Post on 23-Dec-2015
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bmadge@bma.org.uk professor@alangillies.com
An Introduction to Consumer An Introduction to Consumer Health Informatics and New Health Informatics and New
Methods of Delivering Methods of Delivering Information to PatientsInformation to Patients
Bruce Madge
Professor Alan Gillies
bmadge@bma.org.uk professor@alangillies.com
OutlineOutline
• The UK context: drivers and policies
• National Case Study: NHS Direct
• Local case study
• Discussion
bmadge@bma.org.uk professor@alangillies.com
Information for HealthInformation for Health
• 5.12 People need information about health and healthcare in many different circumstances.
• 5.13 The development of new media such as Internet and digital television offer enormous opportunities to widen access by the public to information about health and health services. Through these media an unprecedented range of information, services and facilities will be available.
NHS Information Authority, NHS Executive, (1998), Information for Health: An Information Strategy for the Modern NHS 1998-2005
bmadge@bma.org.uk professor@alangillies.com
The national UK context: the NHS PlanThe national UK context: the NHS Plan
“The NHS will provide open access to information about services, treatment and performance” (Core principle 10)
“ Each week will see millions of hits on the NHS Direct Internet site” (1.9).
“Patients will be helped to navigate the maze of health information through the development of NHS Direct Online, digital TV and NHS Direct information points in public places” (10.2)
The NHS Plan July 2000
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Patient ChoicePatient Choice
• Building on the best: Choice, responsiveness and equity in the NHS - Dec 2004– Consultation said:
• All of us – not just some among the affluent middle classes – want the opportunity to share in decisions about our health and health care;
• We want the right information, at the right time, as well suited to our personal needs as possible;
• Our health needs are personal, and we would like services to be shaped around our needs.
bmadge@bma.org.uk professor@alangillies.com
Patient ChoicePatient Choice
• Building on the best: Choice, responsiveness and equity in the NHS - Dec 2004
• Divided into:– Areas for change– Information for All– Quality signposting– personalised information
• supporting change– A clear way forward– Information for the promotion of health
bmadge@bma.org.uk professor@alangillies.com
Introduction
NHS’s main health advice and information website
Launched by the Prime Minister in December 1999
Receives 0.6 million visitors each month
Winner of one of the European Commission’s first ever eHealth awards in 2003
National case study:NHS Direct Online
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NHS Direct Online
What does it offer?• Interactive self-help guide• Health encyclopaedia• ‘Best Treatments’ information• Frequently asked questions• Access to nhs.uk’s database of local health
services e.g. hospitals, doctors’ surgeries, pharmacists
• Hot topics on latest health issues• Health information enquiry service• ‘HealthSpace’ personal health organiser
bmadge@bma.org.uk professor@alangillies.com
NHS Direct Online
Health information enquiry service• Introduced in November 2001 in response to
user feedback• Responds to health information enquiries only• Handles around 3,900 enquiries per month• Replies sent within 5 working days, usually 1
or 2 days• Over half of users are aged 17-35 years• 64% of enquiries from females• Most enquired about topics include
gynaecology, dermatology and medicines
bmadge@bma.org.uk professor@alangillies.com
NHS Direct Digital TVNHS Direct Digital TV
What is it?• An interactive health information
service – the largest on digital TV• Able to deliver text based information,
supported by images and some video content
• Allows the user to select information on particular health topics of interest to them
• Not a ‘linear’ TV channel, which can only broadcast programmes on one subject at a time
bmadge@bma.org.uk professor@alangillies.com
NHS Direct Digital TVNHS Direct Digital TV
What will it offer?• Introduction to NHS Direct Digital TV• Health encyclopaedia• Advice on looking after yourself• NHS services directory – GP’s,
dentists, pharmacists etc.• Information about using the NHS e.g.
how to register with a GP etc• Hot topics on current health issues
bmadge@bma.org.uk professor@alangillies.com
NHS Direct Self-help guideNHS Direct Self-help guide
• What is it?• Easy to use guide to treating common
health problems at home• Launched in 1999• 2 million copies in circulation• New partnership with Thomson Local
Directories• From April 2004, the guide is being
included in the Thomson Local directory • By April 2005, the guide will be in 18
million households
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Local case studyLocal case study
• On-line resource• Designed to make skills available to patients to
find information and knowledge • Designed to make skills available to patients to
judge the information and knowledge they find• Case material based upon earlier work for North
Yorkshire Health Informatics Service and ADITUS (NHS North West Library Service)