Guidelines, the Internet, and Personal Health

2002 ◽  
Vol 41 (03) ◽  
pp. 230-234 ◽  
Author(s):  
J. R. Moehr
Keyword(s):  
Health Informatics ◽  
The Internet ◽  
Evidence Based ◽  
Delivery Modes ◽  
Traditional Health ◽  
Health Consumer ◽  
Care Maps ◽  
Internet Support ◽  
Consumer Provider ◽  
Different Content

Summary Objectives: To summarize the insights gained in collaborative research in a Canadian Network of Centres of Excellence, devoted to the promotion of evidence-based practice, and to relate this experience to Internet support of health promotion and consumer health informatics. Methods: A subjective review of insights is undertaken. Results: Work directed the development of systems incorporating guidelines, care maps, etc., for use by professionals met with limited acceptance. Evidence-based tools for health care consumers are a desirable complement but require radically different content and delivery modes. In addition to evidence-based material offered by professionals, a wide array of Internet-based products and services provided by consumers for consumers emerged and proved a beneficial complement. Conclusion: The consumer-driven products and services provided via the Internet are a potentially important and beneficial complement of traditional health services. They affect the health consumer-provider roles and require changes in healthcare practices.

scholarly journals Steps in Moving Evidence-Based Health Informatics from Theory to Practice

2016 ◽  
Vol 22 (4) ◽  
pp. 255 ◽  
Author(s):  
Michael Rigby ◽  
Farah Magrabi ◽  
Philip Scott ◽  
Persephone Doupi ◽  
Hannele Hypponen ◽  
...  
Keyword(s):  
Health Informatics ◽  
Evidence Based ◽  
Theory To Practice

scholarly journals The internet racing ahead of the scientific evidence: the case of "liberation treatment" for multiple sclerosis

2011 ◽  
Vol 69 (3) ◽  
pp. 525-527 ◽  
Author(s):  
Yára Dadalti Fragoso
Keyword(s):  
Multiple Sclerosis ◽  
Neurological Disease ◽  
Venous Insufficiency ◽  
Scientific Evidence ◽  
The Internet ◽  
Evidence Based ◽  
The World ◽  
Internet Discussion ◽  
The Central Nervous System ◽  
The Subject

Multiple sclerosis (MS) is a chronic neurological disease that typically affects young adults. A recent publication suggested that MS might originate from insufficient blood drainage in certain areas of the central nervous system. The condition was named chronic cerebrospinal venous insufficiency (CCSVI). Other papers have not confirmed these findings and, therefore, the matter remains controversial. Nineteen months after the original publication on CCSVI and MS, another 22 papers have been published addressing the matter. No clinical trials have been carried out on the subject and there is no evidence-based indication to perform surgical vascular procedures in MS patients. However, over the same nineteen-month period, the internet discussion on the subject of CCSVI and MS has led to countless websites advertising treatment using vascular surgery for patients with MS all over the world. The treatment based on the CCSVI theory has appealingly been called "liberation treatment", thus making it difficult to explain to patients why a treatment that has been highly praised (on the internet) cannot be recommended based on partial medical results that await confirmation.

scholarly journals Re-Tooling School

2020 ◽  
Vol 2 (1) ◽  
pp. 53
Author(s):  
Russell Burt
Keyword(s):  
New Media ◽  
The Internet ◽  
Delivery Modes ◽  
Equity And Access ◽  
Learner Agency ◽  
Developed World ◽  
Learner Experience ◽  
International Citizenship

How do we ReTool school to make it engaging, empowering and success making for all? At the same time how do we guarantee equity and access so that what our government calls “priority learners”, have the same opportunities for 3rd millennium citizenship as everybody else?   When vast tracts of what is now the Developed World, were opened up by the provision of roads, bridges and railroads, people moved from subsistence and achieved effective citizenship, locally, nationally and globally. The infrastructure that enables access to the new platform for citizenship, the internet, is analogous to the roads, bridges and railroads of yesteryear. The business of retooling requires this infrastructure as a baseline, but real efficacy and agency will only be achieved when environments are enriched by innovation on top of the essential infrastructure.   Retooling School requires a Change Pedagogy Imperative: When essential aspects of learning are amalgamated and new media are used for the reception and delivery modes, the learner experience is completely different. It is more than possible to develop new learner agency, efficacy and leadership in learning. This journey to genuine citizenship will have three major hallmarks: ubiquity anywhere, anytime, any pace, any people learning agency the power to act -informed/empowered/enabled learners connectedness edgeless education, connected minds   We need to: Provide the essential infrastructure and enrich the environment for: local, national and international citizenship of all learners.

