Sunday, September 27, 2009

The Future of Health on the Internet

The future of healthcare on the internet is when physicians routinely and conveniently use the internet to help with information management, communication and clinical decision making. The internet has been integrated into routine medical practice in so many ways (Mary and Robert, 1999), namely;
  • A great number of Internet sites are dedicated to helping consumers find the information they need to make decisions about their health and health care.

  • Patients are creating online communities that provide peer support, information on the latest research, and personal stories about their experiences.

  • Health care professionals are using the Internet for research, to get access to the latest information in their field, to consult with their colleagues, and to keep in touch with their patients.

  • And insurance companies, hospitals and pharmaceutical companies also have their own web sites.

The driving forces that have push Internet into health care are as follow (Mary and Robert, 1999):


  • 21st Century Health Care Consumers: More than half of world health care consumers have access to a computer at home or at work. These consumers are more actively involved in making decisions about the health care they receive. They will expect high levels of choice, control, customer service, interaction with their health care providers, and access to information.

  • Consumer Experiences with Other Industries, particularly the responsiveness and choice they get from Internet shopping and the interaction they get using electronic mail, were the expectations they hope to get from health and health care services.

  • The Characteristics of the Internet: It is inexpensive, easy to use, provides a diversity of health care information, and opens its users to a global network of people with common interests.

  • Market Forces in Health Care: Web technologies such as intranets, extranets, and the Internet serve as a low-cost, rapidly deployable platform for disseminating information across vertically and horizontally integrated health care organizations. Competitive health care organizations use the Web as a channel to promote their services. Managed care increases the diversity and urgency of information flow, which is possible through Internet.


With computer, television, telephone, telemedicine systems and other technologies being integrated into a single interactive communications platform, health care professionals will use it to access patient records, videoconference with colleagues and patients, link to library, financial and administrative programs and systems and attend to all their personal requirements too (Peter, 2008), which will lead to low cost, high quality telemedicine where-by patients will avoid unnecessary travel from rural settings to major medical centers and patients will accomplish in single office visits than often requires multiple visits. The primary care clinicians will have expert consultation delivered to them in their offices (Edward and James, 2006).


With remote consultation which gives quick and easy electronic access between clinical providers to discuss patient cases will improve access to expert patient care and enhance patient satisfaction (Edward and James, 2006). The Internet 2 or related networks, will have video eHealth activities on every desktop in the world which will spring up an international competition in health care. Patients seeking opinion from the world experts will rather go to a cheaper treatment by equally qualified overseas doctors than the higher cost local doctors (Peter, 2008).


The integrated health records will become a virtual health record for each patient. It is aimed to be secured, treated with respect, confidential and released to providers only with the patient's permission or during times of medical emergency. This will solved the problem of patients having multiple medical records scattered through-out the offices of individual physicians they have consulted or hospital medical record rooms they have visited (Edward and James, 2006).


The understanding of protein structure or nucleic acid to have a specified function has led to the invention of a particular drug to be used to treat a medical condition which will ultimately lead to drug creation process to build biological custom materials to reverse or determine a pathological process (Edward and James, 2006) and with the concept of building a system that can transit smells or signals identifying smells and an ideal of allowing sounds to transmit straight into our brains, and also the patients wearing mini-computers that understand the rhythm, inflection, tone and emphasis of speech which respond in a human sounding manner, and in addition to other monitoring devices with outputs electronically shared in real time via wireless monitors or sensors worn in clothes and connected to the internet or monitoring services (Peter, 2008), we will reach the goal of personalized healthcare system. The individual citizen will be the center of the healthcare delivery process and daily treatment.

For instance, the depression monitor will transmit a message to the doctor, letting him know to contact the patient. The patient might have heart being monitored, a temperature monitor and brain electrical activity being recorded (Peter, 2008). This shows that Health care has discovered the Internet.

References:
Peter Yellowlees MD, (2008). Your Health In The Information Age - How you and your doctor can use the Internet to work together, 165 - 175.


Mary Cain and Robert Mittman, (June 1999). The Future of the Internet in Health Care: A Five-Year Forecast. http://www.informatics-review.com/thoughts/future.html This summary appears in the report "The Future of the Internet: A Five-Year Forecast", written for the California HealthCare Foundation.
The full report can be found on the Foundation web site at: http://www.chcf.org/documents/intreport.pdf

Edward H. Shortliffe, James J. Cimino, (2006). Biomedical Informatics - Computer Applications in Health Care and Biomedicine, 830 - 834.


Josema Cavanillas - Director - Atos Research and Innovation, (Sept 18 2008). Personalised Health and Future Internet. Norfolk - Virginia. http://www.es.atosorigin.com/NR/rdonlyres/4B0C8A1A-F55D-4BCE-AEFB-3E71EBD01661/0/080918v01JMCpHealth2008_Virginia.pdf

Sunday, September 13, 2009

The uses of Second Life in doctor-patient relationships

In face to face communication, we can see, feels, hear and smell people but online communication is different from face to face consultation. Even though a virtual consultation can never substitute for a real face-to-face one, the problems of dermatology and psychology can be handled through a webcam. While I visited numerous medical sites and clinics in SL, I found elaborate architectural structures with placards and displays of health information. I wonder if the technology in Second Life is sophisticated enough to provide treatment to a sick avatar or whether if the application can generate or stimulate feeling in an avatar.

