#HCSM. Social Media and Wikis in Healthcare

Contains fulltext : 123511.pdf (publisher's version ) (Open Access)Goed communiceren is een van de belangrijkste voorwaarden voor het leveren van goede zorg. In het huidige internettijdperk bestaan nieuwe communicatiemogelijkheden, bijvoorbeeld sociale media. Dit proefschrift beschrijft studies over het gebruik van sociale media en wiki’s in de zorg, en geeft inzicht in het gebruik van de verschillende toepassingen, inclusief bijbehorende kansen en bedreigingen. Deel één beschrijft de huidige situatie. Nederlandse ziekenhuizen zijn koploper als het gaat om gebruik van sociale media als Twitter, Facebook en LinkedIn. Daarnaast wil een kwart van alle Nederlanders met zijn of haar zorgverlener communiceren via sociale media. In het tweede deel ligt de focus op wiki’s. Dit zijn online documenten die door meerdere gebruikers bewerkt kunnen worden. Het zijn veelbelovende tools om de participatie van patiënten te verbeteren. Zo blijkt het haalbaar om zorgverleners en patiënten door middel van wiki’s samen aan digitale informatiefolders te laten werken. De rol van sociale media in de zorg wordt groter. Ze faciliteren een actieve en meer gelijkwaardige (partner-) rol van patiënten. Zorgverleners dienen zich hierop voor te bereiden en bekend te worden met verschillende typen en toepassingen sociale media.Radboud Universiteit Nijmegen, 7 februari 2014Promotores : Kremer, J.A.M., Samsom, M. Co-promotores : Faber, M.J., Schoonhoven, L

"What Is eHealth": Time for An Update?

Contains fulltext : 154734.pdf (publisher's version ) (Open Access)The annual number of articles reporting on eHealth interventions has increased over the last 10 years. In contrast, the last article in this journal on the definition of eHealth was published in 2006. This leads to the question whether the field itself has reached consensus about the definition and description of eHealth or whether it is in need for a new review of the literature and a new description of the rapidly changing field of eHealth. Since the JMIR community has successfully collaborated on the "CONSORT-eHealth" in the past, we would like to use the same strategy to explore the need for a new definition of eHealth and the creation of a taxonomy for this field. Therefore, we hereby submit a call to all JMIR-readers, to fill out a 4-question survey on their ideas about a refined eHealth definition. Based on these results, we will decide whether or not to engage in a systematic review. Logically, the entire JMIR community is invited to join us in our attempt to further elucidate the field of eHealth

Social media and rating sites as tools to understanding quality of care: a scoping review

Contains fulltext : 136841.pdf (publisher's version ) (Open Access)BACKGROUND: Insight into the quality of health care is important for any stakeholder including patients, professionals, and governments. In light of a patient-centered approach, it is essential to assess the quality of health care from a patient's perspective, which is commonly done with surveys or focus groups. Unfortunately, these "traditional" methods have significant limitations that include social desirability bias, a time lag between experience and measurement, and difficulty reaching large groups of people. Information on social media could be of value to overcoming these limitations, since these new media are easy to use and are used by the majority of the population. Furthermore, an increasing number of people share health care experiences online or rate the quality of their health care provider on physician rating sites. The question is whether this information is relevant to determining or predicting the quality of health care. OBJECTIVE: The goal of our research was to systematically analyze the relation between information shared on social media and quality of care. METHODS: We performed a scoping review with the following goals: (1) to map the literature on the association between social media and quality of care, (2) to identify different mechanisms of this relationship, and (3) to determine a more detailed agenda for this relatively new research area. A recognized scoping review methodology was used. We developed a search strategy based on four themes: social media, patient experience, quality, and health care. Four online scientific databases were searched, articles were screened, and data extracted. Results related to the research question were described and categorized according to type of social media. Furthermore, national and international stakeholders were consulted throughout the study, to discuss and interpret results. RESULTS: Twenty-nine articles were included, of which 21 were concerned with health care rating sites. Several studies indicate a relationship between information on social media and quality of health care. However, some drawbacks exist, especially regarding the use of rating sites. For example, since rating is anonymous, rating values are not risk adjusted and therefore vulnerable to fraud. Also, ratings are often based on only a few reviews and are predominantly positive. Furthermore, people providing feedback on health care via social media are presumably not always representative for the patient population. CONCLUSIONS: Social media and particularly rating sites are an interesting new source of information about quality of care from the patient's perspective. This new source should be used to complement traditional methods, since measuring quality of care via social media has other, but not less serious, limitations. Future research should explore whether social media are suitable in practice for patients, health insurers, and governments to help them judge the quality performance of professionals and organizations

