Telemed J E Health - Are e-health web users looking for different symptom information than callers to triage centers?

Tópicos

{ treatment(1704) effect(941) patient(846) }
{ inform(2794) health(2639) internet(1427) }
{ patient(1821) servic(1111) care(1106) }
{ take(945) account(800) differ(722) }
{ howev(809) still(633) remain(590) }
{ age(1611) year(1155) adult(843) }
{ system(1050) medic(1026) inform(1018) }
{ group(2977) signific(1463) compar(1072) }
{ analysi(2126) use(1163) compon(1037) }
{ perform(999) metric(946) measur(919) }
{ intervent(3218) particip(2042) group(1664) }
{ general(901) number(790) one(736) }
{ bind(1733) structur(1185) ligand(1036) }
{ risk(3053) factor(974) diseas(938) }
{ signal(2180) analysi(812) frequenc(800) }
{ high(1669) rate(1365) level(1280) }
{ imag(2830) propos(1344) filter(1198) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

TRODUCTION: Telemedicine options for symptom assessment include both telephonic means (call centers) and Internet sites. Although symptom assessment call centers have been available for decades, symptom assessment over the Internet is relatively new. It is not well known what types of symptoms Internet users are seeking assessment for and whether extant telephone triage algorithms would be applicable to Internet users.METHODS: Symptom assessments on a heavily used Internet site (MayoClinic.com) were compared with symptom calls to a U.S. call center (Ask Mayo Clinic).RESULTS: Internet users sought symptom assessments about adult symptoms 13 times more often than children's symptoms. In contrast, over the telephone, adult symptoms were addressed 2.1 times more frequently than children's symptoms. Despite the differences in frequencies of adult and child symptom assessments, users of the Internet and telephone callers asked about specific symptoms with similar relative frequencies. Analysis of 20 adult symptom types shared by the Web and call center revealed that by excluding only 2 assessments (nasal symptoms and leg pain) the remaining 18 showed a significant correlation in counts of use (r(2) = 0.68, p < 0.001 for linear trend).CONCLUSIONS: Internet users have symptoms assessed in similar proportions to callers, with a few exceptions. Compared with callers, Web users are much more likely looking for information about adult symptoms. Callers are proportionally asking more about acute symptoms, whereas Internet users appear more interested in symptom assessment of chronic conditions.

Resumo Limpo

troduct telemedicin option symptom assess includ telephon mean call center internet site although symptom assess call center avail decad symptom assess internet relat new well known type symptom internet user seek assess whether extant telephon triag algorithm applic internet usersmethod symptom assess heavili use internet site mayocliniccom compar symptom call us call center ask mayo clinicresult internet user sought symptom assess adult symptom time often children symptom contrast telephon adult symptom address time frequent children symptom despit differ frequenc adult child symptom assess user internet telephon caller ask specif symptom similar relat frequenc analysi adult symptom type share web call center reveal exclud assess nasal symptom leg pain remain show signific correl count use r p linear trendconclus internet user symptom assess similar proport caller except compar caller web user much like look inform adult symptom caller proport ask acut symptom wherea internet user appear interest symptom assess chronic condit

