We make health decisions everyday. We get our information from the Internet. As a society we are investing large amounts of funding for the health information systems. In this presentation, I tried to look from the perspective of a citizen and tried bringing a different perspective.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
The presentation showcases Latest Trends in Healthcare. Featuring start-ups in online healthcare space who are using technology to deliver better healthcare and information to users.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
The presentation showcases Latest Trends in Healthcare. Featuring start-ups in online healthcare space who are using technology to deliver better healthcare and information to users.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
Wake up Pharma and look into your Big data Yigal Aviv
The vast volumes of medical data collected offers pharma the opportunity to harness the information in big data sets
Unlocking the potential in these data sources can ultimately lead to improved patients outcomes
This presentation describes consideration how to maximize the impact of Big Data.
its methodology, practical challenges and implications.
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
Hospitals are charged with the dual task of keeping patients well while also keeping patients safe. The two are inextricably linked, as patient safety concerns often tie directly into patient health concerns — hand hygiene, transitions of care and medication errors are a few such concerns that come to mind.Looking prospectively, these concerns, and many others, will flow into the next calendar year. Some of the patient safety issues are long established, and will remain in the forefront of healthcare's mind for years to come. Here, in no particular order, are 10 important patient safety issues for providers to consider in the upcoming year.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
Utility and Added Value of Classifications in Health Information SystemsBedirhan Ustun
Health Information Systems; ICD, ICD11, SNOMED-CT, Use Cases showing benefits of use of classification- terminology systems; avoid and e-tower of Babel; electronic health record, Enhance Patient Care, Decision Support, Safety & Quality
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
Wake up Pharma and look into your Big data Yigal Aviv
The vast volumes of medical data collected offers pharma the opportunity to harness the information in big data sets
Unlocking the potential in these data sources can ultimately lead to improved patients outcomes
This presentation describes consideration how to maximize the impact of Big Data.
its methodology, practical challenges and implications.
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
Hospitals are charged with the dual task of keeping patients well while also keeping patients safe. The two are inextricably linked, as patient safety concerns often tie directly into patient health concerns — hand hygiene, transitions of care and medication errors are a few such concerns that come to mind.Looking prospectively, these concerns, and many others, will flow into the next calendar year. Some of the patient safety issues are long established, and will remain in the forefront of healthcare's mind for years to come. Here, in no particular order, are 10 important patient safety issues for providers to consider in the upcoming year.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
Utility and Added Value of Classifications in Health Information SystemsBedirhan Ustun
Health Information Systems; ICD, ICD11, SNOMED-CT, Use Cases showing benefits of use of classification- terminology systems; avoid and e-tower of Babel; electronic health record, Enhance Patient Care, Decision Support, Safety & Quality
The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care. Shemer J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
Overview of Health Informatics: survey of fundamentals of health information technology, Identify the forces behind health informatics, educational and career opportunities in health informatics.
The Philosophy, Psychology, and Technology of Data in HealthcareDale Sanders
Over-application of data and analytics in healthcare is alienating clinicians and, for the most part, not bending the cost-quality curves. This lecture spends 60% of the time on the softer issues, 40% on the technology.
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Information systems for health decision making - a citizen's perspective
1. Health, Health Care and Health
Information Systems
A Citizen’s Pitch to Information
Technology Decision Makers
Erdem Yazganoglu, MD, MA, MHSc
2010
1
2. What am I going to talk about?
•
•
•
•
Establishing Ground Rules
How did we come where we are?
Where are we now?
What does future look like?
The objective of this presentation is to create discussion; the
ideas are purposefully exaggerated. Use of first person is
intentional to increase the drama.
2
3. Establishing Ground Rules
1.
The objective of the health care system is to improve my health
and provide me with a comfortable death.
2.
The objective of every information system is to support decisions.
3.
The objective of health information systems is to support health
care decisions.
4.
In health care delivery, every activity I spend money on can be
considered a health care intervention and health information
systems are also health interventions.
5.
Any activity that does not have sufficient cost-benefit to me and
my community should not be maintained.
6.
Any record that health care system has about me is mine, I
should be able to decide what to do with it.
7.
Only I can make a change in my life for better health, nobody else
can. So my health decisions are the most important one for me.
3
4. Historical Development of Canadian Health
Care Sector
•
•
•
•
•
•
•
•
•
Hospital Insurance
Medically necessary services only
Expand to include pharmaceuticals and some home care
Can still be considered as “Sickness Care”
Engrained professional hierarchy, I am (the citizen/patient) the
lowest level in the hierarchy.
Historically, there was a great gap in medical knowledge between
professionals and patients.
Knowledge gap between patient and professionals created a
paternalistic relationship.
However, I am living in a country that has one of the highest literacy
levels in the world and I am now very well informed.
Paternalistic relationship has been dying everywhere in the society
and I want the same relationship with my health care providers.
4
5. Historical Development of Health
Information Systems
• Information system development follows the same route,
starts from the hospitals – patient registration, operating room
systems, scheduling systems, radiology systems, laboratory
systems, order entry systems, clinical decision support
system, etc.
• Health care professionals’ information needs are the primary
concern.
• Objective is to integrate sickness data to support decisions of
the health care providers for better health care for patients
• Billions of dollars are committed and spent.
• Expectations are cost effectiveness through higher quality of
care and reduced adverse events for patients and increased
productivity and efficiency for health system – still requires
evidence.
5
6. If hospital systems
are successful, what
percentage of
population benefit
from it?
6
Source: BC Ministry of Health, 2009
7. If hospital systems are successful, how
many of the 24,000 lives can be saved and
for how long?
