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Article

Chukwuma Ukoha and Andrew Stranieri

This paper aims to use the writings of Mikhail Bakhtin to reveal new insights into the role and impact of social media in health-care settings.

Abstract

Purpose

This paper aims to use the writings of Mikhail Bakhtin to reveal new insights into the role and impact of social media in health-care settings.

Design/methodology/approach

With the help of Bakhtin’s constructs of dialogism, polyphony, heteroglossia and carnival, the power and influences of the social media phenomenon in health-care settings, are explored.

Findings

It is apparent from the in-depth analysis conducted that there is a delicate balance between the need to increase dialogue and the need to safeguard public health, in the use of social media for health-related communication. Bakhtin‘s constructs elucidate this delicate balance and highlight the need for health-care providers that use social media to find the right balance between these competing communicational priorities.

Originality/value

This paper advances a nascent theoretical approach to social media research. By applying Bakhtinian ideas to consumer health informatics, this paper has the potential to open a new approach to theorizing the role of social software in health-care settings. Stakeholders in digital health will find this paper useful, as it opens up dialogue to further discuss the role of social media in health care.

Details

Journal of Information, Communication and Ethics in Society, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1477-996X

Keywords

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Article

Chris I. Enyinda, Alphonso O. Ogbuehi and Chris H. Mbah

The purpose of this paper is to identify key social medial channels which pharmaceutical firms need to consider when desiring to understand consumer behavior, build…

Abstract

Purpose

The purpose of this paper is to identify key social medial channels which pharmaceutical firms need to consider when desiring to understand consumer behavior, build, maintain and proactively manage relationships. Also, it proposes the application of analytic hierarchy process (AHP) sensitivity analysis algorithm to test the stability or robustness of the priority ranking. Specifically, this paper leverages performance sensitivity analysis to evaluate how small changes (perturbation) in the major objectives of the pharmaceutical relationship marketing (PRM) tactics within the social media environment will influence the ranking of the alternative course of actions.

Design/methodology/approach

This paper used AHP-based questionnaire survey to evaluate the relative importance of factors accounting for PRM and the impact of social media channels. The major objectives and the alternative strategies used were from literature reviewed. Interviews with senior managers were insightful and helpful in the wording, content and format of the questionnaire.

Findings

Customer engagement is the most important PRM tactic, followed by communication and trust. The performance sensitivity analysis carried out on the PRM tactics showed that the ranking associated with social media channel options remained robust or insensitive to small perturbations.

Research limitations/implications

The data procured for this paper were based on one focal pharmaceutical firm. Convincing the same to grant an interview and late responding to the questionnaire was a great challenge.

Practical implications

Social media impact on pharmaceutical marketing relationship is important for pharmaceutical marketers. PRM bodes well with the social media environment. Pharmaceutical industry can build and maintain relationships with consumers through social media. Firms that leverage social media to enhance their PRM tactics will be viewed favorably in terms of trust, transparency, openness and honesty. The results provide pharmaceutical marketing managers with insightful and valuable information with respect to the role or social media impact on the PRM. The AHP model, objectives and their relative importance provide valuable information for managers on how to monitor the values that matters to customers the most.

Originality/value

This paper is one of the very few on the PRM and perhaps the first that examines social impact leveraging the AHP model. In addition, this paper contributes to the relationship marketing literature by leveraging a multi-criteria decision-making algorithm to prioritize the most important factors accounting for the PRM strategies.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 12 no. 2
Type: Research Article
ISSN: 1750-6123

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Article

Ian Clark Sinapuelas and Foo Nin Ho

This paper aims to uncover the predictors of information exchange in social networking for health (SNH) care.

Abstract

Purpose

This paper aims to uncover the predictors of information exchange in social networking for health (SNH) care.

Design/methodology/approach

Using two national studies of consumers in the USA, this research examines how trust and social connections influence information exchange. The empirical analyses use a two-stage estimation approach and structural equation modeling.

Findings

The results show that higher trust encourages information getting, while social connections encourage information giving. In contrast to previous findings, this study shows that trust does not affect information giving when social connections are included in the model.

