4 Thoughts on Medicine 2.0

Eiffel Tower 300x206 4 Thoughts on Medicine 2.0 We just came back from the fantabulous Doctors 2.0 conference in Paris. We blogged live from the event last week. The conference centered around the web 2.0 and how physicians and patients behave and interact in it. We have seen exciting startups, talked to interesting and like-minded physicians and partied extensively. We heard a lot of enthusiastic talks about social media and how they will revolutionize healthcare. So many promising ideas. So many bright physician entrepreneurs. We have seen hospital platforms that integrate Twitter, Facebook, blogs and the like to enhance the flow of information to patients. We have seen apps to track immunization status. We have learned about sophisticated visit scheduling tools. It’s all so exciting.

But now we are back, back to the real world, the real patients, the real doctors. Most of our patients do not know what Twitter is and most of our colleagues have no Twitter accounts. They use social media but strictly for private purposes. So the question remains: Are we creating our own health 2.0 bubble? If you are well connected on Twitter, Friendfeed or Facebook you can easily get the false impression that the whole world is on it, that it’s THE thing, that this is how information is spread and should be consumed. We have to ask ourselves if we have a well balanced view of “everybody” and “the world”.

Here are just 4 thoughts that have come to our mind after listening to all the exciting projects and talks:

  1. Technology should make healthcare simpler. Platforms that integrate RSS, Twitter, search and community features sound fancy but they confuse everybody. We suggest, you submit your app to the “granny test”. Explain it to you grandmother and if she does not get it, it probably won’t fly in a healthcare system that takes care of ever more octogenarians.
  2. We share the enthusiasm for web 2.0 features in healthcare. We are all into Twitter, sharing, crowdsourcing, tracking, information etc. But at the same time we are concerned that some people might be left out: What about the illiterate? What about those without connectivity or devices? What about people with disabilities or intellectual disadvantages? How can we make sure that health 2.0 will also improve the health of these groups?
  3. Don’t try to be the next Facebook of healthcare because 20 others have already claimed to be just that. Taking Facebook’s features and implementing them in a healthcare setting just DOES NOT work. You will have to be more innovative than that.
  4. What’s your businessmodel? As in any other field, healthcare startups have to find a functioning businessmodel. It’s true that there is a lot of money in the healthcare industry. Cumulatively, the top ten fortune-500 pharma companies have more revenue than the remaining 490 companies taken together. But that does not mean they will share it with you. In order to come up with a revenue model, you will have to understand how the healthcare systems work. Can you get reimbursement? How? Do you have to register your app because it’s a medical device? Do you violate any direct to customer laws? etc. etc. Then test all the assumptions of your businessmodel and pivot until you are all set.

The healthcare system is very complicated. It’s highly regulated. The ones who pay are frequently not the ones who get the treatment. The ones who get the treatment are frequently not the ones who make the treatment decision, the ones who make the treatment decision don’t have to deal with payments….you follow me? There would be a lot of other points to show you that healthcare is really really complex. So do yourself and us a favor and simplify things.

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