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HEALTH SERVICES ON THE NET –
WHAT'S GOOD FOR ME? WHAT'S BAD?
AND HOW DO I TELL THE DIFFERENCE?
(Panel session)
15TH INTERN...
The physician´s
perspective
IN THREE QUESTIONS & ANSWERS 1 – 2 – 3
What is the difference
between searching the web
and consulting a physician?
QUESTION &ANSWER 1:
The web only answers
Keep in mind: answer quality depends on what you ask.
„If you expect wise answers, you have to ask se...
But the physician also asks
And he may ask sensible questions to find a personalised
differentiated diagnosis.
1:
The
net only
reacts
Results depend on user´s search
skills and health literacy.
IN OTHER WORDS:
The
physician
interacts
Re...
Artificial intelligence (AI) &
allgorithms try to immitate and
play doctor...
1:
...but fail:
IN RESPONSE TO “I AM HAVING A HEART ATTACK,” “MY HEAD
HURTS,” AND “MY FOOT HURTS.” ONLY SIRI GENERALLY
RECOGN...
How is quality of health
information on the net?
QUESTION &ANSWER 2:
Very heterogenous and
difficult to specify.
But..
2:
...the overall quality is
dissatisfying.
That´s for sure!
.
2:
A TEAM OF PHYSICIANS ANALYSIED 100 HEALTH ADVISING
WEBSITES ON 24 CRITERIAS (E.G. COMPLETENESS, MEDICAL
EVIDENCE, FAIR BAL...
Who is the provider and what
might be his intension?
ALWAYS CHECK WHEN USING A WEB SERVICE:
Even wikipedia is struggeling
for acceptance as a reliable
source
Sources:
The Guardian, Is Wikipedia a reliable source fo...
Why physicians do not
recommend websites or
health apps to their patients?
QUESTION &ANSWER 3:
Because they don´t know
them?
3:
Mostly YES.
(And the commonly given answer.)
3:
But main
(& mostly unknown)reason is:
3:
They can´t
prescribe them!!
Lack of certifications means:
recommending an app is a
legal grey area
So they better keep han...
A physician´s
controversial conjective
CONCLUSION OUT OF 1 – 2 – 3
The net and
the healthcare sector are
parallel universes…
…WITH A LOT OF MORE OR LESS WEAK
CONNECTIONS IN BETWEEN.
CONTRAR...
Thank you!
TOBIAS NEISECKE
PHYSICIAN &
DIGITAL HEALTH EXPERT
TWITTER: @TOBIAS_NEISECKE
HTTP://MEDIZIN-UND-NEUE-MEDIEN.DE
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HEALTH SERVICES ON THE NET - WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE DIFFERENCE? - The physician´s perspective

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Publicado el

15th International Conference on WWW/INTERNET 2016
28 – 30 October, Mannheim, Germany
http://internet-conf.org/

HEALTH SERVICES ON THE NET - WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE
DIFFERENCE?
(Panel Session)
Thomas Wetter, Célia Boyer, Tobias Neisecke, Jonas Pendzialek and Monika Pobiruchin

Publicado en: Atención sanitaria
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HEALTH SERVICES ON THE NET - WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE DIFFERENCE? - The physician´s perspective

