Abstracts of MEDNET2004

Johannes W. van der Slikke, Theodoros N. Arvanitis, Vincenzo Della Mea
2004 Technology and Health Care  
this year's congress will take place in Buenos Aires, over three days preceded by tutorials and workshops. This year the MEDNET motto is "Bridging the Information Gap". This bridging will result in "Globally Connected Healthcare". Two years ago from Amsterdam we virtually bridged the ocean by having a satellite conference in Buenos Aires, named "Latin-MEDNET" as a try out for the first MEDNET outside Europe. This abstract book of MEDNET 2004 includes topics like: access to health information,
more » ... idence based information, impact of the Internet on the care and follow up of patients, quality of the medical content in Internet, bioethical aspects of Internet in health, telemedicine, Internet and continuous medical education, use of the Internet in the management and health administration, use of Internet in clinical multicentre trials, etc. We welcome the participants from all over the world to this 9th World Congress on the Internet in Medicine and trust this conference will be a start of many new friendships and the consolidation of international collaboration in this field. Next to the content the atmosphere of Buenos Aires and the warm hospitality of our hosts guarantee some enjoyable days. We will foster the memories for a long time, at least until our second lustrum congress in 2005. Hans van der Slikke SIM Chair The aim of the project is a comparison of web pages of different health related institutions, based on a quality of information presentation. 20 criteria were chosen from the official standards, guidelines and technical rules for publication of electronic information. The aforementioned aspects may be used in systems for quality evaluation of health care web sites. In this conception particular values connected with the quality of web pages are retrieved automatically and the system displays them on the Internet in a up-to-date mode. 54 health care websites were evaluated in total. The results are presented with a decision tree chart. It begins with one root node that contains all of the observations. Conclusion: The paper discussed the principles of algorithms proposed by the authors for automated evaluation and are used for the comparison of international health care web pages quality criteria. The comparison demonstrates not only the characteristics of different types of websites, but also a meaningful value of formally measured website parameters. Background: Self-management of asthma may improve asthma outcomes significantly. The Internet has been suggested as a tool for monitoring and self-management of asthma. However, in a recent study we found that the Internet interface had some disadvantages and that users tend to stop using the web interface after a short while (http://www.hon.ch/Mednet2003/abstracts/215165482.html). Objectives: The primary objective of the present study was to evaluate the feasibility of using SMS (short messaging service) for asthma diary data collection from a user perspective. The secondary objective was to investigate compliance with SMS diary. Methods: The study included quantitative compliance data, based on SMS collection, and qualitative data from a traditional focus group setting. In a period of 2 months, the participants received four SMS messages each day -of which 3 should be replied to. Diary inputs were collected in a database and compliance was expressed as number of diary inputs (SMS replies) divided by diary requests (product of number of days in study and number of diary questions per day) for each participant. The focus group interview addressed the participants' relation to their own asthma in general, their experience with the SMS asthma diary, and their future expectations from the SMS asthma diary. Results: Twelve asthmatics (6 males) participated in the study. The median (range) age was 38.5 (13, 57) years. The median (range) compliance was 0.69 (0.03, 0.98) -i.e. half the participants reported more than two thirds of the requested diary data. Furthermore, compliance was relatively steady during the study period with no signs of decreasing usage over time. From the focus group interview we learned that in general the participants were enthusiastic about the SMS diary -it became an integrated part of their everyday life. However, the participants wished for a simpler diary with only one SMS message The University of Otago has a well-established postgraduate health informatics program that is taught primarily via the Internet. When a need was identified for teaching the program in the South Pacific Island of Fiji it was anticipated that it would be a simple matter to transpose the New Zealand model to Fiji. This was not the case. This paper briefly describes the New Zealand Program, and then explores the unexpected difficulties and challenges encountered in trying to replicate an established teaching program in a developing country. A review is presented of the process required to establish the program and then an analysis of the first year of operation is undertaken. The lessons learned may be of assistance to other teaching organizations that may be contemplating out reach teaching programs in Health Informatics. Teledermatology provides a modern way of communication between general practitioners (GPs) and dermatologists through the Internet. Up to now there is no valid scientific evidence of the benefits of telemedicine or teledermatology. With our randomised controlled trial PERFECT D (Primary care Electronic Referrals: Focus on Efficient Consultation using Telemedicine, in Dermatology) we gain to provide valid scientific evidence about teledermatology effects. The main outcome measure is the proportion of preventable referrals to the hospital.
doi:10.3233/thc-2004-12501 fatcat:nufl4vvcdzbc7hdcuoocmkj2zq