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Gunther Eysenbach MD, MPH, www.medicine20congress.com 1
Eysenbach G: Welcome to Medicine 2.0
• This slideshow, presented at Medicine 2.0’08, Sept 4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
• Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009(www.medicine20congress.com)
• Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
Gunther Eysenbach MD, MPH, www.medicine20congress.com 2
Gunther Eysenbach MD, MPH, www.medicine20congress.com 3
Gunther Eysenbach MD MPH
Gunther Eysenbach MD MPH
Associate Professor Department of Health Policy, Management and Evaluation, University of Toronto;
Senior Scientist, Centre for Global eHealth Innovation,Division of Medical Decision Making and Health Care Research; Toronto General Research Institute of the UHN, Toronto General Hospital, Canada
Editor/PublisherJournal of Medical Internet Research (JMIR)
Welcome from the Conference Organizer + Chair
Gunther Eysenbach MD, MPH, www.medicine20congress.com 4
Observations from the patients’ perspective
5 weeks before the conference I decided to test our health care system and threw myself
in front of a taxi who ran a red light…(the taxi was stronger)
Gunther Eysenbach MD, MPH, www.medicine20congress.com 5
Shared the news on Facebook…
Gunther Eysenbach MD, MPH, www.medicine20congress.com 6
A case for Medicine 2.0?
• I want to inform friends and colleagues that emails will take a bit longer to respond to (used my Facebook status)
• I want to know if my wrist is really broken? (Web portal to access the radiologists’ report?)
• I want to identify patients with a similar injury. Experiences of other patients? How long does it take to “heal”? Who is the best physiotherapist in town? Should I sue that taxi driver?
• I want to reduce my paperwork (dealing with two insurance companies, lawyer, physiotherapist) – the information hub is me, not the hospital
• I want to participate in research (the BICE study coordinator tried to contact me in vain – I was just too busy to call back)
Gunther Eysenbach MD, MPH, www.medicine20congress.com 7
Medicine 2.0: New web-technologies and approaches change health and medicine
Picture Credits: lower left from Hansen M, J Med Internet Res 2008;10(3):e26, www.jmir.orglower right image from Falkman et al J Med Internet Res 2008;10(3):e25, www.jmir.org
Upper right collage by G. Eysenbach, showing MS Healthvault and Googel Health
PHR, PHA Web 2.0
Web 3.0 (semantic web)Virtual Worlds, MMOG
8http://en.wikipedia.org/wiki/Image:Web20_en.png
9
“Web 2.0 is a meaningless buzzword used by Starbucks-slurping cretins.”
“Ilyag” on Digg, 10-12-2007URL:http://digg.com/tech_news/10_definitions_of_Web_2_0?t=2733038#c2741199. Accessed: 2008-09-01. (Archived by WebCite® at http://www.webcitation.org/5aVjOQ8nX)
Another (simpler) definition of Web 2.0
Gunther Eysenbach MD, MPH, www.medicine20congress.com 10
Characteristics of Web 2.0 applications
• Users owning the data on the site and exercising control over that data
• An architecture of participation and democracy that encourages users to add value to the application as they use it
• A rich, interactive, user-friendly interface
• Some social-networking aspects
• "Network as platform" — delivering (and allowing users to use) applications entirely through a Web browser
http://en.wikipedia.org/wiki/Web_2.0
Gunther Eysenbach MD, MPH, www.medicine20congress.com 11
Consumer / Patient
Health Professionals Biomedical Researchers
Science 2.0
Peer-review 2.0
PersonalHealthRecord 2.0
VirtualCommunities(peer-to-peer)
ProfessionalCommunities(peer-to-peer)
Health 2.0
Medicine 2.0 (“next generation medicine”)
From:Gunther Eysenbach. Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and OpennessJ Med Internet Res 2008; 10(3):e22http://dx.doi.org/ 10.2196/jmir.1030 DOI:10.2196/jmir.1030
HealthVault
Google Health
HealthBook
Sermo
WebCite
CiteULikeMedting
WiserWikieDoctr
BioWizardDissect Medicine
E-learning
PLoS One
BMC
JMIR
Wikis
Blogs
RSS
RDF, Semantic Web
Virtual Worlds
Web 2.0 Technologies & Approaches
XML
AJAX
Revolution Health
PatientsLikeMe
PeerClip Connotea
ALIVE
HealthMapcaBIG
Doctorshangout.com
Asklepios
Gunther Eysenbach MD, MPH, www.medicine20congress.com 12
Patient data External evidence General
healthinformation
Personal health
information
LiteratureMass MediaInternet
Health RecordRelevant+credibleInformation
Patient
Patient accessible electronic
health records
Medical knowledge
Disintermediation / Apomediation
Physician (health
professionals, librarians) as intermediary
IrrelevantinaccurateIrrelevant
Information
“Apomediaries”
Eysenbach, 2008
Gunther Eysenbach MD, MPH, www.medicine20congress.com 13
Other examples of disintermediation/apomediation
Scientist
ProfessionalPublishers
Communicating research findings to other scientists,
The public
Health Professionals
Information Brokers
Access to EBM information
= apomediaries= former intermediary(roles are changing)
Otherscientists
OtherHealth
professionals
Patients
Health Professionals
Access to relevant and credible information
Otherpatients
Gunther Eysenbach MD, MPH, www.medicine20congress.com 14
Social Networking
Gunther Eysenbach MD, MPH, www.medicine20congress.com 15
EMR
“Tethered” PHR/ PAEHR
“stand-alone” PHRPHR
EMR
Read only
Read+Write/Annotate
PHR
PHR
© Gunther Eysenbach, CC-BY
Gunther Eysenbach MD, MPH, www.medicine20congress.com 16
EMR
EMR PHR
PHR
PHR
Different providers
PHR 2.0
Other peoples’ PHR
© Gunther Eysenbach, CC-BY
Other peoples’ PHR
Other peoples’ PHR
Community
Gunther Eysenbach MD, MPH, www.medicine20congress.com 17
Some questions
• What does this all mean for health, health care, medicine, and biomedical research?