scholarly journals Parallelism in web services: design of parallel XML parser for web services

2019 ◽  
Vol 16 (3) ◽  
pp. 1407
Author(s):  
Rohitkumar Rudrappa Wagdarikar ◽  
Sandhya P
Keyword(s):  
Web Services ◽  
Response Time ◽  
Network Performance ◽  
Heterogeneous Systems ◽  
Data System ◽  
The Internet ◽  
Network Distance ◽  
Consumer Provider ◽  
Internet Connections

<p>A WS provides the communication between heterogeneous systems. While performing this operation, we need to focus on QoS of consumer, provider and registry directory. There will be some parameters like WS selection, prediction and rank these are parameters need to consider while QoS implementation in web services. While performing integration in web services we need to focus on QoS requirements regarding server and network performance. Performance of WS is related to locations i.e the network distance and the Internet connections between consumer and provider. There will be more QoS approach which works on consumers collected QoS data, based on this data system can predict the QoS of WS. Throughput and response time are the QoS of WS. In this paper, we have proposed parallel XML parser, by which we can parse UDDI, WSDL and SOAP XML files parallel by which it will improve the response time and throughput of WS.</p>

scholarly journals Evaluation Considerations for Secondary Uses of Clinical Data: Principles for an Evidence-based Approach to Policy and Implementation of Secondary Analysis

2017 ◽  
Vol 26 (01) ◽  
pp. 59-67 ◽  
Author(s):  
P. J. Scott ◽  
M. Rigby ◽  
E. Ammenwerth ◽  
J. McNair ◽  
A. Georgiou ◽  
...  
Keyword(s):  
Clinical Data ◽  
Health Informatics ◽  
Best Practice ◽  
Data Science ◽  
Clinical Performance ◽  
Secondary Analysis ◽  
Health Data ◽  
Evidence Based ◽  
Great Expectations ◽  
Scientific Context

Summary Objectives: To set the scientific context and then suggest principles for an evidence-based approach to secondary uses of clinical data, covering both evaluation of the secondary uses of data and evaluation of health systems and services based upon secondary uses of data. Method: Working Group review of selected literature and policy approaches. Results: We present important considerations in the evaluation of secondary uses of clinical data from the angles of governance and trust, theory, semantics, and policy. We make the case for a multi-level and multi-factorial approach to the evaluation of secondary uses of clinical data and describe a methodological framework for best practice. We emphasise the importance of evaluating the governance of secondary uses of health data in maintaining trust, which is essential for such uses. We also offer examples of the re-use of routine health data to demonstrate how it can support evaluation of clinical performance and optimize health IT system design. Conclusions: Great expectations are resting upon “Big Data” and innovative analytics. However, to build and maintain public trust, improve data reliability, and assure the validity of analytic inferences, there must be independent and transparent evaluation. A mature and evidence-based approach needs not merely data science, but must be guided by the broader concerns of applied health informatics.

scholarly journals Quality and Safety in eHealth: The Need to Build the Evidence Base (Preprint)

2019 ◽  
Author(s):  
Elizabeth Borycki
Keyword(s):  
Health Informatics ◽  
Improve Patient Safety ◽  
Health Technology ◽  
Evidence Base ◽  
Evidence Based ◽  
Quality And Safety ◽  
Design Development ◽  
Health Technologies ◽  
Safety Science ◽  
Improve Patient

UNSTRUCTURED Research in the area of health technology safety has demonstrated that technology may both improve patient safety and introduce new types of technology-induced errors. Thus, there is a need to publish safety science literature to develop an evidence-based research base, on which we can continually develop new, safe technologies and improve patient safety. The aim of this viewpoint is to argue for the need to advance evidence-based research in health informatics, so that new technologies can be designed, developed, and implemented for their safety prior to their use in health care. This viewpoint offers a historical perspective on the development of health informatics and safety literature in the area of health technology. I argue for the need to conduct safety studies of technologies used by health professionals and consumers to develop an evidence base in this area. Ongoing research is necessary to improve the quality and safety of health technologies. Over the past several decades, we have seen health informatics emerge as a discipline, with growing research in the field examining the design, development, and implementation of different health technologies and new challenges such as those associated with the quality and safety of technology use. Future research will need to focus on how we can continually extend safety science in this area. There is a need to integrate evidence-based research into the design, development, and implementation of health technologies to improve their safety and reduce technology-induced errors.

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