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TLM-3060: Patients and the public as users of Net health services

Work Load
10  credits (ECTS)
Type of course
Theoretical and practial.
Level of course/Year of study
First or second year at master''s level.
Language of instruction
English.
Examination semester
Spring
Objectives
Patients and the public have become important users of ICT for self-care and in interaction with the public health service. Such use may gradually become a natural part of e-health services, and potentially contribute to achieving public-sector objectives such as increased user participation and treatment at the lowest effective level of care (known as the LEON principle in Scandinavia). At the same time, the use of ICT by patients and the public for health purposes raises a variety of questions related to clinical, ethical, organizational, legal and financial issues. The objective of this course is to provide an overview and exploration of such questions, as well as provide a basis for evaluating services to patients and the public.
Contents
Overview of services to patients and the public:
The course will be introduced with a review of various Internet services to patients and the public, with a closer look at their role in the context of other e-health services. These services range from pure access to information, decision support, support for lifestyle changes (for example, exercise, diet, tobacco) self-help groups, and online ask-the-doctor services to direct communication with health professionals, for example e-mail, between doctor and patient (including e-therapy).

Overview of user groups, frequency and methods of use:
Presentation of the services is explored in more depth with respect to volume, dispersion, who the users are and what the various services are used for.

Theoretical and practical models:
Various theories and models will provide guidelines for further research, development and evaluation associated with services to patients and the public. These take their point of departure in research fields such as health psychology, medicine, "consumer health informatics", and human-machine communication. These will be presented and discussed in connection with selected cases.

Implications:
The significance of the use of Internet health services by patients and the public will be the theme. The focus will be at various levels: individual, organization/system, and society/public health level.
Issues involved include:
·Health and quality of life, clinical issues
·Organizational and operational issues (patient organizations and the public health service)
·Costs and benefits
·Expertise
·Role changes in the public health service

Ethical, legal and political questions:
The use of Internet health offerings for specific health purposes raises a number of new problems which need to be solved within "old" rules. The borderless Internet also raises special issues associated with health services across national borders between countries that have different legislation and different traditions associated with privacy protection. Another topic will be ethical guidelines linked both to health offerings on the Internet and to arenas with players from the pharmaceutical sector and other industries, for example, in connection with advertising and purchase of health products over the Internet. This topic also includes national and international objectives as well as tools in this area.
Form of teaching
Lectures, seminars and groups, totalling 60 hours.
Coursework requirements

Gruppeoppgaver.
Exam and assessment
2 week take-home examination, assignment.

Handout 10.05.06. Handin 26.05.06
Contact person/lecturer
Frank Ruben Efraimsen, e-mail: frank.ruben.efraimsen@fagmed.uit.no
Recommended reading/syllabus
Available on request.
Homepage
http://uit.no/medfak-studietilbud/5452/4

Teaching spring 2006
Teaching will be given in The Research Park 1.

First attendance: Thursday 12.01.06 12:15 at NST. Tokyo room.


Universitetet i Tromsø, 9037 Tromsø, tlf. 77 64 40 00
Updated by default Administrator Account on 08.08.2006 at 21:41
Ansvarlig redaktør: konst. kommunikasjonsdirektør Karen Marie Christensen


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