well as commands and responses you want that users could invoke.

 

Publish keyword-rich videos on YouTube

 

Remember, YouTube is the world’s second-biggest search engine. Start supplying content for it. Publish answers to FAQs in video form. Publish campaign ads. And in your keywords, post the questions that voice searchers might ask their assistants. Google pulls heavily from YouTube for results, and this may cause your content to rank near the top.

 

Embrace brevity

 

Similar to people, voice assistants that talk too much and for too long can be annoying. Keep your answers brief — 29 words brief. Those 29 words are about 10 to 12 seconds. Meanwhile, make your questions a bit longer — about 9 words, as this is the average length of questions people ask their voice assistants.

 

So don’t get left behind. Follow these tips to optimize your campaign for voice!

 

Read More: https://www.campaignsandelections.com/campaign-insider/how-to-optimize-your-campaign-for-voice-search

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6 tips to overcome challenges in Healthcare Social Media 

6 tips to overcome challenges in Healthcare Social Media  | Social Media and Healthcare | Scoop.it

Social media marketing has essentially become unavoidable.

 

Finding healthcare social media success isn’t always easy. In fact, doctors often have the same few struggles. 

Statista estimates the number of social media users in the U.S. will rise from roughly 244 million in 2018 to approximately 257 million by 2023. Given these numbers, standing out from the crowd on social media is important, but it isn’t easy.

 

Here’s some advice to help your practice overcome the common challenges of healthcare social media:

 

1. Highlighting patient success stories without revealing PHI

Incorporating patient success stories into your social media marketing is a great way to promote your expertise. However, be careful not to accidentally disclose PHI, as this can lead to a HIPAA violation.

 

"Knowledge is the key to avoiding this"

 

When compiling patient success stories for social media, work with a legal professional to create patient marketing consent forms. Otherwise, only discuss patients in general terms without revealing PHI, and always triple-check content for potential privacy violations before posting.

 

2. Reaching their target patient base

A Facebook post has an organic reach of just 6.4 percent of a Page’s likes, according to We Are Social. However, the average paid reach is 27.3 percent higher than the average total reach. 

 

Given these numbers, it’s not surprising that 53 percent of companies use social advertising — i.e., purchasing ads on social networks — according to HootSuite. Social media advertising campaigns can be created to fit any budget, and they’re effective. 

 

3. Determining good content to share

Growing your patient base is the overarching purpose for social media marketing, but coming on too strong will get you unfollowed fast. Generally speaking, approximately 80 percent of your content should be informative or interesting and 20 percent should be promotional.

 

4. Finding time to share and engage

You won’t engage your patient base by posting content sporadically and occasionally responding to comments.

In fact, 52 percent of small businesses post on social media at least daily, according to Clutch.

 

Schedule time on your calendar each day for social media marketing activities to make sure they don’t fall by the wayside. 

 

Of course, as a busy doctor, you might not have time to effectively manage your social media properties. In this case, delegate this task to a member of your staff or take on an outside social media partner.

 

Proper social media management is a key component of an effective strategy.

 

5. Choosing the right social media platforms

Different demographics gravitate toward different social networks — i.e. Facebook, Twitter, Instagram. If you don’t take the time to figure out where your patient base is, your medical social media efforts might be wasted on the wrong crowd.

 

Maintaining social media accounts on multiple platforms will allow you to reach different demographics that fall into your target patient group.

 

6. Getting patients to share their content

 

The more your social media content is shared, the broader your reach. However, people don’t share just anything, post on topics important to your patient base, take time to proofread for spelling and grammatical errors, and share information from credible sources. You can also hold a social media contest where entry involves sharing a certain post and tagging a friend or two.

 

Patients want to connect with you on social media, but simply having an account isn’t enough to promote your practice. Finding success in healthcare social media requires a significant time investment, but it’s well worth the effort.