Research limitations/implications

This study focuses on the role of trust and social connections in predicting information exchange in SNH. Research on general social media use has explored the role of personalities in predicting use. While this study controls for demographic variables that correlate strongly with personality types that are significant predictors, future research can determine which of the big-five personality factors correlate with information exchange. While social media usage has been steadily increasing from 2005 to 2015, the authors are unable to track changes in social media activities in healthcare over time as this study uses cross-sectional data. Future research can use panel data that can track these changes.

Practical implications

First, managers of social networks can encourage individuals with expansive networks to share their stories, as they are more likely to offer information. Second, they need to build the trust of individuals before fully reaping the benefits of SNH. This issue is especially critical for SNH if medical practitioners and public health officials need to use SNH as a communication channel. Third, medical practitioners and public health officials may need to intervene when misinformation is prevalent in SNH.

Social implications

Health-care providers and public health officials informed of information exchange predictors can modify their strategies in enacting health-related policies.

Originality/value

This research is the first to explore the links between trust, social connections and information exchange in SNH care. This research contributes to existing knowledge by identifying the important roles of trust and social connections and separate routes that these constructs influence information exchange.

Details

Journal of Consumer Marketing, vol. 36 no. 5
Type: Research Article
ISSN: 0736-3761

Keywords

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Article

Mahmood Hajli, Hatem Bugshan, Xiaolin Lin and Mauricio Featherman

The emergence of Web 2.0 opened a new route for education to use the values derived from this development. The future of e-learning is social learning, where individuals…

Abstract

Purpose

The emergence of Web 2.0 opened a new route for education to use the values derived from this development. The future of e-learning is social learning, where individuals can learn online due to the facility of social media. Social media such as online communities are places for social interactions between users. These social interactions are the way forward and can drive social support in an online context. This paper aims to explore the impact of these interactions

Design/methodology/approach

This study uses social support theory to explore the impact of social interactions on the internet on learning and education. The research uses a case study and investigates the health industry.

Findings

The paper explains the development in e-learning through social media and the emerging concept of social learning.

Originality/value

The contribution of this research is to emphasise social relationships of individuals in the internet and social interaction in online communities which enhance their learning qualities. The research drawn on social support theory describes social learning as a future for e-learning.

Details

European Journal of Training and Development, vol. 37 no. 9
Type: Research Article
ISSN: 2046-9012

Keywords

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Article

Sudha Cheerkoot-Jalim and Kavi Kumar Khedo

This work shows the results of a systematic literature review on biomedical text mining. The purpose of this study is to identify the different text mining approaches used…

Abstract

Purpose

This work shows the results of a systematic literature review on biomedical text mining. The purpose of this study is to identify the different text mining approaches used in different application areas of the biomedical domain, the common tools used and the challenges of biomedical text mining as compared to generic text mining algorithms. This study will be of value to biomedical researchers by allowing them to correlate text mining approaches to specific biomedical application areas. Implications for future research are also discussed.

Design/methodology/approach

The review was conducted following the principles of the Kitchenham method. A number of research questions were first formulated, followed by the definition of the search strategy. The papers were then selected based on a list of assessment criteria. Each of the papers were analyzed and information relevant to the research questions were extracted.

Findings

It was found that researchers have mostly harnessed data sources such as electronic health records, biomedical literature, social media and health-related forums. The most common text mining technique was natural language processing using tools such as MetaMap and Unstructured Information Management Architecture, alongside the use of medical terminologies such as Unified Medical Language System. The main application area was the detection of adverse drug events. Challenges identified included the need to deal with huge amounts of text, the heterogeneity of the different data sources, the duality of meaning of words in biomedical text and the amount of noise introduced mainly from social media and health-related forums.

Originality/value

To the best of the authors’ knowledge, other reviews in this area have focused on either specific techniques, specific application areas or specific data sources. The results of this review will help researchers to correlate most relevant and recent advances in text mining approaches to specific biomedical application areas by providing an up-to-date and holistic view of work done in this research area. The use of emerging text mining techniques has great potential to spur the development of innovative applications, thus considerably impacting on the advancement of biomedical research.

Details

Journal of Knowledge Management, vol. 25 no. 3
Type: Research Article
ISSN: 1367-3270

Keywords

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Article

Peter Bates, Sam Smith and Robert Nisbet

Local policies often prohibit care staff from online contact with the people they support. The purpose of this paper is to review the reasons put forward for this ban and…

Abstract

Purpose

Local policies often prohibit care staff from online contact with the people they support. The purpose of this paper is to review the reasons put forward for this ban and seek explanations.

Design/methodology/approach

The paper examines relevant literature on the use of social networking by disabled and nondisabled people. This paper offers a critique of common policies and justifications and poses a challenge to those who impose such regulations.

Findings

The paper finds no support for current policies.

Research limitations/implications

The authors found only a limited amount of research in this area, and research findings were not commonly utilised by policy makers.

Practical implications

Policy makers and regulators need to take a more rigorous and person-centred approach to rule making in respect of social media.

Social implications

A widespread ban on the use of social media in communications between staff and the people they support is exposed as paternalistic and exacerbating infantilisation and exclusion rather than seeing disabled people as digital citizens. Regulators and those with responsibilities for safeguarding need to adopt a more empowering and person-centred approach.

Originality/value

This paper will only make a difference if regulators and those with responsibilities for safeguarding adopt a more empowering and person-centred approach rather than the fear-based blanket prohibitions that have applied to date.

Details

The Journal of Adult Protection, vol. 17 no. 2
Type: Research Article
ISSN: 1466-8203

Keywords

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Article

Shwadhin Sharma and Anita Khadka

Drawing on the taxonomy of patient empowerment and a sense of community (SoC), the purpose of this paper is to analyze the factors that impact the intention of the…

Abstract

Purpose

Drawing on the taxonomy of patient empowerment and a sense of community (SoC), the purpose of this paper is to analyze the factors that impact the intention of the individual to continue using online social health support community for their chronic disease management.

Design/methodology/approach

A survey design was used to collect the data from multiple online social health support groups related to chronic disease management. The survey yielded a total of 246 usable responses.

Findings

The primary findings from this study indicate that the informational support – not the nurturant support such as emotional, network, and esteem support – are the major types of support people are seeking from an online social health support community. This research also found that patient empowerment and SoC would positively impact their intention to continue using the online health community.

Research limitations/implications

This study utilized a survey design method may limit precision and realism. Also, there is the self-selection bias as the respondents self-selected themselves to take the survey.

Practical implications

The findings can help the community managers or webmasters to design strategies for the promotion and diffusion of online social health group among patient of chronic disease. Those strategies should focus on patient’s empowerment through action facilitating and social support and through creating a SoC.

Originality/value

An innovative research model integrates patient empowerment and a SoC to study patient’s chronic disease management through online social health groups to fill the existing research gap.

Details

Information Technology & People, vol. 32 no. 6
Type: Research Article
ISSN: 0959-3845

Keywords

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Article

Prabhat K. Dwivedi

The purpose of this paper is to develop an improvised sustainable health-care model by integrating best practices, innovations and new dimensions to the present public…

Abstract

Purpose

The purpose of this paper is to develop an improvised sustainable health-care model by integrating best practices, innovations and new dimensions to the present public health-care system – National Rural Health Mission (NRHM) – for improving the health status of the bottom of pyramid (BoP) in India.

Design/methodology/approach

The contribution of NRHM in ensuring the availability of health-care services and improving health indicators has been assessed. Some unique proven models of excellent health-care services and innovations have also been considered in designing an improvised health-care model. The empirical context takes the use of case study research methodology. The data have been extracted from various relevant papers, reports and websites.

Findings

Despite substantial augmentation in health infrastructure and human resources, increased local engagement and technology integration, the progress in health indicators during the NRHM has not been fairly better than that before. The present paper provides an improvised model that integrates all the potential stakeholders such as Government, Private health-care services providers, pharmaceutical and insurance companies and BoP community itself to ensuring 5As rather than 4As (Prahalad, 2004) in rural health care.

