Online Diagnostic Tools

The first thing many patients do upon experiencing symptoms is to seek information viagra cialis online pharmacy pharmacy to try to understand what may be causing their symptoms, how serious it is, and what they can do about it. This time spent searching online increases exponentially the longer a patient goes without being able to find a diagnosis, with an inflection point once a patient realizes that his/her condition may be serious. But while there has been a proliferation of online health tools over the past several years, very few of these are actually intended for, and effective at, assisting with the process of diagnosis. This leaves these patients short on options and represents a significant opportunity for web-based health tools to deliver value.

With the onset of any condition more substantial than a flu or cold, most patients will Google their symptoms to see what they may have. Unfortunately, this is largely ineffective for most conditions. Patients often have difficulty identifying and describing symptoms and understanding the information they read about a condition. Cyberchondria, a Microsoft Research study of consumer use of the internet for diagnosis, concludes that patients frequently misinterpret health information online and that trying to self diagnose can even be detrimental. Additionally, significant symptom overlap between conditions and high prevalence of nonspecific symptoms such as “abdominal pain” or “headache” mean that using search tools to try to assist with diagnosis is largely ineffective for those untrained at interpreting complex medical information.

These limitations also extend to health information sites such as WebMD or Healthline. While these services can be good sources for general health information, they are largely limited to basic information about treatments or conditions and their diagnostic tools are highly limited. Informational sites from the Mayo Clinic, Cleveland Clinic, and Harvard Medical School provide more sophisticated condition overviews, but expect to address the issue of diagnosis in their clinics.

Yahoo and Google Groups, other condition-specific message boards, and patient social networks can be valuable ways for patients to share information. There are groups for nearly every condition and many provide helpful insight into the aggregated experiences of members, accelerating the learning curve for new patients. At the same time, patients must be cautious of much of the information presented through these sources. Beware individuals with agendas (e.g. pushing “miracle” cures) and focus on the posts that provide links to reputable sources to back up claims. Also, patients should be aware of some of the psychological challenges associated with their status as a patient. Patients tend to want to believe those doctors (or other sources) who provide good news and disregard the ones who do not. This is natural, but not always accurate or productive. In a similar manner, patients may choose to attribute negative side effects of a new medication to evidence that it is working (e.g. a “Herxheimer reaction”). Patients are in a difficult and vulnerable situation, but keeping these challenges in mind will help them to accurately interpret information to give them the best chance of securing a diagnosis.

Cleveland Clinic and Partners Online (a collaboration between Harvard, Mass General, Brigham and Women’s, and Dana-Farber) have developed valuable remote second opinion services for patients (see Diagnosis Tools section). These services involve patients (and/or their doctors) sending in their medical record with a specific question, whether it is to establish or confirm a diagnosis or to determine the best treatment. For a fee, specialists at these medical centers then review the files and issue an opinion. In a retrospective study of the first year of this service, Kedar et al found that 5% of patients using Partners Online received a change in diagnosis and noted that the implications of this for patient prognosis and cost of care were profound. This demonstrates not only that remote diagnosis is possible once sufficient health information is collected, but also that it can be extremely valuable in terms of health and economic outcomes. These services are currently limited to a handful of conditions, tend to be more focused on treatment than diagnosis, and are generally not covered by insurance, but they have helped a large number of patients and represent an important step in the right direction by allowing individuals to access top quality care for their condition, regardless of location.

While online tools can be extremely useful adjuncts and information sources, there are few effective resources aimed at resolving complex diagnoses. Nonetheless, the early success of online second opinion services points to great potential to use the internet to expand these applications. As use of digital health information and acceptance of telemedicine continue to grow, I expect that we will see the provision of a broader array of health services online, including those to assist with complex diagnoses.

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Hospital Services

If you know any other service to add to this directory, please submit it via comments section by clicking 'comments' or 'Post a Comment' on each page. Your suggestion would be greatly appreciated.


