We had always our attention on the vertical health search market and mainly after Google wanted to release a EHR eHealth Record, Health Search.

The most interesting sentence on the site was:

This site does not provide medical or any other health care advice, diagnosis or treatment. See more information.
Three interesting point before moving to discuss the Health Vertical search by Microsoft:
1- Adam Bosworth Dr. Google Health Search: Adam left Google a month ago after some releases of the Google Health backoffice.
2- HON Health on The Net Foundation that has built a cooperation with Google Co-op led by the Eng. Celia Boyer, Executive Director for Health On the Net Foundation, Geneva, Switzerland.
3- Microsoft goes live with www.healthVault.com (Google.com has cached and indexed 9 pages) and Health.Live.com (where google has already cached and indexed 31 pages)

Health Search Market is interesting and can be implemented for both prevention and health marketing strategies:

Personal Health
Sexual Partners
Condoms
Risk-Taking
Reproductive Health
Birth Control
Sex Education
Family Planning
Violence
Erectile Dysfunction Conditions
AIDS
Sexually Transmitted Diseases
Pregnancy
Sexual Dysfunctions
Impotence
Physiological Sexual Disorder
Depression
Immune Deficiency
Chlamydia Infection
Drug Abuse Procedures
Outpatient Care
Vaccination
Prostatectomy
HIV Test
Radical Prostatectomy
Psychotherapy
PAP Smear
Highly Active Antiretroviral Therapy
Body Mass Index
Oral Contraceptives Drugs & Substances
Viagra
Gardasil
Edex
Levonorgestrel
Provera
Propecia
Estradiol

Online Health Regulation in European Union
eHealth applications, whatever their nature, will frequently involve the processing of information relating to an identified or identifiable patient. Such information is legally known as personal data and is subject to data protection legislation in the European Union.

Data protection is governed by a certain number of international legally binding texts.
• Directive 95/46/CE of the European Parliament and of the Council of 25 October 1995 on the protection of individuals with regards to the processing of personal data and on the free movement of such data
• Directive 2002/58/CE of the European Parliament and of the Council of 12 July 2002 concerning the processing of personal data and the protection of privacy in the electronic communications sector
• Directive 2006/24/CE of the European Parliament and of the Council of 15 March 2006 on the retention of data generated or processed in connection with the provision of publicly available electronic communications services or of public communications networks and amending Directive 2002/58/EC
• Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community, institutions and bodies and on the free movement of such data
• Article 8 of the European Convention on Human Rights
• Articles 7 and 8 of the Charter of fundamental rights of the European Union
• The Convention n°108 of the Council of Europe for the Protection of Individuals with regard to Automatic Processing of Personal Data adopted on 28 January 1981
• Convention n°164 for the protection of Human Rights and dignity of the human being with regard to the application of biology and medicine: Convention on Human Rights and Biomedicine and its Additional Protocols
Some recommendations are also made to the countries that are not legally binding but are policy guidelines on specific fields of data protection:
• Recommendation (97) 5 of the Committee of Ministers to Member States on the protection of medical data, adopted on 13 Feb. 1997
• Recommendation (83) 10 of the Committee of Ministers on the protection of personal data used for scientific research and statistics, adopted on 23 September 1983Recommendation (97) 18 of the Committee of ministers of Members States concerning the protection of personal data collected and processed for statistical purposes, adopted on 30 September 1997
• Recommendation (99) 5 of the Committee of ministers of Members States for the protection of privacy on the Internet, adopted on 23 February 1999
• Communication 2004 (356) from the Commission to the Council, the European Parliament, the European economic and social committee and the committee of the regions “eHealth – making healthcare better for European citizens: an action plan for a European eHealth areaâ€?
• Some opinions or recommendations made by the Data Protection Working Party
• Opinion n° 13 (1999) of the European Group on Ethics in Science and New Technologies on Ethical issues of healthcare in the information society

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Dr. Google and the US Health Search Market:

* How systematic is health search behavior, and how loyal are online users to health sites?
* To what degree is the trustworthiness of health content more important to users than its relevance?
* How will health search behavior and adoption of health search engines likely evolve?
* How can advertisers, publishers, and search engines most effectively leverage health search behavior?

Landscape: Loyalty to Health Sites Relatively Low, with Relevance of Health Content More Important than Trustworthiness
Outlook: Health Search Engine Adoption Will Grow Among Power Health Users
Mandate: SEM Must Take Priority Among Health Advertisers and Publishers Through 2008

First Google HEALTH screenshots from Blogoscoped and our friend Philipp.