The article titled “Teenagers to take embarrassing ailments to Second Life doctors ” in this website - http://www.guardian.co.uk/technology/2008/may/10/secondlife.spain reports that Spanish health authorities launched a virtual portal through the Second Life website and was designed to help young people who were too embarrassed to speak to a doctor about sexually transmitted disease or a drug problem to have consultation with a virtual doctor. According to the article, real doctors will log on and offer advice to their anonymous patients. What both will see is an image of a consulting room with a doctor and a typical patient. This is an interesting implementation or use of second life in doctor – patient relationship, this kind of interaction certainly is a safe or more private place for those who would be uncomfortable with a face-to-face communication. This shows that some patients may find that the anonymity of virtual worlds may actually enable them to share more about themselves than are accustomed to doing in real life.

From this website: http://discovermagazine.com/2009/jul-aug/15-can-medical-students-learn-to-save-real-lives-in-second-life ; the article titled “Can Training in Second Life Teach Doctors to Save Real Lives? “ illustrates how real innovation in SL clinical simulations can be use to bring people together in a clinical space. It shows that Second Life can give the medical students and patients greater access to experts in the medical field all over the world. It also states that Second Life is an interactive and social networking. Second Life takes what’s great about simulations and gives them that social aspect. It’s more like real life.

Also this website: http://scienceroll.com/2007/06/17/top-10-virtual-medical-sites-in-second-life/ listed the top ten virtual medical sites. These websites show how Second Life could be put to practical use for educational purpose.

Although Second Life is a bright future in medical field but this virtual reality still need a lot of work to be done in order to represent the real life situation.

Friday, August 21, 2009

Living with allergies

The primary goal of allergy treatment is preventing symptoms from occurring in the first place. If we start learning about allergies, understanding what triggers allergic symptoms and avoiding the allergens, that’s to me, is the most important aspect of prevention and treatment of allergies. Since air quality varies widely around the United States, some websites have become a useful information tools to find out what you are allergic to and give you information about pollutants, ozone, or pollen counts in your area on any given day. Moreover, this information can now be personalized and be sent to patient’s iPhone and iPod Touch.

For instance this website http://www.cnn.com/2009/HEALTH/08/10/pollen.tools/index.html, listed some useful websites that are good information tools you can use.
· daily mold and pollen report
Is a site developed by The American Academy of Allergy, Asthma & Immunology’s National Allergy Bureau to report daily mold and pollen report.

· The Weather Channel https://registration.weather.com/ursa/alerts/step1?
Sign up for pollen alerts that can be sent to you via email or text message. You just plug in your information and select the time of day you want the alerts, and how often.

· The American Academy of Allergy, Asthma & Immunology
The AAAAI's National Allergy Bureau offers an interactive map http://www.aaaai.org/nab/index.cfm?p=pollen that allows users to click on a location for current pollen and mold levels in that area. This same service also allows people with allergies to sign up for email alerts http://www.aaaai.org/nab/index.cfm?p=MyNAB with trees, weeds, grass, and mold counts from their local monitoring center.

· http://www.pollen.com/
This website offers a wealth of interactive, personalized information on pollen counts. It boasts a free Allergy Alert application http://pollen.com/iphone.asp for iPhone and iPod Touch users that supplies one- or four-day forecasts in four categories: allergies (i.e., pollen), cold and cough, asthma, and ultraviolet rays. A sister site, PollenWidgets.com http://pollenwidgets.com/, also offers widgets for daily or four-day pollen counts available through Yahoo Widgets or Google Gadgets.

· Pollen Report iPhone app
This app http://www.apple.com/webapps/weather/pollenreport.html updates users on pollen levels in a specific area code. Also you can get the local high and low temperatures, too.

· http://www.airnow.gov/
This site, run by federal government agencies, doesn't have a pollen watcher, but you can use it to check local levels of ozone http://airnow.gov/index.cfm?action=airnow.local, a pollutant that can make it harder for people with asthma to breathe. The site also provides a daily Air Quality Index as well as email notifications http://www.enviroflash.info/.
You can even access webcams http://airnow.gov/index.cfm?action=airnow.webcams to get a real-time look at local haze conditions.

It is difficult to function normally on a daily basis for millions of people suffering from these allergies. I am sure these websites will be useful prevention and treatment tools for many of them. The internet has made this information available to everybody at everywhere on this planet, so it is no longer a local health news which were formally published on local newspapers or broadcast on local TV stations or radios. The internet has made it possible for more people to gather health information and to tap into more resources on a large scale that was never thought possible before.

Sunday, August 2, 2009

My Goal

My academic goal is to be a clinical pathologist. I am very happy to discover that UC Davis now offer Health Informatics classes online. I have waited for more than two years to attend such a program. As a software engineer and experienced mathematics teacher and having worked in mental health department as an application analyst, I discovered certain inefficiencies in the handling of medical records in healthcare organization. How the organization lose a lot of money and lack of follow-up of their patients due to improper record keeping.
After completing the first class which is the introduction to Health Informatics, it was interesting to know how health informatics can solve these overdue problems. I look forward to gain a vast knowledge and ideas from this certificate program.