• What are the implications for health, health policy? • What is the role of the private, government, and academic
sector?• How do the "generic" Web 2.0 concepts and technologies
translate into Health applications?• What are the specific requirements for
health-related/medical social networking applications? • What are the research questions and issues?• What are the determinants of success or failure in
developing and deploying these applications?• Is the “hype” supported by evidence?• What can we expect for the future?
Gunther Eysenbach MD, MPH, www.medicine20congress.com 18
• 180 registrants (sold out)• Participants from 19 different countries
– Canada– United States– United Kingdom– Netherlands– Sweden– Spain– Norway– Italy– Australia– Singapore– New Zealand– Slovenia– Sri Lanka– Switzerland– Hungary– Greece– France– Taiwan, Province of China– Brazil
• 67 oral and 9 poster presentations
www.medicine20congress.com, Toronto, Sept 4-5th, 2008
Gunther Eysenbach MD, MPH, www.medicine20congress.com 19
Walking the talk: Some experiments in open / collaborative peer-review
Gunther Eysenbach MD, MPH, www.medicine20congress.com 20
Join the social network at http://medicine20.crowdvine.com/
Gunther Eysenbach MD, MPH, www.medicine20congress.com 21
Some suggestions and housekeeping notes
• Sign up for the Social Network (http://medicine20.crowdvine.com/)• Blog, blog, blog, blog !• Be interactive and speak from the floor (use mic’s)– there is plenty of
time for discussions. Let’s crowdsource our collective wisdom!• Stick to allotted speaking time: 4 speakers in 90 min sessions: 15 min
speaking time + 5 mins Q&A(3 speakers: 20 + 7 min Q&A) + 10 min general discussion time
• Sessions are recorded – use floor mic’s in the auditorium(in CR2+CR3: Speakers please repeat the question)
• Recordings can be ordered (green form in delegate bag)• Limit advertising in your talks – clearly distinguish marketing talk from facts
(cave – this is a critical / academic audience) and disclosure financial interests
• Fill in the blue evaluation form (should there be another congress next year? Where and when?)
• Free Internet access: Choose the “guest” wireless network and enter your email address
Gunther Eysenbach MD, MPH, www.medicine20congress.com 22
Sign up for dinner
• A la carte dinner at BB33 (Delta Hotel, 33 Gerrard St West), 7pm
• Sign-up sheet at registration desk, please sign up before 2pm
Gunther Eysenbach MD, MPH, www.medicine20congress.com 23
Last-Minute Cancellations
• Tass-Hout, InSTEDD: Biosurveillance 2.0CANCELLED
• Roy Shubhabrata, MicrosoftCANCELLED (closing panel will still take place)
Gunther Eysenbach MD, MPH, www.medicine20congress.com 24
Credits
• Organizer & Chair: Gunther Eysenbach (Centre for Global eHealth Innovation)
• Admin Support: Galina Kovacik (Centre for Global eHealth Innovation)• Planning / Advisory Committee
Peter Murray, Bertalan Meskó, Margaret Hansen, Miguel Cabrer, Peter Elkin, Chris Paton
• SponsorsCentre for Global eHealth Innovation, CHIRAD, IMIA
Platinum Sponsor: Canadian Institutes for Health Research (CIHR)
Bronze Sponsors: Medting (formerly MDPIXX), Canadian Medical Association
Media Sponsors: Journal of Medical Internet Research (JMIR),BMC Cases Journal
Gunther Eysenbach MD, MPH, www.medicine20congress.com 25
Thank you!
Dr G. Eysenbach, Email: geysenba at uhnres.utoronto.ca or @gmail.com,
My peer-reviewed Journal: http://www.jmir.org
My Blog: http://gunther-eysenbach.blogspot.com
My Conferences: http://www.medicine20congress.com
http://www.ehealthcongresss.org
My Slides: http://www.slideshare.net/eysen
Gunther Eysenbach MD, MPH, www.medicine20congress.com 26
Pat RichPat Rich
Director CMA Online Content, Canadian Medical Association (CMA)
"Asklepios: The CMA's new social networking site for Canadian physicians"