Archive for ‘Education’

22 October 2008

Business time for content providers

Here’s an excerpt from a blog I posted on Zazoo this week:

“There has been a lot of debate in journalistic circles of late about the state of denial most journalists and media academics are in regarding new media.

“A recent blog on Poynter.org recounted an exchange between digital media entrepreneur Elizabeth Overholser and journalism students at the University of Southern California’s Annenberg School of Journalism. Osder refuted one student’s lament that online news business models aren’t working. Then she advised the students that to figure out which online business models can work, ”Start with the impact you want to have. Figure out what audience you need to assemble to have that impact. And what kind of content is needed to do that. Then price it out: How much money do you need to do it?”

“According to Overholser, a J-student groaned in reply, “If I wanted to do that, I’d have gone to Marshall (USC’s business school).”

“Osder countered that while that response was understandable, thinking through the business side of journalism “forces you to be relevant and useful versus arrogant and entitled.”

“I say: hear, hear!….”

Go here for the rest of the entry.

20 October 2008

Creativity important in healthcare

The Australian Research Centre (ARC) for Creative Industries and Innovation has released a report on the use of creativity in healthcare. It found that:

“Creativity is highly integrated into the provision of healthcare goods and services and serves most aspects of the operation of the healthcare system, particularly in information and knowledge management, the supply of medical skills, clinical services and infrastructure. Australia’s creative capability has a central role in helping the healthcare system to adapt, to become more efficient while delivering better outcomes and to provide the range of clinical services demanded by the community…. The innovation processes appeared to be particularly effective when creatives worked closely with key stakeholders (medical professionals, patients or the community).”

The study concluded: “There is consensus that the healthcare system needs to change if it is to address the range of demand, supply and contextual challenges that it faces, and to at least maintain the quality of health outcomes and the supply of medical service providers… Australia’s creative capability has a central role in helping the system to adapt, to become more efficient while delivering better outcomes and to
provide the range of clinical services demanded by the community…. Overall, healthcare creative employment is growing faster than total employment in the system, and the growth is particularly significant in technological areas (film, TV, software). Interestingly, some medical professionals are
using the technologies routinely. With some training and technological enhancements, and in the hands of clients, they are also being applied in healthcare. With further technological advances, such uses could expand opportunities for innovation and improvements to the healthcare system.”

17 September 2008

Thumbs up for online medical education

From today’s Australian Doctor:
“Online medical education is as effective as traditional methods, a meta-analysis suggests.

“Internet-based education had become an increasingly popular approach to medical education, the authors said, but concerns about the effectiveness of online learning had stimulated a growing body of research.

“The meta-analysis published in the Journal of the American Medical Association (10 September) found internet-based learning was associated with large positive effects compared with no intervention and had a similar effectiveness to traditional methods.

“’Internet-based education permits learners to participate at a time and place convenient to them, facilitates instructional methods that might be difficult in other formats, and has the potential to tailor instruction to individual learners’ needs,’ the authors said.

“Professor Ian Wilson, professor of medical education, University of Western Sydney, said the internet was an effective teaching tool, but the medium worked best when used in conjunction with face-to-face teaching.

“Although the online environment had improved markedly over the past five years to play an increasingly important training role, he said the quality of the education provided on the internet was sometimes inadequate.

“’Sometimes people get so enamoured with the technology that they forget about the underlying education principles,’ he said.

“Internet learning was more suited to some areas than others, Professor Wilson said.

“’Certainly online learning packages that work in isolation work much better for knowledge-based material,’ he said.”

28 August 2008

‘GPs rely on drug reps for info’ – is anyone surprised?

Choice has just published a survey saying that Australian general practitioners are reliant on pharmaceutical reps for much of the information they learn about new treatments, the Sydney Morning Herald reports.

“Even though only 24 per cent of doctors trusted the information as much as an independent source, most (81 per cent) would rather receive it because it was often the only way to get timely information on new drugs,” the SMH reports.

