THE DANGERS OF E-HEALTH

In 2005 there were 51 unique definitions of e-Health in use, and a wide range of themes covered, suggesting a lack of clarity on the subject. It is an exciting area with much potential. There is a proliferation of activity, including huge funding invested by the European Commission. Given the large financial investment, we should ensure that the return is an effective e-Health intervention, and a resultant improvement in patient safety. But can e-Health actually do harm? All doctors are aware of the potential for harm, for example in telemedicine there are numerous reports of adverse events. There is little work in the scientific literature on the dangers of e-Health. The evidence base for e-Health is strikingly narrow, and there are few high quality studies demonstrating that patient safety benefits. Most studies do not have a structured system of reporting adverse outcomes. This leads to some ambiguity as to whether clinicians should advocate for e-Health on behalf of their patients. Other sectors have already embraced evaluations. We need a phased system of evaluation, with clear and transparent processes for reporting outcomes. High quality studies should be conducted and the results published so that all stakeholders can make an informed decision.