Hillmorton Hospital
Phone: 03 337 7969

The Princess Margaret Hospital
Phone: 03 337 7899

Acheron Works
35 Acheron Drive (off Blenheim Road, near Wharenui Road lights)
Phone: 03 341 1960
Fax: 03 341 1961

Acute Inpatient Service
Te Awakura, Hillmorton order cialis
Phone: 03 337 7969 ext 33012
Fax: 03 339 1167

Anxiety Disorders Unit
1st floor Securities House, 221 Gloucester Street, Christchurch
Phone: 03 353 0470
Fax: 03 353 0475

Ashburton Adult Community Psychiatric Service
11 Elizabeth Street, PO Box 409, Ashburton
Phone: (03) 308 7447
Fax: (03) 308 8783

Child and Family Inpatient Unit
C Block, The Princess Margaret Hospital
Phone: 03 337 7680
Fax: 03 337 7681

Child and Family Specialty Service
Whakatata House, corner Cashel and Montreal Streets, Private Bag 4733, Christchurch
Phone: 03 364 0050
Fax: 03 364 0331

Chair of Clinical Directors
Phone: 337 7504
Fax: 377 7509

Christchurch Methadone Programme
CADS Building, Sylvan Street, Christchurch
Phone: 03 335 4350
Fax: 03 335 4351

Clinical Research Team
Phone: 03 372 0400
Fax: 03 372 0407

Community Alcohol and Drug Service (CADS)
CADS Building, Sylvan Street, Christchurch
Phone: 03 335 4350
Fax: 03 335 4351

Community Intensive Care Team
Acute Inpatient Service, Te Awakura, Hillmorton cialis, Christchurch
Phone: 03 337 7969 ext 33007
Fax: 03 339 1167

Consumer Advisers
Phone: 03 337 7899 ext 66248
Fax: 03 337 7507

Customer Services/Complaints Management/Interpreter
Level 2, Heathcote Building, The Princess Margaret Hospital
Phone: 03 337 7960 (internal 66960)
Fax: 03 337 7784 (internal 66784)

C Ward
C Block, The Princess Margaret Hospital
Phone: 03 337 7939
Fax: 03 337 7988

Director of Area Mental Health Services
DAMHS Office
Phone: 03 337 7929
Fax: 03 337 7601

Director of Nursing Practice
Phone: 03 337 7500 ext 66391
Fax: 03 337 7507

East Community Psychiatric Service
181-185 Linwood Ave, Christchurch
Phone: 03 381 1559
Fax: 03 381 1469

Eating Disorders Service
C Block, The Princess Margaret Hospital
Phone: 03 337 7707
Fax: 03 3377789

Family Mental Health Service
Ferguson Building, Hillmorton Hospital, Sylvan Street, Hillmorton, Christchurch
Phone: 03 335 4150
Fax: 03 335 4156

Family/Whanau Advisor
Phone: 03 337 7899 ext 66267
Fax: 03 337 7507

Forensic Community Team
Hillmorton Hospital
Phone: 03 339 1148
Fax: 03 339 1149

General Manager
Phone: 03 337 7783
Fax: 03 337 7803

Hereford Centre - Outpatient
253 Cashel Street, Christchurch
Phone: 03 366 2620
Fax: 03 377 1624

Intellectual Disability Community Team
Te Whare Whaiora, Hillmorton Hospital
Phone: 03 339 2860
Fax: 03 339 2869

Intensive Case Management Team
Level 4, Heathcote Building, The Princess Margaret Hospital
Phone: 03 377 7899 ext 67000
Fax: 03 377 7985

Kennedy Inpatient Service
Hillmorton Hospital
Phone: 03 339 1139
Fax: 03 339 1142

Lincoln Green and Work Solutions
1 Lincoln Road (Cnr Annex & Lincoln Roads)
Phone: 03 338 7068
Fax: 03 338 6857

