Doctor google 14 des 10) vs 1
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Dr. Joan EscarrabillDirector Pla Director de les Malalties de l’Aparell Respiratori
PDMAR (Departament de Salut)
Institut d’Estudis de la SalutBarcelona
Doctor Google
Barcelona , 14 de desembre de 2010
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Gestió del coneixement
Des del passat podem anar al
futur
Index medicus (1879-2004)
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ERJ 2003;21:58-67
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Giustini D. BMJ 2006;333:1283-4
Participació
Alerta constant
Compartir & Col·laborar
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Accés a la informació
RSS
Multimèdia
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4 casos descrits
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Avui
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Per estalviar temps i diners
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http://tim-daytalklivingwithcopd.blogspot.com/2008/03/oxygen-therapy.html http://copdnewsoftheday.com/
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BMJ 2006;333:1143-5
26 casos NEJM
58% diagnòstics correctes
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Swiss Med Wkly 2008;138:741–5.
22,1% Els no-sanitaris diagnostiquen el 22.1% dels casos clínics del NEJM amb l’ajuda de Google
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Respir Care 2010;55:578 –583
>
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http://neurodojo.blogspot.com
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http://healthlinks.washington.edu/howto/googlechart.html
The chart adapted from the Levy Library, Mount Sinai School of Medicine (2007)
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BMC Research Notes 2010, 3:131
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Ann Pharmacother 2009;43:478-84
Quatitat Especificitat
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Arch Dis Child 2010;95:642–644
Cyberchondria Canvis en la pràctica clínica
Per què els metges no fan servir Internet per analitzar
les constel·lacions de signes i símptomes poc
freqüents?
Pacient actiu
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Disfonia espasmòdica
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Nature 2009;457:1012-1014
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Història clínica personal
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Els “secrets” de Google....
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Les paraules clau...
EscoltarInnovació
TransparènciaRapidesa
Sense (massa) controlInformació accessible
Senzillesa.
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Confiança
Existeix una relació inversa entre el control i la confiança
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La Vanguardia, 14 de novembre de 2010
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Algunes coses que fa Google...
Orienta les respostes a partir de dades, no d'opinions.
La nova informació fa canviar la resposta següent
Aprèn de la nova informació.
Usabilitat El valor el posen els altres:
Les pàgines més valorades són les més visitades.
Immediatesa.
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BMJ 2009;338:b1083
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Novembre 2008
http://research.microsoft.com/apps/pubs/default.aspx?id=76529
Els resultats mostren que els motors de cerques a Internet tenen el potencial d‘incrementar les preocupacions mèdiques
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Internet esmicola el cànon del coneixement mèdic
Es va disseminar en 20 anys
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Per a prendre decisions, el pacient necessita informació
Ser intel·ligible ens delata
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The key is patient-driven research
InformacióContrastar opinionsSuport emocional
En Internet los pacientes buscan.....