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Letters To actually revolutionize health care with e-health inter- media viewer (.wmv) files when viewed on a personal com- ventions, we can learn from the pharmaceutical industry, puter (PC) with Microsoft Windows and Internet Explorer. Re- where viable products emerge after numerous cycles of trial cent statistics show that Windows is the operating system on and error. Perhaps instead of focusing on evaluations in real- more than 78% of all PCs sold, while Apple’s Macs represent life pragmatic situations, we should begin with rigorously approximately 4% of the market. During the course of the studying the potential benefits in groups with easier chances study (2010-2011), PCs outsold Macs by a ratio of 20:1. We of success, such as patients with good computer literacy. While therefore doubt that technical difficulties adequately ac- this search for efficacy will initially limit generalizability, it will count for failure of 95% of our patients to view the video. help to determine to what degree the interventions are us- Makai and colleagues draw an interesting parallel be- able and guide redesign of the interventions. If there is no ef- tween the design of e-health interventions and drug develop- fect on such a group, serious redesign
JAMA Internal Medicine – American Medical Association
Published: Feb 1, 2014
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