Web 2.0 and the future of health care - Paul Hodgkin

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Web 2.0 and the future of health care - Paul Hodgkin

  1. 1. Web 2.0 and the future of health care Paul Hodgkin Patient Opinion
  2. 4. <ul><li>Digitization Wave 1 </li></ul><ul><li>Reduced the cost of systematising information </li></ul><ul><ul><li>The information universe </li></ul></ul><ul><ul><ul><li>Evidence based care </li></ul></ul></ul><ul><ul><ul><li>Cochrane, NICE, protocols, QOF </li></ul></ul></ul><ul><ul><li>Simple electronic care records </li></ul></ul>
  3. 6. Digitisation wave 2: networks and democratised voice
  4. 7. Democratised bill boards Photo courtesy flickr.com
  5. 8. It’s cheap and easy to find ‘people like me’
  6. 9. So what might web 2.0 mean for health? ‘ Voice’ will become as powerful a driver of as ‘exit’ Patient-led change
  7. 10. Voice can lead to structured, public conversations between committed and passionate micro-audiences
  8. 11. Number of people using a service who feel: Finding the thoughtfully passionate Indifferent/ Concerned Passionate pleased Known Thoughtfully passionate people (whom we can now find)
  9. 12. Patient-led change Open source hygiene ‘ Sous-veillance’ as well as surveillance ‘ Shroud wavers on speed’ ‘ Loose a million pounds’ campaign in Liverpool
  10. 13. Why is the web so disruptive? Networks are citizen-centric Networks can give increasing returns
  11. 14. Return <ul><li>Examples: </li></ul><ul><ul><li>Protocols </li></ul></ul><ul><ul><li>Policies </li></ul></ul><ul><ul><li>Coordination across organisations </li></ul></ul><ul><ul><li>Targets and incentives </li></ul></ul><ul><ul><li>Number of partners in a care pathway </li></ul></ul>Decreasing returns to scale Aka ‘one more heave’ and ‘lessons must be learnt ’ Number of people involved in system
  12. 15. Return <ul><li>Decreasing return systems are tightly coupled </li></ul><ul><ul><li>Prize consistency and coordination </li></ul></ul><ul><ul><li>Averse to variation and risk </li></ul></ul><ul><ul><li>Hierarchical, mechanistic </li></ul></ul><ul><ul><li>Extrinsically motivated, enforced </li></ul></ul>Decreasing returns to scale Aka ‘one more heave’ and ‘lessons must be learnt’ Number of people involved in system
  13. 16. Return <ul><li>Examples </li></ul><ul><ul><li>YouTube </li></ul></ul><ul><ul><li>eBay </li></ul></ul><ul><ul><li>Wikipedia </li></ul></ul><ul><ul><li>Google </li></ul></ul><ul><ul><li>?Cases Journal </li></ul></ul>Increasing returns to scale Number of people involved in system
  14. 17. Return <ul><li>Increasing return systems are </li></ul><ul><ul><ul><li>digital </li></ul></ul></ul><ul><ul><ul><li>loosely coupled </li></ul></ul></ul><ul><li>intrinsically motivated </li></ul><ul><li>network, horizontal </li></ul><ul><li>variable, stochastic, uncontrolled </li></ul><ul><li> </li></ul>Increasing returns to scale Number of people involved in system
  15. 18. Return Turnover/ employee Number of people involved in system 10 100 1k 10k 100k 1m 10m 100m x Patient Opinion X Disney X Microsoft x YouTube x Google X NHS
  16. 19. Personal care Systematic care High High Low Low
  17. 20. 70/80s Feminism Post modernism 90s/00s 1 st wave digitisation EBM Protocols Managerial control 10s/20s Voice more than exit Patient-led change Personal care Systematic care High High Low Low 50s/60s Dr Finlay knows best
  18. 21. Thank You Paul Hodgkin
  19. 22. Gift economies on the web
  20. 23. Policy Evidence Protocols, process, performance Patients – professional behaviour
  21. 24. 1 million people per day 1 in10,000 ‘nudge’ the system 200,000 service improvements per year Cases study Policy Evidence Protocols, process interventions Patients – professional behaviour
  22. 25. Web 2.0 will change health care by: <ul><li>The democratisation of voice </li></ul><ul><li>Reputations </li></ul><ul><li>Gift economies </li></ul>

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