1 / 24

Doctors – the role to create and promote good quality medical information on Internet

Doctors – the role to create and promote good quality medical information on Internet. Piotr Kasztelowicz <Piotr.Kasztelowicz@am.torun.pl> Department of Tuberculosis and Pulmonary Diseases Ludwik Rydygier Hospital in Torun. Internet and health related communication.

yaphet
Download Presentation

Doctors – the role to create and promote good quality medical information on Internet

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Doctors – the role to create and promote good quality medical information on Internet Piotr Kasztelowicz <Piotr.Kasztelowicz@am.torun.pl> Department of Tuberculosis and Pulmonary Diseases Ludwik Rydygier Hospital in Torun

  2. Internet and health related communication • Internet plays still more important role in worldwide communication. Using internet or other , similar tolls, enabling remote communications ( in health care) become a important part of the mission of this medium • Internet communities (such as mailing lists, chat rooms, newsgroups or discussion boards on webistes) are rich sources of qualitative research(G. Eysenbach, J.E. Till - Ethical issues in qualitative research on internet communities) E-health in Common Europe - Kraków Juni 5-6, 2003

  3. Every day gives a new success Canadian programme allows surgeons to do bowel resection 400 km away “We have to realise that telerobotics and telesurgery aren’t victory for technology but for patient care” (Telerobotics bring surgical skills to remote communities - LANCET May24,2003 ;361:1794-1795) E-health in Common Europe - Kraków Juni 5-6, 2003

  4. Distance education • Before era of Internet - first use of distance learning was probably in 1939 in Iowa School • The next steps was teleconferencing developed in mid-1960s and 1970s. • The greatest boost began in era of Internet, which becomes universal medium enabling world-wide communication. (A.L.Parker, L..A.Parker - Distance Education versus In-Class Instruction: In [Ed.] S.F. Viegas, K. Dunn - Telemedicine - practicing in information age, Lippincot-Raven 1998) E-health in Common Europe - Kraków Juni 5-6, 2003

  5. Distance education versus in-class instruction • Distance learning provides timely instruction timely instruction to a greater number of individuals • D.E. can greatly reduces training expense • Distance education can increases productivity • Distance learning increases training flexibility(A.L.Parker, L..A.Parker - Distance Education versus In-Class Instruction: In [Ed.] S.F. Viegas, K. Dunn - Telemedicine - practicing in information age, Lippincot-Raven 1998) E-health in Common Europe - Kraków Juni 5-6, 2003

  6. Internet and Distance Learning • Access to electronic or electronic version medical journals (http://www.freemedicaljournals.com/) and books (http://www.freebooks4doctors.com/) • Reading training materials and participating in virtual courses and workshops • Participating at regular educational programmes, continuous education based upon portfolio and diary (http://rcpsc.medical.org/english/maintenance/) E-health in Common Europe - Kraków Juni 5-6, 2003

  7. Internet and professional communication - examples • mailing lists (KARDIO-L@man.torun.pl) • usenet groups (sci.med.cardio) • web-chats and web-forums (Polish Cardiac Society - http://cafe.ptkardio.pl) • others - communicators - (“Zdrowie-i-Zarządzanie Communicator), questionnaires & forms (using for communication to send presentation to medical congresses or to participate in medical trials using electronic case form) E-health in Common Europe - Kraków Juni 5-6, 2003

  8. http://rcpsc.medical.org/english/maintenance/ Maintenance of Certification program - Canada Internet in Continuous Medical Education E-health in Common Europe - Kraków Juni 5-6, 2003

  9. Maintenance of Certification program - Why? Fellows pledge "to further the interests of the College and its objectives, to promote the highest professional standards of practice and specialty qualifications, to abide by the Code of Ethics, and to uphold the dignity and welfare of the College and its Fellows." E-health in Common Europe - Kraków Juni 5-6, 2003

  10. How? E-health in Common Europe - Kraków Juni 5-6, 2003

  11. Methods • The program is based upon diary (now accessible as web-diary or installed as previously on PC or MAC software as well). • Each information about time spend to study, with large description about subject, professional outcomes, as well answers about decisions are recorded. • It applies also to data if it study material has changes management of the patient. Motivation to select specific topics must be filled in, especially prepared forms. E-health in Common Europe - Kraków Juni 5-6, 2003

