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Part of the book series: Methods in Molecular Medicine™ ((MIMM,volume 141))

Summary

eConsulting, in all its contexts, can promote and improve the amount and quality of services and knowledge transferred to and among the community of health care providers and consumers. It can also improve the efficiency and effectiveness of the specialist and generalist workforce and accessibility to the services provided. This chapter defines eConsulting, provides the context, and introduces a conceptual framework to describe its current practice and future possibilities. A clinical scenario of a patient with a breast lump is used to ground the molecular, clinical, organizational, and social, legal, and ethical issues in real world practice. The approach/method used is based on the clinical process, evidence-based practice, and appraising the quality, validity, relevance, and usefulness of the information. The practicalities and utility of current eConsulting tools are discussed with a view to future ubiquitous use. Working through this chapter should assist readers to understand and describe (1) how eConsultations can link and translate scientific research into clinical practice, (2) the current implications of eConsultations, (3) the future potential of eConsultations.

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Abbreviations

ANT:

actor network theory

EDS:

electronic decision support

GP:

general practitioner (family physician/doctor, primary care physician, primary care practitioner)

ICT:

information and communications technology

HON (code):

Health on the Net (code)

References

  1. Liaw, S. T., and Humphreys, J. S. (2006) Rural eHealth paradox: it’s not just geography!Aust. J. Rural Health 14, 95– 98.

    Article  PubMed  Google Scholar 

  2. Idriess, I. (1932) Flynn of the Inland. Angus & Robertson (Publishers) Pty Ltd., Sydney.

    Google Scholar 

  3. National Electronic Decision Support Taskforce. (2002) Report to Health Ministers: Electronic Decision support in Australia. Canberra: National Health Information Management Advisory Council; 2002 November.

    Google Scholar 

  4. National Electronic Health Records Taskforce. (2000) A Health Information Network for Australia. Commonwealth of Australia, Canberra, 2000 July.

    Google Scholar 

  5. Law, J. (1992) Notes on the theory of the actor- network: ordering, strategy, and heterogeneity. Syst. Prac. Action Res. 5, 379– 393.

    Google Scholar 

  6. Nonaka, I., and Takeuchi, H. (1995) The Knowledge- Creating Company: How Japanese Companies Create the Dynamics of Innovation. Oxford University Press, Oxford.

    Google Scholar 

  7. Latour, B. (1987) Science In Action. How to Follow Scientists and Engineers Through Society. Harvard University Press, Cambridge.

    Google Scholar 

  8. Tuomi, I. (2000) Internet, innovation, and open source: actors in the network, in Association of Internet Researchers Conference, September 15, 2000, Lawrence, Kansas, USA.

    Google Scholar 

  9. Olsen, O., and Ghe, P. (2006) Screening for breast cancer with mammography (Cochrane Review). The Cochrane Library 2006(2).

    Google Scholar 

  10. Rojas, M., Telaro, E., Russo, A., Moschetti, I., Coe, L., Fossati, R., et al. (2000) Follow- up strategies for women treated for early breast cancer (Cochrane Review). The Cochrane Library 2000(2).

    Google Scholar 

  11. Bessell, T., Silagy, C., Anderson, J., Hiller, J., and Sansom, L. (2002) Prevalence of South Australia’s online health seekers. Aust. NZ J. Public Health 26, 170– 173.

    Article  Google Scholar 

  12. Ilic, D., Bessell, T., Silagy, C., and Green, S. (2003) Specialized medical search- engines are no better than general search- engines in sourcing consumer information about androgen deficiency. Hum. Reprod. 18, 557– 561.

    Article  CAS  PubMed  Google Scholar 

  13. Bessell, T., McDonald, S., Silagy, C., Anderson, J., Hiller, J., and Sansom, L. (2002) Do Internet interventions for consumers cause more harm than good? A systematic review. Health Expect. 5: 28– 37.

    Google Scholar 

  14. Kriege, M., Brekelmans, C., Obdeijn, I., Boetes, C., Zonderland, H., Muller, S., et al. (2006) Factors affecting sensitivity and specificity of screening mammography and MRI in women with an inherited risk for breast cancer. Breast Cancer Res. Treat. 100: 109– 119.

    Article  PubMed  Google Scholar 

  15. Williams- Jones, B., and Graham, J. (2003) Actor- Network Theory: a tool to support ethical analysis of commercial genetic testing. N. Genet. Soc. 22: 271– 296.

    Article  Google Scholar 

  16. Evans, W., and Relling, M. (1999) Pharmacogenomics: translating functional genomics into rational therapeutics. Science 286, 487– 491.