 

Read More: https://www.patientpop.com/blog/marketing/content-social-media-marketing/doctor-social-media-marketing-challenges/

fuertessmarriangelless's curator insight, February 21, 2021 8:50 PM
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Physicians and Facebook: 7 Reasons to Get Social on Facebook

Physicians and Facebook: 7 Reasons to Get Social on Facebook | Social Media and Healthcare | Scoop.it

These days, it seems everyone is on Facebook. There are over 500 million users worldwide, and half of those people log on to Facebook on any given day.


Physicians who create a Facebook page for their practice are able to leverage this huge user base as a way to stay connected to their patients and attract new customers.


If your practice doesn’t have a page yet, here are a few reasons to seriously consider creating a Facebook page:


1. Keep patients informed – Tell your patients any time there is news about your practice. Whether you’re going to be closed on a certain day, now offering a new service or opened a new location, you can keep your patients in the loop.


2. Share verified information – The Internet is full of misinformation. When you read an article that would be valuable to your patients, the CDC releases a health warning or a groundbreaking study is released, post it on your page to keep patients armed with the best possible info to stay healthy.


3. Interact with patients – You can stay top of mind with your patients by posting articles, tips and announcements. Patients may only see you for a matter of minutes each year, so keeping a conversation going online will help build a lasting relationship.


4. Network with other physicians – You can discuss best practices, recruit physicians or learn new things in your online community by participating in Facebook discussions.


5. Build an online presence – When potential new patients go online and search for a doctor in your area, you’ll want to show up. Facebook is great at getting you seen when people search, so take advantage of this.


6. Create referral business – When someone searches for a doctor, mechanic or any other service provider, they tend to ask their friends for recommendations. If prospects are seeing your posts on a friend’s Facebook page, then that can start the conversation and lead to a referral for your practice.


7. It’s free and easy! It won’t cost you any money to set up a page and you can do it in minutes. You can make managing it part of a trusted staff member’s job and they will probably be happy to get paid to use Facebook.

There are so many benefits of putting your practice on Facebook, but many physicians are concerned, and rightly so, about patients posting private information. The best thing to do is to create a disclaimer about what is appropriate for Facebook and post it prominently on your page.

If a patient does post private information, try to remove it as quickly as possible and send that patient a private message to contact the office directly.


Bonus: Mobile Media Tip
While Facebook is the 800-pound gorilla of social media, there are other ways to reach your audience. The location-based mobile platform Foursquare is also a rapidly growing social media player with 8.5 million users — adding an average of 27,000 new members per day.


Using Foursquare can be a great way to get found when someone searches for a doctor on their smartphone. With 2 million check-ins per day, there’s no reason not to take advantage of all the potential customers found on this free service. Simply create a profile and let new patients find you.


Of course, there are so many other social media paths to take, but these two are a great place to start. Marketing doesn’t have to be costly or time consuming in the social media age. Take advantage of technology and don’t get left behind!

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Data Analysis and Interactive Visualization of the Development of the Czech Childhood Cancer Information System

Data Analysis and Interactive Visualization of the Development of the Czech Childhood Cancer Information System | Social Media and Healthcare | Scoop.it

A reliable interactive tool describing cancer epidemiology in children and adolescents has been nonexistent in the Czech Republic until recently.


Objective: The goal of this study is to develop a new web portal entitled the Czech Childhood Cancer Information System (CCCIS), which would provide information on childhood cancer epidemiology in the Czech Republic.

 

The knowledge of cancer burden in the population, its time trends, and the possibility of international comparison is an important starting point for cancer programs.

 
Methods: Data on childhood cancers have been obtained from the Czech National Cancer Registry. These data were validated using the clinical database of childhood cancer patients and subsequently combined with data from the National Register of Hospitalised Patients and with data from death certificates.

 

These validated data were then used to determine the incidence and survival rates of childhood cancer patients aged 0 to 19 years who were diagnosed in the period 1994 to 2016 (N=9435). Data from death certificates were used to monitor long-term mortality trends.

