America's Voices Aligned For Health - #AVA4H
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Transcript of America's Voices Aligned For Health - #AVA4H
#AVA4H | @chimooseContents are proprietary and confidential.
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American Voices – Aligned for HealthGreg MatthewsFebruary 26, 2013
#AVA4H | @chimooseContents are proprietary and confidential.
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“ “My use of twitter allows me to expand the diversity of my
network, and therefore my knowledge in my areas of
interest : prevention, diversity/equity, integrated care, and
Washington, DC (the #epicenter!).
It also allows me to model open leadership as a
physician, and promote this approach among my medical
and nursing colleagues. Ted EytanFamily Medicine, Kaiser Permanente
twitter.com/tedeytan
linkedin.com/in/tedeytan
tedeytan.com
#AVA4H | @chimoose
Internet users are searching for health info
Contents are proprietary and confidential.3
72%
140 Million American Adults
Pew Internet and American Life – Online Health 2013
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Self-diagnosis is mainstream
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Pew Internet and American Life – Online Health 2013
35%of internet users are
considered “self-diagnosers”
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Twitter is an information accelerator
• 25% of physicians use social media daily as an information source*
• Facebook has passed 1B users;• Twitter has surpassed 500M Users
Journal of Medical Internet Research – September 24, 2012
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Tweets Over Time
Trending steadily upward
1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 1011051091131171211251291331371411451490
500
1000
1500
2000
2500
3000
3500
4000
4500
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The American Voices study
7 Contents are proprietary and confidential.
#AVA4H | @chimoose
AVA4H Data Sets
2.3M
218,934
132,108
36,300*
464,272
71,606
*Journalist-written articles
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5,000
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403,000
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#AVA4H | @chimoose
2,300,000
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#AVA4H | @chimoose
326,840
Not just tweets this time …
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Making Sense of the Data
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Topical Breakdown
• CDC Disease list• Broad Health Topics from
Subjects’ tweets
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What we Learned
21 Contents are proprietary and confidential.
#AVA4H | @chimooseContents are proprietary and confidential.
At the highest level …
Health Education
Business of Health
Politics of Health
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At the highest level …
Health Education
Business of Health
Politics of HealthSURP
RISED
?
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#AVA4H | @chimoose
Strongest Focus Areas
Doctors
Media
Congress
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
6%
33%
2%
14%
11%
64%
27%
22%
15%
6%
10%
5%47%
23% 15%
Healthcare Conversation Topics
TreatmentResearchPreventionPolicyBusiness
Per
cen
tag
e o
f H
ealt
hca
re C
on
vers
atio
n
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Where education makes a difference
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Making a comeback
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A new #1
Vaccine-Preventable Diseases
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Doctors armed for combat
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Disease Conversation Volume Over Time
04/3
0/08
05/0
5/08
05/1
0/08
05/1
5/08
05/2
0/08
05/2
5/08
05/3
0/08
06/0
4/08
06/0
9/08
06/1
4/08
06/1
9/08
06/2
4/08
06/2
9/08
07/0
4/08
07/0
9/08
07/1
4/08
07/1
9/08
07/2
4/08
07/2
9/08
08/0
3/08
08/0
8/08
08/1
3/08
08/1
8/08
08/2
3/08
08/2
8/08
09/0
2/08
09/0
7/08
09/1
2/08
09/1
7/08
09/2
2/08
09/2
7/08
0
10
20
30
40
50
60
70
80
90
100
Diabetes Breast Cancer Prostate Cancer
29 Contents are proprietary and confidential.
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The PSA Controversy
117
182
36
Negative Neutral Positive
Doctors who state an opinion are more than
3:1 Againstthe USPSTF’s
ruling on PSA Tests
30 Contents are proprietary and confidential.
#AVA4H | @chimoose
The Voice of the Patient Matters
31 Contents are proprietary and confidential.
#AVA4H | @chimoose
Doctors discuss Breast Cancer and Lung Cancer
Mortality/1,000 Conversation Frequency0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Breast CancerLung Cancer
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#AVA4H | @chimooseContents are proprietary and confidential.
HIV/Aids and Heart Disease
Mortality/1,000
MD Media Congress0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
AIDS/HIVHeart Disease
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Vaccines - HPVHPV makes up 18.2% of media vaccine conversations
Doctors
Media
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
95.8%
81.8%
4.2%
18.2%
Other Vaccine Conversation HPV34
#AVA4H | @chimoose35
Content Gap Analysis Methodology
• The Content Gap Analysis is a statistical comparison of word frequencies between two corpora of text
• These two corpora are typically either:
• A subset of one corpus compared against the whole corpus
• Two distinct corpora compared directly against each other
• The outcome is a list of words that appear in both corpora with an associated “oddness” score that denotes how much more (or less) each word appears in one corpus versus the other
147 documents1,789 words
Word Frequency
medicine 10
drug 8
vaccine 7
vaccination 7
wellness 6
Word G2
medicine 3.42
drug 2.81
vaccine 1.14
vaccination 1.12
80 documents917 words
Word Frequency
vaccine 6
medicine 6
drug 4
vaccination 3
health 2
ƒ(x)
Corpus 1 Corpus 2
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Interventions – MDs and the Media
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The untouchable – and the social?
