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Pediatric Informatics: Computer Applications in Child Health (Health ...

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194 P.W. Dalrymple et al.<br />

13.3.5 Information for Families<br />

Reliability, accessibility and usability of health <strong>in</strong>formation for families are three<br />

areas of concern <strong>in</strong> recommend<strong>in</strong>g resources. In addition, issues of language, literacy<br />

and culture must be considered <strong>in</strong> content and format of such resources. There<br />

is a grow<strong>in</strong>g body of literature on these aspects of patient-provider communication,<br />

especially as US demographics change over time. As such, resources are also<br />

chang<strong>in</strong>g to meet these evolv<strong>in</strong>g patient needs. Two examples are:<br />

Medl<strong>in</strong>ePlus (http://www.medl<strong>in</strong>eplus.gov, National Library of Medic<strong>in</strong>e)<br />

provides current and readable health <strong>in</strong>formation <strong>in</strong> English and Spanish on<br />

diseases, therapies and drug <strong>in</strong>formation <strong>in</strong> Web pages and patient <strong>in</strong>formation<br />

sheets. When possible, l<strong>in</strong>kages to local resources are provided.<br />

Patient Education Onl<strong>in</strong>e (http://patiented.aap.org/<strong>in</strong>dex.aspx, American<br />

Academy of <strong>Pediatric</strong>s) is a subscription service for pediatricians that provides<br />

current English or Spanish patient <strong>in</strong>formation sheets produced by the AAP<br />

for download, that may be pr<strong>in</strong>ted <strong>in</strong> the office for families, and may also be<br />

used as a practice market<strong>in</strong>g tool. A big advantage of the onl<strong>in</strong>e format is paper<br />

reduction.<br />

<strong>Health</strong>Vault Search (http://www.healthvault.com, Microsoft Corporation) is a<br />

consumer-targeted search eng<strong>in</strong>e to a number of vetted sources of health <strong>in</strong>formation<br />

as part of a personal health <strong>in</strong>formation management system where users<br />

may create accounts for stor<strong>in</strong>g and us<strong>in</strong>g health <strong>in</strong>formation.<br />

13.4 Conclusion<br />

The <strong>in</strong>creas<strong>in</strong>g availability of electronic medical <strong>in</strong>formation for patient care,<br />

education and research provide great opportunities for practic<strong>in</strong>g pediatricians to<br />

be more efficient, productive and better communicators and learners. Integration<br />

of general medical knowledge resources with patient-specific applications (such as<br />

electronic health records) will cont<strong>in</strong>ue to evolve, but know<strong>in</strong>g what resources will<br />

be useful to practitioners <strong>in</strong> specific cl<strong>in</strong>ical environments is essential to get the best<br />

return on <strong>in</strong>vestment <strong>in</strong> electronic resources.<br />

13.5 Case Study: Us<strong>in</strong>g the World Wide Web<br />

and Google for <strong>Health</strong><br />

The Google World Wide Web search eng<strong>in</strong>e (See “Cl<strong>in</strong>ical Constellations” earlier<br />

<strong>in</strong> this chapter) uses a mathematical algorithm called “PageRank” 11 as a measure<br />

of authority of a given Webpage <strong>in</strong> response to an entered query. While most cl<strong>in</strong>icians<br />

are not likely to depend solely on Google for diagnos<strong>in</strong>g patients, they may

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