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Lessons Learned -5 ·        patients’ bringing Internet information to their doctor’s

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’

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Lessons Learned -5 ·        patients’ bringing Internet information to their doctor’s

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  1. 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’ 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

  2. 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

  3. 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

  4. The future challenges in ICT and Health care: Developments • ·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 http://www.youtube.com/watch_popup?v=Ahs2W-TafYQ

  5. Internet and Health care: Developments – 2 - • ·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

  6. Internet and Health care: Developments – 3 - • ·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)

  7. Internet and Health care: Trends • ·        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

  8. Internet and Health care: Trends – 2 - • ·        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)

  9. Internet and Health care: Trends – 3 - • ·        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

  10. Internet and Health care: Trends – 4 - • ·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

  11. Internet and Health care: Facilitators • ·        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

  12. Internet and Health care: Facilitators – 2 - • ·        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.

  13. ·        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

  14. ·        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 - 2

  15. ·        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 - 3

  16. ·        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 Barriers - 4

  17. CURRENT EMPIRICAL EVIDENCIES: Shocking Uses Of The Internet In Body Part Commercialization http://www.eggdonor.com/ Fig http://www.eggdonor.com/?page=donordb Today, thanks to advanced scientific and technological medical practices thousands of babies are born, also thanks to the internet… Beauthttp://www.eggdonation.com/SampleDonor/Donor1.html

  18. Body Parts Donation and Surrogate Mothers Over the Net

  19. Body Parts Donation - Men http://www.spermcenter.com/ http://www.spermcenter.com/content/fertility-professional-search http://www.youtube.com/watch?v=9LQeCdBT8YU&feature=fvw 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... 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

  20. 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

  21. Every year

  22. thousands of people

  23. die

  24. waiting ...

  25. and waiting ...

  26. ...and waiting ...

  27. waiting for a transplant http://www.youtube.com/watch?v=XuXYVLTisW4&NR=1

  28. E-buy me an organ: the new opportunities of Web 2.0 Social networks, blogs offer easy access to unprecedented information? Living donors Online blog http://www.livingdonorsonline.org/experiences/experiences.htm http://www.philippines-medical.com/ http://kidneytransplantgroup.org/index.php?option=com_content&task=view&id=1&Itemid=1

  29. More controversial and shocking implications: The Illegal trade of children’s organs http://www.youtube.com/watch?v=zj-rfHvPxsk&feature=related

  30. How far should we go in developing info highways for body parts procurement (… and effective sensibilization campaings) ?

  31. How far should we go in developing info highways for e-health (body parts procurement) ? Conclusions: E-Health: An interdisciplinary and International approach to Research & Methods. Political, legal, social, economical aspects for policy making

  32. Internet and Health care: Conclusions • 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

  33. murero.monica@gmail.com

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