Friday, April 11, 2014

Impact of ICT on healthcare

ICT is not a novel technology; it is a continuous improvement of computing and communication. The combination of ICT and Healthcare has ushered in a new field called “e-health” that impacts each and everyone of us: payers, providers, practitioners and patients.


E-health is the “a concerted effort undertaken by leaders in health care and hi-tech industries to fully harness the benefits available through convergence of the Internet and healthcare”. This emerging sector aims to address three main communication networks. The “Business to Consumer“ (B2C) section aims to improve the interaction of consumers with the system, the “Business to Business” (B2B) aims to enhance the institution-to-institution transmission of data and the “Consumer to Consumer” (C2C) explores new possibilities of peer-to-peer communication. 


The reasons why e-health is revolutionizing the healthcare system is because it is easy-to-use, exciting and entertaining. The NHS Direct in the UK provides advice on health and medical problems via internet and telephone. WebMD provides online group discussions with medical experts. CyberDocs offer “virtual house call” with board-certified physicians for $50 -$100 a session and the demand for these services are ever increasing. One system which is still under development assists men with enlarged prostates to make an informed decision on whether to watch and wait or take recourse to medication and surgery. Another interesting application uses automated computer interviews as well as multimedia presentations to help patients choose treatment options for deep-vein thrombosis.

Kaiser Permanente has spent over $2 billion to move all of its operations onto the Internet and has created a computerized patient record. This has allowed all 361 of its clinics and hospitals and every physician, nurse, and dentist in these hospitals communicate with one another and with patients. Members can also use the system to search online for health information, obtain advice from nurses and pharmacists, request an appointment, or join an online discussion group.

But what are the drawbacks? Is it good to allow consumers access to information? Are the consumers using the information made available efficiently? The information available online is many a time incomplete and this often leads to misdiagnosis and panic for the consumers. Many argue that this free access to information will lead to adverse selection. Consumers will generally choose high-quality providers based on the performance review and this will unfairly penalize healthcare providers and organizations that treat high-risk patients. This might discourage surgeons from operating on high-risk patients.

Thus, while ICT promises to make access to quality healthcare easier and more cost effective the drawbacks discussed above remain to be addressed.

References:



In the article “How the Internet Is Transforming the Physician-Patient Relationship” James G. Anderson provides a detailed analysis of the impact e-medicine has on patients and physicians.



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