The Ten ‘E’s of EHealth

  • Efficiency – one of the promises of e-health is to increase efficiency in health care, thereby decreasing costs. One possible way of decreasing costs would be by avoiding duplicative or unnecessary diagnostic or therapeutic interventions, through enhanced communication possibilities between health care establishments, and through patient involvement.
  • Enhancing quality of care – increasing efficiency involves not only reducing costs, but at the same time improving quality. E-health may enhance the quality of health care for example by allowing comparisons between different providers, involving consumers as additional power for quality assurance, and directing patient streams to the best quality providers.
  • Evidence based – e-health interventions should be evidence-based in a sense that their effectiveness and efficiency should not be assumed but proven by rigorous scientific evaluation. Much work still has to be done in this area.
  • Empowerment of consumers and patients – by making the knowledge bases of medicine and personal electronic records accessible to consumers over the Internet, e-health opens new avenues for patient-centered medicine, and enables evidence-based patient choice.
  • Encouragement of a new relationship between the patient and health professional, towards a true partnership, where decisions are made in a shared manner.
  • Education of physicians through online sources (continuing medical education) and consumers (health education, tailored preventive information for consumers)
  • Enabling information exchange and communication in a standardized way between health care establishments.
  • Extending the scope of health care beyond its conventional boundaries. This is meant in both a geographical sense as well as in a conceptual sense. e-health enables consumers to easily obtain health services online from global providers. These services can range from simple advice to more complex interventions or products such a pharmaceuticals.
  • Ethics – e-health involves new forms of patient-physician interaction and poses new challenges and threats to ethical issues such as online professional practice, informed consent, privacy and equity issues.
  • Equity – to make health care more equitable is one of the promises of e-health, but at the same time there is a considerable threat that e-health may deepen the gap between the “haves” and “have-nots”. People, who do not have the money, skills, and access to computers and networks, cannot use computers effectively. As a result, these patient populations (which would actually benefit the most from health information) are those who are the least likely to benefit from advances in information technology, unless political measures ensure equitable access for all. The digital divide currently runs between rural vs. urban populations, rich vs. poor, young vs. old, male vs. female people, and between neglected/rare vs. common diseases.

    1 Comment

    Posted by on August 20, 2011 in medical


    What is Shared Decision Making: Short Animated Video

    Shared decision making is an approach where clinicians and patients communicate together using the best available evidence when faced with the task of making decisions, where patients are supported to deliberate about the possible attributes and consequences of options, to arrive at informed preferences in making a determination about the best action and which respects patient autonomy, where this is desired, ethical and legal.

    (HT: @ehealthgr )

    Leave a comment

    Posted by on August 15, 2011 in medical


    Diabetes Around The World : Infographic



    Posted by on August 12, 2011 in medical


    The Future of Health Care: Electronic Health Records

    With an EHR, a patient’s information is always current and coordinated, helping to eliminate medical errors and duplicative paperwork. Dr. Farzad Mostashari (ONC), Dr. Donald Berwick and other health care professionals discuss how EHR technology may help reduce the cost of health care and improve health outcomes — leading to a healthier future for all .

    A Video via Office of the National Coordinator for Health Information Technology:

    Leave a comment

    Posted by on August 12, 2011 in medical


    Five Free And Simple Google Tools For Medical Practitioners

    Google is the biggest influence on the web over the past 20 years of the internet. Their “Do No Evil” ‘philosophy’ has given us a whole stable of free and easy to use tools which can make any work easier and better. All of us use the Google Search Engine Homepage everyday! There is lots more a doctor can do with Google tools. Let’s take a look at Five Free And Simple Google Tools For Medical Practitioners.

    This is the most useful service ever by Google, barring Google Search. And you can have more of it! You can use Gmail to create 2 (or more) free accounts. So you can create one personal and another public email address for your medical practice. Eg: one can be and another By going to settings, you can then set to import your other email account into your primary gmail account. You can enable ‘multiple inboxes’ via Labs subtab, allowing you to receive neatly segmented mails. Check this video.

    You can reply by your choice of account, enabling you to keep your personal and professional emails separated by different accounts, yet accessible and answerable from one single account.

