Guest Post: Envisioning a More Social Future for Public Health

This is the first in a series of (hopefully) weekly guest posts from the fabulous members of the #hcsm community. Interested in writing a post for #hcsm? Email me. This week, my good friend Andrew Wilson tackles the complex topic of social media and public health.

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Times have changed and there really is no going back. The only question now is how to best move forward. I cannot think of a better way to solve the challenges that we face than a transparent, open discussion where all parties can contribute their perspective and insight. That being the case, I am throwing the three questions below out to community to get input, ideas and, yes, help.

1. What should collaboration (in social media) between public health agencies and the broader public health community look like?

To date, social media has been largely used by public health agencies as a one-way channel to push public health messages. Real, two-way engagement is still largely the exception rather than the rule. However, the new digitally-powered social landscape that we live in demands that we make the conversations more inclusive. Everyone with valuable input needs to have the opportunity to add their voice and their value. However, I personally still struggle with how to best systematize this information and idea sharing so that it is considered an integral and irreplaceable part of the process. For me, #hcsm represents a perfect case study of the unrealized potential of better collaboration. For example, imagine how much better and, potentially more effective, social media campaigns could be if public health agencies could bring their ideas to #hcsm for feedback PRIOR to launch. Is this realistic, what would this look like?

2. How do you envision the federal government being most effective in its use of social media?

This is really not an either/ or question. There are many potential answers depending on the mission of the agency, the circumstances and the platforms. However, it is certainly a question worth asking. Being successful in social media takes time and resources (and arguably a not insignificant degree of passion). If we accept these premises, then the federal government should naturally focus on those areas where it adds the most value and where its unique position can be leveraged to its maximum impact. Effectiveness, however, is mostly in the eye of the beholder and input from state and local agencies, public health professionals and the public at large must be taken into account if we want to make this work. So, where do you see the federal government’s role in the co-evolution of social media and public health?

3. How can we collectively address and document the role of social media in behavior change?

Moving people’s opinion of social media from a tool for “awareness raising” to an accepted mechanism for influence behavioral is something I have been thinking about very seriously about since Alexandra Bornkessel wrote a very thoughtful post on this issue more than 6 months ago. Undoubtedly, there are some very smart people researching and presenting evidence for how social media can influence behavior – B.J. Fogg and Jen S. McCabe jump to mind here. On the other hand, when I asked James Fowler, during his talk at SXSW last year, about how social media could be used as a tool to help address public health concerns such as childhood obesity and smoking cessation, his response seemed to leave room for doubt. Making a rock solid, persuasive case to leadership about the value of better integration of social media into the work of the federal government demands a portfolio of well documented and well presented evidence. This discussion, about the utility and value of social media, is going on across public health (see Social Media Grows Up – Red Cross Emergency Social Data Summit) but I would argue that we need a more systematic approach to building the case. Where and how do you see this happening? Is there a real need for this? Who should take the lead in this?

These questions are some of the issues I try to work through every day – and I have no chance of solving any of them on my own. Not only are they complex and difficult but they cannot be solved by any one party. They need consensus understanding and action. Most importantly, however, these are some of the questions that must be addressed as we try to build a more social future for public health. Please join the conversation and let’s work on these questions together.

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Andrew Wilson, along with Read Holman and others, was formerly part of the HHS Center for New Media where most of his work focused on the web and new media response to H1N1. Currently, Andrew works for the Substance Abuse and Mental Health Service Administration, one of the agencies within Department of Health and Human Services.

Note: the views and opinions expressed in this post are Andrew’s alone and do not represent official opinions of HHS or SAMHSA.

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Recap: #hcsm on 8/15/10

Just to give a recap from the chat last night. The topics were:

  1. Should you friend your patients? (If you’re not a doc – should you/would you friend your doctor?) #hcsm

    A lot of respondents said no, they don’t friend their patients – unless they have two, separate accounts. A discussion ensued regarding having a ‘personal’ versus ‘professional’ presence online. We also chatted about expectations for engaging on Twitter, Facebook, or elsewhere.

  2. Where do you get your health information from online? Who/what do you trust? Are these offline sources that you transfer your trust to online? #hcsm

    There was a diverse response, as expected. Some people trust health agencies like CDC, NIH, or HHS. Some people take a look at Wikipedia or WebMD – with a grain of salt. Others mentioned using their network online and their health care providers as resources.

  3. What should collaboration (in social media) between public health agencies and the broader public health community look like? #hcsm

    The discussion focused heavily on the philosophy that public health agencies & leaders should be broadcasting but also taking in feedback and having two-way dialogues. Collaboration is key.

Want to read over the whole thing? Click here and read through the feed, as captured with CoverItLive. This is the first time I tried using CIL to capture & archive the feed, so as always, please share your feedback!

#hcsm – August 15, 2010

Wrong time zone? No sweat. Don’t like Twitter.com, TweetDeck, TweetChat, or TweetGrid for #hcsm? No sweat. Forget about #hcsm this week? Well…we won’t hold it against you..for too long.

We’re trying out a new way to keep the great discussions that occur every week during the #hcsm chats alive.

Watch the live #hcsm stream on August 15, 2010 at 8pm Central here (new window). If you missed the chat, you should be able to come back and scroll through it again, any time.

August 15 topics:

  1. Should you friend your patients? (If you’re not a doc – should you/would you friend your doctor?) #hcsm
  2. Where do you get your health information from online? Who/what do you trust? Are these offline sources that you transfer your trust to online? #hcsm
  3. What should collaboration (in social media) between public health agencies and the broader public health community look like? #hcsm

Warning: this is experimental. If you submit a comment via the pop-out window during the designated #hcsm hour, the moderator makes no guarantee that she will see it and/or approve it to be included in the stream for play back at a later date.

If you watched the chat through CoverItLive, or are reading back through the chat afterward – please provide feedback!

#hcsm FAQ

What is #hcsm?

A weekly chat on Twitter focused on all aspects of healthcare communications, including social media.

When is #hcsm?

Every Sunday night at 8pm CT (U.S. time, but all are welcome!)

Who can join #hcsm?

Anyone interested in healthcare & how we talk about it. Some of our participants include:

  • patients
  • doctors
  • healthcare organizations
  • marketing/PR/communication folks
  • students

How do I join #hcsm?

Go to http://www.twitter.com. Put ‘#hcsm’ in the search box. Click search and read the tweets. Want to add your tweets to the conversation? Put ‘#hcsm’ in any tweet to add it to the stream.

Hello world!

Welcome, all! The new #hcsm (healthcare communications & social media) site should be up and running soon. Stay tuned!

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