Baker et al. (2004) The Canadian Adverse Events Study: the incidence
of adverse events among hospital patients in Canada, Canadian Medical Association Journal, May 25, 2004; 170 (11), pp:1678-1686
7
8. Health is a combination of a
multitude of factors
8
9. Who makes the decisions?
Adapted from: Eby and Kilo, IHI National Forum, Dec 2006
9
10. When we decide, where do we get our information?
• The primary source for
information is Internet, not
health care providers –
significantly age dependent
• Adults aged 18 to 34 were
more than 10 times as likely,
and adults 35 to 64 years
were more than 5 times as
likely to say they trust
information in the internet
than 65 years and older
group.
Hesse et al. (2005) Trust and Sources of Health Information - The Impact of the Internet and Its Implications for Health Care Providers: Findings 10 the
From
First Health Information National Trends Survey, Archives of Internal Medicine, No.165, pp:2618-2624
11. Has the source of information changed?
•
•
•
Patients still highly trust their physicians but using them less and less as
an information source.
Internet, although not trusted, still the primary source for cancer
information and shows further increases from 2005 to 2008.
If this is for cancer, what about other conditions?
Hesse B, Moser, R. (2010) Survey of Physicians and Electronic Health Information New England Journal of Medicine, Vol
11
362 No 9, pp 860, March 4, 2010
12. Gap between Providers and
Patients
• A lack of interactive communication technologies
available in the Internet
• A lack of health care professional production of
the information on the Internet
• A lack of interaction between these
professionals and patients on the Internet.
Lupianez-Villanueva, F (2009) Opportunities and Challenges of Web 2.0 within the health care systems:
An empirical explanation, Informatics for Health and Social Care, September 2009, 34(3): 117-126 12
13. Gap between cultures driving initiatives
Culture of Web 1.0
Culture of Health Services?
Culture of Health Information
Technology Implementation?
Hierarchy
Professional
Impersonal
Audience
Authoritative
Laws
Planned
Provider generated content
Regulated and Monitored
Large number of customers for few employees
Formal
Top-Down
Vertical
Command and Control
Managers/Professionals Rule
Sequential
Clear and Protected boundaries
Business to Business (B2B)
Culture of Web 2.0
Culture of Health 2.0?
Participation
Amateur
Personal
Community
Egalitarian
Rules
Trial and Error
Consumer generated content
Unregulated and unmonitored
Huge number of customers for few employees
Informal
Bottom Up
Horizontal
Adapt and Evolve
No one (or customers) rule
Self-organizing
Porous and Amorphous boundaries
Peer to Peer (P2P)
Adapted from: Stan Davies (2008) Health Care Leaders Association Conference, Vancouver, BC
13
14. What are barriers?
Overt and Known: Maintaining patient privacy and confidentiality
Covert and Unknown: Changing roles and unease with this
Kim J and Kim S (2009) Physician’s perceptions of the effects of Internet health information on the doctor – patient
relationship, Informatics for Health and Social Care, Vol:34, No.3, September 2009, pages 136 - 148
14
15. What about the information
Patient’s got from the Internet?
•
•
•
•
•
•
•
They check the quality of the information and don’t discuss ones
that they believe does not have high quality
They use it only for their own purpose
They don’t discuss it if they don’t have a physician or the time of
consultation is too short
They don’t want to challenge the position of the health care provider
being the sole voice of medical expertise in a consultation
They don’t want to be embarrassed, laughed at, seen negatively or
seen as overly concerned.
They have seen providers who are not listening, being dismissive,
uninterested, or not open to the information due to its source.
In order to save face, they sometimes present the information
without telling that it is from the Internet.
Imes, R. S. et al. (2008) Patients’ Reasons for Refraining from Discussing Internet Health Information with their
Healthcare Providers, Health Communication, 23:6, 538-47
15
16. Reframing
•
•
•
•
•
•
•
The objective of health information systems should be to support all health
decisions, not only health care decisions.
The decisions that needs to be supported are patients and/or citizen’s
health decisions because they affect many, made more often, and has long
term consequences.
The elephant in the room is the patient and citizen, similar to other aspects
in health care we always fight for the patient without knowing what they
actually want and think.
Health information and support for health decisions should be carried as
close as possible to the patient.
Integration of health record will/should occur through Personal Health
Record (PHR), because fundamentally patient is the only stakeholder of that
record and also the only person with vested interest.
Currently, health care sector is not ready to embrace social media and the
information gap between the society and health care system will continue to
increase. In order for heath services to provide more benefit, they need to
find a way to be in patient/citizen’s social network.
If EMR is going to be implemented, the one of the first modules to be
implemented must be the patient portal. An EMR that doesn’t have a patient
portal is excluding the most important stakeholder of that system.
16
17. Rhetorical Questions
1.
2.
3.
4.
Your primary care physician came and asked you to
contribute money to his EMR’s purchase and
maintenance, how much would you be willing to pay?
A PHR provider came to you and asked money to
provide your medical record under your finger tips,
how much would you be willing to pay?
Do you know any EMR implementation project that
used Social Media? Does your EMR selection process
has any Web 2.0 requirements?
Do you have an EMR (EHR) 2.0? I really want to hear
about it.
17
18. Summary Points
•
•
•
•
•
•
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Individuals make the majority of health decisions without the help of health
care professionals.
Timely and valuable information should be available, if health care system
serious about keeping them healthy.
Health care providers tends to be weary about the information individuals
get from the Internet but health care providers are not easily reachable
through web 2.0 tools
Information system investments are directed to improve hospital systems
where few in population with complex conditions benefit through health care
providers.
Information system technologies are not developed to link health care
providers with the patients.
Information system projects should be viewed as any other health care
intervention and should not be funded unless there is demonstrable net
health benefit.
There is a culture gap between what health care providers are used to and
comfortable with and what patients are doing and expecting.
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