1 gunther eysenbach md, mph, eysenbach g: welcome to medicine 2.0 this slideshow, presented at...

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

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


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)


Shared the news on Facebook…


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)


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


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


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


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


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


Social Networking


EMR

“Tethered” PHR/ PAEHR

“stand-alone” PHRPHR

EMR

Read only

Read+Write/Annotate

PHR

PHR

© Gunther Eysenbach, CC-BY


EMR

EMR PHR

PHR

PHR

Different providers

PHR 2.0

Other peoples’ PHR

© Gunther Eysenbach, CC-BY



Community


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?


• 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


Walking the talk: Some experiments in open / collaborative peer-review


Join the social network at http://medicine20.crowdvine.com/


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


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


Last-Minute Cancellations

• Tass-Hout, InSTEDD: Biosurveillance 2.0CANCELLED

• Roy Shubhabrata, MicrosoftCANCELLED (closing panel will still take place)


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


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


Pat RichPat Rich

Director CMA Online Content, Canadian Medical Association (CMA)

"Asklepios: The CMA's new social networking site for Canadian physicians"

1 gunther eysenbach md, mph, eysenbach g: welcome to medicine 2.0 this slideshow, presented at...

Documents