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Radboudumc 
Director REshape Center for Innovation 
Core Faculty Singularity University, Exponential Medicine
Lucien Engelen 
Radboudumc 
Director REshape Center for Innovation 
Core Faculty Singularity University, Exponential Medicine
Gentle start : 3 Topics
Gentle start : 3 Topics 
From fór > to wíth > to by patients. 
Changing the lives of patients, together. 
Über-ization of health(care).
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center
Medicine X Stanford 
Medicine 2.0 Harvard 
TEDMED Wash DC 
Doctors 2.0 Paris 
TEDxMaastricht 
World PD conference 
National Health Debate 
Cleveland Clinic 
Mayo Clinics 
BMJ / IHI Forum 
.... 
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
™
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
™ 
1: free tickets available for patients 
2: patients in the program commitee 
3: patients on stage or in panel 
4: patients in program comitee and on stage 
or panel. 
5: Bullets 1 to 4 AND under same conditions 
as the other professional speakers.
Innovation shift 
fór
Innovation shift 
fór
Innovation shift 
fór wíth
Innovation shift 
fór wíth by
So, if you have developed a 
game without targeted group 
from the start : trash-it and start 
over again.
time 
performance 0 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
medium quality use 
low quality use 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
disruptive technology 
medium quality use 
low quality use 
Clayton Christensen, Harvard
time performance 0 
Lucien Engelen 2011
Ignorance 
time performance 0 
Lucien Engelen 2011
Ignorance 
performance pre-gap 
0 
time Lucien Engelen 2011
performance pre-gap 
0 
time Lucien Engelen 2011 
post-gap 
Ignorance
Delocalisation
Delocalisation
Delocalisation
Delocalisation
Zorgpatch
Zorgpatch
Digital eCo-system with data owned by patients
Digital eCo-system with data owned by patients
eCo-system needed
eCo-system needed
eCo-system needed
eCo-system needed 
PHR COMMUNITY 
E-HEALTH
eCo-system
eCo-system
eCo-system
eCo-system needed 
SDK 
Secure 
Global
Formfactor
Formfactor
Formfactor 
„Insideables” !
Healthcare will become 
a software business
5th Democratisation
5th Democratisation 
Patients 
& 
Technology
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by 
?
Years
Reach for 100 Million people 
Years
Reach for 100 Million people 
Years 
Months!
Über-ization of health(care)
Über-ization of health(care)
Über-ization of health(care)
Coming to a supermarket near you
Coming to a supermarket near you
Coming to a supermarket near you 
M 
E 
D
Anyhow THIS is your backyard
Anyhow THIS is your backyard
Shi(f)t happens.
Shi(f)t happens. 
image : 4Dprinter.net
Ethics ?
relax … ?
Wrap-up
Wrap-up 
From fór > to wíth > to by patients. 
Changing the lives of patients global, think together. 
Über-ization of health(care) is ongoing.
@lucienengelen

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