Public-access computing: a new medium for health information delivery.
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Biomedical subjects
Publications and source records attributed to T M Grundner.
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Interactive video technology is a unique and innovative way to maintain professional competency in health care. Its capabilities for individualization and trainee feedback complement its institutional flexibility and make this a truly revolutionary method for continuing education and initial instruction of all health professionals. Interactive video can be employed to evaluate objectively hospital staff performance standards and as such may help satisfy the hospital's burden of staff quality control. In addition, it may be a cost-saving measure by reducing training personnel expenditures. The following article describes the benefits of this budding technology and its application in health care.
Some of the most valuable medical databases in existence are created and maintained by the federal government. Yet, in most cases, to access them the user must go through expensive commercial channels. In effect this forces the user to pay for them twice--once as a tax-payer and again as a user. It is argued that computerized medical information is no longer a novelty or a luxury item and is becoming fundamental to patient care, administration, education and research. As a result these data ought not be locked up by commercial vendors, but rather should be made widely and freely available to all--especially when the information was developed with public monies in the first place.
The current state of medically-related computer software is compared to a hypothetical pharmaceutical industry in which no one knows what products exist, what they are intended to do, how to order them, or whether they are any good. A federal agency has been tasked with reviewing medically-related software and devices, but it is viewed as being too underfunded to do much good. To remedy this, a private, voluntary review function is proposed for those professional organizations who hold medical computing as a central interest.
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A great deal of attention has been paid to ensuring that surgical consent forms have valid content, but little effort has been made to ensure that the average patient can read and understand them. Five representative surgical consent forms were analyzed with two standardized readability tests. The readability of all five was approximately equivalent to that of material intended for upper-division undergraduates or graduate students. Four of the five forms were written at the level of a scientific journal, and the fifth at the level of a specialized academic magazine. I suggest that few consent forms currently in use could pass readability tests. The implication of these findings is that thousands of persons may be undergoing surgery each year on the basis of inadequate consent. The problem has a reasonably simple solution: analysis of all consent forms for readability, and rewriting of those found excessively difficult.
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The Cleveland Free-Net is the nation's first free open-access computer system providing health information to the public. An online survey was developed for the family medicine clinic housed within the Free-Net to study the characteristics of the users of the system and the reason they selected the Free-Net as a source of health information. Three areas were addressed: 1) user demographics; 2) content analysis of questions; and 3) reasons Free-Net was used instead of the person's own health care provider. An analysis of the initial system done in 1985 revealed that early users of the system were known to be predominantly white male professionals, generally in the 25-35 age range. In comparison to that profile, more of the users in this study were women, but the majority of users continued to be white male professionals. Questions asked can be classified in six categories: diagnosis, symptoms, treatment, medications, laboratory tests, and prevention. The main categories of medical concerns were cardiovascular, gastrointestinal, obstetrical, and gynecologic problems. Users tended to use the Free-Net for health information rather than their physician because the traditional means was not always appropriate for the life-style of this population.