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Social Media And Medicine, Part 2

Savinghands

Social media is about more than culling your flock.

That's something that the Internet allows you to do: cast your net to the entire world -- or at least, your geographic catchment area -- and make yourself easily found by those who find you appealing. A small fraction of the total, but enough to make a happy living with, and to stay busy with, keeping them happy.

And that last part is the key -- what differentiates social media from the medium of the Internet.

What separates caring for your patients from basic patient care.

I've referred to this before, in my regular EHR/EMR blog: today's doctors are so incredibly time-pressed that it's an uphill battle to see past the end of the shift. That can have a certain effect on patient care. If you think you're giving your all and some folks don't appreciate it, there are 5 more folks behind them clamoring for their spots. The emphasis is on getting those "difficult patients" to step aside, not on adjusting your outlook as an already harried provider.

Medical training has traditionally lagged here, too. The focus is on learning the body's systems and the various ways they can go south, and hopefully fixed. Managing your own attitude as a provider of care? That would be incredibly progressive and uncommon.

The reality is, physicians have had the luxury of going about business as usual, and finding their own way of "telling it like it is." The supply of healthcare providers was far smaller than the demand of patients, and supply and demand were the primary forces at play. Advantage: physicians.

With The New Reformation, things are shaping up differently.

Demand is still greater than supply, but there are other demands at play. Doctors are starting to be graded based on performance metrics -- what percentage of their diabetics have controlled cholesterol, what percentage of their female patients have had Pap smears, and so on. Payments are changing based on performance and patient satisfaction ratings. Rumblings from the President on down about shifting the pay scheme from quantity to quality of care.

All of which means, if you're a doctor, you can't bury your head in the sand, anymore.

Doing your own thing and knowing your CME Ps and Qs ain't gonna be good enough.

You're going to need a new adeptness.

Understanding what motivates people -- truly motivates them, not just what they say they want (e.g. "I can't afford those smoking cessation classes, doc," from the guy who has a satellite dish on his mobile home).

Appreciating that to sway numbers of people, you have to play within their mindsets, their viewpoints -- or have organization-level resources with money and manpower to burn to forcibly re-educate them.

Learning how to communicate in riveting ways, and the value in working on folks over time, continually.

Most importantly, believing that success in changing patient behavior directly depends upon the quality of your relationship with them. Relationships that you build and nurture over time with an integrated effort, central to your worldview. Not a lip service afterthought.

Or as social media folks say, Content Isn't King, Relationships Are.

Time to learn from the experts.

Filed under  //   The Reformation   social media  

Social Media Will Teach You Valuable Things, Doc, Except...

Think like me, agree with me

When you're trying to sell your idea, it's natural to assume that the people you're selling to think the way you do. If you can only show them the facts and stories that led you to believe what you believe, then of course they'll end up where you are... believing.

The problem, of course, is that people don't always think like you.

This is the kernel, the essence, of the dilemma for practicing physicians.

If only you knew what I know, seen what I'd seen, you'd be jumping at the chance to do what I'm telling you -- to turn your unhealthy habits around.

Of course, unless you're talking to another doctor, your patients haven't seen or studied what you have. Many will trust you and listen to your admonishments.

Many won't.

Seth Godin's post is the short version of his must-read book, All Marketers Are Liars (or the retitled version, All Marketers Tell Stories):

  • People believe what they believe: their viewpoint.
  • They will resist messages that counter their viewpoint.
  • Ergo, you can piss in the wind, or you can reframe you message so it doesn't clash.

Pretty obvious, if you put it that way.

The problem for doctors is that they can't do what Godin and most internet entrepreneurs recommend as an option:

...perhaps you should only market your idea to people who already think the way you do. After all, you're not running for president, you don't need a majority. Screen people by their behavior (what they read, what they buy, how they act) and only tell your story to the people who will embrace it. That's a lot easier to do that than it's ever been before.

Physicians have a limited ability to draw only compliant, sensible folks. We have to deal with all comers, because everyone deserves a shot at a healthier life, not just those who agree with us. Very few folks like to hear that cheeseburgers and chili fries aren't good for them, so we're stuck preaching to people whose viewpoint runs counter to what's good for them, good luck with that.

Or are we?

Think about it: if you're a full-time primary care doctor, you care for something on the order of 2,000 patients. Is that the sum total of everyone in your geographic area? Not unless you're the only doc in a small town (then, you've really got no choice but to deal with everyone).

Practicing in a medium to large city or town, you're drawing from many, many more thousands, if not millions of potential patients in your immediate geographic area. Only a fraction come to you, and by mutual agreement, are cared for by you.

How do they and you pick? Until now, by multiople "non-you" factors (accident, geography, insurance type), and a few key "you" factors (people like you, and refer their family, friends, or coworkers).

Can a better job be done at matching up your practice with patients who will listen to you, so you just care for those who will "embrace" what you have to offer?

  • Now that a majority of folks are on the Internet, and many are familiar with social media, texting, etc?
  • Can you leverage an Internet presence to cast your net to your local millions, and draw in just a few thousand? Heck, that's just bread and butter Internet entrepreneurship, right there. Mavens have been doing that for years.

Simple, right?

If only it were. More on that next time.

Filed under  //   Internet entrepreneurs   Seth Godin   social media