{"id":95812,"date":"2009-11-20T00:00:00","date_gmt":"2009-11-20T05:00:00","guid":{"rendered":"https:\/\/beta.pewresearch.org\/pewresearch-org\/2009\/11\/20\/participatory-culture-health-care\/"},"modified":"2024-04-14T04:17:48","modified_gmt":"2024-04-14T09:17:48","slug":"participatory-culture-health-care","status":"publish","type":"post","link":"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/2009\/11\/20\/participatory-culture-health-care\/","title":{"rendered":"Participatory Culture + Health Care"},"content":{"rendered":"<p class=\"wp-block-paragraph\">A big part of my job, and one I love, is answering questions, mostly from reporters. Sometimes I have just the data or insight someone needs, often I recommend someone else.<\/p>\n\n<p class=\"wp-block-paragraph\">Here is a sample of frequently-asked questions and my current answers. Please add <i>your <\/i>questions and answers in the <a href=\"http:\/\/e-patients.net\/archives\/2009\/11\/the-pew-internethealth-faq.html#respond\" target=\"_blank\" rel=\"noopener noreferrer\">comments<\/a>: What are you curious about when it comes to technology&#8217;s impact on health care? What resources do you recommend?<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Is a cultural shift affecting health care?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">Yes. Thanks to the internet, people increasingly expect to have access to information.\u00a0 They increasingly expect to be able to comment on and easily share information.\u00a0 And it turns out that <a href=\"http:\/\/e-patients.net\/archives\/2009\/10\/participation-matters.html\" target=\"_blank\" rel=\"noopener noreferrer\">participation matters<\/a> as much as access.<\/p>\n\n<p class=\"wp-block-paragraph\">This is my favorite topic and I could talk for hours (or for <a href=\"http:\/\/www.npr.org\/templates\/story\/story.php?storyId=120381580\" target=\"_blank\" rel=\"noopener noreferrer\">4:21<\/a>; <a href=\"http:\/\/www.youtube.com\/watch?v=ikpZE7aw4Tw\" target=\"_blank\" rel=\"noopener noreferrer\">4:44<\/a>; <a href=\"http:\/\/www.icyou.com\/events\/health-2-0-san-diego-spring-fling\/health-2-0-san-diego-susannah-fox\" target=\"_blank\" rel=\"noopener noreferrer\">3:06<\/a>; or <a href=\"http:\/\/www.icyou.com\/events\/health-2-0-conference-san-francisco\/patient-panel-part-2+\" target=\"_blank\" rel=\"noopener noreferrer\">4:50<\/a>).<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>How do people judge the quality of health information online?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2006\/Online-Health-Search-2006.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">best they can<\/a>, but probably not the way you think they should. However, we may have bigger fish to fry in health care.<\/p>\n\n<p class=\"wp-block-paragraph\">Follow me on this one: <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2006\/Online-Health-Search-2006.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Most people&#8217;s first stop<\/a> for health information is a general search site. <a href=\"http:\/\/www.google.com\/hostednews\/afp\/article\/ALeqM5iFIa_CCCc6QwmkYkicyfMLE_oGiQ\" target=\"_blank\" rel=\"noopener noreferrer\">Google dominates<\/a> the search market. A <i>British Medical Journal<\/i> article found that <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/bmj.39003.640567.AEv1?hrss=1\" target=\"_blank\" rel=\"noopener noreferrer\">Google is a pretty good diagnostician<\/a>. <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/8-The-Social-Life-of-Health-Information\/05-The-Impact-of-Online-Health-Resources\/2-42-of-adults-say-they-or-someone-they-know-has-been-helped-by-online-health-advice.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">Very few<\/a> people report bad outcomes from their online health research.<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>UPDATE<\/b>: I stand corrected on my citation of \u201cGoogling for a diagnosis\u201d thanks to the <a href=\"http:\/\/e-patients.net\/archives\/2009\/11\/the-pew-internethealth-faq.html#comments\" target=\"_blank\" rel=\"noopener noreferrer\">comments <\/a>on e-patients.net and those <a href=\"http:\/\/www.bmj.com\/cgi\/eletters\/bmj.39003.640567.AEv1#148937\" target=\"_blank\" rel=\"noopener noreferrer\">attached <\/a>to the original BMJ article. Thank you!<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>But wait, who&#8217;s in charge of vetting health information online? Shouldn&#8217;t we be concerned about this?<\/b> <i><br><\/i><\/p>\n\n<p class=\"wp-block-paragraph\">Nobody&#8217;s &#8220;in charge&#8221; and to some degree, yes. The base of the <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Trend-Data\/Whos-Online.