Consumer health informatics
BMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7251.1713 (Published 24 June 2000) Cite this as: BMJ 2000;320:1713Data supplement
I decided to focus on selected topics from the field of consumer health informatics because I see that the progress in medical informatics during the past couple of years is less in specific technological advances and more as a shift in attention towards consumer issues. Therefore, I focused on some traditional medical informatics topics, such as information retrieval, decision support, education, and electronic health records, and tried to report advances in this field from the perspective of consumer health informatics.
Crude evidence for a "paradigm change" in medical informatics from provider oriented to consumer oriented was found in the fact that the average number of publications indexed by Medline containing the words "consumer and (informatics or computer*)" has increased more than sevenfold between 1986-7 and 1998-9 and that more articles discussing these concepts were published in the past four years (1996-9) than in the 30 years before (1966-95) (Figure 1)
Even more impressive is the growth in literature containing the term "internet": from eight publications in 1992, the number of publications rose to 216 in 1995, 681 in 1997, and 1413 in 1999 (Figure 2)
Table 1 Comparison of provider oriented medical informatics and consumer health informatics
Health informatics Provider Oriented Medical Informatics Consumer Health Informatics Focus Information systems for health professionals Information systems for consumers and patients Applications in clinical research Databases of randomised controlled trials for professionals Databases of trials for consumers (for example, www.Centerwatch.com) Decision support Clinical (mainly diagnostic) systems for professionals (expert systems for management of patients) Decision making tools for patients, such as for checking symptoms, assessing risk, and general health checks (answers questions such as "Do my symptoms require consultation with a healthcare professional?" "Who is the best professional to contact?" "Is it urgent?") Tools for preventive medicine Recall systems Personal self assessment systems and screening reminders Information exchange and communication Telemedicine Cybermedicine, telemedicine Medical documentation Health record systems Patient accessible health records (internet health records), patient held health records (smart cards), electronic patient health diaries Information retrieval Bibliographic and factual databases (Medline, etc), portals to medical websites Consumer oriented bibliographic and factual databases (Medline Plus, databases of randomised controlled trials) Health Portal Websites
Education and training Medical education Health education and promotion Drug information Pharmacy systems, drug interaction surveillance Patient accessible systems to check interactions between drugs and between drugs and food
Related articles
- Clinical Review Published: 06 April 2002; BMJ 324 doi:10.1136/bmj.324.7341.827
See more
- Return of the “firm” gets cautious welcomeBMJ December 07, 2016, 355 i6556; DOI: https://doi.org/10.1136/bmj.i6556
- NHS hospitals must help patients quit smoking, says British Thoracic SocietyBMJ December 07, 2016, 355 i6571; DOI: https://doi.org/10.1136/bmj.i6571
- US to ban smoking in public housingBMJ December 06, 2016, 355 i6562; DOI: https://doi.org/10.1136/bmj.i6562
- Advice on sugar and starch is urged in type 2 diabetes counsellingBMJ December 06, 2016, 355 i6543; DOI: https://doi.org/10.1136/bmj.i6543
- Evidence review ordered by government backs minimum alcohol pricingBMJ December 05, 2016, 355 i6546; DOI: https://doi.org/10.1136/bmj.i6546
Cited by...
- Virtual health care for community management of patients with COVID-19
- YouTube: a promotional vehicle for little cigars and cigarillos?
- Information and readability issues for psychiatric patients: e-learning for users
- Family Medicine Patients' Use of the Internet for Health Information: A MetroNet Study
- The future for primary care: increased choice for patients
- Basic concepts in medical informatics
- Explaining risks: turning numerical data into meaningful pictures
- How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews
- Ethical issues in qualitative research on internet communities
- Developing professional ability to involve patients in their care: pull or push?
- Randomised trial of personalised computer based information for patients with schizophrenia