{"id":95854,"date":"2009-11-16T00:00:00","date_gmt":"2009-11-16T05:00:00","guid":{"rendered":"https:\/\/alpha.pewresearch.org\/pewresearch-org\/2009\/11\/16\/participatory-medicine-and-health-data-rights-on-npr\/"},"modified":"2024-04-14T04:17:45","modified_gmt":"2024-04-14T09:17:45","slug":"participatory-medicine-and-health-data-rights-on-npr","status":"publish","type":"post","link":"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/2009\/11\/16\/participatory-medicine-and-health-data-rights-on-npr\/","title":{"rendered":"Participatory medicine and health data rights on NPR"},"content":{"rendered":"<p class=\"wp-block-paragraph\">NPR&#8217;s Morning Edition story, &#8220;<a href=\"http:\/\/www.npr.org\/templates\/story\/story.php?storyId=120381580\" target=\"_blank\" rel=\"noopener noreferrer\">Patients Turn to Online Buddies for Help Healing<\/a>,&#8221; combined <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/topics\/Health.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">research <\/a>and <a href=\"http:\/\/www.patientslikeme.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">real-life examples<\/a>, <a href=\"http:\/\/participatorymedicine.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">participatory medicine<\/a> and <a href=\"http:\/\/www.healthdatarights.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">health data rights<\/a>.<\/p>\n\n<p class=\"wp-block-paragraph\">Much of what I said during my interview with <a href=\"http:\/\/www.npr.org\/templates\/story\/story.php?storyId=2101159\" target=\"_blank\" rel=\"noopener noreferrer\">Joseph Shapiro<\/a> is based on what I&#8217;ve written and read here and on e-patients.net, so, first, thank you to the online community.<\/p>\n\n<p class=\"wp-block-paragraph\">I&#8217;ve already started answering questions on Twitter about some of the assertions in the story, so let&#8217;s keep the conversation going.<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>From @markhawker: What does the &#8220;e&#8221; stand for in &#8220;e-patient&#8221;? If only 20% contribute online, then why do the other 80% have an &#8220;e&#8221;?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\"> <a href=\"http:\/\/www.doctom.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Tom Ferguson<\/a> coined the term e-patients to describe individuals who are <b>equipped, enabled, empowered and engaged<\/b> in their health and health care decisions. He envisioned health care as an equal partnership between e-patients and health professionals and systems that support them.<\/p>\n\n<p class=\"wp-block-paragraph\">The 80\/20 split is pretty typical (see: <a href=\"http:\/\/bit.ly\/10Z9cs\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">http:\/\/bit.ly\/10Z9cs<\/a>). And listening is a form of engagement, wouldn&#8217;t you agree?<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>@markhawker: Yes, the <a href=\"http:\/\/en.wikipedia.org\/wiki\/Pareto_principle\" target=\"_blank\" rel=\"noopener noreferrer\">Pareto Principle<\/a> occurs in most walks of life! I&#8217;m interested in how individuals make collective decisions e.g. they may &#8220;engage&#8221; by listening and then consult a friend, relative or carer offline. Or, the e-patient may not be the actor! Have you looked at how the different mediums (online, offline etc.) interact to inform decisions? Like, the case-mix?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">Yes, an early finding (2000) was that half of health searches are on behalf of s.o. else and yes, offline sources still central.\u00a0 See: <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/Reports\/2000\/The-Online-Health-Care-Revolution.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">The Online Health Care Revolution<\/a> (2000) and <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/8-The-Social-Life-of-Health-Information.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">The Social Life of Health Information<\/a> (2009).\u00a0 My colleagues at the Pew Research Center&#8217;s Internet &amp; American Life Project have looked at <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/topics\/Decision-Making.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">decision-making<\/a> in other sectors. John Horrigan&#8217;s 2008 report, <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/Reports\/2008\/The-Internet-and-Consumer-Choice.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">The Internet and Consumer Choice<\/a>, is my favorite.<\/p>\n\n<p class=\"wp-block-paragraph\">Anyone have more citations to share with Mark?<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Regarding my quote, &#8220;They are posting their first-person accounts of treatments and side effects from medications&#8230;&#8221; illustrating the <a href=\"https:\/\/alpha.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/8-The-Social-Life-of-Health-Information\/03-Social-Media-and-Health\/1-Many-seek-a-justintime-someonelikeme-but-few-post-their-own-stories.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">20% of e-patients<\/a> who contribute to the online conversation about health:<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\"> <a href=\"http:\/\/www.patientslikeme.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">PatientsLikeMe<\/a> is an excellent example of what our research shows, but I was also thinking about the old-school communities (<a href=\"http:\/\/www.acor.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">ACOR<\/a>, <a href=\"http:\/\/brain.hastypastry.net\/forums\/\" target=\"_blank\" rel=\"noopener noreferrer\">Braintalk<\/a>, <a href=\"http:\/\/groups.yahoo.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Yahoo! groups<\/a>) as well as other start-ups (<a href=\"http:\/\/www.curetogether.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">CureTogether<\/a>, <a href=\"http:\/\/www.inspire.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Inspire<\/a>), patient blogs (<a href=\"http:\/\/www.diabetesmine.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">DiabetesMine<\/a>) and established websites (<a href=\"http:\/\/www.webmd.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">WebMD<\/a>, <a href=\"http:\/\/www.healthcentral.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">HealthCentral<\/a>). Honestly, these are just the sites that come to mind immediately and I hesitate to start a list &#8212; it could take up pages and pages. <\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Regarding my quote, &#8220;The patients on the vanguard, who understand what&#8217;s at stake, are saying it&#8217;s not meaningful if I can&#8217;t use it.&#8221;<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">I blatantly stole that line from Ted Eytan whose post, <a href=\"http:\/\/www.tedeytan.com\/2009\/05\/28\/3086\" target=\"_blank\" rel=\"noopener noreferrer\">Is it meaningful if patients can&#8217;t use it?<\/a>, chronicles our first meeting with Regina Holliday (who was featured in an NPR story by Joseph Shapiro last week: <a href=\"http:\/\/www.npr.org\/templates\/story\/story.php?storyId=120028213\" target=\"_blank\" rel=\"noopener noreferrer\">A Widow Paints a Health Care Protest<\/a>).<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Let&#8217;s keep the conversation going on <a href=\"http:\/\/e-patients.net\/archives\/2009\/11\/participatory-medicine-and-health-data-rights-on-npr.html\" target=\"_blank\" rel=\"noopener noreferrer\">e-patients.net<\/a>:\u00a0 Questions? Comments? Complaints?<\/b> <\/p>","protected":false},"excerpt":{"rendered":"<p>NPR&rsquo;s Morning Edition story, &#8220;Patients Turn to Online Buddies for Help Healing,&#8221; combined research and real-life examples, participatory medicine and health data 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