scholarly journals The E-Patient

2017 ◽  
Vol 10 (2) ◽  
pp. 79-86 ◽  
Author(s):  
Ljubomir S. Kovachev ◽  
Pencho T. Tonchev ◽  
Kiril L. Nedialkov

Summary Advanced information technologies have entered all spheres of human activities. In healthcare, this happens much too fast and encompasses all its branches. How does the Internet form the relationship between patients and medical staff? What information do patients seek and how do they get it? What problems arise during the communication process via new means? How can we describe an e-patient? How does the Internet model the doctor-patient relationship in case of cancer, one of the most dramatic diseases? Are students prepared to face an e-patient and how are they trained to do it? What is to be done to optimize internet communication between patients and health providers? This review analyzes information on these issues and outlines some opportunities for solving problems arising against the background of IT use in health care.

2011 ◽  
pp. 1940-1948
Author(s):  
Yingge Wang

The widespread and fast-developing information technologies, especially wireless communications and the Internet, have allowed for the realization of greater automation systems than ever in healthcare industries: E-health has become an apparent trend, and having a clinic at home or even anywhere at anytime is no longer a dream. E-health, including telemedicine featured by conducting health-care transactions over the Internet, has been revolutionizing the well-being of human society. Traditionally, common practices in the health-care industry place tremendous burdens on both patients and health-care providers, with heavy loads of paper-based documents and inefficient communications through mail or phone calls. The transmission of medical data is even messy for cases in which patients have to transfer between different health providers. In addition, the medical documents prepared manually are prone to errors and delays, which may lead to serious consequences. The time, energy, and resources wasted in such processes are intolerable and unimaginable in any fast-paced society. For these problems, e-health provides powerful solutions to share and exchange information over the Internet in a timely, easy, and safe manner (Balas et al., 1997).


2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand

ABSTRACT The doctor patient relationship is of primary importance in the overall health care delivery model. It is a unique relationship which depends on trust and confidence between the parties for the provision of care. Establishing a doctor/patient relationship may take place formally in the office setting or informally, such as by giving verbal advice in a social setting. Doctors enter into a doctor-patient relationship with a commitment to provide their patients with quality service. Patients are entitled to be treated with respect and without discrimination during all stages of the doctor patient relationship, even if the relationship faces termination. However, when circumstances affect the doctors ability to achieve this, the doctors may decide to end the doctors patient relationship.


1985 ◽  
Vol 57 (2) ◽  
pp. 399-427 ◽  
Author(s):  
Lucille Hollander Blum

Healing power in the doctor-patient relationship is addressed to physicians in physical health care and to medical students but is of equal importance to dentists, social workers, nurses, and teachers in the field of physical health care. The presentation points up that in the relationship between physician and patient certain phenomena occur that are comparable to responses in the relationship between the psychoanalyst and analysand, such as transference and countertransference. This indicates that the physician in physical health care in effect is involved in some kind of psychotherapy. Aspects of the art of medicine are described. Emphasis is on the potential for patients' physical health improvement—placebo effect—when the providers' perception extends beyond focus on physical symptoms and disorders and includes attention to the patients' psychological and emotional needs.


2017 ◽  
Vol 3 (2) ◽  
pp. 104
Author(s):  
Maria Vargiami ◽  
Maria Goula

The relationship between the doctor and the patient is a particular type of human relation. On one hand, the word «patient» states that a person is at a disadvantage, because of his/her illness, and therefore is automatically at a disadvantageous position compared to the doctor. On the other hand, the patient has the opportunity to inform him/herself from online sources, to communicate with other patients, to participate as equal and to choose consciously his/her treatment plan.There are many different types of patients depending on their personality and interaction with their doctor. These types constituted a research field in the 80’s which lead to the analysis of patients’ psychology. After an historical flashback, patients are put in categories according to their reaction to their illness. In addition, the verbal way of approaching patients by their doctor, the patients’ expectations and their encouragement by professionals to participate more actively concerning their health care is underlined. As a result, this is the beginning of a new era, where the patient has requirements concerning both the medical and the human aspect of the doctor-patient relationship.