Resumos Similares

J. Med. Internet Res. - Pretreatment attrition and formal withdrawal during treatment and their predictors: an exploratory study of the anxiety online data. ( 0,827254869414465 )
J. Med. Internet Res. - Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. ( 0,789321880242755 )
J. Med. Internet Res. - Effectiveness of a web-based solution-focused brief chat treatment for depressed adolescents and young adults: randomized controlled trial. ( 0,765539061829232 )
J. Med. Internet Res. - Internet-delivered interpersonal psychotherapy versus internet-delivered cognitive behavioral therapy for adults with depressive symptoms: randomized controlled noninferiority trial. ( 0,761856166603597 )
J. Med. Internet Res. - Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs. ( 0,757815342576029 )
Telemed J E Health - Faked depression: comparing malingering via the internet, pen-and-paper, and telephone administration modes. ( 0,754165401979835 )
J. Med. Internet Res. - Disordered eating in a digital age: eating behaviors, health, and quality of life in users of websites with pro-eating disorder content. ( 0,750920499738794 )
J. Med. Internet Res. - An Internet-based intervention to promote mental fitness for mildly depressed adults: randomized controlled trial. ( 0,748372262626975 )
J. Med. Internet Res. - Mining online social network data for biomedical research: a comparison of clinicians' and patients' perceptions about amyotrophic lateral sclerosis treatments. ( 0,747949923343202 )
J. Med. Internet Res. - Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study. ( 0,747761423010871 )
J. Med. Internet Res. - Cost-utility and cost-effectiveness of internet-based treatment for adults with depressive symptoms: randomized trial. ( 0,731921505377924 )
Telemed J E Health - Posttraumatic stress disorder treatment for Operation Enduring Freedom/Operation Iraqi Freedom combat veterans through a civilian community-based telemedicine network. ( 0,730192855088528 )
J Clin Monit Comput - The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study. ( 0,72668375950573 )
J. Med. Internet Res. - Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: treatment adherence data from a randomized controlled trial. ( 0,724234017974569 )
J. Med. Internet Res. - Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. ( 0,722840016865721 )
J. Med. Internet Res. - Is a severe clinical profile an effect modifier in a Web-based depression treatment for adults with type 1 or type 2 diabetes? Secondary analyses from a randomized controlled trial. ( 0,721964409524367 )
J. Med. Internet Res. - Internet-based cognitive behavioral therapy for patients with chronic somatic conditions: a meta-analytic review. ( 0,71971553240294 )
Med Decis Making - Do clinical psychologists extend the bereavement exclusion for major depression to other stressful life events? ( 0,711402961600395 )
Telemed J E Health - Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. ( 0,703233063649438 )
J Biomed Inform - eTACTS: a method for dynamically filtering clinical trial search results. ( 0,698809527831835 )
J. Med. Internet Res. - Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. ( 0,694468589399584 )
J. Med. Internet Res. - Telephone versus internet administration of self-report measures of social anxiety, depressive symptoms, and insomnia: psychometric evaluation of a method to reduce the impact of missing data. ( 0,688939262548411 )
Telemed J E Health - A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD. ( 0,688920354940821 )
J. Med. Internet Res. - Activities on Facebook reveal the depressive state of users. ( 0,686715821634481 )
J. Med. Internet Res. - The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. ( 0,685013619594407 )
J. Med. Internet Res. - An Internet-based guided self-help intervention for panic symptoms: randomized controlled trial. ( 0,681284279835276 )
J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial. ( 0,67846427286299 )
Med Biol Eng Comput - Assessing the effectiveness of robot facilitated neurorehabilitation for relearning motor skills following a stroke. ( 0,677614738526072 )
J. Med. Internet Res. - What are young adults saying about mental health? An analysis of Internet blogs. ( 0,673048040915067 )
J Am Med Inform Assoc - Toward personalizing treatment for depression: predicting diagnosis and severity. ( 0,668263676885637 )
J. Med. Internet Res. - Patients' experiences of helpfulness in guided internet-based treatment for depression: qualitative study of integrated therapeutic dimensions. ( 0,656139764472273 )
Telemed J E Health - The SmartCAT: an m-health platform for ecological momentary intervention in child anxiety treatment. ( 0,655994017529774 )
J. Med. Internet Res. - eMental health experiences and expectations: a survey of youths' Web-based resource preferences in Canada. ( 0,655823245935859 )