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Medicaid and Mandela
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High Risk/Low Effort
• Doctors discuss 67% more than the media;• 483% more than congress
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Insurance and reimbursement
• Congress & the media lead the way in exploring how we’ll pay for care in the future
• Physicians, while concerned about patients’ access to care and the viability of primary care, can be better informed
14%
38%
48%
DoctorsMediaCongress
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Aligning communications – what’s next?
• Patient-centeredness first
• Create more robust and transparent networks (inter- and intra-group)
• Build consensus on the balance between “most important health stories”
• Monitor progress with a public “dashboard”
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Thank you
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Acknowledgements
R&D Lead – Matthew Hager (@iSmashew)
Analyst – Kayla Rodriguez (@Kaylarodrigue11)
Analyst – Dan Zhao (@denzelzhao)
Analytics Design – Seth Duncan (@PRResearch)
Analyst – Emma Ferguson (@EmmaAnAnalyst)
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#AVA4H | @chimoose
Appendix
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Physician Profiles
contain a URL in their
bio
80%
identify themselves
clearly as such in their
twitter bio
78%
32%
link to a personal blog or website
46 Contents are proprietary and confidential.
#AVA4H | @chimoose
How are MDs using their accounts?
6.90%
1.90%
31.90%
37.70%
Bio URL Distribution
Business Medical Resource Personal Blog/Website Practice
of all Plastic Surgery URLs are links to their
practice
93%
47 Contents are proprietary and confidential.
#AVA4H | @chimoose
Twitter and the MD Workflow
Morning Workday Work PM Evening Overnight
18% 21% 31% 8% 22%
(0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459)
Localized time
18%21%
31%
8%
22%
0500-0800 0801-1200 1201-1800 1801-2300 2301-0459
48 Contents are proprietary and confidential.
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The Connected Physician
49 Contents are proprietary and confidential.
#AVA4H | @chimoose
Ratio of following to followers
Ratio of Following to Followers
0.- .1:1 .11-.2:1 .31-.7:1 .71-1.5:1 1.51-3.0:1 3.1-11.0:1 11.1-100.0:1 100.1-2808:1
2.80%4.90%
21.50%
32.40%
16.20%14.00%
6.70%
1.60%
Median Ratio 1.1 : 1
50 Contents are proprietary and confidential.
#AVA4H | @chimoose
MDs Most likely to be followed by peers*
53%
40%34%
27%
25%
Personal Blog/Website
Business/ Organization
All_Doctors
No Bio URL
practice
51 Contents are proprietary and confidential.
*Percentages measure MDs followed by at least 20 others in the data set
#AVA4H | @chimoose
How connected are online physicians?
of all MDs are followed
by at least 20 MDs 34%
Pediatrics
Emergency Medicine
Family Medicine
Specialties who are followed by
other MDs
52 Contents are proprietary and confidential.
#AVA4H | @chimooseContents are proprietary and confidential.
Mining the Data
• Breast Cancer: (breast AND (cancer OR carcinoma)) OR (inflammatory AND breast) OR (inflammation AND breast) OR (breast AND (metastasis OR metastic)) OR (duct AND (carcinoma OR cancer)) OR (lobe AND (carcinoma OR cancer)) OR "DCIS" OR "LCIS" OR (estrogen AND receptor AND positive) OR "HER2" OR (breast AND MRI) OR (breast AND biopsy) OR (breast AND ultrasound) OR "mammogram" OR "mammography" OR "tamoxifen" OR (aromatase AND inhibitor) OR "exemestane" OR "trastuzumab" OR "Herceptin" OR "lumpectomy" OR "mastectomy" OR "komen" OR "BRCA1" OR "BRCA2”
• Diabetes: "Diabetes" OR "Mellitus" OR "Insipidus" OR "Diabetic" OR "Gestational" OR "blood glucose" OR "Blood Sugar" OR "NIDDM" OR "IDDM" OR "LADA" OR ("Antiduretic Hormone" OR "ADH") OR ("Arginine Vasopressin" OR "AVP") OR "oral glucose tolerance" OR "fasting plasma glucose" OR "glycated hemoglobin OR HbA1c OR A1c" OR "insulin" OR "SMBG" OR "hyperglycemia OR hyperglycemic" OR "biguanides" OR "Sulfonylureas" OR "Meglitinides" OR "thiazolidinediones" OR "alpha glucosidase inhibitor" OR "GLP-1 agonist" OR "DPP-IV inhibitors" OR "DKA" OR "HHS"
A sample
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All Text CloudsHashtag Clouds
Diabetes & Breast Cancer – Sample Search
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