    Article  CAS  PubMed  Google Scholar 

  17. McLeod, H. L., and Evans W. E. (2001) Pharmacogenomics: unlocking the human genome for better drug therapy. Ann. Rev. Pharm. Toxicol. 41, 101– 121.

    Article  CAS  PubMed  Google Scholar 

  18. Evans, W. E., and Johnson, J. A. (2001) Pharmacogenomics: the inherited basis for interindividual differences in drug response. Ann. Rev. Genom. Hum. Genet. 2, 9– 39.

    Article  CAS  Google Scholar 

  19. Baselga, J., Norton, L., Albanell, J., Kim, Y., and Mendelsohn, J. (1998) Recombinant humanized anti- HER2 antibody (Herceptin) enhances the antitumor activity of paclitaxel and doxorubicin against HER2/neu overexpressing human breast cancer xenografts, Cancer Res. 58, 2825– 2831. [published erratum appears in Cancer Res. (1999 Apr 15) 59(8), 2020].

    CAS  PubMed  Google Scholar 

  20. Coiera, E., and Westbrook, J. (2006) Should clinical software be regulated? New Australian evaluation guidelines will help inform the debate. Med. J. Aust. 184, 600– 601.

    PubMed  Google Scholar 

  21. Slawson, D., Shaughnessy, A., and Bennett, J. (1994) Becoming a medical information master: feeling good about not knowing everything. J. Fam. Pract. 38, 505– 513.

    CAS  PubMed  Google Scholar 

  22. Eysenbach, G, and Norman, C. (2004) Introduction to CATCH- IT reports: critically appraised topics in communication, health informatics, and technology. J. Med. Internet Res. 6, e49.

    Article  Google Scholar 

  23. Shannon, S. (2001) Critically appraised topics (CATs). Can. Assoc. Radiol. J. 52, 286– 287.

    CAS  PubMed  Google Scholar 

  24. Ebell, M., Barry, H., Slawson, D., and Shaughnessy, A. (1999) Finding POEMs in the medical literature. J. Fam. Pract . 48, 350– 355.

    CAS  PubMed  Google Scholar 

  25. Guyatt, G., Meade, M., Jaeschke, R., Cook, D., and Haynes, R. (2000) Practitioners of evidence based care. Br. Med. J. 320, 954– 955.

    Article  CAS  Google Scholar 

  26. Delamothe, T. (2000) Quality of websites: kitemarking the west wind. Rating the quality of medical websites may be impossible. Br. Med. J. 321, 843– 844.

    Article  CAS  Google Scholar 

  27. Boyer, C., Selby, M., Scherrer, J., and Appel, R. (1998) The health on the net code of conduct for medical and health websites. Comput. Biol. Med. 28, 603– 610.

    Article  CAS  PubMed  Google Scholar 

  28. Nater, T., Boyer, C., and Eysenbach, G. (2000) Debate about evaluation and monitoring of sites carrying the HON- Logo. J. Med. Internet Res. 2, e13.

    Article  CAS  PubMed  Google Scholar 

  29. Fallis, D., and Fricke, M. (2002) Indicators of accuracy of consumer health information on the Internet: a study of indicators relating to information for managing fever in children in the home. J. Am. Med. Inform. Assoc. 9, 73– 79.

    Article  PubMed  Google Scholar 

  30. Carroll, A., Saluja, S., and Tarczy- Hornoch, P. (2002) Consumer health information on the Internet. J. Am. Med. Inform. Assoc. 9, 402– 403.

    Article  PubMed  Google Scholar 

  31. Croft, D., and Peterson, M. (2002) An evaluation of the quality and contents of asthma education on the World Wide Web. Chest 121, 1301– 1307.

    Article  PubMed  Google Scholar 

  32. Chen, S. C. W., Blouin, R. A., Mao, Z., Humphries, L. L., Meek, Q. C., Neill J. R., et al. (1996) The cytochrome P450 2D6 (CYP2D6) enzyme polymorphism: screening costs and influence on clinical outcomes in psychiatry. Clin. Pharmacol. Ther. 60, 522– 534.

    Article  CAS  PubMed  Google Scholar 

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© 2008 Humana Press, a part of Springer Science+Business Media, LLC

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Liaw, ST., Schattner, P. (2008). eConsulting. In: Trent, R.J. (eds) Clinical Bioinformatics. Methods in Molecular Medicine™, vol 141. Humana Press. https://doi.org/10.1007/978-1-60327-148-6_19

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  • DOI: https://doi.org/10.1007/978-1-60327-148-6_19

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-791-4

  • Online ISBN: 978-1-60327-148-6

  • eBook Packages: Springer Protocols

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