J. Med. Internet Res. - Short-term effects of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,655791422251665 )
J Telemed Telecare - Email reminders as a self-management tool in depression: a needs assessment to determine patients' interests and preferences. ( 0,652438067093655 )
J Telemed Telecare - A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. ( 0,651619992562862 )
J. Med. Internet Res. - Methodological issues in Internet-mediated research: a randomized comparison of internet versus mailed questionnaires. ( 0,646354633059703 )
Telemed J E Health - The effectiveness and feasibility of videoconferencing technology to provide evidence-based treatment to rural domestic violence and sexual assault populations. ( 0,64313332674621 )
J Telemed Telecare - Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis. ( 0,641743168488248 )
J. Med. Internet Res. - Comorbidity structure of psychological disorders in the online e-PASS data as predictors of psychosocial adjustment measures: psychological distress, adequate social support, self-confidence, quality of life, and suicidal ideation. ( 0,637206508346012 )
J. Med. Internet Res. - Internet-based motivation program for women with eating disorders: eating disorder pathology and depressive mood predict dropout. ( 0,636535472175225 )
J. Med. Internet Res. - For whom does it work? moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. ( 0,636038827557983 )
Health Informatics J - A feasibility study of conducting the Montreal Cognitive Assessment remotely in individuals with movement disorders. ( 0,635597479713669 )
Comput Methods Programs Biomed - First pilot trial of the STAR-Liege protocol for tight glycemic control in critically ill patients. ( 0,635549518514636 )
J. Med. Internet Res. - Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. ( 0,635476328204449 )
Telemed J E Health - Improving proton therapy accessibility through seamless electronic integration of remote treatment planning sites. ( 0,62431989222379 )
J. Med. Internet Res. - Online cognitive behavioral therapy for bulimic type disorders, delivered in the community by a nonclinician: qualitative study. ( 0,618566883926072 )
Med Decis Making - Validation of SURE, a four-item clinical checklist for detecting decisional conflict in patients. ( 0,613597454017547 )
J. Med. Internet Res. - Assessing the applicability of e-therapies for depression, anxiety, and other mood disorders among lesbians and gay men: analysis of 24 web- and mobile phone-based self-help interventions. ( 0,610574310267752 )
J. Med. Internet Res. - Multimodal e-mental health treatment for depression: a feasibility trial. ( 0,609155570534135 )
Telemed J E Health - Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. ( 0,608830835881144 )
J Biomed Inform - Avatar-based simulation in the evaluation of diagnosis and management of mental health disorders in primary care. ( 0,608699833717502 )
J. Med. Internet Res. - Effects of internet use on health and depression: a longitudinal study. ( 0,608095122047865 )
J. Med. Internet Res. - Quantifying short-term dynamics of Parkinson's disease using self-reported symptom data from an Internet social network. ( 0,60634404227882 )
J. Med. Internet Res. - Long-term results of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,605531273461319 )
J. Med. Internet Res. - Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study. ( 0,603898889293554 )
Comput Methods Programs Biomed - Software for symptom association analysis in pediatric gastroesophageal reflux disease. ( 0,602704236477759 )
J. Med. Internet Res. - Working alliance in online cognitive behavior therapy for anxiety disorders in youth: comparison with clinic delivery and its role in predicting outcome. ( 0,601394777211539 )
J Telemed Telecare - A brief self-guided telehealth intervention for post-traumatic stress disorder in combat veterans: a pilot study. ( 0,599837734943308 )
J. Med. Internet Res. - Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study. ( 0,597883726948766 )
J. Med. Internet Res. - A comparison of two delivery modalities of a mobile phone-based assessment for serious mental illness: native smartphone application vs text-messaging only implementations. ( 0,590572537770219 )
J Am Med Inform Assoc - mHealth interventions for weight loss: a guide for achieving treatment fidelity. ( 0,589785963855545 )
BMC Med Inform Decis Mak - Risk communication in clinical trials: a cognitive experiment and a survey. ( 0,589301071792974 )
J. Med. Internet Res. - Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. ( 0,58692989208811 )
J. Med. Internet Res. - Exploring the use and effects of deliberate self-harm websites: an Internet-based study. ( 0,586615471174493 )
Med Decis Making - Cross-cultural evaluation of the WHOQOL-BREF domains in primary care depressed patients using Rasch analysis. ( 0,584839418037943 )
