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Chapter 7 The Internet and Health care

 

Additional Information For This Chapter

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Helpful Websites For This Chapter

(The links in this section are off this site. Inclusion here is for your convenience in locating more information about a topic. Inclusion does not indicate endorsement.)

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Accessiblity

Making Your Website Senior Friendly. This site provides a desription of many research-based features that should be implemented on a Web site to make it easier for those whose sight is not what it may have been at age 55 to use the site. (Added April 12, 2004)
http://www.nlm.nih.gov/pubs/staffpubs/od/ocpl/agingchecklist.html

Web Accessibility Evaluation Tools: Overview (2006). From the World Wide Web Consortium (W3). Reliable information from the best source. (Added April 12, 2004)
http://www.w3.org/WAI/ER/tools/

WebXACT. A free online service that lets you test single pages of web content for quality, accessibility, and privacy issues. This is just one of many - use the term "website checking accessibility" in a search engine to find more. Mentioning here does not mean endorsement! (Added April 12, 2004)
http://webxact.watchfire.com/

Color

Priester, G. W. (2000). All You Need to Know About Web Safe Colors. The title of this page might more accurately read more than you need to know. You can skim parts, but parts may be helpful.
http://www.webdevelopersjournal.com/articles/websafe1/websafe_colors.html

This site presents good information about the use of color. You might call it "everything you wanted to know about color and then some." Is fun and informative.
http://www.colormatters.com/entercolormatters.html

Hexadecimal Color Codes. Also contains a list of Web Safe colors and their codes.
http://www.december.com/html/spec/color.html

The Power of Color. A discussion of how color works, and suggestions about how to obtain pleasing colors. (Added December 29, 2004)
http://www.wpdfd.com/wpdpal3.htm

Creating a Web Site

FTP Explorer. Unless the program you use to create a Web page provided the capability of transferring files to a server, generally done with the file transfer protocol (FTP), this free program will be very useful. (Added September 1, 2004)
http://www.ftpx.com/

How Web Servers Work. This is an easily understood explanation from the folks who provide us with many technical definitions. (Added November 5, 2004).
http://www.webopedia.com/DidYouKnow/Internet/2003/HowWebServersWork.asp

This site provides some excellent tutorials on HTML starting with explaining what it is through using Java script. Helpful for beginners and intermediate web page creators.
http://www.mcli.dist.maricopa.edu/tut/

A complete online book (you can also purchase this as a book) "Web Style Guide." This book is an offshoot of this web site maintained by the Yale University's Center for Advanced Media Instruction. Well worth a visit or many. Covers all aspects of creating a Web site.
http://www.webstyleguide.com/

ABCs of Building a Web Site. Another good site for learning to build a Web site. Covers different material than the "Web Style Guide" above and uses a different approach. Between these two, you should gain considerable knowledge.
http://www.webdevelopersjournal.com/columns/abcs_of_building_web_sites.html

Called "Ponytails: The Creative Side of Web Development" this site contains tutorials on many different products used to add pizzaz (and download time) to a Web site including Flash, Photoshop and all types of graphics.
http://www.webdevelopersjournal.com/hubs/ponyhub.html

Using graphics. Need an explanation of antialiasing and transparency? Spend five minutes at this site. It also has a great glossary of the terms used in web graphics.
http://www.lunaloca.com/tutorials/antialiasing/

This site, a definition in the PCWebopedia not only defines some graphics file formats, but when you scroll down the page, has many links to helpful information on using graphics on the Web. An excellent resource if you plan to use graphics.
http://webopedia.internet.com/TERM/g/graphics_file_format.html

Optimizing web graphics. This site contains an online tool to reduce the size of both gif and jpeg files and information on the use of color in web pages. Is a link from the PC Webopedia site, a must visit if you care about the user's time.
http://www.webreference.com/dev/graphics/

Helpful information including a readability formula may also be found under evaluating Web sites.

Tizag tutorials. A complete set of online tutorials from beginner to web host guide including information on creating cascading style sheets. Provides interactivity in learning by allowing learner to type into the tutorial and see results. Well thought out and helpful site. (Added March 19, 2004)
http://www.tizag.com/

(See also ergonomics in Chapter 19)

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Designing Web Sites for the Disabled.

