Posts Tagged ‘Health’

Tracking the Flu

Wednesday, November 11th, 2009

There’s an interesting article on FastCompany.com about the different ways to track the spread of the H1N1 flu. In particular the article focuses on Google Flu Trends, which looks at the number of searches for flu-related keywords to gauge how different areas have been hit, and GE’s electronic medical records system, which have the ability to anonymously aggregate data.

Apparently just last month the CDC chose to use the GE reports as part of its H1N1 monitoring. It works like this:

Daily reports upload from GE Healthcare’s Medical Quality Improvement Consortium (MQIC), a repository designed with HIPAA-compliance parameters, of anonymous clinical data and best practices. Participating physicians automatically contribute de-identified data to MQIC each day through normal use of GE’s Centricity EMR when they document information collected during patient visits to physician offices and clinics. Operated by GE Clinical Data Services, which also provides research and analytical services, the MQIC database is growing at a rate of nearly 30 percent each year. In peer-reviewed studies the database has been validated as representative of demographic and co-morbidity averages in the U.S. population1.

Anyway, I mention this because I thought it might be cool if we could share some of this data with the public? Obviously it would need to be scrubbed, but Google’s Flu Trends offers an interesting peek into how aggregate data can be used to help give insights back to the consumers who are eventually responsible for it. It would also be quite interesting to compare the data from the two services.

The Impact of Calorie Listings

Wednesday, October 7th, 2009

Interesting New York Times article on the actual effect of the calorie listings in NYC.

It [an NYU study] found that about half the customers noticed the calorie counts, which were prominently posted on menu boards. About 28 percent of those who noticed them said the information had influenced their ordering, and 9 out of 10 of those said they had made healthier choices as a result.

What’s interesting is that just a few weeks ago someone mentioned a similar (maybe the same) study to me and said that what was also found was that if you anchored the calories with the suggested daily intake for adults the numbers went way down. The problem is a lack of anchoring.

Health as Currency

Tuesday, October 6th, 2009

An interesting idea from this Slate article on the relationship between health and wealth:

The “health-wealth gradient” refers to the fact that, as a general rule, the richer you are, the healthier you are. This applies across different countries and across the full range of social classes within the same country. (It’s not just that the very poorest people are sick.) No one knows exactly what causes the health-wealth gradient or why it’s so resilient. It may be that rich people have access to better health care. Or, as we’ve seen, it could be that being sick costs you money. Then there’s the possibility that poor people have a greater incentive to behave in unhealthy ways: Since they don’t have as much money to spend on happiness, they “spend” their health instead. (The pleasures of smoking and eating, for example, are easy on the wallet and hard on the body.)

Specifically it’s that last sentence: I had never thought of health as something you spend, but of course it is. I, for one, know that I go to the gym at least in part so that I can eat whatever I want. I am essentially purchasing health credits at the gym which I then spend on less healthy activities that I enjoy. Wow.

The Game of Health

Wednesday, August 19th, 2009

Dr. Jay Parkinson makes a point we’ve been making here quite a bit: That health needs to be a better game.

I say turn your health into a social game like Foursquare. Check in when you take your meds, go to the gym, walk to work, and eat like Michael Pollan. Tie this to your insurance premiums. In fact, I say turn life into one big game with various levels. Make the mundane fun. We’ve got the beginnings of the technology to do it. And I’m glad there are people like Dennis and Naveen who are there to show us how it’s done.

Turning Around the Economics of Going to the Doc

Tuesday, August 11th, 2009

One of the more interesting parts of the conversation we had with David Lee was around thinking about changing the economics of going to the doctor. As David explained, a regular doctor visit has a bad risk/reward situation: There is a low liklihood anything is wrong but good chance that if something is wrong that it’s serious. On top of this, people have a tendency to overestimate small risks and devalue the future, all leading to a situation where it’s hard to get people into a regular routine of visits.

So how can this be fixed? Well, it’s counterintuitive, but first off you’d need to accurately communicate to people the low risk of the situation by letting them know just how unlikely it is that anything is wrong with them. Then, in the case that something actually was, you’d have to be prepared with a good explanation of how to approach the issue and the liklihood of success (again, people will tend to think that the risk is higher than it really is).

