Friday, February 05, 2016

Dangers and opportunities for social media in medicine

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863578/

This article discusses the dangers of social media (SM) in medicine while exploring how specific changes in settings on sites like Facebook may be making SM a less perilous environment for health professionals. It also provides illustrative examples of three promising avenues through which SM can most contribute to medicine:
1.       improving communication with patients
2.       enhancing professional development
3.       contributing to public health research and service

The dangers of social media:
Concerns about liability, litigation, privacy, lack of time/compensation are valid and shared across the spectrum of health professionals and medical professionals are wise to be exceedingly cautious about any foray into SM.  Examples:
1.       SM enables distasteful content to be publically posted by med students, residents, and other healthcare providers.
2.       It “violates” the sanctity of the patient-physician relationship by facilitating online “friendships” and reducing privacy
To address these issues, the article describes ways in which professional organizations, e.g., AMA, have published guidelines for the ethical use of SM.  Also, the authors elucidate on privacy settings on social networking sites have begun to evolve in favor of greater safety for physicians to facilitate such information-sharing.
 The article points out, however, that the tone and content of existing guidelines focus is proportionately on the risks rather than the benefits of SM, and suggests an expectation of misuse rather than consideration of how technologies might be used in a positive manner.  Therefore, it raises the following topic:
Opportunities in social media:
There are manifold opportunities for professionals to use vast social networks to improve the wellbeing of patients and contribute to public health through the provision of high quality health information.  Examples:
1.       SM can help extend care into the community and foster prevention without a massive time commitment from medical professionals:
a.       Teams of professionals using a joint Facebook Page to organize walking, running, or weight-loss clubs, or using status updates to keep patients and families informed about local events (i.e., farmers’ markets, 5k runs, weather advisories, etc.)
b.      Encouraging health screenings or mobilizing the community around local advocacy measures such as the construction of walking paths, reduced emissions to improve air quality, increased funding to fight obesity, etc.
2.       At other levels of public health, organizations are using keyword content from social networks – particularly the rapid micro-blogging site Twitter and other location-based technologies – to track health and welfare, rapidly disseminate information, and respond to disasters.
a.       The CDC tracks Tweets for information pertaining to flu outbreaks while maintaining an active presence on Twitter and Facebook to share frequent flu-related updates.
3.       Medical centers and hospitals have begun directly harnessing the viral power of SM to spread health messaging throughout their regions of service.
a.       The Mayo Clinic has been an international leader, establishing a Center for Social Media devoted to cultivating a presence on Facebook, YouTube, and Twitter and offering patients a vast library of podcasts and blog posts written from health professionals


As a physician, I have struggled with some of the privacy issues surrounding SM, but have also realized the many important potential benefits.  As indicated in the article, I do also feel that there needs to be a better understanding and undertaking of how exactly the powerful tools of our age can be harnessed to promote individual and public health as well as personal growth and development.

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