“The survey of 180 doctors found that 73 per cent referred to pharmaceutical companies or their representatives for drug information. This made the companies the second-most important source for doctors after clinical evidence.

“Drug companies are the main source of information for 16 per cent of doctors when deciding whether to prescribe a new drug, the survey said.

“‘[Drug company marketing is] often the only way you get information about new drugs in a timely fashion,’” one doctor said.”

Unlike most media reports, which paint pharma companies as worse than tobacco companies, this report stresses that the main reason GPs rely so heavily on pharma companies is the lack of independent information available. Although there may be a difference between “lack of information” and “lack of knowledge of information”, as half of the GPs surveyed said they were not aware of the government-funded National Prescribing Service (NPS). Hmmm, maybe the government needs a national field force armed with brochures, pens and Post-it notes…

14 August 2008

Mixed results for ‘academic’ drug reps

In the US, a bill is before Congress proposing to send trained clinicians into doctors’ surgeries to provide independent data about the relative benefits, risks, and costs of drugs, following research that suggests that such “academic detailing” reduces potential prescribing bias from the influence of drug company reps.

Medscape, the top-rating medical website for doctors and consumers, has just released results of a poll of its professional members asking what effect doctors think such a program would have? The results:

  • 18% thought it would significantly reduce bias
  • 33% thought it would somewhat reduce bias
  • 13% thought it would not reduce bias
  • 5% were uncertain
  • 28% said: “My prescribing decisions are not influenced by drug company representatives”

Should pharma companies be worried? As someone who has worked on both sides of the fence, my view is that the ones who should be worried are the ones with less effective or useful products. If your medication is the most effective at treating a worrisome condition or has a great life-saving profile, an academic drug rep will help you, not hurt you.

7 August 2008

Enough health information, already!

Searching for healthcare information has consistently ranked among the most popular search activities on the Web – in fact, in the case of aging baby boomers, it ranks at the top of all Web activities, even higher than using email. So does that mean it has reached saturation point?

eMarketer reports on a new study by Harris Interactive that finds the number of adult Internet users searching for health information has plateaued. It reports: “Harris said that changes in its survey methodology could account for the dip, but its overall finding was that growth in the percentage of adult Internet users who looked for health information online had leveled off.”

It is not believed this is a reflection in the quality of the information. Harris found that “respondents were largely credulous about the health information they found online: 86% of online health searchers said the information they located on the Internet was reliable.”

So doctors will not get a reprieve of patients researching their symptoms on the Internet before fronting up to their surgery!

4 August 2008

Internet in Australia report released

The Australian Research Centre for Excellence for Creative Industries and Innovation has just released the results of the CCi Digital Futures Report, “The Internet in Australia”. Here is an abridged summary of the findings:

Most Australians are internet users…

The overwhelming majority of Australians are internet users…. almost three quarters of Australians had used the internet in the past three months. Just under four in five home connections are broadband.

… but there is still a digital divide.

A fifth of the population have never used the internet, while just fewer than one in ten Australians are ex-users. Ex-users and non-users have different reasons for not using the internet. Ex-users are more likely to cite being too busy or not having a computer or internet connection while non-users are more likely to say they are confused by the technology or have no interest in the internet.

The internet in Australia is maturing and broadband is still growing

The internet is a fairly mature technology in Australia. A majority of internet users are ‘experienced users’, having used for between six and ten years. Just under one in five are ‘old hands’ (10 years or more). A very small proportion of users had taken up use in the last year. Broadband access however, is still in a rapid take-up phase.

The internet is an important way for people to keep in touch

Overall internet use has increased the time people spend communicating with friends and family. On the other hand, for a significant proportion of people their internet use has resulted in less time spent face-to-face with household members. Email is the most popular means for communicating online. Over three quarters … check their email at least once a day. Instant messaging is also a popular communications tool with one in five users messaging daily. Most people do not make phone calls over the internet but those that do use it very regularly.

The internet changes media use

For users the internet is now their most important source of information. Just under seven in ten users described the internet as ‘important’ or ‘very important’ compared to a third for television and less than a half for newspapers or radio.