Berliss, J., Kraus, L. & Stoddard S. (1996). Design of Accessible Web Pages. One of the first guidelines to address this issue, it still is very helpful.
http://www.infouse.com/disabilitydata/guidelines96.html

Chong, C. (1998).Design Of Accessible Web Pages. An update to the Berliss, Kraus and Stoddard paper that contains information on the accessibility of recent additions to HTML, such as frames, tables, plug-ins and applets.
http://www.infouse.com/disabilitydata/guidelines98.html

Distance Learning Clearinghouse, focus Accessibility. Links to items such as introduction to the screen reader and the center for accessible media.
http://www.uwex.edu/disted/home.html

Introduction to Web Accessibility. A white paper that describes how people with disabilities use the Internet, and how their disability affects their use of the Internet. Visual impairments, hearing impairments, mobility impairments, cognitive impairments and seizure disorders are explored. This is an excellent site for an overview of this topic.
http://www.webaim.org/intro/

You've seen above why designing for Web accessibility is a good idea. This site provides the how-to's in very understandable format. In the format of a checklist in which each point links to suggestions for implementation.
http://www-3.ibm.com/able/accessweb.html

Checking how your page will render in the text only browser, Lynx.
http://www.delorie.com/web/lynxview.html

This Site will check one web page for quality, accessibility, and privacy issues and present you with a report of any difficulties.
http://webxact.watchfire.com/

Alternative Web Browsing. This site presents information about many different browsers available to help the physically challenged (vision, hearing and physical) access the Web. Also included is information about how to make regular browsers more compatible for use by the physically challenged.
http://www.w3.org/WAI/References/Browsing

One cannot control the sites to which one links. Nothing is permanent on the Web. Download a free tool to check your site for broken links. Although very simple to install and use, link to the manual.
http://home.snafu.de/tilman/xenulink.html

Quick Tips to Make Accessible Web Sites. Provides links to more help. (Added January 5, 2006)
http://www.w3.org/WAI/References/QuickTips/Overview.php

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E-health

eHealth FAQ: Frequently Asked Questions. Includes description of eHealth and why it is important.
http://www.rx2000.org/ehealth/ehfaq.htm

e-Health Code of Ethics. From the Internet Healthcare Coalition.
http://www.ihealthcoalition.org/ethics/ehcode.html

e-Health Initiative. This site provides information about the Work of the e-Health Initiative's Public-Private Sector Collaboration for Public Health. Provides links to drafts of guidelines.
http://www.ehealthinitiative.org/

E-Health: Navigating The Internet For Health Information. An excellent white paper about eHealth. A PDF File.
http://www.himss.org/content/files/whitepapers/e-health.pdf

eEurope Health Online. Scroll down this page for target actions. Explore the link to Best practices for some ongoing telehealth projects.
http://europa.eu.int/information_society/eeurope/ehealth/index_en.htm

eRisk Working Group on Healthcare's Guidelines for Online Communications (2002). From the Medem Site, (http://www.medem.com/) the patient-physician communications network. Covers ordinary and fee-based email communication.
http://www.medem.com/corporate/corporate_Addendum_A_eRiskGuidelines.cfm#medem_erisk

International Society for Mental Health Online. The home page of this group. Follow the links in the left hand green column especially the Clinical Case Study group under Projects. Under White Papers and resources is a link to Myths and Realities of Clinical Work which pertains to the use of the Internet in Therapy, and a list of abstracted articles.
http://www.ismho.org/

Guidelines for the Clinical Use of Electronic Mail with Patients. Includes AMA Guidelines. (Added January 5, 2006)
http://www.ama-assn.org/ama/pub/category/2386.html

Journal of Internet Medical Research. Started in 1999, this journal is an international scientific peer-reviewed journal on all aspects of research, information and communication in the healthcare field using Internet and Intranet-related technologies; a broad field, which is nowadays called "eHealth"
http://www.jmir.org/

Metanoia. A Web site that offers a chance to talk with a therapist online, hints for choosing an online therapist, and help if you feel suicidal.
http://www.metanoia.org/

Example of Nurse Created Web Page for Health

Bandaids and Blackboards. A Web site for chronic ill children and their parents. Created and maintained by Joan Fleitas.
http://www.lehman.cuny.edu/faculty/jfleitas/bandaides/

Detecting Vision Problems in Preschoolers. Although not created by a nurse, this site is an excellent example of information that can help a group that could otherwise be missed,
http://lazyeyetest.org/

