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Adding layers to Health 2.0

Jen McCabe Gorman drew a picture at HealthCampDC last that I really liked. Luckily, I found this image of her Medicine 2.0 presentation, so nobody has to decipher my sketch.

The one difference is that, on Friday, Jen pointed out that the outer square ("content") is Health 1.0 and Health 2.0 begins with the "community" square. After reading her research paper, I now understand that the next inner square is Health 3.0, or content + community + commerce and the final, innermost square is Health 4.0, which would add coherence to the equation. Health 4.0 in this model is the "evolutionary stage connect[ing] the real world of brick-and-mortar systems with the virtual world of online services."

The paper is well worth a read, whether you agree with this model or not. I’m going to have to think about the following points, for example:

Another weakness of current Health 2.0 initiatives is the tendency of communities to attract similar people. Many focus on connecting "like-minds," relatively homogeneous groups such as patients with the same diagnosis or physicians in the same subspecialty. Similar groups then generate very similar content. Users become settled and ‘comfortable’ and thus less inclined to venture out and advocate for other consumer groups and sytemic change.

Which groups did they have in mind when they wrote that? ACOR.org has been held up as a great example of an information resource. Yes, they are homogeneous (98% white) but are ACOR members less likely to advocate for systemic change? I wouldn’t say that to e-patient Dave’s face (or Deborah Bell’s, or Gilles Frydman’s…)

Again, read the paper and then sharpen your critiques because I have to hand it to Jen and her co-presenter, Maarten den Braber, who went completely 2.0 for the event. I couldn’t make it to Toronto (hey Gunther, how about not scheduling it for the first week of school next year?) but I can still read their paper, view their slides, and follow the comments.

Jen and the whole Nexthealth crew make me wish I could spend a semester in the Netherlands — or as e-patient Dave recently wrote, What is it with the Dutch?

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@susanlindseyGunther EysenbachSusannah FoxJacqueline Recent comment authors
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@susanlindsey
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@susanlindsey

jen et al back in amsterdam this week. wonder what they’re cooking up now?

Susannah Fox
Guest

Thanks, Gunther! You know I love what you’re doing and am just envious of all those who were able to attend this year. I will sign up for 2.0’09.

Gunther Eysenbach
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We had some constraints in terms of the venue availability – the next Medicine 2.0’09 congress is tentatively scheduled for Sept 17/18th, 2009 – hopefully this fits your schedule better…

Susannah Fox
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Thanks, Jacqueline! I would love to visit, but in the meantime, what do you think of e-patient Dave’s comment about the Dutch entrepreneurial spirit?

Jacqueline
Guest

Susannah,
Just wanted to let you know we (the rest of the Nexthealth-crew) would be happy to see you coming to the Netherlands. And if you would like to do so, do contact us and we will explain to you what it is with the Dutch 😉 In the meantime we will be pleased meeting you twittering, skyping, blogging.