Friday, October 22, 2010

What does e-Health mean to Americans?

We all talk about e-health these days, but what does this buzzword really mean to most Americans? G. Eyesenbach, in an article published in the Journal of Medical Internet Research, explores this topic, in an attempt to develop a concrete definition for this term. He defines the term and the concept as follows:

e-health is an emerging field in the intersection of medical informatics, public health and business, referring to health services and information delivered or enhanced through the Internet and related technologies. In a broader sense, the term characterizes not only a technical development, but also a state-of-mind, a way of thinking, an attitude, and a commitment for networked, global thinking, to improve health care locally, regionally, and worldwide by using information and communication technology.

Furthermore, he goes on to suggest that there are 10 e's in "e-health":
  • Improve the Efficiency of healthcare
  • Enhance the quality of healthcare
  • Make interventions Evidence-based
  • Empowering consumers and patients
  • Encouraging new relationships between patients and health professionals
  • Educating physicians and consumers through online sources
  • Enabling the standardized exchange of information and communications between healthcare centers
  • Extending the scope of healthcare beyond its conventional borders
  • E-health requires new forms of patient-physician interactions that put an emphasis on Ethics- informed consent, privacy and equity issues.
  • Reducing the gap between the "haves" and the have-nots" by promoting Equity in access to healthcare
I think this is a useful framework. Understanding the meaning of e-health with defined boundaries, allows the millions of Americans trying to decide on the various bills being passed around e-health, to make informed decisions when they cast their votes, and voice their opinions.

Similarly, below is an interesting video created by students at Vancouver University, succinctly describing exactly how Electronic Health Records can benefit Americans, but also how it has the potential to cause trouble. It is simple and easy to follow, and is definitely the way forward with bringing Americans on-board our mission to promote e-health.

E-Health Infographic from Ira Hardy on Vimeo.

(Source: G. Eysenbach. 2001. What is e-Health? J. of Medical Internet Research,
(2):e20)

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