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Who uses self-care books, advice nurses, and computers for health information?

OBJECTIVES: While evaluating the effect of a community-wide informational intervention, this study explored access, health, and demographic factors related to the use of medical reference books, telephone advice nurses, and computers for health information. METHODS: A random sample of households in the intervention city (Boise, Idaho) and two control cities were surveyed about their use of health information in 1996. Shortly thereafter, the Healthwise Communities Project (HCP) distributed health information to all Boise residents. A follow-up survey was conducted in 1998. Overall, 5,909 surveys were completed for a 54% response rate. RESULTS: The HCP intervention was associated with statistically significant increases in the use of medical reference books and telephone advice nurses. The increased use of computers for health information was marginally significant. Few access, health, or demographic factors were consistently associated with using the different resources, except that people with depression used more of all three information resources, and income was not a significant predictor. CONCLUSION: Providing free health information led to an increase in use, but access, health, and demographic factors were also important determinants. In particular, poor health status and presence of a chronic illness were associated with health information use. These results suggest that healthy consumers are less interested in health information, and it may take other incentives to motivate them to learn about prevention and healthy behaviors.

Adult↗

The demand for consumer health information.

Using data from an evaluation of a community-wide informational intervention, we modeled the demand for medical reference books, telephone advice nurses, and computers for health information. Data were gathered from random household surveys in Boise, ID (experimental site), Billings, MT, and Eugene, OR (control sites). Conditional difference-in-differences show that the intervention increased the use of medical reference books, advice nurses, and computers for health information by approximately 15, 6, and 4%. respectively. The results also suggest that the intervention was associated with a decreased reliance on health professionals for information.

Adolescent↗

[Dentistry in antiquity].

The Etruscan gold dental appliances to women of means were a remarkable start of the application of inserted teeth. The Romans that followed paid great attention to the dental system and the poet Martialis is one of the first Roman writers who speaks clearly of artificial teeth. Celcus, with his medical writings in eminent Latin, made a nice contribution to dental surgery and some of the prescriptions and remedies of Scribonius Largus were fairly effectual. Dioskorides distributed a most comprehensive pharmacological guide presenting a great number of medical applications - some related to teeth and gums. Plinius collected a celebrated encyclopaedia on medicine and natural science crammed with all sort of facts - some absurd. The passages concerning teeth and gums has thus got a miscellaneous description of current folklore and more reliable treatments. Galenos, after Hippocrates the greatest physician of ancient times, was a prolific writer. He produced medical reference books covering all medical branches that became authoritative for nearly two thousand years and the portions of dental treatments are detailed. The Romans had a widespread interest of mouth-care with toothpicks, mouthwashes, pain relieving remedies, the use of instruments and in some cases constructions of false teeth - but no real explanation of caries.

Dentistry↗

[Medical publications within private libraries of the European enlightenment. About the medically learned German novelist Johann Gottwerth Müller (1743-1828) and his stock of medical books].

The German novelist J. G. Müller is one of the popular writers of the late 18th century. The encyclopaedically educated scholar, from his point of view, is obliged to support publicly the welfare of state and society. Although Müller studied medicine he did not practise making his living from his novels which dealt critically with absolutist society. Medical studies and serious illness caused a lifelong interest in medical affairs ranging from the treatment of patients, the organisation of healthcare, the distribution of medicines, charlatanism, to everybody's responsibility for health. For him the syndrome of health/illness/medical science became part of the general status of science and a metaphor for the present and future conditions of class society. This engagement led to the compliation of approximately 280 medical books as part of his library which contained more than 13,000 volumes documented in the catalogue printed for public sale in 1829: "Verzeichnib der von dem Herrn Dr. Ph. Joh. Gottw. Müller in Itzehoe hinterlassenen Bibliothek, [...]/Contents of Joh. Gottw. Müller, Ph.D., library left behind in Itzehoe [...]."The essay comprises an introduction to Müller's collection of medical books and a complete bibliographical documentation. His books cover the medical discourse from the 17th to early 19th century focusing on publications of the 18th century. They offer information on medical bibliographies, catalogues, biographies, history of medical science, reference, specific publications on a large variety of actual topics such as medical science, treatment, politics, appliances, and social as well as hygienic questions. This stock of publications reveals itself as an additional source for an understanding of book-collecting in the 18th century, the history of privately organised medical libraries, and the discourse of medical science and treatment at a time of transition from a humoral-pathological to a firmer understanding of pathological concepts around 1800.

Book Collecting↗

Assessing the impact of direct-to-consumer advertisements on the AA patient: a multisite survey of patients during the office visit.

