Vancouver Island Chapter

D O N J U Z W I S H I N C H E P H D

F R I D A Y , F E B R U A R Y 2 0 , 2 0 0 9

V I C T O R I A , B R I T I S H C O L U M B I A

“The Emergence of Web 2.0, Health 2.0 and Medicine 2.0:

Are you ready for it?”

Vancouver Island Chapter

Wikinomics

Three rules of open spaces that have emerged on the Internet (1) no body owns it,

(2) everybody uses it and

(3) anyone can improve it.

The Internet is characterized with (1) openness, (2) peering, (3) sharing, and (4) acting globally

Tapscott and Williams

What are Web 2.0, Health 2.0 & Medicine 2.0?

Web 2.0 is the changing trend of the World Wide Web and web design

Enhance creativity

Communications

Secure information sharing

Collaboration

Functionality

Social networking, video sharing, wikis, blogs, folksonomies

What are Web 2.0, Health 2.0 & Medicine 2.0?

“Health 2.0 is participatory healthcare characterized by the ability to rapidly share, classify and summarize individual health information with the goals of improving health care systems, experiences and outcomes via integration of patients and stakeholders.”

• Ian Furst

• http://waittimes.blogspot.com/

What are Web 2.0, Health 2.0 & Medicine 2.0?

“Medicine 2.0 applications, services and tools are Web-based services for health care consumers, caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation, apomediation, collaboration, and openness within and between these user groups.”

Eysenbach GMedicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and OpennessJ Med Internet Res 2008;10(3):e22<URL: http://www.jmir.org/2008/3/e22/>

What are the issues?

Hughes et al. argue there are four major tensions represented in the literature on Health/Medicine 2.0:

lack of clear definitions;

issues around the loss of control over information traditionally the purview of health care providers;

safety and the dangers of inaccurate information; and

issues of ownership and privacy• Hughes B, Joshi I, Wareham J

Health 2.0 and Medicine 2.0: Tensions and Controversies in the FieldJ Med Internet Res 2008;10(3):e23<URL: http://www.jmir.org/2008/3/e23/>

What will it do for the citizen, consumer, patient?

Provide 24/7 access to high quality evidence on the effectiveness of health care interventions

Provide the opportunity for social networking, support groups, sharing of experiences

24/7 monitoring of health status parameters – smart house Instantaneous feedback on medication effects Encourage health literacy being a priority in education The citizen, consumer, patient own their personal health

record Reduce adverse events Access to remote locations Support of chronic disease management and health

promotion

What will it do for the health care provider?

Provide 24/7 access to high quality evidence on effectiveness of health care interventions

Provide immediate news of breakthrough findings or cautions

Identify and share international best practices

Provide opportunity for immediate and trended outcomes associated with interventions

Offer opportunities for collaboration and partnership

Provide decision support tools

New forms of education and continuing education

What will it provide the researchers?

A storehouse of linked data

Provide a bridge to anonymous data and information on the citizen, customer, patient community

Facilitate clinical and field trials matching client criteria and research design requirements

Bring them into the collaboratory

Need to make explicit peer review processes

What will it do for the policy makers?

Make explicit accountability relationships, roles and responsibilities

Provide transparency on the monitoring and performance of the health care system

Provide access to linked data bases

Drive and link health policy informatics from the sub cellular to the individual and population health levels

Can the issues be addressed?

Privacy and security

Banks and airlines have done it

Ownership of knowledge

Provide accreditation or certification for sites that have credible and reputable materials

apomediation

Support research into health informatics

Why embrace it?

Catalyst for advancing the integration and coordination of services and information

Provides synergy for advancing the requirements of health reform and renewal

Stimulates the objectives of Canada Health Infoway

Gives the ownership of the personal health record to the citizen, consumer, patient

Balances the information asymmetry between health care providers and citizens, consumers, patients

Provides access to high quality information on international best practices 24/7

Questions