Health Information Evaluation

Checklist that allows users to score a site. A pdf file. (Added September 19, 2007)
http://www-personal.umich.edu/~pfa/mlaguide/free/webeval.pdf

Health-Related Web Site Evaluation Form. (Added September 19, 2007)
http://www.sph.emory.edu/WELLNESS/instrument.html

MedlinePlus Guide to Healthy Web Surfing. Lists criteria, but adds a discussion about each point. (Added September 19, 2007)
http://www.nlm.nih.gov/medlineplus/healthywebsurfing.html

Web site Evaluation Grid. A simple checklist. (Added September 19, 2007)
http://www.bettycjung.net/Wseval.htm

Consumer and Patient Health Information Section. This is not a tool, but discusses some of the points to use in evaluating. It also links to sites that the Medical Library Association has vetted and approved. (Added September 19, 2007)
http://caphis.mlanet.org/resources/findingitontheweb.html

Health Information Web Search Tools

Sponsored by the U.S. Department of Health and Human Services, this site allows searching for any conditions. Results have been vetted. (Added September 19, 2007)
http://www.healthfinder.gov/

Finding Health Information on the Web. This site has information about finding information as well as guides to sources. (Added September 19, 2007)
http://www.healthysf.org/searching.html

Karolinska Institute Library: Diseases, Disorders and Related Topics. A search tool for Web information on many conditions. Search is not always specific, you may have to scroll down the findings and select the overall topic. Still the information you eventually find is good.
http://www.mic.ki.se/Diseases/

OMNI. A quality Web searcher for medical conditions. from the U.K.
http://omni.ac.uk/

Physician's Data Query (PDQ®
http://www.cancer.gov/cancer_information/pdq/

Intranet

Look here for definitive information on what an intranet is, what you need to operate one, how they compare to groupware and email among other topics.
http://www.intranetjournal.com/ifaq1.html

Personal Online Health Records

American Health Information Managment Association page on understanding and managing your personal health information. Provides step by step instructions to creating a personal health record. (Added October 2, 2007)
http://www.myphr.com/your_record/guide.asp

Articles discussing Personal Health Records. Not only provides articles, but links to sites that offer consumers a chance to create, review, annotate, or maintain a record of any aspect(s) of their health condition. (Added May 7, 2005)
http://www.informatics-review.com/records.html

Children's Hospitals and Clinics in Minneapolis, MN provides parents a way to record pertinent medical information. It is then easily available to the parent. The information is entered on a secure site. (Added December 30, 2003)
http://www.childrenshc.org/cmo/

Google vs. Microsoft in personal healthcare records. Discussion of the approaches of both of these giants in providing online access to one's healthcare information. (Added September 1, 2007)
http://venturebeat.com/2007/08/14/google-vs-microsoft-in-healthcare-records/

HealthAtoZ. Users can record their personal health history in a secure location. Links to vetted health sites that are personalized to user's condition are provided. (Added May 7, 2005)
http://www.healthatoz.com/healthatoz/Atoz/default.jsp

Personal Health Records and Personal Health Records Systems. A Report Recommendation from the National Committee on Vital and Health Statistics. (PDF File) (Added October 23, 2006)
http://www.ncvhs.hhs.gov/0602nhiirpt.pdf

WebMD. This site offers users a chance to record their health history online in a secure location. There is a free 6 month trial period. Links to vetted health sites that are personalized to user's condition are provided. (Added May 7, 2005)
https://healthmanager.webmd.com/manager/default.aspx?secure=1

 

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Tools to help the physically handicapped (These are not listed on the Alternative Browser site listed in the Designing for the Disabled section.)

Click-N-Type virtual keyboard. An on-screen virtual keyboard designed for anyone with a disability that prevents typing on a physical computer keyboard. As long as the person can control a mouse, trackball or other pointing device, he or she can send keystrokes to virtually any Windows application or DOS application that can run within a window. From the Web site "Oh yes, it's FREE. If you need it, you can have it." (Added April 13, 2005)
http://www.lakefolks.org/cnt/

EKEG Electronics, LTD. Expanded keyboards for the Disabled. These keyboards require no special boards. To install just plug in like a regular keyboard. They are not membrane keyboards and have been designed specifically for motor impaired persons. The keyboards are flat, smooth and have a clear Mylar cover. They are waterproof, have no holes to trap saliva or foreign material and can easily be wiped off. A socket is provided to allow amplification of the audible signal for noisy environments or for the hearing impaired.
http://www.ekegelectronics.com/