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">internet population<\/a> is broadening to include people with less education and lower health literacy\/numeracy. E-patients with a high school degree or less are more likely than better-educated e-patients to say they were <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2006\/Online-Health-Search-2006\/04-A-Typical-Search-for-Health-Information\/08-Health-seekers-feel-mostly-reassured-confident-and-comforted-by-what-they-find-online.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">confused <\/a>by the health information they found online. But note that the two groups are equally likely (and more likely) to say they felt confident to raise new questions or concerns with their doctor, too.<\/p>\n\n<p class=\"wp-block-paragraph\">For more on the &#8220;who&#8217;s in charge&#8221; and &#8220;what advice can we give consumers&#8221; please see:<\/p>\n\n<ul class=\"wp-block-list\">\n<li> <a href=\"http:\/\/e-patients.net\/archives\/2009\/11\/tell-the-fda-the-whole-story-please.html\" target=\"_blank\" rel=\"noopener noreferrer\">Tell the FDA the Whole Story, Please.<\/a> <\/li>\n<li> <a href=\"http:\/\/www.consumerwebwatch.org\/dynamic\/web-credibility-reports-evaluate-abstract.cfm\" target=\"_blank\" rel=\"noopener noreferrer\">How Do People Evaluate a Web Site&#8217;s Credibility?<\/a> (2002, but I don\u2019t think it has been topped by a more recent study) <\/li>\n<li> <a href=\"http:\/\/users.tpg.com.au\/users\/tps-seti\/baloney.html\" target=\"_blank\" rel=\"noopener noreferrer\">Carl Sagan&#8217;s Baloney Detection Kit<\/a> <\/li>\n<li>Medical Library Association&#8217;s <a href=\"http:\/\/www.mlanet.org\/resources\/consumr_index.html\" target=\"_blank\" rel=\"noopener noreferrer\">consumer guide<\/a><\/li>\n<li>Alicia White&#8217;s &#8220;Keep Calm and Carry On&#8221; advice for reading health news (<a href=\"http:\/\/www.bazian.com\/pdfs\/HowToReadANewsStory_vers03_26Nov08.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>).<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"> <b>What are doctor\u2019s attitudes?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">I don&#8217;t know, but <a href=\"http:\/\/www.manhattanresearch.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Manhattan Research<\/a> and <a href=\"http:\/\/www.think-health.net\/\" target=\"_blank\" rel=\"noopener noreferrer\">ThinkHealth <\/a>do.<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Are patients ready for this?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">The Center for Studying Health System Change&#8217;s <a href=\"http:\/\/www.hschange.com\/CONTENT\/1019\/\" target=\"_blank\" rel=\"noopener noreferrer\">study <\/a>measuring &#8220;patient activation\u201d is one indicator. The central role of family caregivers is not addressed in the study, however. See the comments on this post, for example: <a href=\"http:\/\/e-patients.net\/archives\/2008\/10\/41-of-adults-are-activated-patients.html\" target=\"_blank\" rel=\"noopener noreferrer\">41% of Adults are \u201cActivated Patients\u201d<\/a><\/p>\n\n<p class=\"wp-block-paragraph\">Another indicator is the <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/8-The-Social-Life-of-Health-Information\/02-A-Shifting-Landscape\/2-61-of-adults-in-the-US-gather-health-information-online.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">relentless popularity<\/a> of health information online. Lots and lots of people are looking up information on <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/8-The-Social-Life-of-Health-Information\/06-Trends-to-Watch\/2-Topic-by-topic-Health-information-trends-since-2002.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">all kinds of health topics<\/a>. <i>(Hey <a href=\"http:\/\/epatientdave.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">E-patient Dave<\/a>, are patients ready for this? \ud83d\ude42<\/i><\/p>\n\n<p class=\"wp-block-paragraph\"> <b>What about privacy?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">Daniel Solove\u2019s <a href=\"http:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=667622\" target=\"_blank\" rel=\"noopener noreferrer\">taxonomy <\/a>of the word \u201cprivacy\u201d has forever changed my thinking about the <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2007\/Digital-Footprints\/3-The-Changing-Nature-of-Personal-Information\/3-The-nature-of-personal-information-is-changing-in-the-age-of-Web-20.aspx?r=1\" target=\"_blank\" rel=\"noopener noreferrer\">changing nature of personal information<\/a>. In fact, I try to avoid using the word at all (instead: confidentiality, security, anonymity&#8230;)<\/p>\n\n<p class=\"wp-block-paragraph\"> <a href=\"http:\/\/www.cdt.org\/personnel\/deven-mcgraw\" target=\"_blank\" rel=\"noopener noreferrer\">Deven McGraw<\/a>, Director of the Health Privacy Project at CDT, is a good source on health privacy regulations and enforcement. <a href=\"http:\/\/www.futureofprivacy.org\/2008\/11\/05\/about-jules-polonetsky\/\" target=\"_blank\" rel=\"noopener noreferrer\">Jules Polonetsky<\/a>, Director of the Future of Privacy Forum, is a more general source.