Long Term Care
Tupuna Villa, Hillmorton Hospital
Phone: 03 337 7969 ext 33692
Fax: 03 339 1159

Mothers and Babies Service
C Block, The Princess Margaret Hospital
Phone: 03 337 7846
Fax: 03 337 7988

North Community Psychiatric Service
74 Oxford Terrace, Christchurch
Phone: 03 363 1950
Fax: 03 363 1959

Operations Manager
Phone: 337 7504
Fax: 337 7509

Privacy Officer
Phone: 03 337 7731
Fax: 03 364 1456

Psychiatric Service for the Elderly
Phone: 03 337 7969
Fax: 03 337 7998

PSAID(Psychiatric Service For Adults with an Intellectual Disability)
PSAID Assessment, Treatment and Rehabilitation Unit
Aroha Pai, Hillmorton Hospital
Phone: 03 339 2710
Fax: 03 339 2711

PSAID Community Housing
Management, Hillmorton Hospital
Phone: 03 339 1125
Fax: 03 339 1123

PSAID Day Hospital
Aroha Pai, Hillmorton Hospital
Phone: 03 339 1125
Fax: 03 339 1123

PSAID Outpatient Team
Te Whare Whaiora, Hillmorton Hospital
Phone: 03 339 2860
Fax: 03 339 2869

Psychiatric Consultation Service
3rd Floor, 74 Oxford Terrace, Christchurch
Phone: 03 363 8100
Fax: 03 363 8101

Psychiatric Emergency Service
Phone: 03 364 0482 or 03 364 0640(After Hours)

Rehabilitation Housing Team
Building No.8, Hillmorton Hospital
Phone: 03 337 7969 ext 34108 or 34117 or 34118

Rehabilitation Inpatient Service
Seager Clinic, Ground Floor, Heathcote Building, Princess Margaret Hospita
Phone: 03 337 7704
Fax: 03 337 7759

Rural Adult Community Psychiatric Service
Level 4, Heathcote Building, The Princess Margaret Hospital
Freephone: 0800 278 827
Phone: 03 337 7980 (Christchurch)
Fax: 03 337 7981

South Community Psychiatric Service
74 Oxford Terrace, Christchurch
Phone: 03 363 1950
Fax: 03 363 1959

Te Kahui Kaumatua
Phone: 03 339 2865
Fax: 03 338 1149

Te Korowai Atawhai (Maori Mental Health)
Te Kai Arahi Tikanga Hauora (Clinical Head) - Phil Patira
Te Pakeke - Lucy Bush
Te Korowai Atawhai, Hillmorton Hospital
Phone: both available by pager through the hospital operator on "0"
Fax: 03 339 1111

Te Whare Hohou Roko
Hillmorton Hospital
Phone: 03 337 7969 ext 33962
Fax: 03 339 0314

Te Whare Manaaki Forensic Unit
Hillmorton Hospital
Phone: 03 337 7969 ext 33440
Fax: 03 339 0314

Te Whare Mauri Ora (Forensic Rehabilitation Unit)
Hillmorton Hospital
Phone: 03 339 1145
Fax: 03 339 1147

Totara House
194 Bealey Avenue, Christchurch
Phone: 03 377 9733
Fax: 03 377 9713

West Community Psychiatric Service
173 Riccarton Road, Christchurch
Phone: 03 343 0836
Fax: 03 343 0664

Youth Day Programme
93 Cashmere Road, Christchurch
Phone: 03 337 7321
Fax: 03 337 7329

Youth Inpatient Unit
C Block, The Princess Margaret Hospital
Phone: 03 337 7773
Fax: 03 337 7903

Youth Specialty Service
35 Sylvan Street, Addington, Christchurch
Phone: 03 339 1126
Fax: 03 339 1127


For further information:
Visit Mental Health Education and Resource Centre (Christchurch and the Southern Region)
or
Contact each Mental Health Service (Mental Health Service Provider).

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