We know consumers looking for health information turn to search engines — but how do they decide what to click? Advertisers continue to try to understand how online users search and find health information. Jupiter Research’s new US Health Consumer Study 2007 takes us one step closer to understanding how consumers search for health information. The study’s overarching theme: relevance drives clicks. Four times as many consumers who used a search engine for health info clicked on a result because it was relevant, compared to others who click because the link was to a trusted source. And fully 65% of searchers clicked because the text was most relevant to their query. In addition, the study found that people seeking health information show no bias against sponsored results (versus natural results).

New York Times with Adam Bosworth

Based on this research, Jupiter recommends that advertisers leverage search engine optimization and paid search with a focus on content relevance. Advertisers should continue to optimize content for search engines.

It is too soon to know whether either Google or Microsoft will make real headway. Health care, experts note, is a field where policy, regulation and entrenched interests tend to slow the pace of change, and technology companies have a history of losing patience.

And for most people, typing an ailment into a Web search engine is very different from entrusting a corporate titan with personal information about their health.

Google and Microsoft recognize the obstacles, and they concede that changing health care will take time. But the companies see the potential in attracting a large audience for health-related advertising and services. And both companies bring formidable advantages to the consumer market for such technology.

Microsoft's software animates more than 90 percent of all personal computers, while Google is the default starting point for most health searches. And people are increasingly turning to their computers and the Web for health information and advice. A Harris poll, published last month, found that 52 percent of adults sometimes or frequently go to the Web for health information, up from 29 percent in 2001.

If the efforts of the two big companies gain momentum over time, that promises to accelerate a shift in power to consumers in health care, just as Internet technology has done in other industries.

Today, about 20 percent of the nation's patient population have computerized records — rather than paper ones — and the Bush administration has pushed the health care industry to speed up the switch to electronic formats. But these records still tend to be controlled by doctors, hospitals or insurers. A patient moves to another state, for example, but the record usually stays.

The Google and Microsoft initiatives would give much more control to individuals, a trend many health experts see as inevitable. “Patients will ultimately be the stewards of their own information,� said John D. Halamka, a doctor and the chief information officer of the Harvard Medical School.

Already the Web is allowing people to take a more activist approach to health. According to the Harris survey, 58 percent of people who look online for health information discussed what they found with their doctors in the last year.

It is common these days, Dr. Halamka said, for a patient to come in carrying a pile of Web page printouts. “The doctor is becoming a knowledge navigator,� he said. “In the future, health care will be a much more collaborative process between patients and doctors.�

Microsoft and Google are hoping this will lead people to seek more control over their own health records, using tools the companies will provide. Neither company will discuss their plans in detail. But Microsoft's consumer-oriented effort is scheduled to be announced this fall, while Google's has been delayed and will probably not be introduced until next year, according to people who have been briefed on the companies' plans.

A prototype of Google Health, which the company has shown to health professionals and advisers, makes the consumer focus clear. The welcome page reads, “At Google, we feel patients should be in charge of their health information, and they should be able to grant their health care providers, family members, or whomever they choose, access to this information. Google Health was developed to meet this need.�

A presentation of screen images from the prototype — which two people who received it showed to a reporter — then has 17 other Web pages including a “health profile� for medications, conditions and allergies; a personalized “health guide� for suggested treatments, drug interactions and diet and exercise regimens; pages for receiving reminder messages to get prescription refills or visit a doctor; and directories of nearby doctors.

Google executives would not comment on the prototype, other than to say the company plans to experiment and see what people want. “We'll make mistakes and it will be a long-range march,� said Adam Bosworth, a vice president of engineering and leader of the health team. “But it's also true that some of what we're doing is expensive, and for Google it's not.�

At Microsoft, the long-term goal is similarly ambitious. “It will take grand scale to solve these problems like the data storage, software and networking needed to handle vast amounts of personal health and medical information,� said Steve Shihadeh, general manager of Microsoft's health solutions group. “So there are not many companies that can do this.�

This year, Microsoft bought a start-up, Medstory, whose search software is tailored for health information, and last year bought a company that makes software for retrieving and displaying patient information in hospitals. Microsoft software is already used in hospitals, clinical laboratories and doctors' offices, and, Mr. Shihadeh noted, the three most popular health record systems in doctors' offices are built with Microsoft software and programming tools.

Microsoft will not disclose its product plans, but according to people working with the company the consumer effort will include online offerings as well as software to find, retrieve and store personal health information on personal computers, cellphones and other kinds of digital devices — perhaps even a wristwatch with wireless Internet links some day.