Internet users spend less time watching television, listening to radio and reading newspapers than nonusers.

Television watching is the media-related activity most affected by internet use. Four in ten users say they watch less television since access while less than a quarter feel they read newspapers or books less.

Overall, internet users rate the internet as reliable an information source as newspapers and more reliable than television.

The internet is a major source of entertainment

The internet is an increasingly important source of entertainment, however it is yet to really challenge television or even radio for most users. The proportion of users who describe the internet as a very important source of entertainment is just slightly less than the proportion for television. Downloading or listening to music online, surfing or browsing the web, finding out information about food such as recipes, looking for information about restaurants and visiting sites dedicated to particular artists are the most popular entertainment-related internet activities.

The internet enables people’s creativity

Users are positive about the impact of internet use on creativity and productivity. A half felt internet access had improved their work performance and less than one in twenty thought it had deteriorated. Few internet users have a personal website or blog. Around a quarter post their photographs online while one in twenty post video footage.

The internet changes politics

Just under a half of users agreed that the internet has become important for the political campaign process. Close to a third of non-users said they did not know if this was the case while just over a third agreed. Overall non-users were more sceptical about the internets’ capacity to empower citizens than users. Perhaps more importantly, a sizeable proportion of non-users simply didn’t know what impact the internet was having on politics.

People shop online but they have reservations

Just under a half … purchased at least one product a month. Those who used the internet to purchase spent on average $200 per month online (the median amount spent was $100). More than eight in ten users research products online. Making travel bookings, paying bills, banking and purchasing event tickets were all popular online activities.

A majority of users are ‘very’ or ‘extremely concerned’ about credit card security online. In relation to privacy issues involved with e-commerce the figure is just under a half.

25 July 2008

Health tops email for Boomer Web use

The 2008 Boomers Online Media & Social Networking Study by J Walter Thompson and Third Age has found that seeking health and wellness information tops the list of Web-based activities reflecting the most interest, at a whopping 97 percent. Email comes second at 96 percent. As someone who just had his first ECG yesterday (Lipitor, here I come), I know that this figure is partly age-driven, but it shows how important the Web is to healthcare. Here’s the top ten list:

21 July 2008

Big Pharma joins the YouTube generation – literally

The Health 2.0 blog has posted an announcement from Johnson & Johnson that it has launched a health channel on YouTube. These professionally produced videos, hosted by an ex-TV correspondent and doctor who, surprise, surprise, has done consulting work for J&J, offer advice and info on a range of topics. J&J’s Director of Video Communications (as an aside, now there’s a pretty specialised role) says, “The videos are neither brand-related nor product-centric, though many of the videos cover disease states in which some of our operating companies participate.” Will be interesting so see whether they drift toward more brand and product info as time goes on…

2 July 2008

All ages and professions need to get with Web 2.0

This one is a couple of weeks old, but recently came to my attention. Richard Smith, ex-editor of the British Medical Journal, CEO of BMJ Publishing and now involved with open access journals, wrote a terrific blog on the BMJ about how doctors need to expose themselves to the world of Web 2.0/Health 2.0 and the possibilities it presents.

He writes, “Web 2.0 has the potential to improve global health greatly and to solve complex problems in health science. (However,) the barriers to these potential achievements are social and cultural, not technological.

“The machines we can fix. It’s the people – particularly old timers (that’s anybody over 40) – that are the problem.” Smith, who is 56, has some simple advice for his fellow old-timers. “The only way to really understand Web 2.0,” he says, “is to jump in and start using it.”

He recommends everyone sign up for Facebook and concludes, “The essence of Web 2.0 is that it’s bottom up and participative: it’s created by the many, not the few…. Doctors, I fear, are too fond of a top down world – because they are usually at the top. But that top down world is crumbling. Think of Nicolae Ceausescu’s statue being hauled down and smashed. That’s the old world of Web 1.0. Get with Web 2.0 in a serious way or become a yesterday’s person.”

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