 

The technical solution is based on the robust PHP development Symfony framework, with the PostgreSQL system used to accommodate the data basis.


Results: The web portal has been available for anyone since November 2019, providing basic information for experts (ie, analyses and publications) on individual diagnostic groups of childhood cancers.

 

It involves an interactive tool for analytical reporting, which provides information on the following basic topics in the form of graphs or tables: incidence, mortality, and overall survival.

 

Feedback was obtained and the accuracy of outputs published on the CCCIS portal was verified using the following methods: the validation of the theoretical background and the user testing.

 

Conclusions: We developed software capable of processing data from multiple sources, which is freely available to all users and makes it possible to carry out automated analyses even for users without mathematical background; a simple selection of a topic to be analyzed is required from the user.

 

 

nrip's insight:

I foresee a seriousness in the creation of State and national level informative portals on the major diseases plaguing a country and state in the post pandemic era. Good information is the perfect cure to mis-information, which in itself has been a pandemic in recent times.

harold john's curator insight, August 22, 2021 10:06 AM

  

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How Mobile Channels Improve Patient Engagement and Outcomes

How Mobile Channels Improve Patient Engagement and Outcomes | Social Media and Healthcare | Scoop.it

It’s time for healthcare organizations to make bigger investments in mobile patient engagement.

 

The past year’s pandemic struck a painful blow to health organizations’ pre-COVID patient engagement efforts. There are now fewer patient visits amidst coronavirus fears and stay-at-home orders.

 

People are simply not going into clinics to address non-COVID medical needs. The result is more serious health issues developing, such as cancers being found at later stages and chronic conditions advancing beyond easy treatment options.

 

As patient engagement strategies ramp up, mobile communication channels are becoming more attractive for reaching those living in geographically isolated areas, far from their medical providers.

 

While video visits have replaced many non-urgent in-person visits, those in rural areas struggle to use even telemedicine options due to lack of access or unreliable broadband connectivity. The travel is too far and the technology is not part of their daily lives making healthcare completely out of reach. 

 

Because most people own a cell phone, mobile is an ideal way to communicate and elicit collaboration for health.

 

Healthcare systems that leverage mobile channels are finding this platform a powerful way to serve patients.

 

Text (SMS) is an ideal channel for reaching underserved communities, as one does not need a smartphone or broadband to send or receive SMS messages.

 

SMS also provides a quick and easy way for patients to send information back to their doctors about side effects related to the vaccines. Moving beyond one-way communication with SMS gives patients a way to ask questions or relay information on their current health status.

 

To take things beyond basic SMS, healthcare providers can consider fleshing out a full mobile communications strategy to deliver tailored analytics. With real-time data and services, staff work-flow can be improved and resources can be allocated more efficiently, also lowering costs. It’s the next step up from SMS but patients with chronic conditions who have mobile access to medical portals showed improved self-management and an increase in regular contact with their care team. 

 

read the entire piece at https://hitconsultant.net/2021/04/29/mobile-channels-improve-patient-engagement-outcomes/#.YIt7UOvhUf0

 

nrip's insight:

Its high time every physician, clinic and hospital, looks at incorporating mobile apps in their way of practicing medicine. Most have already started using it as a means of communication owing to the pandemic. Use that as a stepping stone into exploring the world of mobile touch points between patients and care providers, enhance your websites to be mobile friendly, or personalized mobile apps.

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Top 3 Healthcare Marketing trends for 2020

Top 3 Healthcare Marketing trends for 2020 | Social Media and Healthcare | Scoop.it

The healthcare industry sees technology as a source of inspiration for progress and innovation.

 

Health care is a complex system that is resilient to major changes but vulnerable to butterflies, where even a small amount of inputs has dramatic consequences. While future health trends are being discussed in the industry, some are most useful.

 

The health information technology market is expected to reach $390.7 billion by 2024. Processing 30 billion health care transactions cost almost $250 billion a year. Healthcare spending in the United States will amount to $5.4 trillion by 2024, which corresponds to an annual average of 19.6% of GDP. 

