Advertisement

Web-Enabled Medicine: The Challenge of Ensuring Quality Information and Care

  • George D. Lundberg
  • Patricia L. Lundberg
Part of the Health Informatics Series book series (HI)

Abstract

The Internet changes everything! Well, not exactly everything. The earth still gets its energy from the sun; Avogadro’s number is still 6.023 × 10 to the 23rd; the Red Sox and Cubs will never meet in a World Series. But access to information has never realized such potential before the Internet. It speeds to our monitor screens—a potentially bewildering array of formal speeches, barroom conversation, music, newspapers, television and radio programs, telegraph messages, magazines, movies, medical journals, esoteric research publications, and other assorted items. John Seely Brown has called it “an entirely new medium, likely to change nearly every aspect of how we live, work and learn” [1]. The medical Internet encompasses eContent, eCommerce, eCommunity, eConnectivity, and now, even eCare and eCME (continuing education). The Internet knows neither geographic nor legal boundaries. Still, it is only a medium, not the message. As we move from a medium that delivers copious health information (eContent) to one that can transact eCommerce worldwide to one that will actually enhance the art and practice of medicine for patients and physicians alike (eConnectivity, eCare, and eCME), the challenge is to ensure the trustworthiness of information and care delivered as Web-enabled medicine on the Internet.

Keywords

Clinical Decision Support Future Technology Application Service Provider Manage Care Company Good Business Practice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brown JS. Learning in the digital age. In: Devlin M, Larson R, Meyerson J. The internet and the university: Forum 2001. Cambridge, MA, and Boulder, CO: Forum for the Future of Higher Education and EDUCAUSE; 2002. p. 65–91.Google Scholar
  2. 2.
    Masys DR. Effects of current and future information technologies in the health care workforce. Health Affairs 2002; 21: 33–41.PubMedCrossRefGoogle Scholar
  3. 3.
    Lundberg GD with Stacey J. Severed trust: why American medicine hasn’t been fixed. New York: Basic Books; 2001.Google Scholar
  4. 4.
    Lundberg GD, Stacey J, Waters T, Lundberg PL. Patient-focused control: fixing our broken health system. In: Lundberg GD with Stacey J. Severed trust. Revised and updated with comprehensive solutions to the health care dilemma. New York: Basic Books; 2002.Google Scholar
  5. 5.
    WebMD Proprietary Information. Market Facts Consumer Health Media Study, July 2002; BCG Harris Interactive eHealth Physicians Study, June 2002; Manhattan Research Physician Health Media Study, July 2002; Fulcrum Analytics, CyberCitizen Health, 2001; AMA Physicians and the Internet Study, 1997; Jupiter Media Metrix, 1997.Google Scholar
  6. 6.
    Silberg W, Lundberg GD, Musacchio RA. Assessing, controlling and assuring the quality of medical information on the internet. JAMA 1997; 277: 1244–1245.PubMedCrossRefGoogle Scholar
  7. 7.
    http://www.medscape.com/px/instantpollservlet/view?ActiveFlag=1andBackURL=/px/ instantpollservlet/result?PollID=560.
  8. 8.
    Miller TE, Derse AR. Between strangers: the practice of medicine online. Health Affairs 2002; 21: 168–180.PubMedCrossRefGoogle Scholar
  9. 9.
    Kronick DA. Peer review in eighteenth century scientific journalism. JAMA 1990; 263: 1321–1322.PubMedCrossRefGoogle Scholar
  10. 10.
  11. 11.
    Lundberg GD. The ethics of the medical internet. MedGenMed September 10, 1999. vol 1, number 2. http://www.medscape.com/viewarticle/408003.
  12. 12.
    How do people evaluate a Web site’s credibility? Consumer Web Watch News. Research report. November 2002. http://www.consumerwebwatch.org/news/report3.
  13. 13.
    Lundberg GD, Anderson SM, Goodhue, J, DuBois DD, O’Malley K, Smith SE. A virtual core collection: Medscape Select. http://www.medscape.com/pjsp/public/help/search/medline/ medscape/medscapeselect.html.
  14. 14.
    Barrett M. Why doctors hate the net. Forrester Research Report, March 2000. http://www.forbes.com/asap/2000/1127/248_2.html.
  15. 15.
    http://www.newswise.com/articles/2001/3/HTECH.TFC.html.
  16. 16.
    http://www.accme.org/incoming/119_2001_annual_report_data.pdf.
  17. 17.
    Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
  18. 18.
    Kilbridge P. Crossing the chasm with information technology: bridging the quality gap in health care. Oakland, CA: California Health Care Foundation; 2002.Google Scholar
  19. 19.
    Metzger J, MacDonald K. Clinical decision support for the independent physician practice. Oakland, CA: California Health Care Foundation; 2002.Google Scholar
  20. 20.
    MacDonald K, Metzger J.Achieving tangible IT benefits in small physician practices. Oakland, CA: California Health Care Foundation; 2002.Google Scholar
  21. 21.
    Integrated practice management, clinical and e-health solutions. Santa Clara, CA: The Medical Manager Health Systems; 2002.Google Scholar
  22. 22.
    Davidoff F, Florance V. The informationist: a new health professional? Ann Intern Med 2000; 132: 996–998.PubMedGoogle Scholar
  23. 23.
    Commentary. QandA with Don Kemper, Healthwise CEO. iHealthBeat. The Advisory Board Company. August 5, 2002.Google Scholar
  24. 24.
    Commentary. QandA with Janet Marchibroda, CEO, eHealthInitiative. iHealthBeat. The Advisory Board Company. September 9, 2002.Google Scholar
  25. 25.
    Parker-Pope T. Firms help patients find latest cures for illnesses. The Wall Street Journal Online, November 26, 2002.Google Scholar
  26. 26.
    Caterinicchia D. DOD approved medical system. FCW.com. Federal Computer Week, November 7, 2002.Google Scholar
  27. 27.
    Committee on rapid advance demonstration projects: health care finance and delivery systems. Corrigan JM, Greiner A, Erickson SM, editors. Information and communications technology infrastructure: a “paperless” health care system. In: Fostering rapid advances in health care: learning from system demonstrations. Washington, DC: Institute of Medicine; 2002.Google Scholar

Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • George D. Lundberg
  • Patricia L. Lundberg

There are no affiliations available

Personalised recommendations