Authors' Reply: Comment on "A New Cuffless Device for Measuring Blood Pressure: A Real-Life Validation Study"

Contains fulltext : 199940.pdf (publisher's version ) (Open Access

Wearable technology of elderly: Underutilized solutions

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Google AdWords and Facebook Ads for Recruitment of Pregnant Women into a Prospective Cohort Study With Long-Term Follow-Up

Contains fulltext : 207892.pdf (publisher's version ) (Open Access

A New Cuffless Device for Measuring Blood Pressure: A Real-Life Validation Study

Contains fulltext : 165696.pdf (publisher's version ) (Open Access)BACKGROUND: Cuffless blood pressure (BP) monitoring devices, based on pulse transit time, are being developed as an easy-to-use, more convenient, fast, and relatively cheap alternative to conventional BP measuring devices based on cuff occlusion. Thereby they may provide a great alternative to BP self-measurement. OBJECTIVE: The objective of our study was to evaluate the performance of the first release of the Checkme Health Monitor (Viatom Technology), a cuffless BP monitor, in a real-life setting. Furthermore, we wanted to investigate whether the posture of the volunteer and the position of the device relative to the heart level would influence its outcomes. METHODS: Study volunteers fell into 3 BP ranges: high (>160 mmHg), normal (130-160 mmHg), and low (5 mmHg in 17 of 37 volunteers (46%), of whom 9 of 37 (24%) had a difference >10 mmHg and 5 of 37 (14%) had a difference >15 mmHg. CONCLUSIONS: BP obtained with Checkme correlated well with RM BP, particularly in the position (supine) in which the device was calibrated. These preliminary results are promising for conducting further research on cuffless BP measurement in the clinical and outpatient settings

Authors' Reply to: Comment on "Feasibility of a New Cuffless Device for Ambulatory Blood Pressure Measurement in Patients With Hypertension: Mixed Methods Study"

Contains fulltext : 220610.pdf (publisher's version ) (Open Access

Using patient experiences on Dutch social media to supervise health care services: exploratory study

Contains fulltext : 154396.pdf (publisher's version ) (Open Access)BACKGROUND: Social media has become mainstream and a growing number of people use it to share health care-related experiences, for example on health care rating sites. These users' experiences and ratings on social media seem to be associated with quality of care. Therefore, information shared by citizens on social media could be of additional value for supervising the quality and safety of health care services by regulatory bodies, thereby stimulating participation by consumers. OBJECTIVE: The objective of the study was to identify the added value of social media for two types of supervision by the Dutch Healthcare Inspectorate (DHI), which is the regulatory body charged with supervising the quality and safety of health care services in the Netherlands. These were (1) supervision in response to incidents reported by individuals, and (2) risk-based supervision. METHODS: We performed an exploratory study in cooperation with the DHI and searched different social media sources such as Twitter, Facebook, and healthcare rating sites to find additional information for these incidents and topics, from five different sectors. Supervision experts determined the added value for each individual result found, making use of pre-developed scales. RESULTS: Searches in social media resulted in relevant information for six of 40 incidents studied and provided relevant additional information in 72 of 116 cases in risk-based supervision of long-term elderly care. CONCLUSIONS: The results showed that social media could be used to include the patient's perspective in supervision. However, it appeared that the rating site ZorgkaartNederland was the only source that provided information that was of additional value for the DHI, while other sources such as forums and social networks like Twitter and Facebook did not result in additional information. This information could be of importance for health care inspectorates, particularly for its enforcement by risk-based supervision in care of the elderly. Further research is needed to determine the added value for other health care sectors