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Leveraging Social Science and Technology to Harness the Power of Information Democratization
Joshua Seidman, Ph.D.President
Bethesda, MD
Why “Ix” and “Information Therapy”?
Corollaries between Ix & RxSide effectsOverdoseTitrate the dosageAppropriate frequency & duration
Ecology of Medical Care & the Internet
Green et al. The Ecology of Medical Care Revisited. NEJM; 344:2021-2025
Use of Internet
Pew Internet Project Data
“Dr. Google Phenomenon”More consumers go online for health info than see a doctor
What do consumers do when their physicians tell them to stop going online?
Switch doctorsGo underground
“Parallel Play”
“Parallel Play”
IN THE MD’s OFFICE:IN THE MD’s OFFICE:Research: Patients recall Research: Patients recall only 20%-50% of what only 20%-50% of what MDs tell them 5 minutes MDs tell them 5 minutes after the fact (Eiser, 1982)after the fact (Eiser, 1982)
EVERYWHERE ELSE:EVERYWHERE ELSE:•Tangled web of health infoTangled web of health info•Info is hard to:Info is hard to: -Find (relative to need)-Find (relative to need) -Understand-Understand -Remember-Remember -Contextualize-Contextualize
Ix: Bring Two Worlds Together
HOW DO WE HARNESS INFORMATION TO
ACTIVATE CONSUMERS?
Integrating Best of Science into Information
Democratization
Decision Sciences
Evidence-Based
Medicine
Behavior Change Sciences
Predictive Modeling
Information Triggers: Information Triggers: Delivering the InformationDelivering the Information
EMR/PHR Claims data Patient portals Secure
messaging E-prescribing CPOE Call center
Automated lab results Automated pharmacy
data Appointment Scheduling Automated referral
system Online multimedia
clinical content
Potential Information Triggers to Deliver SDM
Decision AidsICD-9 code for back pain & referral to orthopedist
LOW BACK PAIN DECISION AID
Scheduling of 50-year-old male well-care visit
PSA TEST DECISION AID
Lab data: LDL>130 mg/dLSTATIN THERAPY DECISION AID
Institute of Medicine (IOM)
“Ten simple rules for the 21st-century health care system”“Rule 1: Care based on continuous healing relationships”Encourage “all types of health care interactions that improve information transfer…”
IOM Rule #1: Continuous Healing Relationships
For More Information
Web site:http://www.IxCenter.orgBlog:http://www.IxCenterBlog.orgEmail: [email protected]
