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Dott. Giuseppe Quintaliani
   L'uso del web 2.0 per
l'aggiornamento in sanità
…If you are computerless, make
      friends with a librarian

…if you are computer-phobic, sign
      up for desensitization
           right away !

                                  Sackett D 1996
         David Lawrence Sackett, OC FRSC (born November 17, 1934) is a
            Canadian medical doctor and a pioneer in evidence-based
                                     medicine.
            He founded the first department of clinical epidemiology in
            Canada at McMaster University, and the Oxford Centre for
                           Evidence-Based Medicine.
           He is well known for his textbooks Clinical Epidemiology and
                           Evidence-Based Medicine.
• Background: Since medication nonadherence is considered to
  be an important health risk, numerous interventions to
  improve adherence have been developed. During the past
  decade, the use of Internet-based interventions to improve
  medication adherence has increased rapidly. Internet
  interventions have the potential advantage of tailoring the
  interventions to the needs and situation of the patient.
• Conclusion: This review shows promising results on the
  effectiveness of Internet interventions to enhance patients’
  adherence to prescribed long-term medications.
International society of Quality
• Per raggiungere questo traguardo Watson ha
  “studiato” manuali di medicina, riviste mediche,
  decine di migliaia di casi clinici risolti: 605000 nozioni
  di prove mediche, 2 milioni di pagine di testo, 25000
  casi clinici e 14700 ore di assistenza da parte di
  medici per settare la sua precisione decisionale.
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
http://renalgate.wordpress.com/
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
• … a mobile phone text messaging smoking cessation programme
  (txt2stop), comprising motivational messages and behavioural-change
  support, or to a control group that received text messages unrelated
  to quitting. The system automatically generated intervention or
  control group texts according to the allocation. Interpretation
• The txt2stop smoking cessation programme significantly improved
  smoking cessation rates at 6 months and should be considered for
  inclusion in smoking cessation services.
Il WEB2.0 per fare che cosa?
• Diffondere l’informazione tra chi ci segue
• Archiviare alcuni articoli che ci servono
• Permettere a tutti di seguire conferenze e
  presentazioni in differita
• Insegnare e/o informare i pazienti
• Tenersi aggiornato

  Ma il web 2. serve soprattutto a partecipare
       (commenti, critiche, suggerimenti)
• The extent to which access to knowledge is constrained and controlled by
  publishers' business models is at the heart of the discontent researchers
  have for the current journal-publishing system.
  These and other experiments and alternatives to traditional publishing are
  leading the way to a digital, Internet-based, more open publishing system
  for peer-reviewed journals. The Directory of Open Access Journals
  (www.doaj.org) lists more than 8000 open-access journals, many of
  which are highly regarded according to conventional metrics of
  excellence. Emerging business models include publication fees paid by
  authors once an article has been accepted for publication, direct support
  from research grants, and contributions from research institutions willing
  to contribute financially to publication systems for more openly accessible
  articles.
• There is no doubt that the public interests vested in funding agencies,
  universities, libraries, and authors, together with the power and reach of
  the Internet, have created a compelling and necessary momentum for
  open access. It won't be easy, and it won't be inexpensive, but it is only
Il sistema RSS
really simple syndacation
Il reader di Google
L’uso del web 2.0
• Nella vita professionale di tutti i giorni
L’uso del web 2.0: gli strumenti


• Il computer
• Gli smartphone
• I tablets
Conclusions: Routine adoption of
 smartphones by residents appeared to
improve efficiency over the use of pagers
for physicians, nurses, and allied health
             professionals.
I podcast
L’uso “vecchio” della mail
256
256
•   Some days, the worst thing about being a doctor is the patients. In theory, presented with a distressed
    member of the public, the physician can conjure a masterful diagnosis, fathom an ideal treatment, and
    generate the perfect outcome.
•   And it’s because of this that some physicians have woken up to the importance of patient engagement
    in recent years—the finest doctor in the world can do nothing with a patient who won’t listen.
•   Brian Haynes, from McMaster University’s Department of Clinical Epidemiology, says that patient
    participation is central to all medical practice.
•   “It’s the key barrier to the success of evidence based medicine, that patients don’t follow the
    treatments they are prescribed,” he offers.
•   “Practitioners are the last to know if patients are not following their treatment so there is obviously
    some aspect of sharing information that needs to be overcome. But if we are on the mission of trying
    to use evidence to improve healthcare, we are failing at the interface between practitioners and
    patients because we are not able to engage the patients in such a way as to figure out the care for
    themselves.”
•   “If we don’t do implementation research, we should shut off all research—we’re wasting our money
    doing it,” says Hayes. He’s probably right.
L GRANDE NETWORK su WEB2 di

            www.renalgate.it

   Dove troverete i link sotto lenecati


    sul blog http://renalgate.wordpress.com/
                          .
        il canale video di www.renalgate.it

