Nothing Is More Important Than Here

People my age in Paraguay and people my age in the States have a number of things in common, but one that sticks out is that their cell phones are lifelines. We just can’t seem to put them down, no matter the occasion. And so, I find myself having the same reaction here that I used to have in the States when my friends whipped out their phones in the middle of a conversation.

Yeah, I’ve already head this: Internet, social media, and cell phones allow you to expand your reach far beyond your physical location and the number of people you can talk to personally in a day. These connecting tools, message-sharing tools sell things, allow you to plan with your friends, and help you keep in touch with friends and family who are far away. They are powerful.

But, nothing you post on Facebook about our friendship will ever be as powerful as that conversation we had yesterday. Nothing is more important than here, the space you are occupying at the moment, and the people who are here with you. When you bury your nose in your phone during our conversation you only send me one message: Whatever is on that little screen is more important than whatever we have between us.

When you go to an event and spend your whole time instagraming, tweeting, and facebooking, you will miss the event. Do you have to text every one of your friends to see when they’re arriving? Yes, social media and texting is important. But living life—doing real things and connecting to people in person—comes first.

Sure, I am curmudgeonly when it comes to cell phones and social media. But, it’s not because I don’t use them or think they aren’t useful; I find them essential. But don’t make me fight What’sApp when I’m talking to you. Don’t make me give up telling my story because you are clearly more interested in scrolling through newsfeeds than listening. Give me the time of day for a conversation, a meal, or an afternoon. You just might have fun and, maybe, you’ll even have something that’s genuinely interesting to say on Facebook afterwards.

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Empower People to Take Ownership of Their Health

Public Health

The heated debate about U.S. health care focuses largely on health insurance and health care access. Of course, these two aspects are appropriate for the policy debate—there are few who would say our current system is optimal with regard to either, and many who say it’s not acceptable. But from a public health prospective, I can’t help but think of a slightly more humble part of the future of health in the U.S. –mainly the everyday tools everyday people can use to take ownership of their health. Two tools are of particular interest to me: the Internet and health tracking.

It’s not to say that Internet information or personal health tracking can replace medical professionals and their care, but it is to say that the health of the individual goes beyond medical visits and consultations with health care professionals. Many of us who do visit the doctor and the dentist may already know this—the forceful suggestions to exercise at least 4 times a week and to floss everyday remind us that maintaining our health is not just the responsibility of medical professionals.

It’s true that individual people can take ownership of their health on a daily basis. There are tons of health education initiatives trying to help people do that by providing them with information and specific steps they can take. What makes these initiatives both strong and weak is that they focus on one specific aspect of life that can improve health, like quitting smoking or exercising.

But, what if health education in the U.S. taught people how to find out about health conditions and healthy actions instead of focusing on disseminating the facts about conditions and healthy actions?

The Internet: A First Source of Health Information

According to a 2013 Pew Internet report, 35% of U.S. adults reported going online to try to diagnose a medical condition they or someone else had. Of these, 46% said their findings made them think they needed help from a medical professional and 38% said the condition was something they could take care of at home. In addition, 41% of the adults who used the Internet to form a diagnosis said that a medical professional confirmed their diagnosis.

What I find fascinating is that of adults who looked for health information online, 77% started their search on a search engine and only 13% said they started on a site that specializes in health information.

This leads to several questions:

  • How can we make the Internet, as a whole, a better source of health information?
  • How can we help individuals develop good online searching skills that will lead them to accurate health information online?
  • How can we make online health information easier to weed through?
  • How can we ensure that the most helpful, accurate, and credible sources of online health information come up when people search for health information?

Many health organizations are already putting health information online—not just research organizations but also doctor’s offices that allow you to view your medical records online.  But, putting information online is not enough. Empowering individuals to find health information on their own is going to also require helping people learn how to navigate the sea of information and creating tools that organize and sort that information.

Tracking Health: Health Empowerment

According to a 2013 Pew Internet report, 69% of U.S. adults track one or more health indicators (e.g. weight, exercise, or diet). Adults are more likely to track health indicators if they have one or more chronic health conditions. People have different ways of tracking these conditions—49% of adults reported tracking their health mentally, 34% reported tracking their health on paper, and 21% reported using technology to track their health.

What’s more, 63% of those who reported tracking their health also agreed with at least one statement of impact including: their tracking changed their approach to maintaining their (or someone else’s) health, caused them to ask their doctor questions or get a second opinion, and impacted a decision about treatment for a illness or condition.

Much like with Internet health information, personal tracking can provide individuals with knowledge about their health before they visit a health professional. The prevalence and impact of health tracking indicated in this report lead to several questions:

  • How can we help people become better at tracking their own health?
  • How can we develop tools to help people keep better track of their health?
  • How can we develop tools that not only track health but also provide analysis of the tracking results?

Access to technology can help individuals track their health, according to the same Pew Internet report one in five smartphone owners has a health app, but it’s not the only important piece to effective health monitoring. Providing people with the knowledge of what aspects of their health are most important to track and the skills to track those aspects with consistency is another key piece to the puzzle.

Health Ownership

Tools like the Internet allow individuals to find health information on their own and tools like health trackers empower individuals to monitor their own health. While online information and health trackers abound, the challenge with these tools is their usability and accessibility. The usability of these tools not only depends on the tools themselves but on individual’s skills and confidence in using the tools. The accessibility of the tools is about how an individual is going to find the tools when there is so much information online and so many different ways of tracking health.

As we look forward to improving public health, it may be worth shifting our focus from pushing information about specific conditions and actions to teaching skills that help individuals effectively find health information on any condition and track their health on their own.  It’s not enough to just push the facts, we need to empower individuals with health knowledge and skills so they can take ownership of their health.