Wiki source code of 2009-07-07-byyny

Last modified by Hal Eden on 2009/10/10 17:21

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**Health 2.0**

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**Outline**

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**Richard L. Byyny, M.D.**

* **Electronic Health Record (HER)**
** Web 1.0
** Proprietary
** Non-intuitive
** Frequent work arounds
** Stores accessible information
** Doesn?t share data with patient or others outside the system
** Interferes with the doctor-patient relationship, too much time at the CRT
** If you type 50 words per minute an advantage, if one finger much longer
** Increased time per encounter with multiple windows for diagnosis, prescriptions, ordering tests, ordering referrals.
** Can?t search by key words
** Better billing and documentation
** Limited cognitive support

* Positives:
** Just in time learning, Up do date, First Consult, Journal articles
** Google Scholar
** Pub Med
** Patient learning
** Limited patient communication, lab test results, refill Rx

* **Web 2.0/ Health 2.0**
* Health 2.0: The use of social software and its ability to promote collaboration between patients, their caregivers, medical professionals, and other stakeholders in Health. J. Sarahson-Kahn, Think-Health
** Some online consults ( simulconsult) rhetorical
** Some telehealth and telemedicine ( Cisco etc Since 1994 little progress ,but speed)
** Patient Social Networks: PatientsLikeMe; Diabetesmine, ALS, Patient portals
** 59% of patients seek health info on the internet
** Sites: Mayo, CDC, Web MD, Hellohealth, etc
** Wisdom of crowds vs. experts

* Cell phones
** Texting patients or doctors for information or
** improved patient compliance with drugs and therapy: TBC, Diabetes, etc
** Accessible in remote parts of the world and others who have access to the internet can answer queries
** Blogs
** Wikis
** Podcasts

* Professional Social Networks

* Facebook
* Myspace
* Youtube
* Ning.

Wiki source code of 2009-07-07-byyny

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