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Present problem in E-learning in
health care redefined-Why does all our information oversupply fail to
satisfactorily answer the needs of a given individual patient or physician?
Average patient data,
which occupies most of our present day information bases, is often unable to
satisfy individual patient needs. In spite of the medical information base
expanding unprecedented at present we still do not have that quality of
information to satisfy a given individual patient to an optimal extent.
To quote from an important article on information needs,
Thirdly, the questions are
often complex and multidimensional. They are often questions about
both particular patients and different areas of medical
knowledge--for example, "In an octogenarian with anemia,
angina, and a history of transient ischemic attacks, with a normal
creatinine, iron, and mean corpuscular volume, who refuses a bone
marrow exam, what diagnostic and therapeutic options are
there?"
Fourthly, the need for
information is often much more than a question about medical
knowledge. Doctors are looking for guidance, psychological support,
affirmation, commiseration, sympathy, judgment, and feedback. This
"information need" is particularly poorly explored, and
yet it may well be the most important need and the biggest stumbling
block to a technical solution.
Fifthly, most of the questions generated in consultations
go unanswered. (2)
Seeking Solution: How
then do we care for the multidimensional information needs every individual can
generate? Does information technology offer a solution?
We need an information base that can seamlessly integrate
information needs of all categories of certain individual medical learners
namely patients, medical students who are also health professionals with
matching solutions offered by other individual medical learners who have
already gone through the particular experience the other group needs.
We need to have a medical learning database where patients
and medical students/health care givers regularly key in their narrative logs
into a suitable web interfacing device (presently PDAs are the closest fit
although in the near future it is expected to improve into something wearable
with a more efficient input arrangement than the PDA stylus keyboard).
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