Transcript eHtM_w6

COMM 3302
eHealth & Telemedicine
Shawn McCombs
UH School of Communication
http://soc.class.uh.edu/~smccombs
 2006 UH School of Communication - Health Communication Lecture Series - All Rights Reserved
Digital Health on
the Web:
A World Wide Web of Content
COMM 3302
eHealth & Telemedicine
Shawn McCombs
UH School of Communication
http://soc.class.uh.edu/~smccombs
Topics
Key Terms
Overview
Quality and the Online Experience
Consumer Uptake and Opinions
eHealth Access for All
Public Services Online
Key Terms
•Attribution
•Caching
•Cookies
•Internet Currency
•Disclosure
•Non Disclosure
Agreement (NDA)
•IP
•IP Address
•Kite Marks
•Validity
•Reliability
•Bureaucracy
•Baby Boomer
•Shadow Boomer
•Echo Boomer
•Generation X
•Millennials
•Post-Millennials
•Major Topics:
•Addressing Quality
Assurance /Security
Needs while creating
new health
communication and
service channels
•The Needs of the
Many or the Needs of
the Few
Overview
There are many types of health-related
sites
from exercise to addiction
Even those for the afterlife
http://www.mylastemail.com/
WWW / Internet has become a major
source of health info:
Allows for dynamic / Interactive Comm
Hundreds of key eHealth sites already
exist; more being created daily
Overview, Continued...
Stanford’
s
HighWire:
Overview, Continued...
UH’s
Alzheimer’s
Portal:
Overview, Continued...
UH’s Center for
Health & Crisis
Communication:
Overview, Continued...
Our healthcare system is experiencing
major overload and is in need of overhaul
-
Not always able to meet demand
Opportunities exist for changing the way
people consume healthcare
communication and services
-
Necessary to modify ingrained belief systems that have
consumers taking a subservient role
Overview, Continued...
Put all of these attributes together...
-
Potentially left with solutions to problems
• ...but we do have a few Serious
Considerations:
1. Safety and Security
2. Quality Assurance
3. Identifying and Serving a Variety of Demographics
4. Our Growing Elderly Population
•
*Significance = though needed, eHealth has very serious
challenges that must be addressed NOW.
Overview, Continued...
•Social Security:
More than 48 million
Americans currently receive $518 billion in Social
Security benefits.
•Young workers today are paying part of that, just
as older generations contributed to the program for
generations before them..
•Currently 3.3 people are working for each Social
Security beneficiary, according to the U.S. Social
Security Administration. By 2031, there will be 2.1
workers for each beneficiary.☤
Keeping It Real: Information &
Quality Control
- The Need for Standardization in eHealth
- Info Quality Control
- Addressing Quality Control Concerns
- Quality over Time
At the Outset...
Online Transaction Validation:
These third-party
services are dedicated to identifying trustworthy e-commerce
Web sites worldwide to help online consumers enjoy their ecommerce experience.
In an ever-evolving global e-commerce environment, they
provide a trusted third party validation service for the ecommerce Web site and online consumer, where:
• Online consumers are assured safety, security, and
privacy when transacting online
• E-Commerce Web Sites execute their online
business in a safe and credible manner.
*http://www.guardianecommerce.net/guardabout.htm
Quality & The Online Experience
Finding Ways to Ensure Reliability and
Accuracy:
Standardization Basics:
a) From the Developer’s Perspective
• b) From the Consumer’s Perspective
•Standardization translates to an even playing field
for all who show up.
Quality & The Online Experience,
Continued...
Primary concepts and activities
(methodologies) surrounding use the
Internet / WWW in eHealth &
Telemedicine:
•1) Information about Health Issues and Conditions:
•- eHealth Information, Services, Treatment, etc...
•* Research, Connections w/ others in similar
situations (online community building), etc.
•2) Information about Health Care Professionals:
•- Healthcare Providers, Orgs, Facilities...
•* Evaluating potential doctors, hospitals, etc.
Quality & The Online Experience,
Continued...
Instrumental use can then give way to
Ritualistic use, modifying health
information seeking and communication
behaviors...
Essentially, changing the “world” one “person” at a time.
Whether researching health issues,
treatment options, etc.; or, evaluating
doctors and hospitals, these categories
encapsulate virtually all types of eHealth
and Telemedicine objectives
Quality & The Online Experience,
Continued...
Maximizing Quality by Evaluating Existing
Availability:
We know that we need standardization
and that consumers use eHealth &
Telemedicine in different ways...
• ...Involves Looking at the Underlying
Issues:
Quality & The Online Experience,
Continued...
Major Challenges with Quality Assurance
Online:
1.Health consumers need to learn new
protocols / behaviors for dealing with
online information
-
Knowing When to say When...
2.Credibility & Accuracy
-
How do we know things are credible?
3.Lack of Editorial Controls
-
Why Important?
Everyone is a potential Web producer
4.Lack of Certification
The Rubber Hits the Road:
...Consumer Uptake & Opinions
- Generalizations
- Interests and Needs: Consumers
- Interests and Needs: Professionals
Consumer Uptakes &
Opinions
Roughly 40% of regular Internet users
reported regularly using the web for
eHealth-related activities
Nearly 25% in Europe
Variance based on former East-block
influence and developing economies
Western Europe holding steady with
US figures; East-block, as well as
Portugal, Spain - have much lower
Consumer Uptakes &
Opinions
Roughly 40% of regular Internet users
reported regularly using the web for
eHealth-related activities
Nearly 25% in Europe
Variance based on former East-block
influence and developing economies
Western Europe holding steady with
US figures; East-block, as well as
Portugal, Spain - have much lower
Consumer Uptakes & Opinions,
Continued...
Popularity
Contest:
...Break-down based
on those asked how
they use their time
online
“SPF-0”: Full Exposure:
...Managing Access and Demographics
Identifying Various Populations
Challenges and Needs Assessment
Building A System that Works
Redundancy - Connecting with the UnConnectable
Managing Access and Demographics,
Continued...
First Things First: Know Thy Audience...
Demographic Data is Key to Social and Health Services
Online
Weighing the Needs of the Many against
the Needs of the Few
What to do when ideals surrounding common sense and
fairness collide
Reverse Engineering A System
After ID of Demographics, Build backward to meet
specific challenges and needs
Easier to eliminate unnecessary components
Establishing How Focus Is Granted
Additional Reading, Cites:
http://www.jsonline.com/story/index.aspx?id=331342
http://en.wikipedia.org/wiki/Baby_boomer
http://www.findarticles.com/p/articles/mi_m0MDQ/is_1_9/ai_n1
6133375/pg_2
http://www.guardianecommerce.net/guardabout.htm
http://www.pewinternet.org/
More To Come...
COMM 3302
eHealth & Telemedicine
Shawn McCombs
UH School of Communication
http://soc.class.uh.edu/~smccombs
 2006 UH School of Communication - Health Communication Lecture Series - All Rights Reserved