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Quintaliani ante2013 web2

  • 1. Dott. Giuseppe Quintaliani L'uso del web 2.0 per l'aggiornamento in sanità
  • 2.
  • 3.
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  • 6. …If you are computerless, make friends with a librarian …if you are computer-phobic, sign up for desensitization right away ! Sackett D 1996 David Lawrence Sackett, OC FRSC (born November 17, 1934) is a Canadian medical doctor and a pioneer in evidence-based medicine. He founded the first department of clinical epidemiology in Canada at McMaster University, and the Oxford Centre for Evidence-Based Medicine. He is well known for his textbooks Clinical Epidemiology and Evidence-Based Medicine.
  • 7.
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  • 10. • Background: Since medication nonadherence is considered to be an important health risk, numerous interventions to improve adherence have been developed. During the past decade, the use of Internet-based interventions to improve medication adherence has increased rapidly. Internet interventions have the potential advantage of tailoring the interventions to the needs and situation of the patient. • Conclusion: This review shows promising results on the effectiveness of Internet interventions to enhance patients’ adherence to prescribed long-term medications.
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  • 23. • Per raggiungere questo traguardo Watson ha “studiato” manuali di medicina, riviste mediche, decine di migliaia di casi clinici risolti: 605000 nozioni di prove mediche, 2 milioni di pagine di testo, 25000 casi clinici e 14700 ore di assistenza da parte di medici per settare la sua precisione decisionale.
  • 24.
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  • 28. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
  • 29. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
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  • 50. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
  • 58.
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  • 75.
  • 76. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
  • 77.
  • 78.
  • 79.
  • 80. • … a mobile phone text messaging smoking cessation programme (txt2stop), comprising motivational messages and behavioural-change support, or to a control group that received text messages unrelated to quitting. The system automatically generated intervention or control group texts according to the allocation. Interpretation • The txt2stop smoking cessation programme significantly improved smoking cessation rates at 6 months and should be considered for inclusion in smoking cessation services.
  • 81. Il WEB2.0 per fare che cosa? • Diffondere l’informazione tra chi ci segue • Archiviare alcuni articoli che ci servono • Permettere a tutti di seguire conferenze e presentazioni in differita • Insegnare e/o informare i pazienti • Tenersi aggiornato Ma il web 2. serve soprattutto a partecipare (commenti, critiche, suggerimenti)
  • 82.
  • 83.
  • 84. • The extent to which access to knowledge is constrained and controlled by publishers' business models is at the heart of the discontent researchers have for the current journal-publishing system. These and other experiments and alternatives to traditional publishing are leading the way to a digital, Internet-based, more open publishing system for peer-reviewed journals. The Directory of Open Access Journals (www.doaj.org) lists more than 8000 open-access journals, many of which are highly regarded according to conventional metrics of excellence. Emerging business models include publication fees paid by authors once an article has been accepted for publication, direct support from research grants, and contributions from research institutions willing to contribute financially to publication systems for more openly accessible articles. • There is no doubt that the public interests vested in funding agencies, universities, libraries, and authors, together with the power and reach of the Internet, have created a compelling and necessary momentum for open access. It won't be easy, and it won't be inexpensive, but it is only
  • 85. Il sistema RSS really simple syndacation
  • 86. Il reader di Google
  • 87.
  • 88.
  • 89. L’uso del web 2.0 • Nella vita professionale di tutti i giorni
  • 90.
  • 91.
  • 92.
  • 93.
  • 94.
  • 95. L’uso del web 2.0: gli strumenti • Il computer • Gli smartphone • I tablets
  • 96.
  • 97. Conclusions: Routine adoption of smartphones by residents appeared to improve efficiency over the use of pagers for physicians, nurses, and allied health professionals.
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  • 115. 256
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  • 129. Some days, the worst thing about being a doctor is the patients. In theory, presented with a distressed member of the public, the physician can conjure a masterful diagnosis, fathom an ideal treatment, and generate the perfect outcome. • And it’s because of this that some physicians have woken up to the importance of patient engagement in recent years—the finest doctor in the world can do nothing with a patient who won’t listen. • Brian Haynes, from McMaster University’s Department of Clinical Epidemiology, says that patient participation is central to all medical practice. • “It’s the key barrier to the success of evidence based medicine, that patients don’t follow the treatments they are prescribed,” he offers. • “Practitioners are the last to know if patients are not following their treatment so there is obviously some aspect of sharing information that needs to be overcome. But if we are on the mission of trying to use evidence to improve healthcare, we are failing at the interface between practitioners and patients because we are not able to engage the patients in such a way as to figure out the care for themselves.” • “If we don’t do implementation research, we should shut off all research—we’re wasting our money doing it,” says Hayes. He’s probably right.
  • 130. L GRANDE NETWORK su WEB2 di www.renalgate.it Dove troverete i link sotto lenecati sul blog http://renalgate.wordpress.com/ . il canale video di www.renalgate.it e slide e le presentazioni di slideshare e il canale presentazioni di authorstream. Seguiteci su facebook twitter

Notes de l'éditeur

  1. E molti si ritrovano medici od infemieri a copiare gli esami ….