Th The promise of i f eHealth eHealth Alejandro Jadad j MD DPhil FRCPC FCAHS
We are in the Top 10!
continuously connected! Digital natives…
The Age of Free?
free! Pooling unused computer power…
Free Web searching 250 million hits in 250 million hits in less than a second!
Free knowledge repositories
Free matching for clinical trials…
Free fundraising and awareness campaigns
Free sharing of slides and lectures www.slideshare.net
Free communication platform
Free creation of researcher networks
Free educational programs
My latest book (> 500 dowloads in 24 hours!)
Free hybrid immersive settings?
Patients are taking charge…
Patients and families are taking control!
Peer-to-peer support
The point of care, anywhere? Work list A mall? Home? A mall? Home? Serious Trivial
The mobile Internet is here!
Why do we resist so much? Control loss? Reduction in quality of life? f lif ? Accountable to Big Accountable to Big Brother? Punishment?
Global cancer collaboration: how close? • 289 organizations listed as UICC members in July 2007 • 225 (80% ) had web sites • 75 (27% ) provided a link to UICC • 75 (27% ) provided a link to UICC • 4% used wikis • 3% included blogs • 2% supported chats 2% t d h t • There is very little evidence of collaboration y among organizations
Many challenges to overcome… Culture of competition and individualism Obsessive pursuit of leadership Obsessive pursuit of leadership Territoriality and parochialism Poor levels of accountability Passive-aggressive behaviour Passive-aggressive behaviour Rigid structures and policies Poor support for collaboration across boundaries Fear of the unknown
We must meet their expectations!
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