作者: Christina Beach Thielst
DOI: 10.1097/01974520-201110000-00002
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摘要: SUMMARY * The business model of healthcare is changing. Value-based purchasing and accountable care initiatives, along with reimbursement incentives penalties, are creating pressures that reshaping delivery approaches processes. And today's patients more engaged familiar multimedia information technologies. This article highlights how organizations applying social media technologies to address the challenges they face. I explore these tools useful for monitoring conversations, proactively resolving complaints, facilitating transparency. also review contribute enhanced patient experiences help comply meaningful use criteria, such as engaging families in their care, improving quality coordination, reducing disparities. story Louise, a virtual patient-discharge advocate, demonstrates helping providers improve health outcomes, reduce costs, decrease rehospitalizations. Other examples highlight one secure networking community case managers better support who on road recovery from addiction describe hospital's world train staff emergency evacuation. Social can be used deliver patient-centered fluid processes between physicians. Combined mobile technologies, it ubiquitous tool easily applied environments solve challenges. attractive because blends technology human interaction. rapid growth computing combined endless stream multichannel options has created truly all areas one's life. In other words, accessible when, how, where users prefer. Hospitals recognize than just passing fad. More consumers services turning gather information, options, share experiences. As result, hospitals finding ways engage communities online. October 9, 2011, 1,229 US have an online presence includes at least following (Bennett 2011): A YouTube channel (575) Facebook page (1,068) Twitter account (814) Linkedln (566) Foursquare (946) Ablog(i49) relatively inexpensive, scalability allows start slowly build successes. Thoughtful planning vital, but plan well will find efficient resources effective communication engagement. nature creates opportunities true patientcentered care. It affects unhealthy behaviors gives freedom CHANGING HEALTHCARE LANDSCAPE Over $2.5 trillion spent each year, this number projected grow $4.4 by 2018. Of spending, 80 percent due chronic diseases, including heart disease, obstructive pulmonary obesity, diabetes (American Heart Association 2009). Pressures costs accommodate increasing demands already-stretched workforce constant challenge hospitals. result changing model. programs, organizations, penalties undesirable additional pressure likely lead new evolution rise concerns among CEOs about cost reduction, reimbursement, safety, experience satisfaction. …