internet penetratie in Belgi&#xEB; : 63% of belgian population surfs the internet (not much) 2,9 miljoen internet aansluitingen
> belgium was once number one, and now we are the last. Wy - because in belgium its a lot more expensive (dominance telenet and) cfr freebox in France
some are not online some are online but can &#x2018;t use it the silver surfer
- not everybody has access to internet our knows how to use it - wich keyword to search for
they not onlin
10% more then Google
2link was number 6 in the result list refering to a page talking about making money, spoil yourself, loosing weight, beauty, wellness, ... The number of boxes taking about diabetes are a minority and are mostly below the fold.
how does google work - top results - "PageRank relies on the uniquely democratic nature of the web"
rate your doctor
(hell, what isn&#x2019;t available on the iPhone)
Because diabetes is more than just a disease, it&#x2019;s also a way of life.
So you want too share what you&#x2019;ve learned and what you&#x2019;ve experienced.
http://www.glycemicindex.com/ Join our community is NOT &#x201C;Subscribe to our Newsletter&#x201D;
Search patterns are dependent from stage of disease. Social Engagement is dependent on the disease itself.
20090630: http://digg.com/search?s=diabetes&sort=digg > Checkdiabetes.org show a blog post titled &#x201C;facts on type 1 diabetes and type 2 diabetes&#x201D; with a GoogleAdd toward the eShop from Danlab Finland where I can by the BeneCheck Glu. (http://www.checkdiabetes.org/2009/06/facts-on-type-2-diabetes-and-type-2.html) > NY Times features an article on a bicycle exploit by Type I diabetici (http://www.nytimes.com/2009/06/30/health/30well.html?_r=1&partner=rss)
http://www.reddit.com/search?q=diabetes&sort=top&t=month > Guardian: new insights (&#x2018;invalshoeken&#x2019;) on diabetes and, here, drugs. (http://www.guardian.co.uk/business/feedarticle/8560642 - article data 16/06/09) > MSNBC &#x201C;Dogs being trained to sniff out diabetes&#x201D; - A canine's hyper-sensitive nose can detect tiny changes in blood sugar&#x131; (http://www.msnbc.msn.com/id/31486267/ns/health-diabetes/)
FB: blanken tegen blanken, zwarten tegen zwarten, vrouwen met vrouwen, dikke auto met dikke autos
Compare this profile to a facebook profile: holidays, books, ...
We start to share all kinds of preferences. (we influence each other in buying preference)
> co-creation kan enkel onder gelijkgezinden (onze tuin is nog niet klaar)
stylisch accessories for the modern diabetic (fashion for diabetics)
http://www.health.org.uk/current_work/case_studies/cocreation_in.html patient and physician setup together the best treatment and life condition (one with experiences, the other with knowledge)
testing a new model of care that hopes to change the patient-clinician relationship to one of partnership and co-creation. The initiative works across the system to embed self-management support for people with long-term conditions.
Cocreation > samen werken aan een document > kan enkel indien men dezelfde waarden heeft
Vergelijk MS met Google > een computer, een document en rondmailen > een platform online waarop iedereen werkt en waarvan we makkelijk kunnen delen
tot slot ervan uitgaan dat er daar mensen &#x2018;out there&#x2019; die dingen weten, kunnen die ik niet weet
=> straks op terug komen bij
Just like the search results
(at least i can do that)
At least in Europe it can take a while before all the data are completed. http://www.google.com/intl/nl/health/tour/index.html
Also Microsoft is working on something: Health Vaulth.
Developing co-created services will necessarily be dependent on a set of key processes that support and enable the distribution of resources and knowledge,collaborative approaches and new interfaces between users and professionals across disciplines. Designers turn radical innovation into practical reality on a daily basis, be that in the creation of new products and environments,or the development ofservices and experiences
20090703 prestentation how endorse and improve v1.0
HOW ONLINE TRENDS AND TOOLS
CAN ENDORSE HEALTHCARE AND
IMPROVE QUALITY OF LIFE.
