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Lucien 1.0-2.0-3.0 sequence

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  • 1. Diagram by @lucienengelenExpanded with notes by@ePatientDaveNetworks ofpatients and informationare changing how valuecan flow in medicine
  • 2. How can it bethat the most usefuland relevant andup-to-the-minute informationcan exist outside oftraditional channels?
  • 3. Because of the Web,Patients Can Connect to Informationand Each Other (and other Providers)This is a (licensed) generic diagram of anetwork of people. The connections actlike capillaries, through whichinformation can flow – just like a nutrient.
  • 4. Health 1.0was like the early web – “read only.”A few people could publish things, butordinary people couldn’t put anything online.There was no Facebook, no blogs, just“brochureware” – articles and publicity.
  • 5. Health 1.0was like the early web – “read only.”A few people could publish things, butordinary people couldn’t put anything online.There was no Facebook, no blogs, just“brochureware” – articles and publicity. This dotted line is the “membrane”between the establishment and thepublic.All knowledge lived above the line,and was dispensed through a one-wayarrow.
  • 6. In Health 2.0……the two circles have movedcloser together: sometimes thepatient & family bring usefulknowledge to the transaction.The two parties still aren’t thesame, but it’s more of a two waystreet.(This never happens in placeswhere people believe it’s notpossible!)
  • 7. Web 2.0: “When the web began to harnessthe intelligence of its users.” – Tim O’ReillyIn Health 2.0……the two circles have movedcloser together: sometimes thepatient & family bring usefulknowledge to the transaction.The two parties still aren’t thesame, but it’s more of a two waystreet.(This never happens in placeswhere people believe it’s notpossible!)
  • 8. In Health 3.0& beyond……we’re all swimming ina common pond of information.
  • 9. In Health 3.0& beyond……we’re all swimming ina common pond of information.(This diagram doesn’t yet show thatthe circles aren’t equivalent – asurgeon is different from a caregiver,etc. That would be a goodenhancement to add.)
  • 10. Today we understand……that this works because the patient andfamily can bring their network to thediscussion.
  • 11. In fact everyone does.Like everything else today, medicine hasbecome a network of networks.