THE DANGERS OF E-HEALTH

Shane O'Hanlon

2011

Abstract

In 2005 there were 51 unique definitions of e-Health in use, and a wide range of themes covered, suggesting a lack of clarity on the subject. It is an exciting area with much potential. There is a proliferation of activity, including huge funding invested by the European Commission. Given the large financial investment, we should ensure that the return is an effective e-Health intervention, and a resultant improvement in patient safety. But can e-Health actually do harm? All doctors are aware of the potential for harm, for example in telemedicine there are numerous reports of adverse events. There is little work in the scientific literature on the dangers of e-Health. The evidence base for e-Health is strikingly narrow, and there are few high quality studies demonstrating that patient safety benefits. Most studies do not have a structured system of reporting adverse outcomes. This leads to some ambiguity as to whether clinicians should advocate for e-Health on behalf of their patients. Other sectors have already embraced evaluations. We need a phased system of evaluation, with clear and transparent processes for reporting outcomes. High quality studies should be conducted and the results published so that all stakeholders can make an informed decision.

References

  1. Coiera E. World of Health IT conference. March 2010.
  2. Eysenbach G. What is e-health? J Med Internet Res. 2001 Apr-Jun;3(2):E20.
  3. Margalit RS, Roter D, Dunevant MA, Larson S, Reis S. Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. Patient Educ. Couns. 61 (1) (2006), pp. 134-141.
  4. Noordman J, Verhaak P, van Beljouw I, van Dulmen S.Noordman. Consulting room computers and their effect on GP-patient communication: comparing two periods of computer use. Fam Pract. 2010 Jul 26. [Epub ahead of print]
  5. Nguyen HQ, Cuenco D, Wolpin S, Benditt J, CarrieriKohlman V. Methodological considerations in evaluating eHealth interventions. Can J Nurs Res. 2007 Mar;39(1):116-34.
  6. Oh H, Rizo C, Enkin M, Jadad A. What is eHealth?: a systematic review of published definitions. World Hosp Health Serv. 2005;41(1):32-40.
  7. O'Hanlon S. European Union Geriatric Medicine Specialists conference. October 1st 2010
  8. Purves IN. Facing future challenges in general practice: a clinical method with computer support. Fam. Pract. 13 (6) (1996), pp. 536-543.
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Paper Citation


in Harvard Style

O'Hanlon S. (2011). THE DANGERS OF E-HEALTH . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2011) ISBN 978-989-8425-34-8, pages 423-426. DOI: 10.5220/0003294504230426


in Bibtex Style

@conference{healthinf11,
author={Shane O'Hanlon},
title={THE DANGERS OF E-HEALTH},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2011)},
year={2011},
pages={423-426},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003294504230426},
isbn={978-989-8425-34-8},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2011)
TI - THE DANGERS OF E-HEALTH
SN - 978-989-8425-34-8
AU - O'Hanlon S.
PY - 2011
SP - 423
EP - 426
DO - 10.5220/0003294504230426