2. What patients want
Being informed
Have access to medical information
Participating in communities of peers
Better hospital service
Research meeting their needs
3. Widen the network of people we can talk with
Increase the velocity of these conversations
Inject them with more source material
Allow to archive contents
Make them searchable
Social networks…
Susannah Fox
4. How families of patients with rare
diseases use the web
41,8
70,8
17,2
7,3
Tozzi AE et al. Orphanet J Rare Dis. 2013
6. Which information families of patients with
rare diseases search
0 20 40 60 80 100
Vaccines
Further pregnancy
Nutrition
Alternative therapies
Physical activity
Second opinion
Prevention of complications
Diagnosis
Specialty health provider
Therapy
Disease characteristics
Tozzi AE et al. Orphanet J Rare Dis. 2013
7. Effect of information found on the web
0 20 40 60 80 100
Changed my physician
Changed food habits
Increase anxiety
Useful for diagnosis
Improved disease management
Discussed with physician
Increased comprehension of disease
Tozzi AE et al. Orphanet J Rare Dis. 2013
8. Effect of participating in online social
networks
Increased likelihood of discussing with physician
Useful for recognizing diagnosis
Improved the managementof disease
Tozzi AE et al. Orphanet J Rare Dis. 2013
9.
10. Clinical study recruitment
Only10% of patients with chronic diseases
participates in clinical studies on their disease
Nearly 75% of phase II-III studies are
delayed because of insufficient recruitment
13. Patient centered questions
Expectations
Given my
characteristics, m
y conditions and
my
preferences, what
will happen to
me?
Options
Which
options, which
potential risks
and benefits
should I expect?
Outcomes
What I can do for
improving the
outcomes of my
disease that I feel
most important?
Decisions
How clinicians
and the health
care system may
help me to take
best decisions on
my health and on
my healthcare
paths?
20. Why not involving young patients in
research?
Children get bored in reading long and
complicated documents
If children do not participate they will be scared
and confused
Adults should not assume they know what
young people want
21. Email??? No one uses email!
We use Facebook chat to:
Communicate
Stay up-to-date
Check medication
Meet other patients and others
Der Velden et al., J Am Med Inform Assoc 2013
22. …my doctor has prescribed me to
participate in an online community of
patients…
23. …my doctor has prescribed me to use a
free application for my smartphone
that:
provides high quality information
connects me with other people with the same disease
allows me to track how I’m feeling
tracks how medications are performing
syncs with my wearable sensors
uses my past data to track my progress
…data will be continuously monitored by my doc