Author(s):  
Yingge Wang ◽  
Qiang Cheng ◽  
Jie Cheng

The widespread and fast-developing information technologies, especially wireless communications and the Internet, have allowed for the realization of greater automation systems than ever in health-care industries: E-health has become an apparent trend, and having a clinic at home or even anywhere at anytime is no longer a dream. E-health, including telemedicine featured by conducting health-care transactions over the Internet, has been revolutionizing the well-being of human society. Traditionally, common practices in the health-care industry place tremendous burdens on both patients and health-care providers, with heavy loads of paper-based documents and inefficient communications through mail or phone calls. The transmission of medical data is even messy for cases in which patients have to transfer between different health providers. In addition, the medical documents prepared manually are prone to errors and delays, which may lead to serious consequences. The time, energy, and resources wasted in such processes are intolerable and unimaginable in any fast-paced society. For these problems, e-health provides powerful solutions to share and exchange information over the Internet in a timely, easy, and safe manner (Balas et al., 1997). Incorporating fast and cost-efficient Internet and wireless communication techniques has enabled the substantial development of e-health. The use of the Internet to transmit sensitive medical data, however, leaves the door open to the threats of information misuse either accidentally or maliciously. Health-care industries need be extremely cautious in handling and delivering electronic patient records using computer networks due to the high vulnerabilities of such information. To this extent, security and privacy issues become two of the biggest concerns in developing e-health infrastructures.


Author(s):  
Kendall Ho

While information technologies, the Internet, and mobile technologies are introducing innovative approaches to knowledge exchange, communication, and new knowledge generation, the health system is comparatively slow in taking up these approaches towards healthcare service delivery. This chapter discusses the opportunities that information technology (IT) can offer to health care system innovation and improvement, highlights some key IT trends that will guide research and development, and highlights some current examples. Some action steps are suggested to accelerate the adoption of IT into routine health practices.


Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.


2021 ◽  
pp. 186-194
Author(s):  
Наталия Васильевна Коптева

Основанный на концепции британского экзистенциального психолога Р. Лэйнга конструкт невоплощенности в интернете (Н. В. Коптева, А. Ю. Калугин, Л. Я. Дорфман) посредством одноименной методики сопоставляется с системообразующим последствием нормативного применения интернета – изменением психологических границ в методике их оценки (МИГ-ТС-2) Е. И. Рассказовой, В. А. Емелина, А. Ш. Тхостова. Выявлены взаимосвязи измерений невоплощенности в интернете с параметрами изменения психологических границ, которые могут свидетельствовать о том, что искусственное технологическое разделение между ментальным Я и физическим телом пользователя создает предпосылки путаницы на границе между Я и не Я. Расширение и размывание границ интернет-пользователя усиливают его виртуализацию и соответствующие ей переживания деперсонализации, утраты реальности независимо от того, оправдывает или не оправдывает технология его ожидания достижимости и контролируемости окружающих людей, объектов и информации. Мотивация предпочтения интернета, связанная с возможностями, которые открывают независимость от физического тела и измененные границы, в значительной мере совпадает. Простота и легкость развоплощенного технологического способа бытия в расширенных, размытых границах придают привлекательность сети и объясняют связь невоплощенности с интернет-зависимостью, которую можно представить как искажение нормативного технологического развоплощения в случае проблемной пользовательской активности. In the present study we compare the construct of disembodiment on the Internet (N. V. Kopteva, A.Ju. Kalugin, L.Ya. Dorfman) based on the clinical conception by the British existential psychologist R. Laing and measured by the same-name technique to the framework consequence of the normative use of the Internet - changes of the psychological borders (E. I. Rasskazova, V. A. Emelin and A. Sh. Tkhostov) assessed by MIG-TS-2 technique. We identified the relationship between measurements of disembodiment and parameters of changes of psychological borders which may indicate that artificial technological split between the mental self and the physical body of a user creates conditions for confusion on the boundary between self and non-self. Expansion and blurring of the borders of an Internet user reinforces virtualizationinduced experiences of depersonalization and loss of reality regardless of whether the technology meets their expectations of availability and controllability of other people, objects and information or doesn’t. Motivation of Internet preference due to the opportunities that independence of the physical body and changes of boundaries present mostly follows the same pattern. Simplicity and easiness of the disembodied technological way of being within the expanded blurry borders makes the Web attractive and explains the relationship between the disembodiment and Internet addiction which can be viewed as distortion of normative technological disembodiment in cases of problematic user’s activity.


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