    Here’s a detailed screenshot enhanced post about this feature on Make Tech easier.

    If there are certain terms you want to follow on Google and receive any new mentions directly to your email inbox, create a Google Alert. Fill in the term you need to follow, like ‘Cardiology India news’ or ‘neelesh bhandari’ and set the frequency/type of alerts required. Stay updated via email.

    Maps and Places allow you to mark your professional locations and timings on a map. Link this marked map within all your emails. Henceforth all patients you email will see how to reach you easily via a map, with additional info about consultation hours that you might want to share.

    You don’t need to always go to Pubmed for all your medical searches. Head to Google Scholar and do any advanced search (author, type, publication year and lots more filters). You will get More Results. You will search more medical databases. Try it.

    Online videos are the most important medical info resource. But you don’t need to create videos to run a medical educational channel for your patients. Just create a channel by free login and start marking as favorite the best medical education videos you think might help your patients. Set channel settings to demonstrate your video favorites. Thus, you have a full blown video channel. Zero cost!

    We are planning another post on 5 Advanced And Free Google tools For Medical Practitioners. If you want to read that soon, Share This.

    If you need help with any of the above 5 tools, comment below.

    (cross-posted on Technology For Doctors )


    Posted by on August 7, 2011 in free, Google, medical, tools


    5 Useful and Free Android Medical Apps

    Use of Smartphones in healthcare is the latest intersection of Technology and Medicine. These inexpensive handheld computing devices allow users to download third party applications (apps) which can perform specialized tasks. Most Smartphones run on either the Apple iPhone’s iOS or the Android OS and there are literally tens of thousands of medical apps available for either of these operating systems.

    Clinical care is information intensive and some of the most commonly used mobile applications by physicians are for medical reference. By providing the latest evidence based medicine updates at the point-of-care, Smartphones are proving to be a very important tool for improving quality of healthcare.Here’s a list of Top 5 Free Medical Reference Apps For Android Smartphones which physicians can use everyday for clinical purposes.

    1) Medscape : Medscape is a popular web resource for physicians and other health professionals. This is a must have application which provides offline access to clinical reference tools like Drug Reference, Disease & Condition Reference and Treatment Guide, Procedures Reference, Tables & Protocols Reference and Drug Interaction Checker.

    2) Skyscape Medical Resources : Founded by a group of Indian innovators, Skyscape is a worldwide leading service for providing trusted medical information via mobile devices. The Skyscape portal provides a number of free as well as paid medical apps for almost all specialties.

    3) Epocrates : Epocrates is a publisher of mobile device software applications, designed to provide information about drugs to doctors and other health care professionals. The Epocrates application is the most popular of its kind providing a huge amount of information about pharmaceuticals. Regular use of this app can definitely help reduce errors in drug prescriptions.

    4) PubMed Mobile : An uber useful app by the National Library of Medicine, PubMed Mobile allows the user to search its database with over 21 million citations for articles and journals, save articles and searches, view abstracts, and export selected abstracts and citations for future use. NLM also provides a number of other mobile optimized tools and apps. Check the NLM Mobile Gallery here.

    5) WebMD : WebMD is the leading health information portal of the United States. It was founded in 1996 by Jim Clark and Pavan Nigam as Healthscape, later Healtheon, and then acquired WebMD in 1999 to form Healtheon/WebMD. The free app provides access to information regarding health and health care, including a symptom checklist, pharmacy information and drugs information.

    This article has been cross-posted on Technology For Doctors blog.

    Enhanced by Zemanta
    Leave a comment

    Posted by on August 6, 2011 in apps, education, images, medical, Mobile


    How WWW Has Changed Healthcare Over 20 Years

    Nothing has overwhelmed the world as quickly as the WWW. Twenty years ago (on 6th august, 1991) the World Wide Web was thrown open for the public ( Thanks to Tim Berners-Lee). Since then, billions of people have joined each other online and converted this into a social platform like no other.

    The web has also changed the way healthcare is practiced and delivered. Check this video by Life Healthcare Agency

    Also See:


    Posted by on August 6, 2011 in Healthcare, Informatics, technology, Web 2.0