{"id":9150,"date":"2011-05-11T12:34:57","date_gmt":"2011-05-11T17:34:57","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=9150"},"modified":"2011-05-13T11:38:19","modified_gmt":"2011-05-13T16:38:19","slug":"map-the-frontier-bring-data-more-coming-soon","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2011\/05\/map-the-frontier-bring-data-more-coming-soon.html","title":{"rendered":"Map the frontier. Bring data. (More coming soon!)"},"content":{"rendered":"<p>The <a href=\"http:\/\/www.pewinternet.org\/\" target=\"_blank\">Pew Internet Project<\/a> and <a href=\"http:\/\/www.chcf.org\/\" target=\"_blank\">California HealthCare Foundation<\/a> <span style=\"text-decoration: line-through;\">will <\/span>released our latest report on the internet&#8217;s impact on health and health care tonight at midnight (Eastern U.S. time). It is titled, &#8220;<a href=\"http:\/\/www.pewinternet.org\/Reports\/2011\/Social-Life-of-Health-Info.aspx\" target=\"_blank\">The Social Life of Health Information, 2011<\/a>&#8221; (and for those following closely, that is a hint that we are updating trends we first measured in our <a href=\"http:\/\/www.pewinternet.org\/Reports\/2009\/8-The-Social-Life-of-Health-Information.aspx\" target=\"_blank\">2009 report<\/a> by the same name).<\/p>\n<p>The report contains some data I have been itching to share with this community for months. In fact, I couldn&#8217;t resist previewing a bit of it at <a href=\"http:\/\/mobilehealth.org\/\" target=\"_blank\">Mobile Health 2011<\/a> last week. Here&#8217;s the text of what I said, just to whet your appetite for the full course of fresh data:<\/p>\n<p style=\"text-align: left;\">The Web 2.0 Summit backdrop last fall was an imaginary map of the online world  and the territories that have been claimed by different companies.<\/p>\n<p>Mark Zuckerberg came on stage and said,<\/p>\n<blockquote dir=\"ltr\"><p>Your map is wrong. The biggest part of the map has got to be uncharted  territory. This map makes it seem like it\u2019s zero-sum, but it\u2019s not. We\u2019re  building value, not just taking it away from other companies.<!--more--><\/p><\/blockquote>\n<p>The first thing that struck me about his comment was that it embodies the  idealism that I see all the time in this industry. Leave aside the cut-throat  attitude and billion dollars for a moment and think about what his statement  means for you, for all of us.<\/p>\n<blockquote dir=\"ltr\"><p>We know something important is out there, and it is big, it is potentially  world-changing and we are idealistic enough and brave enough to believe we can  prepare for it and even take advantage of it.<\/p><\/blockquote>\n<p>The second thing that struck me is that a map of the health world would be  similar. For most people, it is unmapped, unfamiliar territory.\u00a0 As Susan Sontag  wrote:<\/p>\n<blockquote dir=\"ltr\"><p>Everyone who is born holds dual citizenship, in the kingdom of the well and  in the kingdom of the sick. Although we all prefer to use only the good  passport, sooner or later each of us is obliged, at least for a spell, to  identify ourselves as citizens of that other place.<\/p><\/blockquote>\n<p>It\u2019s not surprising that when someone gets dropped into the kingdom of the  sick, they grab their phones, they grab their laptops, they grab their loved  ones, and they go. They go into that unmapped area of a new diagnosis, a new  drug, a new treatment, a new goal to lose weight, quit smoking, or get their  numbers under control. They consult experts. They call &amp; search &amp; text.  They study up. They band together and form posses. Pioneers share their maps  with newcomers, letting them know which clinical centers are the best for a  certain condition. They post warnings, such as the one brought to us by  PatientsLikeMe last week when they <a href=\"http:\/\/www.nature.com\/nbt\/journal\/v29\/n5\/abs\/nbt.1837.html\" target=\"_blank\">published their findings<\/a> from a  patient-driven clinical trial: no, lithium does <strong>not<\/strong> stop the progression  of ALS. It\u00a0was bad news for people living with ALS, but good news for the  field,\u00a0proving that patient-driven research is valid.\u00a0And the number one thing  that people try to do? To get the hell out of the kingdom of the sick.<\/p>\n<p>Who in this room is going to help them? Who in this room is developing  something that is going to change lives? And what are <strong><span style=\"text-decoration: underline;\">you<\/span><\/strong> bringing  on the adventure?<\/p>\n<p>I\u2019m bringing data \u2013 on internet use, cell phone and wireless penetration,  demographics of who\u2019s online and who\u2019s not, people\u2019s attitudes and actions. I\u2019m  bringing data and so should you.<\/p>\n<p>Why?<\/p>\n<p>Because data will help you make better decisions. Data will chart your  course. Data will show you what really works.<\/p>\n<p>The Pew Internet Project is a GPS for navigating this emerging world.<\/p>\n<p>Let\u2019s start with some bedrock data. This is the equivalent of Europe in the  15<sup>th<\/sup> century \u2013 completely mapped out. The known world of internet  use, especially as it pertains to mobile &amp; health.<\/p>\n<p>Three-quarters of U.S. adults go online.<\/p>\n<p>Six in ten U.S. adults gather health info online. But doctors, nurses, and  other health professionals continue to be the first choice for most people with  health concerns.<\/p>\n<p>59% of U.S. adults go online wirelessly, with a laptop, mobile device or  tablet.