Artif Intell Med - Unveiling relevant non-motor Parkinson's disease severity symptoms using a machine learning approach. ( 0,584190564842142 )
BMC Med Inform Decis Mak - Antihypertensive medication versus health promotion for improving metabolic syndrome in preventing cardiovascular events: a success rate-oriented simulation study. ( 0,58214977342634 )
J Clin Monit Comput - Cardiac asynchrony in Duchenne muscular dystrophy. ( 0,580858085808581 )
J. Med. Internet Res. - Norwegian general practitioners' perspectives on implementation of a guided web-based cognitive behavioral therapy for depression: a qualitative study. ( 0,580821164945106 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,579778211295175 )
Int J Med Inform - Sensor technologies aiming at fall prevention in institutionalized old adults: a synthesis of current knowledge. ( 0,579630358277812 )
J. Med. Internet Res. - Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms. ( 0,57899543354328 )
Med Decis Making - Exploring the response shift effect on the quality of life of patients with schizophrenia: an application of the random forest method. ( 0,576412056322258 )
J. Med. Internet Res. - Rethinking the dose-response relationship between usage and outcome in an online intervention for depression: randomized controlled trial. ( 0,574026884152521 )
Telemed J E Health - Rural adults' use of health-related information online: data from a 2006 National Online Health Survey. ( 0,571418185179332 )
Telemed J E Health - Should you search the Internet for information about your acute symptom? ( 0,57140430148168 )
Med Decis Making - Knowledge, attitudes, and self-efficacy as predictors of preparedness for oncology clinical trials: a mediational model. ( 0,570232233344066 )
J. Med. Internet Res. - Internet-based, culturally sensitive, problem-solving therapy for Turkish migrants with depression: randomized controlled trial. ( 0,56979537310282 )
Artif Intell Med - Mood recognition in bipolar patients through the PSYCHE platform: preliminary evaluations and perspectives. ( 0,567444698230213 )
J. Med. Internet Res. - Harnessing context sensing to develop a mobile intervention for depression. ( 0,567086235664267 )
Int J Med Inform - Support system for decision making in the identification of risk for body dysmorphic disorder: a fuzzy model. ( 0,564012144158842 )
J Telemed Telecare - A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD. ( 0,563609528888553 )
Telemed J E Health - A randomized controlled trial of an internet-based posttreatment care for patients with eating disorders. ( 0,562596668871288 )
J Med Syst - Designing a decision support system for distinguishing ADHD from similar children behavioral disorders. ( 0,559588531853738 )
J. Med. Internet Res. - Internet-based early intervention to prevent posttraumatic stress disorder in injury patients: randomized controlled trial. ( 0,559557234325014 )
Comput Methods Programs Biomed - Computer simulation of structured treatment interruption for HIV infection. ( 0,559039476129037 )
BMC Med Inform Decis Mak - The Tinnitus Research Initiative (TRI) database: a new approach for delineation of tinnitus subtypes and generation of predictors for treatment outcome. ( 0,558582948299283 )
J. Med. Internet Res. - Accuracy of geographically targeted internet advertisements on Google AdWords for recruitment in a randomized trial. ( 0,556803990269053 )
Methods Inf Med - Relationship between malocclusion and heart rate variability indices in young adults: a pilot study. ( 0,553714025480396 )
J. Med. Internet Res. - Staging dementia from symptom profiles on a care partner website. ( 0,552780767297578 )
J Am Med Inform Assoc - Patient-reported outcome measures: an on-line system empowering patient choice. ( 0,552444366459589 )
Inform Health Soc Care - Seeking health advice on the Internet in patients with health problems: a cross-sectional population study in Slovenia. ( 0,55112403722524 )
J Telemed Telecare - Successful treatment of patients with hepatitis C in rural and remote Western Australia via telehealth. ( 0,55110282871627 )
Comput Methods Programs Biomed - A SAS macro for a clustered logrank test. ( 0,550609095018493 )
Med Decis Making - Crediting treatments for good outcomes that would have happened anyway: the impact of baseline risk on treatment perceptions. ( 0,550047965338674 )
Int J Med Inform - Internet health information seeking is a team sport: analysis of the Pew Internet Survey. ( 0,549276753620507 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,548901349942497 )
J Clin Monit Comput - Use of a decision support system improves the management of hemodynamic and respiratory events in orthopedic patients under propofol sedation and spinal analgesia: a randomized trial. ( 0,548452740846669 )
Health Informatics J - Digital divide and information needs for improving family support among the poor and underserved. ( 0,547793834148898 )