Online social networking tools (Web 2.0) and their implications for Health and Social Care Rod Ward HSC ICT.

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Presentation transcript:

Online social networking tools (Web 2.0) and their implications for Health and Social Care Rod Ward HSC ICT Training Group – Belfast 5 th Dec 2008

Background A&E Nurse,Educationalist, Informatician Doctoral student Freedom of Information campaigner Member of awkward squad Internet experience since 1991 (archie, gopher & usenet newsgroups) Experience of Live Blogging & Group Blogging eg InformaticopiaInformaticopia 25,000 edits on wikipediawikipedia

Blog, vlogs, Twitter etc Numbers of blogs – why do people maintain them? Freedom to criticise - ? Application of national laws re libel etc Language RSS & aggregators NHS related blogs – NHS Exposed, NHS Blog Doctor, Dr Rant NHS ExposedNHS Blog DoctorDr Rant

Facebook, Myspace, Youtube, Linked In, Plaxo Pulse, Friends Reunited etc Massive growth (but now slowing) User profile (display & characteristics) & motivation

Wiki Wikipedia best know – great example of development of “community of practice” – “Darwikinism”Wikipedia Policies, guidelines etc developed by users - All volunteers 2 million + articles, quality issues, mirror sites & google rankings Often discussion pages & wikiprojects most interesting Ability to track changes – recent deletion of (referenced) details of MPs expenses by MP concerned Other wikis eg WikiLeaks – eg BNP membershipWikiLeaks

Usage Massive growth in use of Web 2.0 applications ? Due to lack of trust in govt/ organisations/professionals –Edelman cited a new trend in its 2006 Trust Barometer: the steady decline of trust in traditional figures of authority, and the increase in the credibility of the "average person." The beginning of the trend was a huge spike in trust for a "person like yourself or your peer" from 22% in 2003 to 68% in »Jane Sarasohn-Kahn iHealth Beat

Potential Mashups – eg geodata & google maps Social bookmarking Instant messaging/chat, Mobiles Harnessing collective intelligence/knowledge management – eg Dr Foster & NHS ChoicesDr FosterNHS Choices “Realistic evaluation” & other data collection eg Patient Opinion & Rate my DoctorPatient Opinion Rate my Doctor Individualised support –& needs of the use truly personalising to the language & needs of the user(s)

Perils Challenge to command and control/hierarchical structures Instant messaging/chat & “time wasting” Blocking by NHS Firewalls Publication of “restricted docs” eg WikiLeaksWikiLeaks Risk of identifiable patient info being released –Eg - UK Student Nurse see ResuscitationUK Student NurseResuscitation Media interest –Eg Bullying of Academics in Higher Education & NHS Exposed, NHS 23Bullying of Academics in Higher Education ExposedNHS 23 Identity theft

Implications for Health & Social Care Presenting quality information in appropriate formats eg H&SC in NI on wikipedia & monitor discussion forums (not just Engage) H&SC in NI on wikipediaEngage PHR’s & Web 2.0 Wikis for shared document creation Social networking tools for staff collaboration & education Guidance for staff on use of web 2.0 tools – risks and benefits including reputational aspects 24/7 society requiring support for H&SC needs

Conclusions Social Networking is current “flavour of the month” Massive growth & large audience – Issues around demographic profile & socially excluded Potential in individualised health promotion, sharing & representation of data, realistic evaluation Risks of exposure (individual & organisation), quality issues Undue weight to minority views Change in culture Need to embrace news “ways of working” – while being aware of risks