  1. 1. HEALTH SERVICES ON THE NET – WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE DIFFERENCE? (Panel session) 15TH INTERNATIONAL CONFERENCE ON WWW/INTERNET (ICWI) MANNHEIM, GERMANY OCT 28, 2016 HTTP://INTERNET-CONF.ORG/
  2. 2. The physician´s perspective IN THREE QUESTIONS & ANSWERS 1 – 2 – 3
  3. 3. What is the difference between searching the web and consulting a physician? QUESTION &ANSWER 1:
  4. 4. The web only answers Keep in mind: answer quality depends on what you ask. „If you expect wise answers, you have to ask sensible questions“1 1 Johann Wolfgang von Goethe (Link) 1:
  5. 5. But the physician also asks And he may ask sensible questions to find a personalised differentiated diagnosis. 1:
  6. 6. The net only reacts Results depend on user´s search skills and health literacy. IN OTHER WORDS: The physician interacts Results depend on doc´s experience, sense and sensibility.
  7. 7. Artificial intelligence (AI) & allgorithms try to immitate and play doctor... 1:
  8. 8. ...but fail: IN RESPONSE TO “I AM HAVING A HEART ATTACK,” “MY HEAD HURTS,” AND “MY FOOT HURTS.” ONLY SIRI GENERALLY RECOGNIZED THE CONCERN, REFERRED TO EMERGENCY SERVICES, AND IDENTIFIED NEARBY MEDICAL FACILITIES. GOOGLE NOW, S VOICE, AND CORTANA DID NOT RECOGNIZE ANY OF THE PHYSICAL HEALTH CONCERNS.1 1 Miner AS, Milstein A, Schueller S, Hegde R, Mangurian C, Linos E. Smartphone-Based Conversational Agents and Responses to Questions About Mental Health, Interpersonal Violence, and Physical Health. JAMA Intern Med. 2016;176(5):619-625. doi:10.1001/jamainternmed.2016.0400 (Link) 1:
  9. 9. How is quality of health information on the net? QUESTION &ANSWER 2:
  10. 10. Very heterogenous and difficult to specify. But.. 2:
  11. 11. ...the overall quality is dissatisfying. That´s for sure! . 2:
  12. 12. A TEAM OF PHYSICIANS ANALYSIED 100 HEALTH ADVISING WEBSITES ON 24 CRITERIAS (E.G. COMPLETENESS, MEDICAL EVIDENCE, FAIR BALANCE OF INFORMATION, INDICATION OF SOURCES). KEY RESULTS: • MORE THAN 30 % WHERE RATED AS „POOR“ OR „VERY POOR“ • THE AVERAGE SCALE WAS „FAIR“ (4) Source: Central Krankenversicherungen AG (Editor), Praxis Dr. Internet – Studie zum Kranheitssuchverhalten in Deutschland sowie zur Qualität von Gesundheitsinformationen im Internet (Link) Scale Website count 1 (Very good) - 2 (Good) 9 websites 3 (Satisfactory) 34 websites 4 (Fair) 24 websites 5 (Poor) 30 websites 6 (Very poor) 3 websites
  13. 13. Who is the provider and what might be his intension? ALWAYS CHECK WHEN USING A WEB SERVICE:
  14. 14. Even wikipedia is struggeling for acceptance as a reliable source Sources: The Guardian, Is Wikipedia a reliable source for medical advice? (Link) Hasty RT et al.. Wikipedia vs Peer-Reviewed Medical Literature for Information About the 10 Most Costly Medical Conditions. J Am Osteopath Assoc 2014;114(5):368-373. doi: 10.7556/jaoa.2014.035. (Link) Mühlhauser I et al., Does WIKIPEDIA provide evidence-based health care information? A content analysis, Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ) doi:10.1016/j.zefq.2008.06.020 (Link) Wikipedia; Reliability of wikipedia (Link)
  15. 15. Why physicians do not recommend websites or health apps to their patients? QUESTION &ANSWER 3:
  16. 16. Because they don´t know them? 3:
  17. 17. Mostly YES. (And the commonly given answer.) 3:
  18. 18. But main (& mostly unknown)reason is: 3:
  19. 19. They can´t prescribe them!! Lack of certifications means: recommending an app is a legal grey area So they better keep hands off! 3:
  20. 20. A physician´s controversial conjective CONCLUSION OUT OF 1 – 2 – 3
  21. 21. The net and the healthcare sector are parallel universes… …WITH A LOT OF MORE OR LESS WEAK CONNECTIONS IN BETWEEN. CONTRARY TO ALL EXPECTATIONS & STATED POTENTIAL, THE NET´S OVERALL CONTRIBUTION TO HEALTHCARE PROVISION IS STILL LOW. CONTOVERSIAL CONJECTIVE:
  22. 22. Thank you! TOBIAS NEISECKE PHYSICIAN & DIGITAL HEALTH EXPERT TWITTER: @TOBIAS_NEISECKE HTTP://MEDIZIN-UND-NEUE-MEDIEN.DE

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