 

As more and more healthcare providers outsource various administrative functions, these three trends will benefit the medical companies as part of their marketing strategy for 2020.

 

1.  Internet of Things (IoT)

The Internet of Things is not only an executive fridge that orders its owner’s favorite food itself, or a service kettle that boils water on demand from a smartphone.  These are smart bracelets, sensors, which you can remotely monitor your health.

 

IoT has advantages that make healthcare more reliable, efficient and faster. IoT-enabled devices enable remote monitoring, unleashing the potential for superior care. 

 

The following examples show what healthcare can do with IoT.

 

  • Real-time location – medical devices such as wheelchairs, scales, sprayers, defibrillators, monitoring equipment or pumps are detected by sensors and easily detected by IoT. Other IoT devices help monitor the environment.
  • Wearable accessories are often used to monitor the user’s health for medical reasons, such as heart rate, blood pressure, calories burned, etc. The manufacturing industry is expected to have 240.1 million people in 2021.
  • Improved patient data and real-time tracking. The future for effective care is higher than ever before. It is now up to health care providers to make the best use of this technology.

 

In other words, in a few years, the world around us will become the Internet of Things.

 

2. Automated Medical Billing

They eat your wallet space, get easily lost, and when you try to find them, you realize you’ve already thrown them away. With medical bills, you always want to be very careful not to lose such important receipts.

 

Introduction of an automated billing system for medical services.

 

Let’s be honest, no one else wants to deal with paper receipts. Fortunately, medical bills are currently processed online or in the cloud. This new software allows your healthcare providers to effectively monitor and optimize their medical bills and payments. They will be able to review their insurance at any time without the risk of insurance errors, as the software will already report possible errors in advance. This increases the security of their records, so third party billing services are very popular. This is something that medical companies should consider for the coming year.

 

3. Patient Experience

A business that is constantly evolving is equated with clients that are also constantly evolving. The medical business is no exception. If you work with a professional and experienced medical invoicing outsourcing company, this will provide you with the best way to lead the way in identifying future trends and strategies related to the success of your RCM.

 

However, be careful with the use of personalized experience, sometimes users may have too complex instructions and directions. Improving patient experience begins with clear messaging and information, especially on practice-specific topics.

 

Read More: https://getreferralmd.com/2019/10/3-healthcare-marketing-trends-for-2020/

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When Doctors and Patients Are Facebook Friends

When Doctors and Patients Are Facebook Friends | Social Media and Healthcare | Scoop.it

When Kenda Ross's husband, Robert, has an excruciating arthritis flare-up or other urgent health issue, she typically calls the office of his doctor, Jen Brull. If she can't get Dr. Brull by phone, she sometimes tries another way—Facebook


Dr. Brull gets the messages on her smartphone and usually calls back quickly with advice. Once, when Mr. Ross's knee was red and swollen after a shot and Dr. Brull was traveling, she urged a visit to an urgent-care clinic to check for infection. "I know she's available, no matter where she is," says Ms. Ross, a 64-year-old retiree in Plainville, Kan.

As social-media tools become ubiquitous, doctors are finding a role for them in their medical practices. But Facebook, Twitter and other social media bring challenges and worries, as well as opportunities. Among the concerns: protecting patient privacy and maintaining appropriate boundaries between professional and social relationships.


Gerry Tolbert, a family physician in Florence, Ky., uses Twitter to communicate health messages, and occasionally some personal interests—like "Star Wars"—will surface. He likes relaying useful information broadly to patients and others, he says. But he never tweets about individual patients, not even anonymously, he says. "It's not my place to decide who gets to hear their personal story."

According to a survey published in 2011 in the Journal of General Internal Medicine, 94% of medical students, 79% of residents and 42% of practicing physicians reported some use of online social networks, nearly all for personal reasons. Among the practicing physicians, 35% said they had received a "friend" request from a patient or family member—and 58% of those who had received those "friend" requests said they always rejected them.

