Medicine 2.0 Congress Maastricht

1. November 30, 2010
Radboud REshape & Innovation Center
Definition of Health 2.0 and Medicine 2.0
A Systematic Review

2. Radboud REshape & Innovation Center
Thomas H van de Belt, Junior research fe!ow
Lucien JLPG Engelen, CEO
Sivera AA Berben, PHD-candidate
Lisette Schoonhoven, assistant professor
Radboud REshape & Innovation Center
http://radboudreshapecenter.com/

3. Radboud REshape & Innovation Center
Dutch people with access to Internet (%)
1995-2010
Trendbox , STIR, CBS, 2010

4. Radboud REshape & Innovation Center
0
25
50
75
100
1 3
8 10
20
30
42
49
57
66
70
76
81
91
93 94
1995199619971998199920002001200220032004 2005 2006 2007 2008 2009 2010
Dutch people with access to Internet (%)
1995-2010
Trendbox , STIR, CBS, 2010

5. Radboud REshape & Innovation Center

6. Radboud REshape & Innovation Center
Computertotaal.nl

7. Radboud REshape & Innovation Center
Faqt.nl

8. Radboud REshape & Innovation Center
Web 2.0
O’Reilly: “a set of economic, social and technology trends
that collectively form the basis for the next generation of
the Internet, a more mature, distinctive medium
characterized by user participation, openness and
network effects.”
Hansen: “a term which refers to improved communication
and collaboration between people via social networking.”
Introduction
O’Reilly 2005, Hansen 2008

9. Radboud REshape & Innovation Center
Web 2.0
O’Reilly: “a set of economic, social and technology trends
that collectively form the basis for the next generation of
the Internet, a more mature, distinctive medium
characterized by user participation, openness and
network effects.”
Hansen: “a term which refers to improved communication
and collaboration between people via social networking.”
Interaction
Introduction
O’Reilly 2005, Hansen 2008

10. slideshare.net/ciscogiii

11. slideshare.net/ciscogiii

12. Radboud REshape & Innovation Center
Health 2.0 and Medicine 2.0
Web 2.0 + Health = Health 2.0?
Web 2.0 + Medicine = Medicine 2.0?

13. Radboud REshape & Innovation Center
Health 2.0 and Medicine 2.0
Web 2.0 + Health = Health 2.0?
Web 2.0 + Medicine = Medicine 2.0?
Health 2.0 = Medicine 2.0 ?

14. Radboud REshape & Innovation Center
Health 2.0
Bos et al. 2008

15. Radboud REshape & Innovation Center
Health 2.0
“Health 2.0 defines the combination of health data and
health information with patient experience through the
use of ICT, enabling the citizen to become an active and
responsible partner in his/her own health and care
pathway.” (Bos et al. 2008).
Bos et al. 2008

16. Radboud REshape & Innovation Center
Medicine 2.0 applications, services, and tools are Web-
based services for health care consumers, caregivers,
patients, health professionals, and biomedical researchers,
that use Web 2.0 technologies and/or semantic web and
virtual-reality tools, to enable and facilitate specifically
social networking, participation, apomediation,
collaboration, and openness within and between these
user groups. Eysenbach (2008).
Medicine 2.0
Eysenbach, 2008

17. Radboud REshape & Innovation Center
Medicine 2.0 applications, services, and tools are Web-
based services for health care consumers, caregivers,
patients, health professionals, and biomedical researchers,
that use Web 2.0 technologies and/or semantic web and
virtual-reality tools, to enable and facilitate specifically
social networking, participation, apomediation,
collaboration, and openness within and between these
user groups. Eysenbach (2008).
Medicine 2.0
Eysenbach, 2008

18. Radboud REshape & Innovation Center
“Everyone is trying to grasp what Health 2.0 exactly is”
(Ricciardi 2008)
“Definitions and translations in practice remain murky
and fragmented”
(Doherty 2008, Klepper, 2007)
Different definitions

19. Radboud REshape & Innovation Center
Objective
A clear definition is important for the development of
new Health 2.0 or Medicine 2.0 initiatives
Comparability of new Health or Medicine 2.0 innovations
in research

20. Radboud REshape & Innovation Center
Objective
A clear definition is important for the development of
new Health 2.0 or Medicine 2.0 initiatives
Comparability of new Health or Medicine 2.0 innovations
in research
To identify unique definitions of Health 2.0/Medicine 2.0
and recurrent topics within the definitions.

21. Radboud REshape & Innovation Center
Methods

22. Radboud REshape & Innovation Center
Methods
Scientific literature
PubMed
Scopus
CINAHL

23. Radboud REshape & Innovation Center
Methods
Scientific literature Gray literature
PubMed
Scopus
CINAHL
Google
Bing
Yahoo
Mednar
Scopus (scientific web)

24. Radboud REshape & Innovation Center
Methods
Scientific literature Gray literature
Health 2.0
Medicine 2.0
Web 2.0
Health 2.0
Medicine 2.0
What is Health 2.0
What is Medicine 2.0

25. Radboud REshape & Innovation Center
Methods

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Methods
Inclusion Criteria
Independent assessment
Data Extraction
Identifying possible recurrent themes independently
using text analysis.

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Results

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Results
Scientific literature Gray literature

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Results
Scientific literature Gray literature
533 1404hits

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Results
Scientific literature Gray literature
533 1404
26225
hits
relevant

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Results
Scientific literature Gray literature
533 1404
26225
14
hits
relevant
included 184

32. Radboud REshape & Innovation Center
Results
Scientific literature Gray literature
533 1404
35
26225
14
hits
relevant
9
included 184
duplicates

33. Radboud REshape & Innovation Center
Results
Scientific literature Gray literature
533 1404
35
26225
44
14
hits
relevant
9
included 184
duplicates

34. Radboud REshape & Innovation Center
Results
46 definitions in 44 articles
7 to 105 words
7 recurrent topics

35. Radboud REshape & Innovation Center
Results
Topic Frequency
Patients 35
Web 2.0 32
Professionals 26
Social Networking 22
Change of Healthcare 15
Collaboration 14
Health information 14

36. Radboud REshape & Innovation Center
Discussion
Terminology Health 2.0 and Medicine 2.0
Differences between Health 2.0 and Medicine 2.0?

37. Radboud REshape & Innovation Center
Discussion
Other stakeholders?
Different perspectives?
http://farm1.static.flickr.com/30/

38. Radboud REshape & Innovation Center
Discussion
Quality of gray literature
Unclear algorithms of search engines
http://programminggeeks.com/wp-content/uploads/2010/02/page-rank_google.jpg

39. Radboud REshape & Innovation Center
Discussion
Two meanings Health 2.0/Medicine 2.0
• Use of new technology
• Technology as an enabler of new health care.

42. Radboud REshape & Innovation Center
Conclusion
• Health 2.0 / Medicine 2.0 is still a developing concept.
• There is no consensus of the definition of Health 2.0 /
Medicine 2.0 yet
• This study contributes to building the concept of Health
2.0 / Medicine 2.0.
• Focus on a more specific definition, based on the seven
topics.

43. Thomas H. van de Belt
@tom_zorg20
Radboud REshape & Innovation Center
Thank You