  12. Evaluation • “Maintenance of Certification” centre collects information about participation in medical congresses, conferences, about publications printed in medical journals or presented on congresses by participants • The managing centre is generating periodically reports with information and end-report after each years of education. • “Maintenance of Certifications” is an important example, confirming that distance learning becomes important form of postgraduate education in medicine. E-health in Common Europe - Kraków Juni 5-6, 2003

  13. The role of medical libraries • store and make accessible professional information, including traditional books, journals and digitalized data on CD-roms • in era of Internet the activity of library must expand this relationship also to serve information remotely, fare from place E-health in Common Europe - Kraków Juni 5-6, 2003

  14. Portals as independent sources of information We can already observe tendency to establish projects, in which medical portals tend to serve as a source of medical, quite high quality and substantial information, very often derived directly from research institutes, editors of the medical journals as well medical libraries. E-health in Common Europe - Kraków Juni 5-6, 2003

  15. Quality - UE Background • Transparency and Honesty • Authority • Privacy and data protection • Updating of information • Accountability • Accessibility(Commission of the European CommunitieseEurope 2002: Quality Criteria for Health related Websites Journal of Medical Internet Research 2002;4(3):e15http://www.jmir.org/2002/3/e15/) E-health in Common Europe - Kraków Juni 5-6, 2003

  16. Examples of interest • HON http://www.hon.ch/HONcode/Conduct.html • DISCERN http://discern.org.uk • QUICK http://www.quick.org.uk • Biome http://biome.ac.uk • MedCIRCLE (formerly MedCERTAIN) http://www.medcircle.org E-health in Common Europe - Kraków Juni 5-6, 2003

  17. Certification • Broad net discussion • Prepared WWW-Page http://www.am.torun.pl/certify • voting for-66% against-34% only 99 person voted • Panel Discussion on 5th Polish Medical Internet Conference Efect - yes but very difficult to do (P. Kasztelowicz Internet medyczny i telemedycyna - wplyw nowych srodkow komunikacji na oblicze medycyny - 5th. Conference of Polish Medical Internet - Poznan, November 10-11, 2000) E-health in Common Europe - Kraków Juni 5-6, 2003

  18. Certification versus education? • If project to create voluminous rating systems , assessing information about millions web-sites, fails to operate all Internet users are not sure how to rank as a good or bad quality service • All world each day accumulates more medical information than this can be in real time and ,at glance, evaluated by a teams of authorities • MedCERTAIN which obtained significant budget , are still in not even in advanced phase? E-health in Common Europe - Kraków Juni 5-6, 2003

  19. My recent opinion In fact changed my opinion in relation to this topic. I am currently inclined to promote user education rather than force creating such certifying institutions, working with tortoise speed. E-health in Common Europe - Kraków Juni 5-6, 2003

  20. E-health in Common Europe - Kraków Juni 5-6, 2003

  21. Main principle • Honesty - substantial medical information on net, which allow to achieve financial benefit • Dishonesty - no more, than financial benefit. E-health in Common Europe - Kraków Juni 5-6, 2003

  22. Role of doctors The main role of the physicians in this area, in serving medical information, is to adhere to the principle of informed choice and informed consent at diagnosis and treatment and to inform patients about all the possible forms of therapy. This postulate should force doctor (or other medical professionals) to promote and participate at this medical Internet initiatives, which are placed around “honest” pole E-health in Common Europe - Kraków Juni 5-6, 2003

  23. Conclusions • Internet is also a biggest collections of excellent human reflections, written and possible to see and hear by multimedia, human heritage (including medical information) • It contains also enormous waste-material, which must be still rejected by the constantly present, filtering process. E-health in Common Europe - Kraków Juni 5-6, 2003

  24. Conclusions (2) • Unfortunately, creation of automatic filtering till today was not possible • As an alternative remains , wide-spread education of all Internet users, how to do it self • Doctors should play in this process crucial role by organising activities as well during each presence in every Internet community. The cost of public education seems to be not significant and the effect can be fruitful. E-health in Common Europe - Kraków Juni 5-6, 2003

More Related