A conversation about search, social media, co-creation, patient empowerment and new business models.
When you’re sick, you have a lot
•Questions you might ask relating to illness or symptom(s)
•What's wrong with me?
•Can you draw a picture or show me what is wrong?
•What causes this kind of problem?
•Can I give this illness to someone else, and if so, how and for what period of time can I pass this on?
•Are there any activities or foods which I should avoid?
•When can I return to work or school?
•What is the long-term prognosis of my condition?
•How can I prevent this from happening again?
•How will this problem affect me in the future?
•What will happen if I don't treat my condition right away?
•What treatment should I follow, including dietary, medical treatment, and lifestyle changes?
•When do I need to see the doctor?
•Where can I get more information about my condition?
So you start searching Google
• In Belgium more than 50% of the
total population uses internet in
search for health information (2006).
• People in Nordic countries tend to
be frequent users (does it have to do
with the weather?)
• And in the US the number of adults
on the web searching for health
information has doubled in the past 2
years from 31% tot 60% (june 2009).
Or you can ask somebody else to
search Google for you
• 50% of all online health searches are on behalf of someone
People love using thet net when
• 26% (fully) agrees with ‘when I feel something I ﬁrst look on the Internet to see what might be
• 24% (fully) agrees with ‘before I go to a doctor, I ﬁrst look for more information on the Internet’
• 50% (fully) agrees with ‘when my doctor makes a diagnosis, I often look on the Internet for extra
• 27% (fully) agrees with ‘when my doctor makes a diagnosis, I will check it based on online
• 26% (fully) agrees with ‘when I need to take medicine, I ﬁrst look up more information on the
Internet about this medicine’
• The physician remains by far the most reliable source of health related information. But the
patient has joined the online conversation
And Microsoft doesn’t help
•Bing gives us 10% more
results than Google,
82.300.000 in total.
They want to learn about their medication,
treatment, alternatives and what the illness
will cost them
1. Speciﬁc disease or medical problem;
2. Certain medical treatment or procedure;
3. Diet, nutrition, supplements;
4. Excercise or ﬁtness;
5. Prescription or over-the-counter drug;
6. Alternative treatment or medicine;
7. Health Insurance;
8. Depression, anxiety, stress, mental health;
9. A particular doctor or hospital;
10.Experimental treatments or medicines.
And as far as diabetes is
concerned, they look for:
1. Symptoms of Diabetes
2. Diabetes Diet
3. Types of Diabetes
4. What Causes Diabetes?
5. Type 1 Diabetes
6. Treatment for Diabetes
7. Facts About Diabetes
8. Diabetes Tests
10. Type 2 Diabetes
11. Gestational Diabetes
Chronicle patients use search
• Chronicle patients use less search engines in search for health information;
• 56% chronicle patients start with search engine;
• 67% non-chronicle patients start with search engine;
• 50% of chronicle patients talk to their fysician about information found on the
• 30 of non-chronicle patients talk to fysician about information found on the
• It could be that chronicle patients become more experienced with higher quality
results and more networked (worth talking about tot physician) over time.
And people enter the
• Health consumers are often looking for tailored information, searching for a “just-in-time
someone-like-me.” For example:
• 41% of e-patients have read someone else's commentary or experience about health
or medical issues on an online news group, website, or blog.
• 24% of e-patients have consulted rankings or reviews online of doctors or other
• 24% of e-patients have consulted rankings or reviews online of hospitals or other
• 19% of e-patients have signed up to receive updates about health or medical issues.
• 13% of e-patients have listened to a podcast about health or medical issues.
