Health Benefits of the Internet

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  • Matt
    Health
    “Health is a stat of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (WHO)
    Internet
    “A network of computer networks which operates world-wide using a common set of communications protocol”
    What do we get when we combine the two? We get ehealth. Wkipedia has ehealth. Health care practice that is supported by electronic processes.
  • Bae
    Technological Advances
    The information technology that is available through the internet is mobile and it reduces the distance between our limited knowledge and the vastness of the worlds knowledge.
    Homes are embedded with chips, electronic sensors and hardware to improve the way Americans find out specific information, specifically health info.
    Behavior Shift
    There is a new wave of responsibility over individual health. Consumers are taking part in their own health care decisions. Before a persons health would be trusted in the hands of a doctor and now people are actively seeking information about their health.
    Curing to Prevention
    This new wave of personal responsibility is changing the US focus of health from curing diseases to preventing them and consumers are taking the initiative to enhancing their own health status.
  • Bae
    These E-health users are connected through a web of limitless information of health and health care for a number of reasons.
    Matt
    Here we have, Government, Public, Doctors, Health Care Providers. Each pod sees particular advantages to this limitless web.
  • Matt
    SO what’s the BIG DEAL. It’s the internet. I can get pics of my favorite actors. I IM friends. I can even send e-vites for parties. I’ve been doing this for years.
  • Matt
    There is so much data, statistics, for so many things. The information comes thru in seconds. We can ask questions. We can find answers. We don’t even have to leave our house. There is a wealth of information available.
  • Matt
    The ehealth network offers feed back mechanisms. Electronic forms are available. Emails can be sent directly to care persons. Countless statistics available to assist in researching diseases. All of these mechanisms continue to improve and drive electronic health.
  • Matt
    In Ehealth, everyone has a voice. The internet does not discriminate. Anyone can publish. Anyone can have a blog. Anyone can rate a doctor or hospital. Anyone can ask a question. Anyone that has access, that is.
  • Bae
    This information was from Betterhealth.com. They polled a random sample of people online to see what information people were searching for on the internet. The information for seeking out a doctor was on the bottom of the list. People were becoming more active about their own health and ways to remain healthy through fitness and nutrition and diet.
  • Bae
    This was a survey from Pew. It was an online health survey of 900 US adults in 2002 and 2004 about the use of internet for health related information. The percentage of people that utilized the internet for their health information needs increased in two years in each health category.
  • Bae
    Mass Media
    Mass media programs appear to have a number of advantages over traditional public health strategies.
    Mass media is a powerful companion in health promotion actions.
    Allows significant level of recall
    Able to reach a large population
    Has gained increased popularity as a strategy for delivering preventive health messages.
    Hard-hitting and powerful message which is more often than not available to other avenues
    Trend of self-reliance and patient power
    There is more control over individual health.
    Current Information
    New drugs, new information
    Research studies that could potentially cure future generations.
  • Matt
    Internet allows the ptn to research chronic ‘under the radar’ type conditions; e.g., nagging back pain, bunions, warts, sleepless nights etc. When the condition elevates to the doctor’s visit, the ptn is more informed and can make efficient time with dr. BTW, the dr doesn’t give much time anyway. Must make best use of time. This can improve the relationship.
  • Matt
    Patient can get information on prevention of diseases, e.g., good diets, exercise, etc. The information is often times free. No co pay. No deductible. The information educates the ptn to allow for better communication with health care providers. When ptns are stressed about their conditions, the internet can offer a support role in information and support groups. Also, families and friends can do their own research and offer help or support to their loved one.
  • Bae
    …use this as an intro to the following slides…
  • Bae
    Patients shift more towards the internet and self-reliance because of the continued disappoint and frustration from medical care and physicians.
    Away from the BALANCE:
    Consumers demand more health information and where there is lack thereof, the internet supplies people with this information.
    The duration of doctor visits are short and adds on to the dissatisfaction and frustration.
    The burden of cost and time to see a physician is towards the patient.
    Doctors and human error.
