Health 2.0

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Health 2.0 is a term representing the possiblities between health care, eHealth and Web 2.0, and has come into use after a recent spate of articles in newspapers, and by Physicians and Medical Librarians.[1][2] A possible explanation for the reason that Health has generated its own "2.0" term are its applications across health care in general, and in particular it limitless potential in public health promotion.[3]

Level of use of Web 2.0 in Health Care

Little empirical evidence exists to understand how much Web 2.0 is being used in general. Studies suggest the use is extensive, for instance it is estimated that nearly one-third of the 100m Americans who have looked for health information online say that they or people they know have been significantly helped by what they found.[4] This however looks at the broader use of the internet for health management, but other research has suggested that a segment of 245,000 physicians in the U.S are using Web 2.0 for their practice, indicating that use is beyond the stage of the early adopter with regard to physicians and Web 2.0.[5]

Types of Web 2.0 use in Health Care

Web 2.0 is commonly associated with technologies such as weblogs (blogs), social bookmarking, wikis, podcasts, RSS feeds (and other forms of many-to-many publishing), social software, and web application programming interfaces (APIs) (see main article Web 2.0). As such the commonly identified uses of Web 2.0 in health can be

Technology type Examples Description Targeted users
General search tools Google Google searches revealed the correct diagnosis in 15 (58%, 95% confidence interval 38% to 77%) in a study in 2005[6]. All (public)
Health wikis fluwikie.com Prepare communities against potential endemics Public Health Professionals
ganfyd.org Collaborative medical reference by medical professionals MDs
organizedwisdom.com Aims to generate credible user-generated health content combined with tools such as search and blogs Public
Blogs digutmb.blogspot.com Resource for medical students interested in dermatology as well as for dermatologists, residents, patients, and the general public MDs
casesblog.blogspot.com The blog of ClinicalCases.org with medical, tech and other interesting stories. Q&A from practicing MDs MDs
RSS/Podcasts books.mcgraw-hill.com/podcast/acm/ Training resources related to key titles MDs
CVMD.org Multimedia medical information network that provides audio and video podcasts in cardiovascular disease, its prevention and treatment MDs
Online communities (includes use of other tools) cdc.gov/diabetes/projects/appalachian.htm Community forum to reduce the impact of diabetes on people who live in high-risk (distressed) counties in the Appalachian Region of the United States Public
brain.hastypastry.net/forums/ Online patient support groups for neurology. Mainly forums Public
psychcentral.com/ Large and old independent mental health social network created and run by mental health professionals Public

Criticism of the use of Web 2.0 in health

Several critcism have been raised in the use of Web 2.0 in health. Firstly, the limitations for Medical Doctors (MDs) to use Google as a diagnostic tool, which may be more effective only for conditions with unique symptoms and signs that can easily be used as search term.[7] Secondly, longheld concerns exist about the effects of patients obtaining information online, such as the idea that petients may delay seeking medical advice.[8] Finally concerns exist about the quality of user generated content leading to mis-information, though empirical research has demonstrated that in certain support groups on 6% of information is factually wrong and that only 3% reported that online advice had caused serious harm.[9]

References

  1. Economist, The. 2007. Health 2.0 : Technology and society: Is the outbreak of cancer videos, bulimia blogs and other forms of “user generated” medical information a healthy trend? The Economist, September 6: 73-74
  2. Giustini, D. 2006. How Web 2.0 is changing medicine: Editorial. British Medical Journal, 333:1283-1284
  3. Crespo, R. 2007. Virtual Community Health Promotion. Preventing Chronic Disease, 4(3) : 75
  4. Levy, M. 2007. Online Health. Assessing the Risk and Opportunity of Social and One-to-One Media. Jupiter Research. Accessed at http://www.jupiterresearch.com/bin/item.pl/research:vision/103/id=98795/ on 20/1/2008
  5. Manhattan Research, LLC. 2007. White Paper: Physicians and Web 2.0: 5 Things You Should Know about the Evolving Online Landscape for Physicians. Accessed at http://www.manhattanresearch.com/TTPWhitePaper.aspx on 20/1/2008
  6. Tan H, Ng JHK. Googling for a diagnosis—use of Google as a diagnostic aid: internet based study. BMJ 2006;333:1143-5.
  7. Tan H, Ng JHK. Googling for a diagnosis—use of Google as a diagnostic aid: internet based study. BMJ 2006;333:1143-5.
  8. Ojalvo, H. E. (1996). Online advice: Good medicine or cyber-quackery? Retrieved September 22, 2007 from http://www.acponline.org/journals/news/dec96/cybrquak.htm
  9. Economist, The. 2007. Health 2.0 : Technology and society: Is the outbreak of cancer videos, bulimia blogs and other forms of “user generated” medical information a healthy trend? The Economist, September 6: 73-74

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