Perspective: E-Health: Technologic Revolution Meets Regulatory Constraint

Fried, B. M.; Weinreich, Gadi; Cavalier, Gina M.; Lester, Kathleen J.

doi:10.1377/hlthaff.19.6.124

Cited by 18 publications

(9 citation statements)

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“…While the physician traditionally is viewed as the gatekeeper of information, numerous sources acknowledge the fact that the physician may no longer be the principal source of information on disease management for patients today (Fried, Weinreich, Cavalier, & Lester, 2000;Winker et al, as cited in Pandey, Hart, & Tiwary 2003). Many patients today question their physicians about health information found on the Internet and ask for recommendations to the best websites for their conditions.…”

Section: Providers' Use Ofthe Internet For Health Informationmentioning

confidence: 99%

Raising Awareness of On-line Cancer Information: Helping Providers Empower Patients

Perocchia

Rapkin

Hodorowski

et al. 2005

Journal of Health Communication

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While the digital divide remains a special problem in health care, providers' reluctance to refer patients to the Internet is an equally important problem. The Bridging the Digital Divide Project: Your Access to Cancer Information was designed with two target audiences in mind-consumers and health care providers. A total of 256 providers from varied health care settings enrolled in workshops over a 10-month period (2001-2002). Results suggest differences in awareness and use of on-line cancer information among providers and confirm that many providers need to become more comfortable with referring patients to on-line information. At completion of the workshops, all participants reported an increased awareness of cancer information websites, increased confidence in making judgments about the reliability and appropriateness of the sites, an increased willingness to discuss Internet information sources with patients and their family members, and an increased awareness of and intention to use the CIS. Providers from the community hospital were more likely than other groups to report that what they had learned about the Internet was helpful and that their comfort level using the Internet had increased. Partnerships between providers and the CIS may help to further increase this comfort level, ultimately benefiting cancer patients.

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Section: Providers' Use Ofthe Internet For Health Informationmentioning

confidence: 99%

Raising Awareness of On-line Cancer Information: Helping Providers Empower Patients

Perocchia

Rapkin

Hodorowski

et al. 2005

Journal of Health Communication

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“…Intellectual property (IP) rights issues and business models affect the implementation of results, and policymaking is a critical factor. A challenge for policymakers is to establish regulations that promote innovation, while still maintaining the public’s trust [29]. …”

Section: Methodsmentioning

confidence: 99%

The Origin and Impact of Ideals in eHealth Research: Experiences From the U-CARE Research Environment

Sjöström¹,

Essén²,

Grönqvist³

2014

JMIR Res Protoc

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BackgroundThe prevalence of information technology (IT) in society is a foundation for new modes of interaction between patients and health specialists. IT plays an important role in the renewal of care. Several countries have incorporated eHealth plans into their national health strategies. Part of the eHealth evolution concerns Internet psychological treatment and psychosocial care. These interventions are complex to design and evaluate due to legal, ethical, organizational, technical, and methodological challenges.ObjectiveThe objective of our study was to seek to make explicit contributions to the understanding of ideals in eHealth research, and illuminate their implications for establishing an effective research environment. Our analysis draws from three years of experience in establishing an eHealth research environment, and the literature.MethodsWe worked inductively to characterize challenging research ideals, and their origins, in our environment. Thereafter, we made a selective search of the literature to scrutinize and illuminate each ideal and it’s implications.ResultsIn this work, we propose a structured approach to address ideals in eHealth research. The scrutinized ideals are accountability, innovation, rigor, relevance, and sustainability. The approach supports researchers to systematically understand the ideals, their origin, and to manage their implications within an eHealth research environment.ConclusionsThe complexity of eHealth research causes a need for sustainable, multi-disciplinary research environments. There is a need for a structured approach to organize eHealth research. The proposed approach helps to systematically scrutinize ideals, thus promoting high quality research.

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“…Goldsmith notes that the Internet generates many potential regulatory problems, ranging from licensing e-health practitioners to monitoring information quality in a virtual world with no boundaries [4]. Fried et al detail some of the obstacles placed in the way of e-health by existing regulations, holding that individuals and organizations must navigate a maze of rules and codes, old and new, if they wish to implement fresh ideas and approaches [5]. Kassirer's prediction is that the courts will play a role when substandard medical advice provided through web sites or e-mail yields poor medical outcomes.…”

Section: The E-health Literaturementioning

confidence: 99%