<\/p>\n\n<p class=\"wp-block-paragraph\">E-patients.net has<a href=\"http:\/\/e-patients.net\/index.php?s=privacy\" target=\"_blank\" rel=\"noopener noreferrer\"> a few posts<\/a> on the topic of health privacy and I am happy to provide contact information for sources on all sides of this question. <i>(Nominations welcome in the comments!)<\/i><\/p>\n\n<p class=\"wp-block-paragraph\"> <b> <\/b> <\/p>\n\n<p class=\"wp-block-paragraph\"> <b>What about hospitals? Are they using online tools?<br><\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">I don&#8217;t know, but <a href=\"http:\/\/ebennett.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ed Bennett<\/a> does.<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>Does the internet cause cyberchondria?<\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">Caution: \u201ccyberchondria\u201d is a loaded term.\u00a0 E-patients.net has hosted discussions of how to describe people who use the internet to gather health information. For example: <a href=\"http:\/\/e-patients.net\/archives\/2007\/11\/googlers-vs-e-patients-vs-cyberchondriacs.html\" target=\"_blank\" rel=\"noopener noreferrer\">Googlers vs. e-patients vs. cyberchondriacs<\/a>. Amy Tenderich of DiabetesMine had another good take on this topic:\u00a0 <a title=\"Permanent Link: \u201cPatients\u201d versus \u201cHealth Care Consumers\u201d? Both, If You Ask Me\" href=\"http:\/\/www.diabetesmine.com\/2009\/02\/%C3%A2%E2%82%AC%C5%93patients%C3%A2%E2%82%AC-versus-%C3%A2%E2%82%AC%C5%93health-care-consumers%C3%A2%E2%82%AC-both-if-you-ask-me.html\" rel=\"bookmark\">\u201cPatients\u201d versus \u201cHealth Care Consumers\u201d? Both, If You Ask Me<\/a>. We also unpacked a Microsoft <a href=\"http:\/\/e-patients.net\/archives\/2008\/12\/cyberchondria-old-wine-in-new-bottles.html\" target=\"_blank\" rel=\"noopener noreferrer\">study of &#8220;cyberchondria&#8221;<\/a> (be sure to read the comments on all of these posts).<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>What business opportunities are there in this field? What does the future hold?<br><\/b> <\/p>\n\n<p class=\"wp-block-paragraph\">I do not endorse companies, people, or policies. I try not to make predictions about the future. But I can say that I am watching the spread of <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Reports\/2009\/12-Wireless-Internet-Use.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">wireless internet use<\/a> very closely. Wireless access has a significant, independent effect on how someone uses the internet and it\u2019s the trend I am most excited about tracking over the next year or so.<\/p>\n\n<p class=\"wp-block-paragraph\">I hear from start-ups and established businesses every day (yes, every day) who would like me to publicly recommend their work. I can&#8217;t. However, I&#8217;m happy to hear from them and would love to hear from even more &#8212; via <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/Experts\/Susannah-Fox.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">email <\/a>or here in the <a href=\"http:\/\/e-patients.net\/archives\/2009\/11\/the-pew-internethealth-faq.html#respond\" target=\"_blank\" rel=\"noopener noreferrer\">comments<\/a>.<\/p>\n\n<p class=\"wp-block-paragraph\"> <b>OK, I&#8217;m serious about this: I love answering questions and, even more than that, I love being useful.\u00a0 So help me out:\u00a0 What questions do you have?\u00a0 What answers would you like to provide?\u00a0 What resources did I miss?<\/b> <\/p>","protected":false},"excerpt":{"rendered":"<p>Quick answers to frequently-asked questions: Is a cultural shift affecting health care? How do people judge the quality of health information online? Are patients ready for this?