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Medical Informatics 2.0 - Medical Informatics in the Biopsychosocial Perspective
 

Medical Informatics 2.0 - Medical Informatics in the Biopsychosocial Perspective

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Presentation I made at KOSMI (Korean Society of Medical Informatics) Spring Conference 2010

Presentation I made at KOSMI (Korean Society of Medical Informatics) Spring Conference 2010

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    Medical Informatics 2.0 - Medical Informatics in the Biopsychosocial Perspective Medical Informatics 2.0 - Medical Informatics in the Biopsychosocial Perspective Presentation Transcript

    • Medical Informatics 2.0Medical Informatics in the Biopsychosocial Perspective Kim, Boram Biomedical Knowledge Engineering Laboratory Seoul National University jgkim@bike.snu.ac.kr June 18th, 2010
    • Dr. Who? Image Courtesy of Mark, http://www.flickr.com/photos/mkmabus/3043746314/
    • Medicine is a caring profession. Image Courtesy of Mark Härtl, http://www.flickr.com/photos/markhaertl/2517121254/
    • Image Courtesy by Tate, London, “The Doctor” by Sir Luke Fieldes, 1891Medicine is a caring profession. Image Courtesy of Mark Härtl, http://www.flickr.com/photos/markhaertl/2517121254/
    • Physician satisfaction is closely associated with quality of care. Image Courtesy of Mark Härtl, http://www.flickr.com/photos/markhaertl/2517121254/
    • If an intimate relationship with patientsremains the primary concern of physicians, high- quality medical care will persist. Image Courtesy of Mark Härtl, http://www.flickr.com/photos/markhaertl/2517121254/
    • Patient satisfaction is important for good physician-patient relationship. Image Courtesy of Mark Härtl, http://www.flickr.com/photos/markhaertl/2517121254/
    • Personalized care maximizes patient satisfaction. Image Courtesy of Melanie Dean, http://www.flickr.com/photos/mmgoode/3195791090/
    • Patients especially want a physician who:does not judge, understands, supportsis always honest and directacts as partner in maintaining healthtreats serious and non-serious conditionsattends to emotional and physical healthlistens to meencourages me to lead healthier lifestyletries to get to know mecan help with any problemis someone I can stay with as I grow older Image Courtesy of Melanie Dean, http://www.flickr.com/photos/mmgoode/3195791090/
    • Image Courtesy of Melanie Dean, http://www.flickr.com/photos/mmgoode/3195791090/
    • “The treatment of a disease may be entirely impersonal; the care of a patient must be completely personal.” Image Courtesy of Xavier J. Peg, http://www.flickr.com/photos/37374589@N02/4676171895/
    • Modern medicine had fragmented the health caredelivery system to too great a degree and uses a disease-oriented approach to health care. Image Courtesy of Xavier J. Peg, http://www.flickr.com/photos/37374589@N02/4676171895/
    • Physicians and patients havedifferent views of ill-health. Image Courtesy of Xavier J. Peg, http://www.flickr.com/photos/37374589@N02/4676171895/
    • Illness means “what the patient feels when hegoes to the doctor” and “disease means what he has on the way home from the doctor’s office.” Image Courtesy of Beatriz AG, http://www.flickr.com/photos/bea-258/4469658429/
    • Disease refers to abnormalities of the structureand functions of body organs and systems, which can bespecifically identified and described by reference to certain biological, chemical or other evidence. Image Courtesy of Beatriz AG, http://www.flickr.com/photos/bea-258/4469658429/
    • Illness refers to the subjective response of the patient to being unwell. Image Courtesy of Beatriz AG, http://www.flickr.com/photos/bea-258/4469658429/
    • During consultations, physicians need tointerpret the patient’s vague symptoms andmake decisions with the patient’s subjective view of his own illness. Image Courtesy of Dane Petersen, http://www.flickr.com/photos/thegreatsunra/4673600472/
    • Many of clinical decisions are made on aheuristic basis (intelligent rules of thumb). Image Courtesy of Dane Petersen, http://www.flickr.com/photos/thegreatsunra/4673600472/
    • The physician-patient relationship has its role in the decision making process. Image Courtesy of Dane Petersen, http://www.flickr.com/photos/thegreatsunra/4673600472/
    • The disease model cannot deal with personal, cultural, and social factors in ill-health, which arebetter viewed from the perspective of illness. Image Courtesy of Royal Anthropological Institutes Education Outreach Programme, http://www.flickr.com/photos/raieducation/4171757602/
    • Psychosocial factors influence health. Image Courtesy of Royal Anthropological Institutes Education Outreach Programme, http://www.flickr.com/photos/raieducation/4171757602/
    • Biological factors, including generics,environmental factorsthat affect physiologic functioning, and behaviors that affect biologic functioning Image Courtesy of Royal Anthropological Institutes Education Outreach Programme, http://www.flickr.com/photos/raieducation/4171757602/
    • Psychological factors, including affective, cognitive, andbehavioral components Image Courtesy of Royal Anthropological Institutes Education Outreach Programme, http://www.flickr.com/photos/raieducation/4171757602/
    • Sociologic factors, including access to health care, quality of available health care, social systems, andsocial values, customs, and social support Image Courtesy of Royal Anthropological Institutes Education Outreach Programme, http://www.flickr.com/photos/raieducation/4171757602/
