lessons learned -5 · patients’ bringing internet information to their doctor’s
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Internet and Health care: Extensive Knowledge. Lessons Learned -5 · patients’ bringing Internet information to their doctor’s appointments affected various outcomes for physicians and patients depending on how the physicians’ - PowerPoint PPT PresentationTRANSCRIPT
Lessons Learned -5· patients’ bringing Internet information to their doctor’s appointments affected various outcomes for physicians and patients depending on how the physicians’ assessed the reliability of the information , doc’s attitudes toward general popular access to health information , patient’s education and attitude· site map and orientation guides necessary for website designs · social support and interpersonal utility needs · structural indicators of website quality and accreditation seals may not be highly related to accuracy and quality of its medical content
Internet and Health care: Extensive Knowledge
Lessons Learned -6· patients’ bringing Internet information to their doctor’s appointments affected various outcomes for physicians and patients depending on how the physicians’ assessed the reliability of the information , doc’s attitudes toward general popular access to health information , patient’s education and attitude· site map and orientation guides necessary for website designs · social support and interpersonal utility needs · structural indicators of website quality and accreditation seals may not be highly related to accuracy and quality of its medical content
Internet and Health care: Extensive Knowledge
Lessons Learned -7· users rate online health information quality much higher than physicians do· visualization of system prototypes helpful for users to understand and comment on design possibilities- widespread use of Internet by physicians but much less so for interaction with patients
Internet and Health care: Extensive Knowledge
· context- or location-sensitive services · disabled patients using embedded sensors to interact with their environment · electronic learning environments · electronic research environments · evaluating e-health behavioral and management interventions - bio genetic engineering · high-speed broadband wireless Internet · integration of various treatment and response media (such as online assessment generating advice to contact a telephone hot line o send an email) · interactive voice-response applications miniaturization
The future challenges in ICT and Health care:Developments
http://www.youtube.com/watch_popup?v=Ahs2W-TafYQ
· mobile telephone-based or converging media -based health information and communication services · nanomedicine · online databases of rare pathologies and cases - online diagnosis tools · online health monitoring and personal health management· online or mobile health monitoring or reminder systems · portable digital personal medical records - territorial health information organizations
Internet and Health care:Developments – 2 -
· use of Internet2 for medical research networks · using wireless devices as data entry interface for Internet-accessible databases, digital cameras to capture and transmit medical images · virtual reality anatomy demonstrations and medical training - web-based store-and-forward health information applications (such as for X-rays)
Internet and Health care:Developments – 3 -
· accuracy and privacy certifications and criteria · broadcasting baby births through the Internet · business-related applications · developing national medical databases · electronic patient records (use for public health purpose) · electronic prescribing services · electronic publication of medical research · email between health providers and patients (legality)· health group discussion threads - hospital and health resource portals for patients
Internet and Health care:Trends
· increased emphasis on health problems and disparities · increased system security · increasing business-to-consumer and business-to-business Internet transactions · increasing online intermediaries - massive increase in healthcare sector investments and expenses · moderated health discussion sites - online medical education (physicians, students, patient)
Internet and Health care:Trends – 2 -
· online medical textbooks , journals and CME· online test results · personalized and customized online portals and medical training · physician referral of patients to health websites (including more formally as “information prescriptions”) · physicians turning to the Internet to keep up to date with current research - real-time and asynchronous monitoring and reporting individual health status as well as disease outbreaks and diffusion
Internet and Health care:Trends – 3 -
· remote diagnosis · rise of online appointments, transaction processing services · technology-enhanced clinical applications · telehealth in remote areas- telesurgery (robotics) · traditional print and broadcast media providing links to online health sites - virtual clinics
Internet and Health care:Trends – 4 -
· broadband infrastructure · cooperation and coordination among service and infrastructure providers · government promotion of access and infrastructure for e-health · e-health policy - interconnectivity across systems and channels
Internet and Health care: Facilitators
· mobile/wireless devices and convergence· patients demand to be involved in their medical decisions · physician recommendations of health sites · positive perceptions of innovation attributes· reimbursement to doctors for online time and services - support by national medical associations & gov.
