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Twente 2009


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Why isn’t eHealth successful yet?

Published in: Health & Medicine
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Twente 2009

  1. 1. Why isn’t eHealth successful yet?<br />Prof. dr. Jan A.M. Kremer, gynecologist<br />Radboud University Nijmegen<br />Supporting health by technology<br />Enschede, 28-05-09<br />
  2. 2. After lunch poll<br />“EHealth isn’t successful yet”<br /><ul><li> agree
  3. 3. disagree</li></li></ul><li>Where am I working?<br /><ul><li>Radboud University </li></ul>Centre for Reproductive Medicine (IVF centre) <br /><ul><li>MijnZorgNet</li></ul>Service organization that facilitates integrated networks <br />
  4. 4. How did I get involved in eHealth?<br />
  5. 5. From paradigm shift to a dream<br />Patients (and not doctors) are the prima donnas of healthcare<br />
  6. 6. Digital IVF clinic<br /><ul><li> Personal information </li></ul>personal health record<br /><ul><li> General information</li></ul>Multimedia education<br /><ul><li> Communication</li></ul>p2p, p2d (chat & forum)<br />
  7. 7.
  8. 8. Successful example of eHealth?<br /><ul><li> Trouble-free online since 2003
  9. 9. Very enthusiastic patients
  10. 10. More trust, less complaints
  11. 11. Prizes, media attention
  12. 12. PhD thesis (Wouter Tuil)</li></ul>Wouter Tuil<br />
  13. 13. Unsuccessful example of eHealth?<br /><ul><li> No evidence of effectiveness
  14. 14. No upgrades or new versions
  15. 15. Slow adoption by other fields
  16. 16. Doctors are still skeptical
  17. 17. No viable business model
  18. 18. No evidence of effectiveness
  19. 19. No upgrades or new versions
  20. 20. Slow adoption by other fields
  21. 21. Doctors are still skeptical
  22. 22. No viable business model</li></ul>Wouter Tuil<br />
  23. 23. Disruptive innovations (1)<br /><ul><li>Healthcare is not complex, we have made it complex.
  24. 24. Sustaining innovations make good things better
  25. 25. Disruptive innovations make things simpler and more affordable</li></li></ul><li>Disruptive innovations (2)<br /><ul><li>Transformation of complicated products into low cost & accessible products is not unique for healthcare
  26. 26. Disruptive innovations are rarely initiated by leading organizations
  27. 27. Disruptive innovations are not kind for current organizations, but are good for mankind.</li></li></ul><li>Three elements of disruptive innovation <br />Technological innovations<br />Business model innovations<br />Value network innovations <br />1. Sophisticated technology <br />that simplifies<br />Regulations and standards that <br />facilitate <br />change<br />2. <br />Low-cost innovative business models<br />3. Economically coherent value network<br />
  28. 28. Three kinds of business models<br />Solution shops<br />Value-adding process businesses<br />Facilitated networks<br /> Current business models are not viable models<br />
  29. 29. How can we make eHealth to a widespread success?<br /><ul><li>Dare too dream!
  30. 30. Listen to our patients!
  31. 31. Innovate our business models!</li>