Patient%20Driven%20Healthcare%20Choices:%20The%20Role%20of%20the%20Healthcare%20Industry

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Patient Driven Healthcare Choices The Role of
the Healthcare Industry

• E Loren Buhle, Jr. PhD.
• Creator OncoLink, Managing Your Diabetes,
  Medicine Online, etc.
• Associate Director of Information Management,
• Intranet/Internet and Knowledge Engineering Area
  (IIKEA)
• SmithKline Beecham RD

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Patient Drivers

• Partnership with their healthcare team through
  information and knowledge
• no attending physicians, managing overall
  picture
• gaps in healthcare delivery system
• desire for additional choices outside system
• virtual online community
• Privacy, confidentiality of healthcare
  information.
• Quick fix - cure in a pill, simple treatment.

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E Loren Buhle, Jr. Ph.D.
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Health Business Drivers

• Information, Advertising of Products Services
• mainline resources oncology, cardiology
• elective medicine weight loss, plastic surgery
• Efficient physician time management (patient
  drivers)
• Cost reduction, efficient allocation of
  healthcare resources
• Patient outcomes, epidemiology, etc.
• Education, fast, inexpensive communication
• journals, news resources, clinical trial info,
  telemedicine, etc.

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E Loren Buhle, Jr. Ph.D.
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Advertising on the Internet

• Principle vehicle for funding
• poor measures of cause/effect (ROI)
• change prescribing patterns
• change/improve treatment methodology
• Regulatory restrictions on advertising within the
  indication (safe and efficacious)
• impact of the Internet
• educational grants to sites with off indication
  resources

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E Loren Buhle, Jr. Ph.D.
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Advertising and Public Info(for a healthcare
institution)

• Location and parking at the hospital, clinic
• Office and clinic hours
• instructions for new patients
• Specialties of a specific hospital or clinic
• Educational opportunities for patients and
  caregivers
• Seminars

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E Loren Buhle, Jr. Ph.D.
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Physician Referral Network(Advertising)

• Listings of physicians by specialty
• Listings of physicians by location
• Pictures and credentials of physicians
• family practice
• other interests, such as chairing support groups,
  etc.
• Physician schedule management (Intranet?)

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E Loren Buhle, Jr. Ph.D.
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Public Health Ed Alerts(Advertising)

• Simple health educational material
• phone numbers for poison info
• head lice, simple lacerations, poison ivy
• Instructions on food preservation
• Vaccination Information for School
• First Aid certification courses, CPR, etc.

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E Loren Buhle, Jr. Ph.D.
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CME/CNE Education of Staff(Advertising)

• Uniform education of staff
• Cost effective dissemination of education
  material
• Monitor compliance of education
• Specialized education for a small target audience
  (e.g. cardiac care)
• Education for a widely scattered staff
• Education for staff working different shifts

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E Loren Buhle, Jr. Ph.D.
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Efficient Physician Time Mgt(facilitate the
process)

• Electronic patient chart
• within an institution, healthcare system, etc.
• Electronic consultation
• with library, clinical trials, medical resources
• consultation with healthcare practitioners
• Ongoing patient follow-up
• minimize telephone tag with known patients
• provide low resource intensive mechanism to
  communicate with patients

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E Loren Buhle, Jr. Ph.D.
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Cost reduction, efficient allocation of
healthcare resources

• Efficient scheduling of resources
• physicians, facilities, pooling together scarce
  resources
• Providing Resources from Remote Locations
• native language psychiatrist, expert consults
• Disease Outcomes, centralized reporting to
  evaluate trends, pool results
• Electronic patient records

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E Loren Buhle, Jr. Ph.D.
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Patient outcomes, epidemiology, etc.(facilitate,
gain knowledge)

• Electronic patient charts
• retrospective studies
• integration of genomics into medicine
• Centralized Reporting
• facilitate reporting, tracking patterns of care
  for patients and physicians
• Integration info, Knowledge Management
• online lab results, pharmacology, medical info

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E Loren Buhle, Jr. Ph.D.
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Education Fast, inexpensive communication vehicle

• Online full-text journals
• Online news resources (e.g. CNN, Reutershealth)
• Clinical Trials
• Pharmaceutical information
• Managed Care Information
• Government healthcare resources
• Grant information
• Research information

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E Loren Buhle, Jr. Ph.D.
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Intersection of DriversPublic and Business

• Partnership with their healthcare team through
  information and knowledge
• advertising, journals, online consultation with
  healthcare professionals
• online access to their physician in some cases
• visibility of other approaches to their health
• Privacy, confidentiality of healthcare
  information.
• challenge with electronic chart, standardization
  of reporting
• Quick fix - cure in a pill, simple treatment.

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E Loren Buhle, Jr. Ph.D.