Sharing is healthy
Sharing on other sites:
• All information sources
today encourage visitors
to share the information
in their own community Discussion on Google Friend Connect:
• Natural selection: Get e-mail alerts on related topics:
people share only
information they ﬁnd
Even the pope is sharing
• Pope-to-You (P2Y)
• Facebook application
• Receive messages from the pope
• Meet the pope on Facebook
• Listen to his words
• See picture of the pope
• Send virtual postcards
• But the pope is not only on Facebook:
• iPhone application
• YouTube channel
Sharing occurs through numerous
• 35.755 links
• Top rated diabetes
• America Diabetes
• Diabetes Mine
• Sugar Stats
• Glycemic Index
It can give us (false) hope
• A break-through in diabets
• And we are off on a journey
through cyber health space
(via “Newest First”):
• Checkdiabetes.org with
message ‘Sharing is
• NYTimes: bycicle challenge
by Type1 patients
Or “interesting” insights
• Guardian: Cannabis
might treat diabetes,
says top researcher
• MSNBC: No more
needs for expensive
equipment. Dogs will do
the job in the near
Similarity breeds connection. Homophily is the
principle that a contact between similar people
occurs at a higher rate than among dissimilar people.
Take Lise’s story for example
• Diabetes is a
condition. For at
the end of the
day, no one can
the challenges we
face and deal
with, better than
those of us who
condition, having a
• they will make kids...
• they will become involved in making us aware ...
• they become assertive and start a blog
• they will post their stories
healtcare, just like hundreds
of thousands of ordinary
Americans who have
watched their premiums
rise faster than wages, and
spiraling costs shackle
American businesses — put
a personal touch on the
health care crisis.
• they will come up with solutions for future generations.
using collaboration platforms
• Learn the secrets to managing
diabetes.Ask questions and
get answers in minutes.
• Get real-time support in Live
Chat.Meet people who
understand what you're going
• Stay up-to-date on critical
advances.Be the ﬁrst to know
about research discoveries
and new treatments.
Which can be set up in seconds
• In 60 seconds a private or public platform is
• Personal pages
• POI’s on Google Maps
• Chat history
If they get access to the right data
• Have the right to our own health
• Have the right to know the source
of each health data element
• Have the right to take possession of
a complete copy of our individual
health data, without delay, at
minimal or no cost; if data exist in
computable form, they must be
made available in that form
• Have the right to share our health
data with others as we see ﬁt
Getting a complete medical record
centralized online is almost accomplished
• Tracking medical history and
learn about your conditions
• Import your medical records
• Find out how medications
• Share your medical records
• Make your health information
work for you
They will become e-patients
• E-patients: individuals who
are equipped, enabled,
empowered and engaged
in their health and health
• Health care as an equal
partnership between e-
patients and health
professionals and systems
that support them.
e-Patients know how to use
• Social networks, webvideo and
weblog are also for e-patient most
• 61% is more then 11 hours
online per week;
• 31% is more then 20 hours
online per week;
• 35% on social networks;
• 25,2 % on webvideosites;
• 22,5 % on weblogs;
The pharmaceutical, payer and provider
value chains will be much more closely
Because the situation want get
better without drastic change
• Adult obesity rates now
exceed 25% in 31 states, up
from 28 states last year and 19
the year before that.
• Among children 10-17, about
30% are overweight or obese
in 30 states.
• "There is a huge wave of obese
adults coming that will
bankrupt us as a nation unless
we get this under control now,"
Design efﬁcient tools for co-
• Working across disciplines and institutions
• Design is a process that makes connections.The design process hasthe proven ability to forge connections
between people and organisations,unlock solutions and address change.
• The user process
• The design process is a set of techniques and approaches that puts users at its heart,works from their
perspectives,engaging with articulated knowledge,latent perceptions and emotional responses.
• Usable interfaces
• Design is a practical tool.It helps to make things more visible,legible, coherent and easy to navigate.
• Platforms,tools and motivators
• Distributed,collaborative services will involve the need for new tools andplatforms that enable the sharing of
knowledge and resources and the continual adaptation of services.