    This framework only leads patients more towards self-reliance
    Positive feedback from the internet
    Able to make informed health decisions
    Have a network of self-support group
    Convenient
    Anonymous
    CHEAP
    Able to get in touch with experts on a global scale
  • Bae
    Caption 1
    The doctor has a strong influence on the patient
    Patients are left in the dark hold of ignorance and left uninformed
    Caption 2
    Physicians have patients on a line and medical information is provided to patients with the physician’s discretion
  • Bae
    Caption 3
    New wave of patients educating themselves through internet sources
    Caption 4
    There is a new level of information gap and patients are more educated and the relationship of physician and patient is balanced
  • Matt
    How does ehealth help the doctor? He gets a more knowledgeable patient. Maybe this is a bad thing, but lets assume that a patient then makes better use of the doctor’s time. The person may not even choose to visit the doctor. A doctor can also has information available at his fingertips. Unusual symptoms can be searched online. Also referrals can be instantly processed and reviewed online. Lets looks at health care administration, not getting care to the people, but the administrative duties.
  • Matt
    Able to use the internet as a tool for promotion and their own research.
    They are able to retrieve data on recent health issues that enables them to get information on rare health conditions
    The internet is able to provide recent health news
    Health Professions can use the internet to recruit subjects from different facets, specifically for clinical trials
    Recruitment of subjects could also from support groups
    Allows them to track referrals
    Allows them to track cost
    Remember that streamlining administrative costs is supposed to reduce health care costs (Refer to Mr. DiMarco in PHCA). Reducing administration is big.
  • Matt
    Ehealth can help with community outreach through data presentation and communication and the though donor networks. A more knowledgeable community is healthier (as shown later).
  • Matt
    Will the internet bring all these people into your life to assist in you quest for health? No. However studies have shown that patients who use the internet are more informed, more satisfied, and may have higher self esteem.
  • Matt
    Interventions with family and patient. Idea is to teach them to use the internet to search for information about their disease. 100% felt the sessions were helpful and clear. 96% would use again. 78% would share information with doctor.
    Reference: Edgar, L, Greenberg A, Remmer J. Providing internet lessons to oncology patients and family members: a shared project. Psycho-Oncology 2002; 11: 43.9-446.
  • Bae
    Engel, et. Al. intervened with breast cancer ptns in NYC. They educated groups on the use of internet and used standard psychosocial questionnaires to determine levels of loneliness and self esteem. What they found was that minority groups showed the greatest boost in self esteem through these interventions. Their recommendation is to intervene with minority groups by providing internet access and education to improve inner health (psyche).
  • Bae
    The internet is becoming a mass medium of information spreading widely among the world. This is significant to the sector of e-health because this provides a means for prevention and health promotion. The access of information to all aspects of health care are endless.
  • Bae
    Patients are able to acquire good quality, evidence based information about health disease topic and drugs so they can take an active part in decisions about their health care
    The amount of information available to patients is increasing, particularly through the internet
    The quality of this information remains variable
    Access directly to articles, new research findings
    Able to find specified support group for any topic area or you can create a new support group site if its not available.
  • Bae
    In this chart, Miller and Reents compiled dialogues of what consumers seek online about health and disease topics.
    The consumer e-health users are growing in the number of disease-specific online communities.
    People are educating themselves about what they can do to enhance their health status.
  • Bae
    Online Communities
    Online health communities provide a means for patients and their families to learn about an illness, seek and offer support, and connect with others in similar circumstances.
    Spreading the Word
    The word is being spread through patients, advocacy groups, medical organizations and corporations
    Promote overall health of the population
    The increased infiltration and the use of internet changes in the health care system will impact quality of life and health literacy for the overall population
  • Matt
    Not everyone has the upper hand when dealing with ehealth.
    Older people, seniors for example,
    not internet savvy
    never have used a computer
    identity will be stolen
    Social status
    Computers aren’t cheap
    Internet access isn’t cheap
    People with limited funds = luxury
    Education
    Younger people need computer (school)
    Educated more apt to be familiar
    Accessible
    Libraries do have access.
