Thursday, 30 November 2006

Health care information matters



At Google, we often get questions about what we're doing in the area of health. I have been interested in the issues of health care and health information for a while. It is now one of my main focuses here, and I've decided to start posting about it. I've been motivated in this field in part by my personal experiences helping to care for my mother, who recently died from cancer after a four-year battle. While the quality of the medical care my mother received was extraordinary, I saw firsthand how challenged the health care system was in supporting caregivers and communicating between different medical organizations. The system didn't fail completely, but struggled with these phases:
  • What was wrong -- it took her doctors nine months to correctly identify an illness which had classic symptoms
  • Who should treat her -- there was no easy way to figure out who were the best local physicians and caregivers, which ones were covered by her insurance, and how we could get them to agree to treat her
  • Once she was treated, she had a chronic illness, and needed ongoing care and coordinated nursing and monitoring, particularly once her illness recurred
Once she had a correct diagnosis and we'd found the right doctor, her treatment was excellent. But before and after treatment, most people with serious illnesses have to live through these other phases and suffer similar problems. She was trying to get help from her caregivers in the family and it was incredibly challenging to get the right information and help her make the right decisions. Often the health care system isn't well set up to address these issues. I believe our industry can help resolve some of these problems and ameliorate others.

In the end, one key part of the solution to these problems is a better educated patient. If patients understand their diseases better -- the symptoms, the treatments, the drugs, and the side effects, they are likely to get better and quicker care -- before, during, and after treatment. We have already launched some improvements to web search that help patients more easily find the health information they are looking for. Using the Google Co-op platform, Google and the health community have labeled sites and pages across the web making it easier for users to refine their health queries and locate the medical information they need. Do a search on Google about a medical issue or treatment like diabetes or Lipitor and you'll see some choices for refining your query, such as "symptoms," "treatments," and so on. If you click on "treatment," your search results are refined and reordered so that sites that have been labeled as being about treatment by trusted health community contributors are boosted in the rankings. Note that how trusted a contributor is -– and thus how much they affect your search results -– is dependent both on Google's algorithms and on who the user decides they trust. For example, if my doctor is a Google Co-op contributor and I indicate to Google that I trust her, then when I search, the sites she has labeled as relevant will show up higher in my search results.

This is just the beginning of what our industry can do. People need the medical information that is out there and available to be organized and made accessible to all. Which happens to be our mission. Health information should be easier to access and organize, especially in ways that make it as simple as possible to find the information that is most relevant to a specific patient's needs.

Patients also need to be able to better coordinate and manage their own health information. We believe that patients should control and own their own health information, and should be able to do so easily. Today it is much too difficult to get access to one's health records, for example, because of the substantial administrative obstacles people have to go through and the many places they have to go to collect it all. Compare this to financial information, which is much more available from the various institutions that help manage your financial "health." We believe our industry should help solve this problem.

As the Internet increasingly helps link communities of people, we also think there is an opportunity to connect people with similar health interests, concerns and problems. Today, people too often don't know that others like them even exist, let alone how to find them. The industry should help there, too.

These are some of the health-related problems we're thinking through at Google. We don't have any products or services to announce yet and may not for quite some time, but we thought we'd share a bit about the problems we're interested in helping out on even before we introduce solutions. As we explore these problems and continue to work on them, we hope to share more about our efforts along the way. Your help is welcome and, of course, if you're an extraordinary engineer with a passion in this field, we'd love to hear from you. Read through our Help Center information and let us hear from you.

Update: New contact link.

Wednesday, 29 November 2006

Revisions and publishing features in spreadsheets



Running out for ice cream and cookies at 2 a.m. was just a cliché to me -- until I found myself trying to find an all night grocery store which had these things for my pregnant wife, Marla. Then there were the nights she didn't know what she wanted, but if she didn't get it now, things would get ugly.

How did a Google spreadsheet help with pregnant-lady-cravings? She and I started a list of every food she'd ever craved and when, and, using the sharing and collaboration features, we were able to create a spreadsheet that helped me learn what foods were best to keep on hand in bulk for those midnight feedings. We could even keep an inventory so I'd know to stop off at the grocery store on my way home if we were low on vanilla ice cream, cookies or peanut butter.

My wife isn't the only one making requests at 2 a.m. Lots of you are sending in lots of requests for features at all hours of the day and night. Two new ones launched today are revisions and and publishing. Revisions will enable you to go back to previous versions of your spreadsheet; publishing will give you a URL for your spreadsheets which you can share with anyone -- even as a link on another site or in your blog. The spreadsheet can still be updated from within Google Docs & Spreadsheets.

We've got some other cool new features too, so check them out at docs.google.com,and if you have other "crazy" ideas, feel free to make suggestions, discuss them with others, or visit the Help Center. Whatever you do, please don't ask for ice cream at 2 a.m.!

Tuesday, 28 November 2006

Adieu to Google Answers



Google is a company fueled by innovation, which to us means trying lots of new things all the time -- and sometimes it means reconsidering our goals for a product. Later this week, we will stop accepting new questions in Google Answers, the very first project we worked on here. The project started with a rough idea from Larry Page, and a small 4-person team turned it into reality in less than 4 months. For two new grads, it was a crash course in building a scalable product, responding to customer requests, and discovering what questions are on people's minds.

Google Answers taught us exactly how many tyrannosaurs are in a gallon of gasoline, why flies survive a good microwaving, and why you really shouldn't drink water emitted by your air conditioner. Even closer to home, we learned one afternoon that our building might be on fire.

The people who participated in Google Answers -- more than 800 of them over the years -- are a passionate group committed to helping people find the information they need, and we applaud them for sharing their incredible knowledge with everyone who wrote in.

If you have a chance, we encourage you to browse through the questions posted over the last 4+ years. Although we won't be accepting any new questions, the existing Qs and As are available. We'll stop accepting new Answers to questions by the end of the year.

Google Answers was a great experiment which provided us with a lot of material for developing future products to serve our users. We'll continue to look for new ways to improve the search experience and to connect people to the information they want.