Internet and Health care: Facilitators – 2 -
· access and knowledge · computer fears · computer/ICT skills · cultural divides concerning technology use and social norms toward health behaviors · differences in procedures for reimbursement and health coverage across economic sect and national boundaries · difficulties in assessing online knowledge acquisition
Barriers
Barriers - 2
· digital divide (cultural divide)· high costs of technology overwhelm low cost of access and communication · individuals’ perceptions of current medical information rights · insufficient bandwidth · insufficient control or awareness of third party access to personal medical records · insufficient health dedicated staff - joint involvement by local service providers/physicians /patients
Barriers - 3
· lack of basic infrastructure · lack of standard evaluation criteria · lack of support for sustainability of online interventions and health projects · large gap between those with Internet access and those offline with chronic health problems (such as HIV/AIDS) · limited vision by government and health care agencies as to potential applications
Barriers - 4
· legal limitations of online medical practice- majority of health sites in English language · national and cultural norms and policies · online privacy concerns · physician resistance/hesitancy · poor management of ICT personnel and projects · standard codes for practices and protocols · sustainability (costs, updating, link stability) · time required to learn new systems - usability
Today, thanks to advanced scientific and technological medical practices thousands of babies are born, also thanks to the internet…
Beaut http://www.eggdonation.com/SampleDonor/Donor1.html
Fig http://www.eggdonor.com/?page=donordb
http://www.eggdonor.com/
CURRENT EMPIRICAL EVIDENCIES: Shocking Uses Of The Internet In Body Part Commercialization
Body Parts Donation and Surrogate Mothers Over the Net
Body Parts Donation - Men
While donations and trade of body parts like eggs is a diffused practice, man also are part of the business.
sperm bank opened in india for tourism...
http://www.spermcenter.com/ http://www.spermcenter.com/content/fertility-professional-search
http://www.youtube.com/watch?v=9LQeCdBT8YU&feature=fvw
https://www.fertility-miracles.com/Parents/fee_schdules.html
http://maps.google.com/maps?f=q&source=embed&hl=en&geocode=&q=surrogacy+agencies,+egg+donor+agencies&sll=37.0625,-95.677068&sspn=31.371289,56.513672&ie=UTF8&ll=37.0625,-95.677068&spn=24.455808,37.353516&z=4
Future trends in Building human beings: What is going to happen? What information on the WWW in future years ?
Tomorrow genetic engineering opens new dilemmas and possibilities to internet users (Video) of building a human being
Ethical, legal social implications
Every year
thousands of people
die
waiting ...
and waiting ...
...and waiting ...
waiting for a transplant
http://www.youtube.com/watch?v=XuXYVLTisW4&NR=1
E-buy me an organ: the new opportunities of Web 2.0
http://www.philippines-medical.com/
http://kidneytransplantgroup.org/index.php?option=com_content&task=view&id=1&Itemid=1
Social networks, blogs offer easy access to unprecedented information?Living donors Online blog http://www.livingdonorsonline.org/experiences/experiences.htm
More controversial and shocking implications: The Illegal trade of children’s organs
http://www.youtube.com/watch?v=zj-rfHvPxsk&feature=related
How far should we go in developing info highways for body parts procurement
(… and effective sensibilization campaings) ?
Conclusions:
E-Health: An interdisciplinary and International approach to Research
& Methods.
Political, legal, social, economical aspects for policy making
How far should we go in developing info highways for e-health (body parts procurement) ?
Policy Issues
. codes of ethics · cross-state and cross-border regulations (commerce, drug prescription etc.)- digital and cultural divide- electronic medical records for public health use· enforcement of online pharmacies· health web site licensure · identify theft · infrastructures - national/regional/international e-health policies· privacy (collection, accessibility, security, , anonymity, verification) · telecommunications policy reform in developing countries - telecommunications tariffs
Internet and Health care: Conclusions