Neural Interfacing. This is a technique that permits electric signals from the body to be used to control a cursor or electronic devices attached to the computer. Although, still in it's infancy, these techniques will yield products useful for the physically challenged. This site presents an overview of the process and links to sources for products that have been developed.
http://www.utoronto.ca/atrc/reference/tech/neuralinterface.html

Resizing browser text with IE. Applying this information allows a user to specify a given size for the text over riding the Web page design. Useful for those with sight difficulties. (Added December 23, 2004)
http://www.webteacher.ws/2002/08/tip-resizing-text-on-windows-with.html

Second Guess Software. They design and sell communication programs ("on screen keyboards") for disabled persons, with a special emphasis on people suffering from MS, muscular dystrophy and ALS (Lou Gehrig's disease).
http://www.secondguess.dk/english.html

Telecommunications Relay Service. This is a service that provides help for those with hearing and/or speech impairments in using the telephone.
http://www.adata.org/telco.html

Text to Speech Software

Natural Reader. This software comes in three versions: a free version which only used a computer voice, a $40 version with one natural voice, and an enterprise version with many other extras. (Added Masrch 27, 2007)
http://www.naturalreaders.com/

Read Please. Another text to speech software package. Had a free version with 3 Microsoft voices and a plus version for $60 with many more features. (Added March 27, 2007)
http://readplease.com/english/readplease.php

Usabilty

Before even starting to plan a Web site, visit this site by the noted Web usability guru, Jacob Nielsen. You will find many suggestions to make your site more user friendly. Visit the Top 10 Web Design Mistakes of 2002. At bottom of page link to the mistakes of 1996 - they are are still valid today.
http://www.useit.com/

A chapter from the John Krug book on Web design, Don't Make Me Think.
http://www.sensible.com/chapter.html

Usability. This site sponsored by the National Cancer Institute has many articles on all aspects of usability including a link to the Federal 508 standards. A very thorough site. (Added January 10, 2004)
http://usability.gov/

Research-based Web Design & Usability Guidelines. A very complete list of organized links to information on many aspects of usability including, but not limited to topics such as design process, reading, content organization, and accessiblity. (Added April 12, 2004)
http://usability.gov/guidelines/

Step-by-Step Usability Guide. The primary government source for information on usability. There are tools for creating Web sites and making them more usable and useful. Guidelines are research based. (Added Msrch 27, 3007)
http://usability.gov/

Ten Usability Heuristics (Jacob Nielsen). Listed and described are ten general principles for user interface design. (Added October 15, 2004)
http://www.useit.com/papers/heuristic/heuristic_list.html

Usability First. Although theoretically designed primarily for Web Site designers, this is valuable information for any software designer. Best information is found by scrolling down and clicking on "Introduction to Usability" and "Glossary."
http://www.usabilityfirst.com/

Usability Professionals Association. The home page of this organization has links to many helpful sites including information on ROI. (Added September 18, 2007)
http://upassoc.org/

(More information on usability can be found on the Chapter 19 page)

 

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Online References For This Chapter

(These references are from the chapter. This list only include the ones that are still available. Please report broken links to Linda Q. Thede)

Americans with disabilities, 1997. Retrieved December 24, 2001 from
http://www.census.gov/hhes/www/disable/sipp/disab97/asc97.html. No longer available.

Electronic and Information Technology Accessibility Standards (2000). Retrieved February 14, 2002 from
http://www.access-board.gov/sec508/508standards.htm. Now at http://www.access-board.gov/508.htm

CPS August 2000 Report (2001). Home Computers and Internet Use in the United States August 2000. PDF Fileretrieved February 13, 2002 from http://www.census.gov/population/www/socdemo/computer.html

Smith, S. (2002). Readability Testing Health Information. Retrieved March 17, 2002 from
http://www.prenataled.com/story9.htm. (No longer available)

Stanford Medical Group, (2002). Electronic Mail Services. Retrieved February 13, 2002 from
http://www-med.stanford.edu/shs/smg/email.html.

 

Last updated January 5, 2006

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For questions or broken links please email the author .

Copyright 2003/2008 Linda Q. Thede
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