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Physician Says It’s Legally Safer To Blog About Food Than Healthcare

A Rhode Island emergency room doc has been fired for posting about a trauma patient on her facebook page. While the post did not reveal patient name or personal identifiers, it had enough clinical info that a third party was able to  recognize the patient.

I say if you’re going to write online about a patient, you had better disguise them so well they don’t even recognize themselves, and never post anywhere near the time of the event’s occurrence. Some bloggers I know change age, sex and other details, and post events long after they’ve happened, so no one one could ever know for sure who they’re talking about. Some doc bloggers go so far as to disguise themselves – preferring to remain anonymous both to protect themselves and their patients.

Some medical blogsites are rich with teaching cases, including x-rays and clinical information that, if disguised, would alter the diagnostic possibilities. As online venues begin to replace the time honored medical journal or local grand rounds, how do we keep our ability to teach one another with clinical cases and still respect patient privacy?  In the past, the limited circulation of medical journals kept these cases amongst the medical community, but now with the internet (and the lay public’s interest in medicine), the audience for such case histories is limitless. Read more »

*This blog post was originally published at The Blog That Ate Manhattan*

Spanish Physicians Take Heed: Social Media Influences Healthcare Decision-Making

The Spanish Twitter chapter of #hcsmeu (hashtag #hcsmeuES) held its first unconference on April 1st in Barcelona. For many it sounds like a convention of freakish fans of some cult science-fiction TV show (a group I’m also part of, by the way). But its actually a group of about 200 healthcare professionals from all over Spain who share their interest in social networks and their influence in this particular industry.

Many of those present were meeting face to face for the first time but all of them had previously been gathering weekly on Twitter for a one-hour discussion about the relationship between physicians, pharma, patients and ICT, just as other groups across Europe.

Nowadays even the most reactionary guy admits that both new technological advances and social networking are changing our world, and healthcare won’t be an exception. But these people saw it coming, they are ahead of their time.

In 2010, top searches in Google –in Spain– were for terms Facebook, YouTube, Tuenti(*) and Twitter, all social networks. An average Internet user typically spends 22% of his online time in social networks. Advertising expenditure declines on every media except the Web, where it keeps growing month after month. In fact, big brands have already detected a switch from direct influence –they get less visits to their websites– to mentions in social media: 63% of Spain’s Twitter users do use it to recommend products. 61% express their opinion about products and services. 84% don’t mind getting messages from brands, and many say that companies that make use of social media are outdoing their competition’s revenue and profit. Read more »

*This blog post was originally published at Diario Médico*

Physician Fired For Facebook Faux Pas

In recent years many health care providers and managers have told me, time and again, that the health care world is accustomed to managing confidential patient information, and therefore doesn’t need much in the way of social media training and policy development.  This week brings news that should make those folks sit up and take notice.  A physician in Rhode Island, who was fired for a Facebook faux pas, has now been fined by the state medical board as well.  The physician posted a little too much information on Facebook — information about a patient that, combined with other publicly available information, allowed third parties to identify the patient.  The details of the story are available here and here.

The key takeaway from this story — and the Johnny-come-lately approach to health care social media taken by the Rhode Island hospital in question and the Boston teaching hospital that the Boston Globe turned to for comment — is that prevention is the best medicine. Read more »

*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*

Survey: Some Believe That Physicians Should Not Engage In Social Media

Healthcare IT News recently asked its readers about their thoughts on doctors using social media.

The interesting part here is when 13% of participants think that doctors should not be using social media at all. I wonder why they ignore social media that much. Maybe because they have never heard about the limitations, dangers and potential tools to fight these dangers. Maybe we should talk more about these issues.

*This blog post was originally published at ScienceRoll*

Should Pharmaceutical Companies Get Involved In Social Media?

Imagine you’re a pharmaceutical company product manager and your specific product helps people with a chronic illness, or a cancer that can be managed by taking a pill or an injectable medicine over many years. You want to be part of the dialogue patients have with each other. You want to be part of the community. Facebook users, and other social media participants, are increasingly forming groups around health conditions, big and small. You want to be there, because, after all, your company has invested hundreds of millions of dollars developing the approved drug and hopes this medicine, and perhaps a successor, will be on the market for a long time.

This is an exciting time on the Internet and pharmaceutical product managers want to be part of health discussions. But it is fraught with legal pitfalls and penalties that can range into the millions of dollars if the product manager, or associated marketing agencies, make even an innocent mistake. Read more »

*This blog post was originally published at Andrew's Blog*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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