A survey of physicians last May by Epocrates inc., which develops medical reference apps for physicians, found that 82% were using social networks to engage with other physicians, while just 8% were doing so with patients.

Saroj Misra, a Warren, Mich., family physician, saw a patient with a fracture last year and used Doximity, an online professional physician network, to send a question to a medical-school classmate who is an orthopedic surgeon. His friend suggested a certain type of splint and urged that the patient follow up with a local orthopedic surgeon. It took just "a few minutes" to get the advice via his smartphone, Dr. Misra says. "That is awesome."


Jake Varghese, a Cumming, Ga., family physician, communicates with patients digitally, using a portal and other tools provided by his employer, the Kaiser Permanente system. But he said he wouldn't feel comfortable "friending" a patient through his personal Facebook page. "It crosses a line" from a professional to a personal relationship, he says. "If I'm talking to them about their blood pressure, and they say, 'You went out to eat at so-and-so last week, should you be doing that, Doc?'—it takes a bit from that objectivity.


Dr. Brull, the Kansas family physician, says in her small-town practice she inevitably has social contact with many patients, and she's comfortable with having those who are her friends offline also becoming Facebook friends and seeing updates about her family and professional life. Plus, it's an easy way for certain patients to reach her, she says. "It fits the way I like to practice," she says. Like other doctors, though, she says she won't send answers to health questions via social media for privacy reasons.


Mark Ryan, a Richmond, Va., family physician, doesn't mind if patients follow his Twitter feed, which sometimes reflects his views on political issues related to health care. He wouldn't spontaneously bring up his policy opinions in the exam room, he says, but if patients choose to seek him out on Twitter, it is their choice. "They may or may not agree with it, but at the end of the day, I don't think they could point to anything and say it was unprofessional," he says. "Physicians need to be actively involved in our communities."


Patients can reach Jen Brull, a Plainville, Kan., physician, by Facebook message.

The American Medical Association's Council on Ethical and Judicial Affairs published guidelines in 2011 suggesting doctors need to "maintain appropriate boundaries of the patient-physician relationship" online and to consider separating professional and personal content online.

Some doctors say they connect with patients in ways that are completely separate from their own personal lives, and they sometimes see benefits. Pamila Brar, who practices in La Jolla, Calif., focuses on health advice and information in her tweets and on her Facebook page. Sometimes she learns something useful about her patients. One patient mentioned in a Facebook post that he was waking up a lot at night to use the bathroom, which he hadn't shared with Dr. Brar at his physical exam. Dr. Brar followed up by phone and eventually prescribed treatment.


Wanda Filer, a York, Pa., family doctor, connects with some patients via LinkedIn, and she tweets to followers who include many fellow doctors. Her Facebook page is dedicated to health topics, and she doesn't post personal information. Still, she once learned via a LinkedIn update that a patient had been in the hospital. "I gave her a call and said, 'Maybe we should make an appointment,' " Dr. Filer says. "It was fortuitous."


Social-media issues are getting more attention from medical schools, which are starting to teach about social-media standards and regulators. A survey of state medical board officials published last month in the Annals of Internal Medicine highlighted several hypothetical situations they might target. Of most concern were physicians who posted misleading information about clinical outcomes, misrepresented credentials, used patient images without consent or contacted patients inappropriately—the same kinds of behavior that typically draw scrutiny offline, said S. Ryan Greysen, lead author of the study and assistant professor at the University of California, San Francisco. The article said several scenarios were based at least partly on actual incidents.


The Rhode Island Board of Medical Licensure and Discipline in 2011 reprimanded an emergency-room physician who posted about her clinical experiences on Facebook. Though she didn't identify patients by name, readers were able to identify one of them because of the nature of the injury. "There's no business for protected patient information on Facebook, period, the end," said James McDonald, chief administrative officer for the Rhode Island board. "Social media isn't meant to be the exam room." The physician didn't return a call seeking comment.

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