Who’s Lying?

Tuesday, August 4th, 2009

During our time out in the Milwaukee-area we spent a fair amount of time talking about and looking at MR and specifically fMRI. I had heard of both and basically understood that fMRI allowed doctors and scientists to watch blood flow in the brain in real time. (I’ll do a post later that goes into the subject more deeply.)

Anyway, during our visit one of the GE folks showed us this article from Time magazine that uses an fMRI to come to some interesting conclusions about lying:

Greene suggests that in some circumstances, real honesty is not about overcoming the temptation to lie but about not having to deal with that temptation in the first place. On an fMRI image, at least, the lying brain may look no different from one that’s simply contemplating whether to lie. “Within the dishonest group, we saw no basis for distinguishing lies from honest reports,” says Greene.

Interesting.

How Are You Feeling Today?

Sunday, July 26th, 2009

While we were out at Waukasha we spoke to David Lee again. One of the things he said that was very interesting is that one of the best predictors of a person’s health is the question “how are you feeling today?”

With that in mind I was super fascinated to learn about Track Your Happiness (via Enjoymentland). The site is part of some doctoral research coming out of Daniel Gilbert’s lab (Gilbert wrote Stumbling On Happiness). As the site explains:

Track Your Happiness.org is a new scientific research project that aims to use modern technology to help answer this age-old question. Using this site in conjunction with your iPhone, you can systematically track your happiness and find out what factors – for you personally – are associated with greater happiness. Your responses, along with those from other users of trackyourhappiness.org, will also help us learn more about the causes and correlates of happiness.

This is super interesting to me and starts towards making health a better game, which we’ve been talking lots about.

The Marketing (Problem) of Health

Thursday, July 23rd, 2009

As part of this project and my new interest in healthcare, I’ve spent a fair amount of time thinking about how I believe health is essentially a marketing problem: An attempt to change consumer behavior through communication. With that in mind I was intrigued by this New Scientist editorial that suggests climate change has a positioning problem. Specifically the editorial suggests that science’s hard line that it’s not about belief, but rather fact, misses the point of how culture actually works:

People’s attitudes towards climate change, even Pope’s, are belief systems constructed through social interactions within peer groups. People then select the storylines that accord best with their personal world view. In Pope’s case and in my own this is a world view that respects scientists and empirical evidence.

Supporting the argument are a few examples (certainly not scientific) of people involved with reform around climate change ignoring the dangers of their own behaviors (something that seems common with doctors as well).

We’re in Wisconsin!

Monday, July 20th, 2009

Benjamin and I are out in Wisconsin visiting the folks at GE Healthcare for the next few day, so things should pick up around here.

We have another chat with David Lee as well as about 20 other stops over the next three days and we’ll do our best to get stuff posted in the evenings.

Awesome.

Unfounded Truths

Monday, June 22nd, 2009

Reading this short article about the value of health data to combat unfounded best practices reminded me of another story from How Doctors Think:

One of the most common congenital abnormalities of the heart is a hole between the two upper chambers, between the right atrium and the left atrium. Since the pressure in the left side of the heart is higher than in the right, blood will flow from the left atrium through the hole into the right atrium. This aberrant blood flow is called a shunt and can overload the right side of the heart, leading to heart failure and other complications. Lock told me that doctors send children for surgery to close these holes if there is a two-to-one shunt, meaning that twice as much blood flows through the right side of the heart than the left.

“Do you know where that two-to-one number came from?” [Dr. James] Lock [, chief of cardiology at Boston's Children's Hospital,] asked. I imagined ti was from careful clinical studies of children with the hold. “You would think so. But you’d be wrong. At a medical meeting in the 1960s, a pediatrician presented the question ‘When should the hold be closed?’ to a group of cardiologists. There was a heated debate about how much shunting required a surgical fix. So the meeting organizers, out of desperation, took a vote. Some voted for a lower number, some for a higher number. The median ended up being two-to-one. This was published in the American Journal of Cardiology. So now all textbooks have as the truth that you should close a hole when the shunt is two-to-one.

In reality, Children with a two-to-one shunt can live a healthy life without ever requiring treatment. Heart surgery, as one can imagine, is always a dangerous proposition that carries risks for the patients.