    What cost?
    What training sessions?
  • Matt
    Interventions (as discussed) with patients and families
    Cheaper computers
    Better access in libraries.
    More educational sessions.
    What do we do before you get sick?
  • Matt
    Easy there fella.
    Don’t believe everything you read (not even in the NYT).
    Don’t ignore Dr
    This is new
    No tremendous amt of scientific study here.
  • Bae and Matt
    This is our quick summary.
    Benefits of ehealth. It’s new. It’s changing. There are pitfalls. Hold on…here we go.
  • Health Benefits of the Internet

    1. 1. Health Benefits of theHealth Benefits of the InternetInternet Bae SoukphouangkhmBae Soukphouangkhm Matthew WilliamsonMatthew Williamson
    2. 2. Health + healthE −Internet =
    3. 3. RevolutionRevolution  Technological  Behavior shift  Curing to prevention
    4. 4. Government Health Care Providers Doctors Public E-Health Users
    5. 5. What’s the…What’s the…
    6. 6. WWWWWW FlexibleFlexible FastFast Instant communicationInstant communication Tons of infoTons of info
    7. 7. Communication FeedbackCommunication Feedback FormsForms EmailsEmails StatisticsStatistics
    8. 8. Every Voice Can Be HeardEvery Voice Can Be Heard
    9. 9. Health Information Sought on theHealth Information Sought on the InternetInternet
    10. 10. Trend of Internet Use for HealthTrend of Internet Use for Health ConcernsConcerns Health promotion mass media campaignsHealth promotion mass media campaigns increase health awarenessincrease health awareness Trend towards self-reliance and patientTrend towards self-reliance and patient power.power. Current information.Current information.
    11. 11. Patient Doctor RelationshipPatient Doctor Relationship Under RadarUnder Radar – Self diagnosisSelf diagnosis Efficient Dr TimeEfficient Dr Time – Know as muchKnow as much – Less time with DrLess time with Dr RequiredRequired ProvidedProvided
    12. 12. Advantage - PatientAdvantage - Patient PreventionPrevention Cheap researchCheap research EducationEducation SupportSupport –PatientsPatients –FriendsFriends
    13. 13. Impact of Health Care AmongImpact of Health Care Among PatientsPatients http://www.jmir.org/content/jmir_v4/jmir_v4i2/jmir_v4i2e7_fig3.jpghttp://www.jmir.org/content/jmir_v4/jmir_v4i2/jmir_v4i2e7_fig3.jpg
    14. 14. Patient and the InternetPatient and the Internet Anderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician-patientAnderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician-patient relationship.relationship. J Med Sys.J Med Sys. 2003; 27(1):67-83.2003; 27(1):67-83.
    15. 15. Evolution of “Information Gap”Evolution of “Information Gap” between Patient-Physicianbetween Patient-Physician Anderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician-Anderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician- patient relationship.patient relationship. J Med Sys.J Med Sys. 2003; 27(1):67-83.2003; 27(1):67-83.
    16. 16. Evolution of “Information Gap”Evolution of “Information Gap” between Patient-Physicianbetween Patient-Physician Anderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician-Anderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician- patient relationship.patient relationship. J Med Sys.J Med Sys. 2003; 27(1):67-83.2003; 27(1):67-83.
    17. 17. Advantage - DoctorAdvantage - Doctor Education patientEducation patient Efficient face timeEfficient face time Less nuisance visitsLess nuisance visits E-officeE-office
    18. 18. Advantage - MedicalAdvantage - Medical ProfessionalsProfessionals Information on rare health conditionsInformation on rare health conditions Health newsHealth news Recruit subjects for clinical trials andRecruit subjects for clinical trials and support groups (advertise)support groups (advertise) Reduce layers of administrationReduce layers of administration
    19. 19. Advantage - CommunityAdvantage - Community Health outreachHealth outreach Data communicationData communication Donor networksDonor networks
    20. 20. Social AdvantageSocial Advantage
    21. 21. InformedInformed Internet interventionInternet intervention – Cancer patientsCancer patients – Family membersFamily members SatisfactionSatisfaction – CareCare – InteractionInteraction Edgar, L, Greenberg A, Remmer J. Providing internet lessons to oncology patients and family members: a shared project. Psycho-Oncology 2002; 11: 43.9-446.