Research limitations/implications

This study has relied mainly upon the secondary sources of data and some published case studies. The model is a hypothetical framework designed exclusively for rural setups of India.

Practical implications

The study shows the ways and invites all the stakeholders to come forward and build hybrid partnerships not only to develop society but also to develop sustainable BoP markets and earn profits.

Originality/value

The paper brings forth the aspects of achievements and limitations of NRHM in improving BoP health status, and it develops an improvised model to achieve the BoP-health objectives.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 9 no. 3
Type: Research Article
ISSN: 1750-6123

Keywords

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Article

Manisha Kumar, Nicholas Rich, Maneesh Kumar and Ying Liu

This paper aims to explore patient to care provider reverse exchanges to improve the care processes and service supply chain using an online feedback platform. This paper…

Abstract

Purpose

This paper aims to explore patient to care provider reverse exchanges to improve the care processes and service supply chain using an online feedback platform. This paper demonstrates how a better understanding of timely and unsolicited feedback (“voice of the patient as a customer”) stimulates local interventions to improve service delivery and enact the essential characteristics of highly reliable organisations (HRO).

Design/methodology/approach

A realist approach involving an exploratory hospital case study using user feedback from an IT patient feedback platform. The methodology included interviews, secondary data and access to thousands of patient feedback narratives.

Findings

The findings show that a systems approach to the supply chain, using real-time feedback to enact process improvement is beneficial and a fruitful source of innovation for professional services staff. The setting of the improvement focusses on a true “voice of the customer” rather than attempting to improve arbitrarily internal process efficiency has major benefits for staff and their engagement with the right interventions to support higher performance.

Practical implications

The findings show major positive benefits for the adaptation and constant reflection of staff on the service provided to patients. The approach provides a means of reflecting as to whether the current supply chain and service provision are fit for purpose, as well as reliable, efficient and of value to the consumer.

Originality/value

This study is one of a few that adopt the consumer orientation needed to fully exploit the concepts of patient-centric improvement by including dynamic feedback in the supply chain and systems approach to care.

Details

Supply Chain Management: An International Journal, vol. 26 no. 3
Type: Research Article
ISSN: 1359-8546

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Article

Tahereh Dehdarirad and Jonathan Freer

During recent years, web technologies and mass media have become prevalent in the context of medicine and health. Two examples of important web technologies used in health

Abstract

Purpose

During recent years, web technologies and mass media have become prevalent in the context of medicine and health. Two examples of important web technologies used in health are news media and patient forums. Both have a significant role in shaping patients' perspective and behaviour in relation to health and illness, as well as the way that they might choose or change their treatment. In this paper, the authors investigated the application of web technologies using the data analysis approach. The authors did this analysis from the point of view of topics being discussed and disseminated via patients and journalists in breast and lung cancer. The study also investigated the (dis)alignment amongst these two groups and scientists in terms of topics.

Design/methodology/approach

Three data sets comprised documents published between 2014 and 2018 obtained from ProQuest and Web of Science Medline databases, alongside data from three major patient forums on breast and lung cancer. The analysis and visualisation in this paper have been done using the udpipe, igraph R packages and VOSviewer.

Findings

The study’s findings showed that in general scientists focussed more on prognosis and treatment of cancer, whereas patients and journalists focussed more on detection, prevention and role of social and emotional support. The only exception was for news coverage of lung cancer where the largest cluster was related to treatment, research in cancer treatment and therapies. However, when comparing coverage by scientists and journalists in terms of treatment, the focus of news articles in both cancer types was mainly on chemotherapy and complimentary therapies. Finally, topics such as lifestyle or pain management were only discussed by breast cancer patients.

Originality/value

The results obtained from this study may provide valuable insights into topics of interest for each group of scientists, journalist and patients as well as (dis)alignment among them in terms of topics. These findings are important as scientific research is heavily dependent on communication, and research does not exist in a bubble. Scientists and journalists can gain insights from patients' experiences and needs, which in turn may help them to have a more holistic and realistic view.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-06-2020-0228

Details

Online Information Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1468-4527

Keywords

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