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Greg Matthews | Social media | October 16, 2012
It’ll be no surprise to the readers of this blog that physicians’ use of Twitter and other social media has been exploding over the last couple of years. But it may surprise you to know how hard it is to really analyze that data.
Last year Dr. Katherine Chretien of the VA Medical Center in Washington, DC, published an eye-opening study in a JAMA letter. Until that point, all we really had were anecdotes and survey responses – certainly not the same as analyzing what physicians were actually doing and saying on Twitter.
By leveraging a strong research team, Dr. Chretien was able to narrow a list of 523 potential author candidates to a final group of 260. The team then looked at the last 20 tweets from each author – a total of 5,156 were included in the study. This study was and is a big deal. It answered a lot of questions – but perhaps the most important one was whether physicians, when using social media, would be more prone to share confidential patient information, or to share anything unprofessional in nature (e.g., used profanity or made discriminatory statements).
I know that I breathed a sigh of relief when the team found that only 3% of tweets contained any unprofessional material. Don’t get me wrong – any amount would be too much. But as a physician friend of mine likes to say, “we’re a lot worse at the water cooler and in the elevator than we are online.” The point is that by publishing a credible study in a credible outlet, Twitter for physicians had become suddenly more acceptable.
My colleagues and I have been following thousands of doctors on Twitter for the last few years … and have gotten more and more interested in finding out what we could learn from them if we were to try to automate some of the very difficult process of sourcing and analyzing their Twitter posts at a much larger scale.
To that end, we have created a database of nearly 1,400 U.S. doctors (to date) on Twitter and – this is critical — linked them to NPI (National Provider Identifier). To our knowledge, this is the only database linking doctors using the Twitter platform to an “official” data set. We’ve captured over 400,000 tweets from those doctors over a 5-month period in 2012, allowing an unprecedented ability to scan for trending topics and relationships, broken out by specialty, gender and location.
Having been satisfied that we had assembled a reasonable data set, we’ve spend the last two weeks poring through that data looking for insights and patterns. Here are a few of our top-line findings:
What’s more interesting, of course, is the substance of their tweets. We examined a sample of tweets related to 3 therapeutic areas: diabetes, breast cancer and prostate cancer. Perhaps not surprisingly, 83% of specialties mentioned diabetes in their tweets … though it’s interesting to note that pediatricians discussed it among the most frequently (behind only internal medicine and family medicine doctors). I suppose that’s a sign of the times – childhood obesity and the earlier onset of diabetes is very much on the mind of the physicians who care for our kids. It was also interesting to note that prostate cancer was as widely discussed as it was … 70% of specialties mentioned it in their tweets. Much of the volume there was driven by this summer’s controversy about the validity of the PSA test as a means of lowering morbidity; In fact, 43% of the tweets about prostate cancer between May and September were related to this specific issue.
Although we’re only six weeks into what will almost certainly be a years-long process, it’s been fascinating to discover – in a scientific and quantitative manner – how innovative physicians are leveraging social media tools like Twitter to improve the health of their patients, to grow their practices, to connect with their peers, and to create a platform for influencing the future of healthcare.
We’re already looking to work with some of the most prestigious healthcare institutions in the world, including the Mayo Clinic, to glean deeper insights from this data. But as I go into my first presentation of this material, I’d love to know: What are your biggest questions? What are the thorny problems you’re trying to solve that would benefit from a deeper look at the physician’s perspective? It’s my hope that we’ll be able to solve some of them together.
Greg Matthews is a Group Director at WCG (a W2O Group Company). WCG is an independent strategic communications firm providing integrated solutions built upon clear, data-and-analytics-driven insights.
Tagged as: Primary care, Twitter
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Physician use of Twitter: Examining the data
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Having had the opportunity to review this data I can attest to the fact that WCG has built a powerful machine that will answer key questions about what doctors are really doing on Tw. This will likely evolve to represent the unique meld of academic thinking with proprietary, customized social listening technology.
Excited to watch this evolve not just for the data but as a new model of interdisciplinary thinking and problem solving.
Bryan, thanks. I’m so grateful for the guidance and feedback I’ve gotten from physicians like you. The docs on this database are really trailblazers … we have a lot to learn from all of you.
Hi Greg – interesting work and for a new twist on data and analytics insights check out
@Tellagence
We do something no one else can — we predict who will share your information…on *any* network.
Great article. It would be great to conduct this study annually to see how these stats are changing over time. Man, I would love to just be able to Tweet my doctor a general question that might benefit her and my followers.