The method by which patients receive health information continues to change in this new age of increased information and technology. Long gone are the days of the mystique surrounding the physician's prescribing of a medication to cure their patients ailment. In recent years, this mystique has been replaced with more informed patients that bring their questions and concerns their doctor in anticipation of open dialogue. At the other end of the spectrum are the patients that come to the visit armed with notes, copies of Web pages, information from their home medical reference books and information heard or seen from the latest advertisements directed to the consumer about a medication for a self diagnosed disease. The majority of physicians have welcomed and encouraged patients to take on more responsibility of their health and appreciate the dialogue. This is preferred to the patient who sits motionless and nods his/her head in blind agreement with the proposed plan of action. Physicians have read the data on patient compliance and medical outcomes and understand that an informed patient is an ally and not an enemy. However, is there a difference between an informed patient that asks questions seeking a more active role in their healthcare versus a demanding patient that believes that their knowledge base is equal to the physician, thereby reducing the physician to a vending machine dispensing requested prescriptions with little insight or deviation from the patient's demands? Fundamentally, we know that physicians agree that our profession dictates that we use all of the medical knowledge at our fingertips, our interpersonal skills and judgment in making recommendations to our patients. We refuse to be reduced to a simple dispenser of desired medications with no regard to the patient and their well being and in fact are incensed with the assumption that our profession has been reduced to such mediocrity. However, we prefer the middle ground with our patients, neither the demanding or the complacent are our preference, we want relationship and believe that this will improve the patient's health status. The question is whether the increased information, dialogue, and patient involvement utilizing the information from new sources are a good thing, a bad thing or simply a reality of medicine's entrance into the information age. Must we encourage our patients to take an active role in their healthcare but place boundaries on the venues by which they receive information? How do patients interact with their physician in the office after exposure to an ad for a prescription medication? How do physicians react to the questions and do we encourage the interaction? What is the effect of the pharmaceutical industry marketing directly to our patients? Do we know and how will we ever fully assess the impact? Although these questions have no succinct answer, the physician and the patient dyad must be the guiding barometer.

Adult↗

Patient dosimetry activities in the United States: the nationwide evaluation of X-ray trends (NEXT) and tissue dose handbooks.

In the United States the Food and Drug Administration (FDA) in collaboration with the Conference of Radiation Control Program Directors (CRCPD) and state and local government agencies surveys clinical facilities about X-ray system air kerma and ancillary data related to patient dosimetry for a variety of diagnostic X-ray examinations. The survey program is known as the Nationwide Evaluation of X-ray Trends (NEXT). The survey utilizes reference patient-equivalent phantoms in the collection of comprehensive technical information. With knowledge of the skin-entrance air kerma, specific tissue doses can be calculated. An overview of NEXT and previously published FDA tissue dose handbooks for diagnostic X-ray examinations is presented.

Child↗

The effect of age on the use of health and self-care information: confronting the stereotype.

PURPOSE: Given stereotypes of older adults, there is the perception that older adults will not use health information technologies. One concern is that practitioners might shy away from providing older patients with health information, and in particular, computerized information. The study's primary objective was to evaluate whether a health information intervention had a differential effect for people of different ages. DESIGN AND METHODS: Quasi-experimental survey data from an assessment of a communitywide informational intervention were used. People were asked about their use of medical reference books, telephone advice nurses, or computers for health information in the past few months. In total, 5,909 surveys were completed. RESULTS: The data show that older adults were no less likely (and were sometimes more likely) to use health information as a result of the intervention than younger adults. For telephone advice nurses and computers, the effect of the intervention was not significantly different for the different age groups. Yet, compared with persons 18-29 years of age, those over the age of 65 had a 17-percentage point increase in using a self-care book. IMPLICATIONS: We find convincing evidence to counter the stereotype that older adults are resistant to trying new health information technologies.

Adolescent↗

[The Epistolarum medicinalium libri XX by Giovanni Mainardi].

The paper aims at highlighting some aspects of the Epistolarum medicinalium libri XX by Giovanni Mainardi. This work, that enjoyed an European repute and was reprinted many times, has to be set against the background of the early 16th century attempts at reforming medical education. Mainardi, a skilled humanist and the pupil of Nicolb Leoniceno and Pico della Mirandola, advocated a return to the original sources of Greek and Latin medical thought. The choice of Epistolae as a literary genre was in itself meaningful, in that it allowed Mainardi an unusual freedom of expression on the whole range of medical problems. Mainardi advocated the notion of medicine as ars - not scientia - and he believed in disengaging it from natural philosophy in the Aristotelian sense. At the same time, he believed in the possibility of introducing novelties in medicine, and of correcting ancient but incorrect textual traditions.

Education, Medical↗

Books for free? How can this be? - A PubMed resource you may be overlooking.

The NCBI (National Center for Biotechnology Information) at the National Institutes of Health collects a wide range of molecular biological data, and develops tools and databases to analyse and disseminate this information. Many life scientists are familiar with the website maintained by the NCBI (http://www.ncbi.nlm.nih.gov), because they use it to search GenBank for homologues of their genes of interest or to search the PubMed database for scientific literature of interest. There is also a database called the Bookshelf that includes searchable popular life science textbooks, medical and research reference books and NCBI reference materials. The Bookshelf can be useful for researchers and educators to find basic biological information. This article includes a representative list of the resources currently available on the Bookshelf, as well as instructions on how to access the information in these resources.

Biological Science Disciplines↗