15th International Conference on WWW/INTERNET 2016
28 – 30 October, Mannheim, Germany
http://internet-conf.org/
HEALTH SERVICES ON THE NET - WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE
DIFFERENCE?
(Panel Session)
Thomas Wetter, Célia Boyer, Tobias Neisecke, Jonas Pendzialek and Monika Pobiruchin
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HEALTH SERVICES ON THE NET - WHAT'S GOOD FOR ME? WHAT'S BAD? AND HOW DO I TELL THE DIFFERENCE? - The physician´s perspective
1. HEALTH SERVICES ON THE NET –
WHAT'S GOOD FOR ME? WHAT'S BAD?
AND HOW DO I TELL THE DIFFERENCE?
(Panel session)
15TH INTERNATIONAL CONFERENCE ON WWW/INTERNET (ICWI)
MANNHEIM, GERMANY
OCT 28, 2016
HTTP://INTERNET-CONF.ORG/
3. What is the difference
between searching the web
and consulting a physician?
QUESTION &ANSWER 1:
4. The web only answers
Keep in mind: answer quality depends on what you ask.
„If you expect wise answers, you have to ask sensible
questions“1
1 Johann Wolfgang von Goethe (Link)
1:
5. But the physician also asks
And he may ask sensible questions to find a personalised
differentiated diagnosis.
1:
6. The
net only
reacts
Results depend on user´s search
skills and health literacy.
IN OTHER WORDS:
The
physician
interacts
Results depend on doc´s
experience, sense and sensibility.
8. ...but fail:
IN RESPONSE TO “I AM HAVING A HEART ATTACK,” “MY HEAD
HURTS,” AND “MY FOOT HURTS.” ONLY SIRI GENERALLY
RECOGNIZED THE CONCERN, REFERRED TO EMERGENCY
SERVICES, AND IDENTIFIED NEARBY MEDICAL FACILITIES.
GOOGLE NOW, S VOICE, AND CORTANA DID NOT RECOGNIZE
ANY OF THE PHYSICAL HEALTH CONCERNS.1
1 Miner AS, Milstein A, Schueller S, Hegde R, Mangurian C, Linos E. Smartphone-Based Conversational Agents and Responses to Questions
About Mental Health, Interpersonal Violence, and Physical Health. JAMA Intern Med. 2016;176(5):619-625.
doi:10.1001/jamainternmed.2016.0400 (Link)
1:
9. How is quality of health
information on the net?
QUESTION &ANSWER 2:
12. A TEAM OF PHYSICIANS ANALYSIED 100 HEALTH ADVISING
WEBSITES ON 24 CRITERIAS (E.G. COMPLETENESS, MEDICAL
EVIDENCE, FAIR BALANCE OF INFORMATION, INDICATION OF
SOURCES).
KEY RESULTS:
• MORE THAN 30 % WHERE RATED AS
„POOR“ OR „VERY POOR“
• THE AVERAGE SCALE WAS „FAIR“ (4)
Source: Central Krankenversicherungen AG (Editor), Praxis Dr. Internet – Studie zum Kranheitssuchverhalten in Deutschland sowie zur
Qualität von Gesundheitsinformationen im Internet (Link)
Scale Website count
1 (Very good) -
2 (Good) 9 websites
3 (Satisfactory) 34 websites
4 (Fair) 24 websites
5 (Poor) 30 websites
6 (Very poor) 3 websites
13. Who is the provider and what
might be his intension?
ALWAYS CHECK WHEN USING A WEB SERVICE:
14. Even wikipedia is struggeling
for acceptance as a reliable
source
Sources:
The Guardian, Is Wikipedia a reliable source for medical advice? (Link)
Hasty RT et al.. Wikipedia vs Peer-Reviewed Medical Literature for Information About the 10 Most Costly Medical Conditions. J Am
Osteopath Assoc 2014;114(5):368-373. doi: 10.7556/jaoa.2014.035. (Link)
Mühlhauser I et al., Does WIKIPEDIA provide evidence-based health care information? A content analysis, Z. Evid. Fortbild. Qual. Gesundh.
wesen (ZEFQ) doi:10.1016/j.zefq.2008.06.020 (Link)
Wikipedia; Reliability of wikipedia (Link)
15. Why physicians do not
recommend websites or
health apps to their patients?
QUESTION &ANSWER 3:
21. The net and
the healthcare sector are
parallel universes…
…WITH A LOT OF MORE OR LESS WEAK
CONNECTIONS IN BETWEEN.
CONTRARY TO ALL EXPECTATIONS & STATED
POTENTIAL, THE NET´S OVERALL CONTRIBUTION
TO HEALTHCARE PROVISION IS STILL LOW.
CONTOVERSIAL CONJECTIVE: