Economic Evaluation of an Investment in Medical Websites and Medical Web-Based Services



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30 Personal Reflections


This PhD research was a journey that lasted almost 3 years. During this time the researcher had a great chance to get familiar with new knowledge related not only to the strict aims of this research but also related to a variety of topics such as research methodologies, research process as well as various healthcare systems and the way they are organised.

A plethora of technical skills were also acquired and applied as well as critical thinking. The Aforementioned acquired and applied knowledge and skills changed the researcher’s way of thinking towards all problems and the solution seeking processes attached to them. The researcher was taught how to keep going forward even when everything seemed to be pulling him backwards. Research is a journey and as and as Konstantinos Kavafis, a famous Greek poet, said:



As you set out for Ithaka
hope the voyage is a long one,
full of adventure, full of discovery.
Laistrygonians and Cyclops,
angry Poseidon—don’t be afraid of them:
you’ll never find things like that on your way
as long as you keep your thoughts raised high,
as long as a rare excitement
stirs your spirit and your body.

Laistrygonians and Cyclops,
wild Poseidon—you won’t encounter them
unless you bring them along inside your soul,
unless your soul sets them up in front of you.”



Once I started my research journey, I faced many changes in my research and in my life. These changes made me believe that “Straight roads do not make skilful drivers”.


Appendix A: Statement of Ethics Approval


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Appendix B: Willingness to Pay Survey



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Appendix C: Medical Websites Dataset


Medical Website

Traffic

Traffic Cost

URL

Health Education Program

280,572

474,937

http://research.med.umkc.edu/aafp/pt_ed.html

My Pelvic Health

1,942

3,028

http://www.mypelvichealth.org/

RxSheets







http://www.rxsheets.com/

Patient Medical Assistant

2,342

2,896

http://www.sparkshealth.com/default.aspx

Vista Behavioral Health Plans

6,636

5,129

http://www.welch.jhu.edu/internet/medicalinfo.html

American Sleep Disorders Association

1,893

4,768

http://www.sleepassociation.org/index.php?f=phpbb/index.php

Mortara Instrument Company







http://www.mortara.com/

My optum health

2,303

2,870

http://www.myoptumhealth.com/portal/

What to Expect

828,945

1,008,914

http://www.whattoexpect.com

Centre for Evidence-based Medicine

1,915

1,527

http://www.cebm.net/

Glaxo-Wellcome Pharmaceuticals Co.

5,029

25,391

http://www.asthmacontrol.com/

Healthinfo

93,438

230,001

http://www.aafp.org/healthinfo

Medical Informatics Resources

482,698

1,018,571

http://www.welch.jhu.edu/internet/medicalinfo.html

Virtual Pediatric Hospital

2,657

4,245

http://www.virtualpediatrichospital.org

Better Medicine

45,120

65,181

http://www.bettermedicine.com/

Gold Standard Multimedia Inc

3,669

6,668

http://www.goldstandard.com/

Aetna Intelihealth

101,062

163,951

http://www.intelihealth.com/

CME Gateway

194

558

http://www.cmegateway.org

Critical Care Medicine List Server

5

8

http://www.ccm-l.org/about.html

Harvard Medical School

1,640,974

3,610,233

http://www.med.harvard.edu/

Health Resources for Primary Care

20,347

37,660

http://www.drexelmed.edu/

Claritin Allergy Relief Page

36,467

53,832

http://www.claritin.com/

eMedicine Health

1,829,275

3,483,798

http://www.emedicinehealth.com/

Genetics Home Reference

18,819,994

39,477,721

http://ghr.nlm.nih.gov/

Geriatric Mental Health Foundation

532

1,352

http://www.gmhfonline.org/gmhf/

Needy Meds

18,615

28,833

http://www.needymeds.org

WebMD

24,520,507

52,261,373

http://www.webmd.com/

AgingCare: An Online Community for Caregivers

23,225

49,949

http://www.agingcare.com/

Diving Medicine

691

1,849

http://scuba-doc.com/

Dr. Greenberg

857

5,248

http://www.greenbergcosmeticsurgery.com/ask-dr-greenberg.php

PDRHealth

42,774

87,020

http://www.pdrhealth.com/home/home.aspx

Urology Health (American Urological Association)

56,280

144,406

http://www.urologyhealth.org/patientinfo/

A Forum for Women's Health

135

245

http://www.gennexhealth.com/women/

Discovery Health

3,029,273

3,188,520

http://health.discovery.com/

Health Children

124,214

216,503

http://www.healthychildren.org/English/Pages/default.aspx

Health Hippo

14,527

5,287,664

http://hippo.findlaw.com/

Joint Commission on Accreditation of Healthcare Organizations

68,028

177,467

http://www.jcaho.org/

The Virtual Body

450

336

http://www.medtropolis.com/

Ask Noah About

1,426

2,338

http://www.noah-health.org/en/healthy/men/

CNN health

22,337,909

42,921,666

http://edition.cnn.com/HEALTH/

FirstGov for Senior Citizens’ Resources

1,813,611

$3,763,105

http://www.firstgov.gov/Topics/Seniors.shtml

Mayo Clinic

11,566,770

25,037,675

http://www.mayoclinic.com/

Medical Informatics at Harvard Medical School in Boston.

48,082

89,827

http://www.dsg.harvard.edu/

MedlinePlus

18,819,994

39,477,721

http://www.medlineplus.gov

MedLink

3,663

3,904

http://www.medlink.com/

National Cancer Institute

833,204

2,288,523

http://www.cancer.gov

NHS choices

351,949

665,267

http://www.nhs.uk/conditions/Pages/hub.aspx

NOAH: New York Online Access to Health

1,426

2,338

http://www.noah-health.org

Pediatrics

361,262

773,779

http://www.hopkinsmedicine.org/healthlibrary

Spine-Health.com

381,263

1,137,732

http://www.spine-health.com/

The Merck Manual

54,217

89,057

http://www.merckmanuals.com/professional/index.html

Vaccine Page

1,197

2,993

http://vaccines.com/

American Society of Bariatric Physicians

1,131

6,330

http://www.asbp.org/

Ask Dr. Weil

316,966

465,931

http://www.drweil.com/drw/ecs/ask_dr_weil/index.html

Dr. Philip Gilly

130

83

http://www.kinderhookconnection.com/drgilly/

Healthy Women

13,069

27,035

http://www.healthywomen.org/

Internet Pathology Laboratory

514,201

1,311,822

http://www-medlib.med.utah.edu/WebPath/webpath.html

Joslin Diabetes Center

1,640,974

3,610,233

http://www.joslin.harvard.edu/

Medic8

3,317

5,115

medic8.com

Medicare Rights Non-profit advocacy group

4,819

30,171

http://www.medicarerights.org/

Mental Health Net

12,048

26,298

http://www.mentalhelp.net/

Mothers of Asthmatics

1,768

5,833

http://www.aanma.org/

National Jewish Center for Immunology & Respiratory Medicine

33,910

94,594

http://www.njc.org/

New York State Academy of Family Physicians

146

983

http://www.nysafp.org/

TeleTriage Systems™

38

128

http://www.teletriage.com/

The AGS Foundation for Health in Aging

1,833

4,304

http://www.healthinaging.org

Alzheimer’s Association

290,524

915,483

http://www.alz.org

American Academy of Family Physicians

93,438

230,001

http://familydoctor.org

American Society of Addiction Medicine

6,197

13,700

http://www.asam.org/

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