Mr. Shihadeh declined to discuss specifics, but said, “We're building a broad consumer health platform, and we view this challenge as far bigger than a personal health record, which is just scratching the surface.�

Yet personal health records promise to be a thorny challenge for practical and privacy reasons. To be most useful, a consumer-controlled record would include medical and treatment records from doctors, hospitals, insurers and laboratories. Under federal law, people can request and receive their personal health data within 90 days. But the process is complicated, and the replies typically come on paper, as photocopies or faxes.

The efficient way would be for that data to be sent over the Internet into a person's digital health record. But that would require partnerships and trust between health care providers and insurers and the digital record-keepers.

Privacy concerns are another big obstacle, as both companies acknowledge. Most likely, they say, trust will build slowly, and the online records will include as much or as little personal information as users are comfortable divulging.

A person might start, for example, by typing in age, gender and a condition, like diabetes, as a way to find more personalized health information. If a person creates a personal health record and later has second thoughts, a simple mouse click should erase it. The promise, the companies say, will be complete consumer control.

There are plenty of competitors these days in online health records and information from start-ups like Revolution Health, headed by AOL's founder, Stephen M. Case, and thriving profit-makers led by WebMD.

Potential rivals are not underestimating the two technology giants. But the smaller companies have the advantage of being focused entirely on health, and some have been around for years. WebMD, for example, traces its lineage to Healtheon, a fallen star of the dot-com era, founded by the Netscape billionaire Jim Clark.

Google and Microsoft are great companies, said Wayne T. Gattinella, WebMD's chief executive, but “that doesn't mean they will be expert in a specific area like health.�

Specialized health search engines — notably Healthline — are gaining ground and adding partners. AOL recently began using Healthline for searches on its health pages, even though Google is a close partner.

Still, 58 percent of people seeking health information online begin with a general search engine, according to a recent Jupiter Research report, and Google dominates the field. “Google is the entry point for most health search, and that is a huge advantage,� said Monique Levy, a Jupiter analyst.

Indeed, it is the market reach and deep pockets that Google and Microsoft can bring to consumer health information that intrigues medical experts, and has lured recruits. Dr. Roni Zeiger, a graduate of Stanford's School of Medicine, a medical informatics researcher and a former primary care doctor, joined Google last year. The 36-year-old, who still sees patients some evenings and weekends at a nearby clinic, said, “At Google, I can use my expertise and knowledge to potentially help millions of people each day.�

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December 7, 2006
National conference sponsored by The Markle Foundation
Connecting Americans to Their Health Care:
Empowered Consumers, Personal Health Records and Emerging Technologies
Adam Bosworth who can recommend me as your SEO Consultant or Search engine marketing specialist

I’ve come here today to talk about the promise of bringing together information technology, health care and innovation. But before I turn to that, I want to thank those of you here in the medical industry for what you do every day and for what you’ve done for my family over the past four years.

This is a personal speech. Illness has attacked my family over the last four years. While in the end, the illness took its toll, brilliant medical work coupled with innovations and discoveries that wouldn’t have been available even a decade earlier made all the difference in providing years more life than was initially expected. Faced with difficult and frightening diseases, the health industry has done an astonishingly good job discovering and implementing innovative treatments, techniques and cures. And I have hope that over the next decade other life-altering areas such as autism and still-lethal cancers will see similar improvements, particularly given the nascent revolution in genomics.

In addition, as I’ve been immersing myself deeper in the medical world in the last 12 months, I’ve seen wonders in hospitals where Computerized Physician Order Entry, Positive Patient Identification, and modern Electronic Medical Records are demonstrating their potential to reduce the transcription errors that can be so devastating. Radiology and Pathology seem to be transforming medicine from a world into which I was born in which operations started by opening you wide open, often with dangerous consequences, just to see what to do…into a world in which tiny incisions, miniature surgical robots and precise operations address the problem with far less patient pain, risk, and trauma.

So let me thank all of you here today for changing our lives dramatically for the better.

I’m proud to say Google has made some small advances in the area of health. Every day an enormous number of people come to Google to understand more about an illness or a drug, trying to figure out what is wrong with them or what the right treatment is for that illness or whether it is normal that the treatment has the side effects that it does. We take this need seriously and want to help people make the right healthcare decisions. We are steadily building into our search the ability to make results more medically relevant, more helpful to users. While this will improve week by week, for the next year to come, it is already significantly better than it was.

How did we accomplish this? We launched Google Co-op as part of our mission to organize the world’s information and make it universally accessible. Co-op is a small step in this direction. The idea is that we leverage the expertise of passionate experts, and allow the consumer to tell us which experts they trust the most. We believe this will be a powerful way for individual physicians to help their patients find better quality information on the web. For example, there can be a profile page for my personal physician who uses Google Co-op to indicate which websites he finds useful for his patients. He then gives me the link to his profile page (or I find it in the directory), I click “subscribe,” and now when I search on Google, his recommended sites get ranked higher. And his name appears next to each one so I know he recommended it.

