Digital Medicine: Health Care in the Internet Eraby Darrell M. West, Edward Alan Miller
Pub. Date: 04/16/2009
Publisher: Brookings Institution Press
"Although the amount of accessible information has risen dramatically in recent years, there are few content standards. Some information is incomplete or inaccurate, or it is sponsored by pharmaceutical interests with a financial stake in particular treatments. Potential conflicts of interest are important because national surveys have found that 75 percent of… See more details below
"Although the amount of accessible information has risen dramatically in recent years, there are few content standards. Some information is incomplete or inaccurate, or it is sponsored by pharmaceutical interests with a financial stake in particular treatments. Potential conflicts of interest are important because national surveys have found that 75 percent of Americans report that they rarely check the source or date of medical resources found online."
"Race and ethnicity remain a serious problem for the future of digital medicine. Those demographic characteristics interact with age, education, literacy, and income in important respects.... It will prove difficult to gain economies of scale unless greater numbers of older, less well off, and less educated people begin to use online resources."
"The real problem in health care is not technology per se but political, social, and economic challenges that complicate the adoption of digital technologies. Ordinary people have been slow to embrace technology in managing their personal health care. Consumers worry about the confidentiality of medical records, and professionals fear that the costs of technology will outweigh the benefits. Research suggests that patients worry that the emergence of digital medicine will lower health care quality and lead to unmet health care needs."
"There is little doubt that in the short run, there will continue to be major barriers to digital medicine... In the long run, however, progress will be made on many of the current policy challenges. Health care cost projections virtually guarantee that policy innovations will be introduced and problems that slow progress now will be overcome. Health carecosts are escalating so rapidly that policymakers have little choice but to take meaningful action. Failure to act is no longer an option."
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Table of Contents
1 The e-health revolution 1
2 Online content and sponsorship status 19
3 Use of technology 42
4 Relationship between use of digital technology and attitudes toward health care 59
5 Digital disparities 74
6 Information acquisition 86
7 International comparisons 97
8 Improving digital medicine 118
App. A National e-health public opinion survey 135
App. B American health Websites 139
App. C Government health department Websites around the world 143
App. D Content analysis protocol for health care Websites 146
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