Category: e-health

Here comes Healia

published date
September 18th, 2006 by

Here comes Healia

I devote a fair amount of space on this blog to whining about Google (1, 2, 3, 4, 5, 6) . The company retains too much information about searchers and fundamentally is more interested in segmenting searchers for advertisers than in serving the end user. However, I have to admit they are damn good at what they do, and like most people I know, I use Google all the time despite my reservations.

I’ve mentioned before a new health care focused search engine, Healia. It’s been in beta for awhile; it’s now being launched officially. I like Healia’s philosophy:

Generic search engines provide good results for many general topic areas, but they often provide questionable or “harmful” results for many health-related topics. This is especially true for health topics that are commonly the subject of scams and questionable activities. For example, most search engines produce links to questionable results promoting or selling unproven products and services in response to searches within the areas of alternative medicine, nutrition, diet and weight loss, prescription drugs, and cures. Healia’s innovative technology ensures you get high quality results from the most trusted sources on the Web.

One of the nice things about Healia is the ability to filter searches. Type in a search term like “diabetes” and Healia will give you the opportunity to filter the results by criteria such as male/female, kids/teens/seniors, and to look for content of different types, e.g., basic/advanced reading, easy to scan/fast loading/interactive tools. Then there are a number of tabs containing results by type, such as symptoms, diagnosis/tests, and treatment.

I tried a search on diabetes, which should be a good term since there is so much published about the topic and the filtering function should be helpful. I decided to filter for males and basic reading. Results weren’t good. I clicked the Symptoms tab and found the following:

  • The first listing was a dead link for Advocate Health. I’m not even sure from the description that the result was relevant.
  • The second listing was to the Polycystic Ovarian Syndrome Association discussion board, and contained a marginally relevant post related to gestational diabetes.

Moving on to the Diagnosis/Tests tab, results weren’t much better:

I did receive a warning that, “Selecting multiple filters may produce few results; deselect one or more filters to see more links.” But for a topic as broad as diabetes, that’s a fairly lame message. Plus the problem wasn’t the number of links but the quality of them. When I deselected the links I got more relevant results. Maybe that’s because there isn’t that much of a difference between men and women for diabetes, I don’t know. In any case it requires too much thinking and the results aren’t clearly better than Google’s.

I tried searching on Google for diabetes symptoms males and got better results. Google’s algorithm incorporated the “males” term but since it wasn’t terribly differentiating it didn’t throw off the results :

  • The first link was to MaleHealth: Diabetes, which talked about diabetes symptoms and had links to male health topics
  • There was a sponsored link to Diabetes Symptom Directory

I then went to Google Co-op, which I’ve maligned in the past, and typed in diabetes. It brought up a similar list of filters and topics as Healia, but it only lets you select one filter at a time (probably a good idea given the Healia experience). There’s also a long list of sponsored ads. I then selected symptoms and got relevant results and two relevant ads. Same deal when I selected tests/diagnosis.

I don’t doubt that there are other searches where Healia does a better job than Google. In particular, searches for topics like diet pills or Viagra –or any topic that generates a lot of spam– are likely to benefit from human moderation.

Unfortunately for Healia it will need to be not just at parity but clearly superior to Google to persuade people to use it. Considering that Google has a gaggle of unpaid consultants helping it improve its health care searches, that’s going to be tough. (You don’t see as many volunteers for Microsoft, helping them keep upstarts like Linux at bay!)

We really do need alternatives to Google for health care searches, and I hope Healia can hang in there. At a minimum, it will have to make the filters work better to win me over.

Time flies when you’re messaging your doctor

published date
September 12th, 2006 by

Time flies when you’re messaging your doctor

I received the following message from PatientSite, the secure messaging service my doctor uses:

Dear PatientSite Users:

We are sending out this email as a reminder to you about the Compose Message page having a 15 minute timeout. If you are composing a long email in PatientSite, please click the Save Draft button every 10 minutes to ensure that your text will be saved. An alternative to this method is to compose your email in a Word document. You can then copy (control + C) and Paste (control + P) all your text into your Compose window in PatientSite.

PatientSite times out after 15 minutes on the Compose Message page and the Records pages when there are no page flips, which represents no activity to the program.

PatientSite Tech Support

The message tell me two interesting things:

  • First, that PatientSite tech support doesn’t realize that Ctrl + P means “print” in Windows, not “paste,” which is Ctrl + V
  • More importantly, that PatientSite’s designers didn’t understand how patients actually interact with physicians online

The designers must have assumed 15 minutes would be plenty of time for a patient to compose a short note to their doctor. After all, unlike my favorite secure messaging platform, RelayHealth (now part of McKesson), PatientSite doesn’t let patients engage in structured messaging. It’s basically just secure email.

Most emails take only a few minutes to compose. But it’s different when patients are messaging their physicians. One of the interesting observations from early studies of RelayHealth users is that patients actually spent a lot of time composing their messages, yet the patients didn’t perceive that they were spending too much time. Instead of feeling rushed to present themselves intelligently in the few minutes or seconds of an office visit or phone call, patients would take the time to express themselves clearly, thinking through their messages and re-writing them as needed. After all, they weren’t wasting their physician’s precious time.

One of the reasons that asynchronous services like RelayHealth and PatientSite are so valuable is that patients can take all the time they want on their end to get their thoughts straight without making the physician (and other patients) wait around. The patient can even get help from a family member of friend. Once the physician receives the message he or she can view it and dash off a response in a few seconds or minutes, and everyone is happy.