This means that at least people are getting more helpful medical information in response to their search queries, helping them answer their health questions.

Now let me switch gears and talk about an area that isn’t going as well, and where innovation is badly needed. There is no place individuals can go to get a comprehensive set of health and medical information about themselves. Access to this comprehensive information can be vital to proper and timely diagnosis of the patient, to the patient getting the best possible treatment, and, perhaps sometimes overlooked, to the patient getting the best possible ongoing care and support after the initial treatment, especially for chronic illnesses.

We live in a world in which information flows at the speed of light and in which Google can find all the most relevant answers to any query you submit across the entire web in less than a one-third of a second and yet, in general, your physician cannot get the lab results from your last specialist without paper and fax. If the information were trivial and irrelevant, this would be at least understandable. It would still be odd in a world in which I can look up effortlessly the local movie schedules or what people think about some cartoon, but it would just be an oddity.

But this information really matters – to use the cliché; it can be a matter of life and death. And the right word to describe our inability to put our hands on it is not oddity – but travesty. Because your physician cannot always reliably and optimally treat you without a comprehensive knowledge of what has been wrong with you in the past, how you were treated, and how you responded to the treatment. The lack of easily accessible, comprehensive medical records results in people being in more pain for longer than they should be. Some people are almost certainly dying unnecessarily. Add to this the fact that, in a vain attempt to catch up and to be “safe” in the absence of shared electronic information, a barrage of unnecessary, redundant and extremely expensive tests are run over and over. Some estimates of the inefficiency in the system put the waste at $1 trillion, or more than $5,000 per family. Think what you could do with that money to truly help in health. Or even in education. It could fund well over 10 million teachers a year.

We should not accept this. We should not accept that the institutional barriers of the system cause tens of thousands to die unnecessarily and hundreds of thousands at the very least to suffer without cause while we pay an enormous bill.

So what can be done? We should start at the beginning. Let’s put the patients in charge of their health and medical information. Let’s build a system which puts the people who are sick in control. For every single medical and health-related event, let’s make sure that patients can effortlessly retrieve and share their information in its totality and then use it to ensure that they get the best quality of care possible. It is their health. The people who treat, diagnose, test or dispense medications to patients should be required to deliver, instantly, over the net, at the speed of light, that information to those patients to use as they see fit. If these patients choose to share it with caregivers or health coaches or nursing services, that should be their right.

I hear people saying that there is too much data, that it would cost too much, and that it’s impossible to do every time. It is not. Computer software and hardware have advanced to a point where this is very possible today.

I take this very personally. My mother was diagnosed with ovarian cancer a little over four years ago, but nine months after she should have been — despite repeated visits to her doctor, to hospitals, and to her gynecologists. There was no one who had a holistic picture. There was no way to have a health coach look over her shoulder, examine the tests and symptoms and lab results collectively and comprehensively and suggest that she get the CA-125 test.

Once she was diagnosed, it was extraordinarily hard to determine with whom she had the best chance of recovery or remission. While in the end we found an amazing team, it was much harder and scarier for her than was necessary. And recently, as she was dying, there was no way for her physicians, nurses, health aids and hospice workers to collaborate online to ensure that they know what is happening with her, that the right medicines are being delivered and dispensed, and that she was as happy as she could be. My mother couldn’t possibly keep up with all of this, and neither could I. So, for lack of an easy way to find the right specialist and for lack of comprehensive medical information about her that could have been shared between her doctors and caregivers, she ended up being sicker than she should have been and dying sooner than she should have.

Sadly, a solution is possible, but not available today. One part is simply making it easier to find the best specialists and institutions. But more importantly, every ill person needs a “health URL,” an online meeting place where the their caregivers — with express permission from the ill person — can come together, pass on notes to each other, review each other’s notes, look at the medical data, and suggest courses of action. This isn’t rocket science. It is online web applications 101. And it would have helped in so many other ways.

When my mother had to step down from full-time work and Oxford became her secondary and Medicare became her primary insurance because of the Cobra rules, she became panicked by huge surprise bills for the chemo because the bills weren’t yet switched to go first to Medicare and then to Oxford. Any insurance ombudsman could have helped her out if he/she had had access to my mother’s health URL and been able to see the medical information required to help with billing, saving her from fear and worry at the worst possible time.

