I am becoming more and more convinced that the greatest opportunity to impact patient behavior and lifestyle choices (the single greatest contributor to one’s health) begin in the community and the idea that a clinic is the catalyst for change or hub of health promotion is obsolete.
What if instead of placing more value (square feet) in “innovative” buildings where doctors exist, we placed value (money) in innovative solutions centered in our communities, where the circumstances that beget health disparities exist? What if some* health issues are really social justices issues – shared problems that are contingent upon resources, access, education, and literacy? If that is true, as I believe it is, then doctors don’t have all the answers and clinics aren’t the only cure.
So the question becomes:
How can our institutions of health bend toward the need and stay relevant in the spaces where people live, work, and play?
I have one idea.
Social media – or the technology and web-based tools used to connect people, resources, and ideas – offers an incredible opportunity for physicians to meet patients where they are, and the data suggests, patients are online. Advancing community engagement initiatives in medicine demands new solutions to complex and challenging problems. Future success relies on how well medicine, as a field, takes advantage of the technology to broadly disseminate credible health information in a space where patients set the agenda. Moreover, using social media to create partnerships between key stakeholders in community health, including community advocates and local and state government, can revolutionize our current models of care and add civic engagement to a physician’s repertoire of treatment modalities.
Admittedly, social media is not the entire solution. But, embracing new technologies to eliminate traditional barriers that prevent the medical system from responding to healthcare needs in holistic and systemic ways, is an important start. Future work must address the potential health disparities that may be created when access to health information is contingent upon access to the internet. However, much is being done to advance mobile health solutions to ensure that everyone benefits from the sharing of information and pooling of resources likely to mark the new age of social media in medicine.
Exploring the uses of social media in medicine is a growing interest of mine and I am fortunate to be connected to a few leaders in the field who are really blazing the trail including Wendy Sue Swanson, MD, Bryan Vartabedian, MD, Ricky Choi, MD, and Heidi Roman, MD. Click on their name and follow them on twitter!
What do you think about social media in medicine?
Footnote: * Some medical problems clearly require medical care that can best be provided in a hospital and/or clinic setting and patients with such ailments rightfully deserve the benefits new technology and innovative medical strategies may bring to bear on their treatment course. This statement is only meant to highlight the growing number of patients who rely on our healthcare system because of problems that currently lie outside the purview of “physician” responsibilities. This illustrates the need for partnerships between physicians, patients, community advocates, and local government to collectively address the needs in our communities that beget major health problems and significant health disparities.