Address to 50th Congress of Dutch OB/GYNs, Nov 18 2016
•
1 like•220 views
The congress theme is "How far is the future?" This 20 minute talk discusses the sociological and technological changes that are enabling Participatory Medicine, and what it means for the future of providers' practices.
Recommended
More Related Content
Viewers also liked
Viewers also liked (7)
Similar to Address to 50th Congress of Dutch OB/GYNs, Nov 18 2016
Similar to Address to 50th Congress of Dutch OB/GYNs, Nov 18 2016 (20)
More from e-Patient Dave deBronkart
More from e-Patient Dave deBronkart (18)
Recently uploaded
Recently uploaded (20)
Address to 50th Congress of Dutch OB/GYNs, Nov 18 2016
- 1. “e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com/ePatientDave LinkedIn.com/in/ePatientDave dave@epatientdave.com The patient of the future: empowered and engaged
- 6. 2006
- 11. Me? An indicator of the future?? • Who’s getting online: – 1989: Me (CompuServe sysop) – 2009: 83% of US adults (Pew) • Who’s romancing online: – 1999: I met my wife (Match.com) – 2009: One in eight weddings in the U.S. met online – 2011: One in five couples met online
- 12. Classic Stage IV, Grade 4 Renal Cell Carcinoma Illustration on the drug company’s web site Median Survival: 24 weeks
- 14. How can this be??
- 15. Because of the Web, patients can connect to information and each other
- 16. Observation: We perform better when we’re informed better.
- 17. Corollary: It’s perverse to keep someone in the dark then say they’re ignorant.
- 18. The old (1871): Oliver Wendell Holmes “Your patient has no more right to all the truth you know than he has to all the medicine in your saddle-bags. He should get only just so much as is good for him.”
- 19. Paternalistic caring “No, honey – you don’t know what you need.” “I’ll take care of you.” Sensible – up to a point “I’ll decide for you.”
- 21. Observation: When assets digitize, things change fast.
- 22. Source: @Asymco
- 23. Current information-powered e-patient reality: Hugo Campos and Dana Lewis
- 24. Hugo Campos wants his ICD data
- 26. #OpenAPS & @DanaMLewis (Open Source Artificial Pancreas System)
- 27. Many “loopers” are better controlled than people with a working pancreas
- 28. My weight loss, enabled (not “caused”) by apps:
- 29. My providers can’t see this in their computers!
- 31. OpenNotes What happens when patients see their doctors’ notes?
- 32. O
- 33. • 99% of patients wanted to continue • 17-26% of docs preferred not to… – But when given the chance to stop, none did • 85-89% of patients said availability of open notes would influence their choice of providers and health plans
- 34. “My patients aren’t like that.” “They aren’t asking for this.” Objection:
- 37. “E” is not a new idea • Doctor Spock’s Baby and Child Care (1946) • Our Bodies, Ourselves (1973) “We weren’t encouraged to ask questions, but to depend on the so-called experts,” Hawley told Women’s eNews. “We didn’t have the information we needed, so we decided to find it on our own.”
- 38. The old (1871): Oliver Wendell Holmes “Your patient has no more right to all the truth you know than he has to all the medicine in your saddle-bags. He should get only just so much as is good for him.”
- 39. “A new scientific truth does not triumph by convincing its opponents and making them see the light, Max Planck Nobel Prize, 1918
- 40. “A new scientific truth does not triumph by convincing its opponents and making them see the light, but rather because its opponents eventually die, Max Planck Nobel Prize, 1918
- 41. “A new scientific truth does not triumph by convincing its opponents and making them see the light, but rather because its opponents eventually die, and a new generation grows up that is familiar with it.” Max Planck Nobel Prize, 1918
- 43. “e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com/ePatientDave LinkedIn.com/in/ePatientDave dave@epatientdave.com The patient of the arriving future: empowered and engaged