    • Human beings are infinitely complex. Image Courtesy of Deadstar, http://www.flickr.com/photos/deadstar/3206879752/
    • In biomedicine, abstractions of human beings would be worthless from either a clinical or research perspective. Image Courtesy of Deadstar, http://www.flickr.com/photos/deadstar/3206879752/
    • To adequately conceptualize a person in healthor ill-health requires a systems approach that encompasses this complexity. Image Courtesy of Deadstar, http://www.flickr.com/photos/deadstar/3206879752/
    • Medical informatics can help physicians gain a comprehensive understanding of the patient’s illness. Image Courtesy of Deadstar, http://www.flickr.com/photos/deadstar/3206879752/
    • Primary care is the provision of continuing,comprehensive care in a personalized manner to patients undifferentiated by age, gender, disease, or organ system. Image Courtesy of Lindsay, http://www.flickr.com/photos/linzy_320/3632964641/
    • The unique nature of primary care necessitates the development ofits own informatics discipline. Image Courtesy of Lindsay, http://www.flickr.com/photos/linzy_320/3632964641/
    • Heuristic decision making rather than deductive reasoning Image Courtesy of Lindsay, http://www.flickr.com/photos/linzy_320/3632964641/
    • The more holistic, biopsychosocial model instead of the more straightforward biomedical one Image Courtesy of Lindsay, http://www.flickr.com/photos/linzy_320/3632964641/
    • a patient-centered consulting style, not a disease-oriented treatment Image Courtesy of Lindsay, http://www.flickr.com/photos/linzy_320/3632964641/
    • Challenge: Time for Care Image Courtesy of Toni Verdú Carbó, http://www.flickr.com/photos/tonivc/2283676770/
    • The most common and natural approach togathering psychosocial data is interviewing the patient over time. Image Courtesy of Toni Verdú Carbó, http://www.flickr.com/photos/tonivc/2283676770/
    • In the interest of economy, time for patient care is becoming increasingly threatened. Image Courtesy of Toni Verdú Carbó, http://www.flickr.com/photos/tonivc/2283676770/
    • It’s impossible to develop an intimate physician-patient relationship within 3-5 minutes. Image Courtesy of Toni Verdú Carbó, http://www.flickr.com/photos/tonivc/2283676770/
    • Lay people has started to generate and disseminate content thanks to Web 2.0 as a two-way medium.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • Lay people has started to generate and disseminate content thanks to Web 2.0 as a two-way medium.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • Lay people has started to generate and disseminate content thanks to Web 2.0 as a two-way medium.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • Lay people has started to generate and disseminate content thanks to Web 2.0 as a two-way medium.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • They also publish their everyday life as content.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • They also publish their everyday life as content.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • They also publish their everyday life as content.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • They also publish their everyday life as content.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • It could be used as their psychosocial data in terms of medicine and health.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • It could be used as their psychosocial data in terms of medicine and health.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • It could be used as their psychosocial data in terms of medicine and health.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • It could be used as their psychosocial data in terms of medicine and health.Image Courtesy of Time, Inc., http://www.time.com/time/magazine/article/0,9171,1569514,00.html
    • With increasing number of e-Patients, moreonline medical consulting services appear. Image Courtesy of Jessica, http://www.flickr.com/photos/fenchurch/2582749477/
    • With increasing number of e-Patients, moreonline medical consulting services appear. Image Courtesy of Jessica, http://www.flickr.com/photos/fenchurch/2582749477/
    • With increasing number of e-Patients, moreonline medical consulting services appear. Image Courtesy of Jessica, http://www.flickr.com/photos/fenchurch/2582749477/
    • With increasing number of e-Patients, moreonline medical consulting services appear. Image Courtesy of Jessica, http://www.flickr.com/photos/fenchurch/2582749477/
    • Physician-patient relationships can be developed and captured in social networks. Image Courtesy of Jessica, http://www.flickr.com/photos/fenchurch/2582749477/
    • The vision of primary care informatics can be achieved by encompassing Health 2.0. Image Courtesy of Pop!Tech, http://www.flickr.com/photos/poptech2006/2969515803/
    • Researches in primary care informatics willprovide data models and processing methods that can be used for patient-centered primary medical care. Image Courtesy of Pop!Tech, http://www.flickr.com/photos/poptech2006/2969515803/
    • Data generated on the Web by patients can beharnessed to collect their psychosocial data as well as their biomedical data. Image Courtesy of Pop!Tech, http://www.flickr.com/photos/poptech2006/2969515803/
    • Thank You Image Courtesy of Ben Heine, http://www.flickr.com/photos/benheine/4561195225/