When the cancer came back and she was in Seattle and we had to get good information from Sloan-Kettering [Memorial Sloan-Kettering Cancer Center in New York] to the Hutch [Fred Hutchinson Cancer Research Center in Seattle] and back, she wouldn’t have had to make innumerable calls, plead for CDs for the CAT scans to bring back and forth, and frantically call her oncologist when things went wrong. If only she had had a health URL and could have just asked the people who were taking care of her to put their CAT scans and comments and chemo regimes into it and work together. If startups can offer – as several have – free storage to everyone for their online photos up to 5GB, and others can offer free phone calls and instant messages to anyone in the world, then, working together, we can harness a tiny fraction of the horrendous waste in the current medical system to deliver this sort of control into the patient’s hands.

As Google has explored this issue over the past year and we have spoken to leading health providers and institutions from coast to coast, we have heard people say that it is too hard to build consistent standards and to define interoperability ways to move the information. It is not! Ten years ago, I heard people saying the same things about how hard it would be to build consistent standards for allowing programs all across the world to share data. I set out with a small band of people to build a standard way to share any information, XML. And once we built it, within ten years it had become the lingua franca for computers to exchange data. In general, if you build a place that accepts all data and deliver the value I just described, the standards will work themselves out. The most dramatic example of this, of course, is HTML and the browser. When the value was there, suddenly all the information in the world was in HTML. When we all make this vision real for health care, suddenly everyone will figure out how to deliver the information about medicines and prescriptions, about labs, about EKGs and CAT scans, and about diagnoses in ways that are standard enough to work.

What is needed in the field of healthcare isn’t palliatives. We don’t need measures that merely help doctors manage their practices or get a few more images into the operating theatre. We need to put control into the hands of the sick and their caregivers and to gently suggest that those who treat them, medicate them, test them, or diagnose them, are out of date if they do not instantly deliver this information to the patient.

Once this happens, we will see truly great decision support systems and specialists and health coaches help the hapless patients much more rapidly determine what is truly wrong with them. Once this happens we will see patients much more rapidly determine where to get the best treatment for what ails them. Once this happens, we will see patients have an easier time getting the best ongoing support and comfort and advice that they can in their hour of need.

Will it be perfect? Of course not. No system ever is. But such a system would represent an enormous step forward – much like the medical advances you’ve pioneered in the last 25 years. It is amazing to see what the medical profession, unleashed, can do. What we need to do now is to unleash the patients and their caregivers and advisors as well and then perhaps we’ll truly see a more efficient system and a better standard of care. I am a technology optimist: Technology has solved some of the biggest challenges mankind has faced, and we are confident that increased and more targeted use of technology will help improve healthcare for all.

Thank you.

END OF SESSION

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Well, It is almost 5 years now and I admit beeing lazy enough for not finishing my phd dissertation.

My subject focus is the funnel from the starting point.

We tend through the last 8 years to search for health information online and on Health search engines or generic search engines like Google.

But, what kind of online behavior should be assigned to each single online user?

Will it be different behavior in Europe than USA, Africa, Asia?

What are the primary factors that enhance any health website or pharmaceutical portal ? Are those factores measured enough and optimized in order to satisfy  each health consumers’ needs ?

What are the health search trends in each single country and in each language ?

What is ehealth ethics and how to protect patients privacy?

How and why should both physicians and patients sit and empower each other ?

Keywords: e-health, e-santé, marketing, services, management, usability, trust, behavior, internet, mobile, patients, physicians, hospitals, clinics, trials, pharmacy, Europe.

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Le marché e-Santé utilisant Google.com/trends : mots-clés ( santé )

E-Health Search Market trends : keyword ( health ) generic

 

In our normal life and even before the Internet age, humans tried to ask their neighbours or the wise man at the village about their health and what to take to cure his dicease.Now, people tend to help each others by searching on Google or any other health websites in order to get more accurate health information. Why ?

Sometimes, your friend is sitting and is very ill that he will ask you to search for him on Google or any other related search engine for his dicease and what he should do since he can’t go to the doctor right away.So you become a source for his personal health needs.

I took some printscreens for Online Health Search trends using Google.com/trends. You can see that most people try to avoid searching for health keywords before Christmas ( Graph before 2004, 2005, 2006). Many other analysis can be used to show trends for different diceases ex: Ashtma ( trend by date) Allergy , Cancer etc…
 

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Well, I have been following for the last 10 years the ehealth evolution but I can’t see how far Google’s Doctor Dr.Razavi is to help the public more than it can helps the Google’s employee health ?

Dr. Razavi has been out since march 2006 and now offers its health knowledge to the public through her own blog channel. I would appreciate more Google videos there or podcast than the written health information.

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