<\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sub_headline":"","sub_title":"","_prc_public_revisions":[],"_ppp_expiration_hours":0,"_ppp_enabled":false,"ai_generated_summary":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"apple_news_api_id":"","apple_news_api_revision":"","apple_news_api_created_at":"","apple_news_api_modified_at":"","apple_news_api_share_url":"","apple_news_api_pending":"","apple_news_is_preview":false,"apple_news_is_hidden":false,"relatedPosts":[],"reportMaterials":[],"multiSectionReport":[],"package_parts__enabled":false,"package_parts":[],"datacite_doi":"","datacite_doi_citation":"","_prc_seo_qr_attachment_id":0,"spoken_article_player_enabled":true,"displayBylines":true,"footnotes":"","prc_watchers":[],"_prc_fork_parent":0,"_prc_fork_status":"","_prc_active_fork":0,"jetpack_post_was_ever_published":false},"categories":[105,278,267,319,307],"tags":[],"bylines":[976],"collection":[],"datasets":[],"level_of_effort":[],"primary_audience":[],"information_type":[],"_post_visibility":[],"formats":[458],"_fund_pool":[],"languages":[],"regions-countries":[],"research-teams":[526],"workflow-status":[],"class_list":["post-95812","post","type-post","status-publish","format-standard","hentry","category-health-policy","category-healthcare-online","category-medicine-health","category-online-search","category-social-media","bylines-susannah-fox","formats-report","research-teams-internet"],"label":false,"post_parent":0,"word_count":865,"canonical_url":"https:\/\/beta.pewresearch.org\/pewresearch-org\/internet\/2009\/11\/20\/participatory-culture-health-care\/","art_direction":false,"_embeds":[],"watchers":[],"table_of_contents":[],"report_materials":"","report_pagination":{"current_post":null,"next_post":null,"previous_post":null,"pagination_items":[]},"parent_info":{"parent_title":"Participatory Culture + Health Care","parent_id":95812},"materialsOrdered":[],"chaptersOrdered":[],"partsOrdered":[],"partsEnabled":false,"datacite_doi":"","prc_seo_data":{"title":"Participatory Culture + Health Care","description":"Quick answers to frequently-asked questions: Is a cultural shift affecting health care? 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Are patients ready for this?","schema_type":"Article","noindex":false,"canonical_url":"","primary_terms":[],"custom_schema":[],"og_image":0,"indexnow_submitted_at":null,"gsc_index_status":null},"prepublish_checks":{"prc-image-alt-text":{"status":"complete","message":"No image blocks in content.","data":null},"prc-about-this-research":{"status":"incomplete","message":"Add an \"About this research\" details block.","data":null},"prc-paragraph-count":{"status":"complete","message":"Found 29 paragraphs.","data":{"count":29}},"prc-internal-link":{"status":"complete","message":"Found 10 internal links.","data":{"count":10}}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"relatedPostsOrdered":[],"bylinesOrdered":[{"key":"1336d313-1dce-43c2-963b-8f7531cfd154","termId":976}],"acknowledgementsOrdered":[],"_links":{"self":[{"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/posts\/95812","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/users\/78"}],"replies":[{"embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/comments?post=95812"}],"version-history":[{"count":1,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/posts\/95812\/revisions"}],"predecessor-version":[{"id":137014,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/posts\/95812\/revisions\/137014"}],"wp:attachment":[{"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/media?parent=95812"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/categories?post=95812"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/tags?post=95812"},{"taxonomy":"bylines","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/bylines?post=95812"},{"taxonomy":"collection","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/collection?post=95812"},{"taxonomy":"datasets","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/datasets?post=95812"},{"taxonomy":"level_of_effort","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/level_of_effort?post=95812"},{"taxonomy":"primary_audience","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/primary_audience?post=95812"},{"taxonomy":"information_type","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/information_type?post=95812"},{"taxonomy":"_post_visibility","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/_post_visibility?post=95812"},{"taxonomy":"formats","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/formats?post=95812"},{"taxonomy":"_fund_pool","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/_fund_pool?post=95812"},{"taxonomy":"languages","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/languages?post=95812"},{"taxonomy":"regions-countries","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/regions-countries?post=95812"},{"taxonomy":"research-teams","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/research-teams?post=95812"},{"taxonomy":"workflow-status","embeddable":true,"href":"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-json\/wp\/v2\/workflow-status?post=95812"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}