    22. 22. Self EsteemSelf Esteem Breast Cancer (NYC)Breast Cancer (NYC) Less lonelinessLess loneliness Social supportSocial support Minorities greatestMinorities greatest boost in esteemboost in esteem Target minorityTarget minority groupsgroups Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI. Racial/ethnic differences and potential psychological benefits in use of the internet by women with breast cancer. Psycho-Oncology. 2003; 12: 107-117.
    23. 23. Access to InformationAccess to Information Health disease topicsHealth disease topics DrugsDrugs Research findingsResearch findings Support groupsSupport groups Levy JA, Strombeck R. Health benefits and risks of the internet.Levy JA, Strombeck R. Health benefits and risks of the internet. J Med SysJ Med Sys. 2002; 26(6):495-510.. 2002; 26(6):495-510.
    24. 24. Miller, T.E., and Reents, S., The health care industry in transition: The online mandate to change.Miller, T.E., and Reents, S., The health care industry in transition: The online mandate to change. Cyber Dialogue, p.3. 1999, (http://www.cyberdialogue.com/pdfs/wp/wp-cch-1999-transition.pdf)Cyber Dialogue, p.3. 1999, (http://www.cyberdialogue.com/pdfs/wp/wp-cch-1999-transition.pdf) Content for Which Users Seek Information Online Ш[ ґ [ ‘
    25. 25. [ n[ J[ '[ ,yDisease Inf дЏлDiet N © ^ Pharmac oAtРOnline health new ¬жBWomen' Xґ ЄЛ'Children' дA=™Illness suppor
    26. 26. Disease prevention to HealthDisease prevention to Health PromotionPromotion Online communitiesOnline communities Spreading the wordSpreading the word Promote overall healthPromote overall health of the populationof the population
    27. 27. Digital DividesDigital Divides AgeAge Social StatusSocial Status – FinanceFinance – Access to public servicesAccess to public services EducationEducation AccessAccess
    28. 28. Bridging the GapsBridging the Gaps
    29. 29. WarningWarning SSourceource CConflict of interestonflict of interest RRevieweview EEvidence basedvidence based EExtreme claimsxtreme claims NNot relatedot related Don’t ignore DrDon’t ignore Dr E-healthE-health – NewNew – Lacks sci rigorLacks sci rigor
    30. 30. It’s a Revolution, BabyIt’s a Revolution, Baby
    31. 31. ReferencesReferences Anderson JG, Rainey MR, Eysenbach G. The impact ofAnderson JG, Rainey MR, Eysenbach G. The impact of cyberhealth on the physician-patient relationship.cyberhealth on the physician-patient relationship. J MedJ Med Sys.Sys. 2003; 27(1):67-83.2003; 27(1):67-83. Edgar, L, Greenberg A, Remmer J. Providing internet lessons to oncology patients and family members: a shared project. Psycho-Oncology. 2002; 11: 43.9-446. Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI.Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI. Racial/ethnic differences and potential psychologicalRacial/ethnic differences and potential psychological benefits in use of the internet by women with breastbenefits in use of the internet by women with breast cancer.cancer. Psycho-Oncology.Psycho-Oncology. 2003; 12: 107-117.2003; 12: 107-117. Levy JA, Strombeck R. Health benefits and risks of theLevy JA, Strombeck R. Health benefits and risks of the internet.internet. J Med SysJ Med Sys. 2002; 26(6):495-510.. 2002; 26(6):495-510. Oermann MH, Lesley ML, VanderWal JS. Using webOermann MH, Lesley ML, VanderWal JS. Using web sites on quality health care for teaching consumers insites on quality health care for teaching consumers in public libraries.public libraries. Q Manage Health CareQ Manage Health Care. 2005; 14(3):. 2005; 14(3): 188-195.188-195.

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