<\/p>\n<p>Three key points about wireless:<\/p>\n<ul>\n<li><strong>Tablets<\/strong>: We are in the field now collecting data on the  percentage of U.S. adults who own tablets \u2013 stay tuned for new numbers (hint:  they are higher than we expected). But note that we don\u2019t expect the overall  wireless number to change \u2013 these tablets are going to already-wireless homes.<\/li>\n<li><strong>Local<\/strong>: Nearly half of all American adults (47%) report that  they get at least some local news and information on their cellphone or tablet  computer. Look to our other non-health reports for similar insights about  politics, news, gaming, teens \u2013 these are habits and behaviors that people will  likely port over to health when they need them.<\/li>\n<li><strong>Health<\/strong>: wireless users are voracious information consumers,  including some interesting trends within health \u2013 48% of wireless users look  online for information about doctors or other health professionals, compared  with 31% of internet users who do not have mobile access.<\/li>\n<\/ul>\n<p>85% of U.S. adults have a cell phone. Young people are the most likely to  have cell phones, but access is well-distributed across age groups.<\/p>\n<p>One in four adults use apps \u2013 and it\u2019s even lower for health apps. Some say  that\u2019s proof that apps don\u2019t work, time to move on to the next fronteir. Others  say it\u2019s proof of a nascent market, ripe for brave pioneers.<\/p>\n<p>Three key points about what mobile can do that the internet cannot:<\/p>\n<ul>\n<li><strong>Reach a diverse audience.<\/strong> African Americans, Latinos, and  young people \u2013 in general and with health info.<\/li>\n<li><strong>Make place irrelevant \u2013 otherwise known as  location-disabled.<\/strong> Get the information out to everyone, no matter where  they are. As in, &#8220;I need this obscure information right now, even though I\u2019m in  the middle of nowhere&#8221; is location-disabled.<\/li>\n<li><strong>Make place extremely relevant\u00a0\u2013 otherwise known as  location-enabled.<\/strong> Help someone in a certain place connect with local  resources. For example, &#8220;where is the nearest clinic&#8221; is location-enabled.\u00a0  That\u2019s what we see driving mobile adoption in many ways \u2013 hyper-local news and  information. We have new data coming soon that shows that local information is  driving mobile adoption: traffic, weather, news, restaurants, etc.<\/li>\n<\/ul>\n<p>But where are the pioneers heading? Where is the frontier?<\/p>\n<p><a href=\"http:\/\/www.pewinternet.org\/Reports\/2011\/P2PHealthcare.aspx\" target=\"_blank\">Peer-to-peer health care<\/a>.<\/p>\n<p>The online conversation about health is being driven forward by two forces:\u00a0  1) the availability of social tools and 2) the motivation, especially among  people living with chronic conditions, to connect with each other.<\/p>\n<p>Pew Internet has identified two important trends in our data. One is what we  call the &#8220;mobile difference&#8221; \u2013 hand someone a smartphone and they become more  social online, more likely to share, more likely to contribute, not just consume  information.<\/p>\n<p>The other is what we call the &#8220;diagnosis difference&#8221; \u2013 holding all other  demographic characteristics constant we find that having a chronic disease  significantly increases an internet user&#8217;s likelihood to say they both  contribute and consume user-generated content related to health. They are  learning from each other, not just from institutions.<\/p>\n<p>These are not yet mainstream activities, but there are pockets of  highly-engaged patients and caregivers who are taking an active role in tracking  and sharing what they have learned.<\/p>\n<ul>\n<li>A significant segment of internet users have tracked their weight, diet,  exercise routine or some other health indicators or symptoms online (report  coming out soon on this trend).<\/li>\n<li>One in five internet users have gone online to find others who might have  health concerns similar to theirs.<\/li>\n<li>The incidence of both those activities is higher among people with a  wireless connection.<\/li>\n<\/ul>\n<p>Some closing thoughts:<\/p>\n<p><a href=\"http:\/\/epatientdave.com\/\" target=\"_blank\">E-patient Dave<\/a> deBronkart has taught us that &#8220;patient&#8221; is not some third  party. It\u2019s you. It\u2019s me.<\/p>\n<p>As patients: Own the fact that we have as much to share and contribute to our  health as any health professional has to share and contribute.<\/p>\n<p>As developers: Enable an environment in which people can share. At the  beginning, only a slice of the population will share, but the benefits will  entice others.<\/p>\n<p>Finally, I\u2019ll end with one of my favorite quotes:<\/p>\n<blockquote dir=\"ltr\"><p>In God we trust. All others must bring data.<\/p><\/blockquote>\n<p>Wherever you\u2019re headed, bring data. Our data, your data, other people\u2019s data  \u2013 bring it all. And use it to map the frontier.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Pew Internet Project and California HealthCare Foundation will released our latest report on the internet&#8217;s impact on health and health care tonight at midnight (Eastern U.S. time). It is [&hellip;]<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1,2],"tags":[205,4317,868],"coauthors":[],"class_list":["post-9150","post","type-post","status-publish","format-standard","hentry","category-general","category-trendsprinciples","tag-california-healthcare-foundation","tag-mobile-health","tag-pew-internet"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Map the frontier. 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