The New Dr-Patient Relationship in Europe

Prof Arie C Nieuwenhuijzen Kruseman, internist President Royal Dutch Medical Association (KNMG)

What is the problem and is Health 2.0 the solution?

increase of Health Care demand

shortage of Health Care workers

relative decrease of Health Care budget

The problem (1)

two-lane fragmentation of Health Care

explosion of Health Care cost

information overload

The problem (2)

A paradigm shift is needed

People like innovation, not change

Change is in particular difficult as long as the users don’t see

the benefits

eHealth and Health 2.0 have the potential to create more efficient, cost-saving and innovative Health

Care systems

Published January 18, 2011

eHealth and Health 2.0 are tools. Whether or not to use is not the question. The question is how.

Health 2.0, it’s up to you; www.rvz.net

Dutch politicians are afraid of data sharing, while patients are complaining of health providers

not sharing data enough

current organisational, funding and legislation structures hinder innovation

professional organisations are not much inclined to adapt to new circumstances

field parties are reluctant to promote transparency

culture of Health Care parties is not geared to change

Health Care consumers are not fully aware of opportunities and threats of Health 2.0

Obstacles to implementation of Health 2.0

Health 2.0, it’s up to you; www.rvz.net

inadequate defined accountability and responsibility

as everyone is an information provider, misinformation is frequently published

misuse of personal information

digital divide may parallel socio-economic divide and consequently increase health differences

Threats to Health 2.0

Health 2.0, it’s up to you; www.rvz.net

government must remove obstacles to Health 2.0

integration of organisation and funding of Health Care

patients should control their care by a personal health budget

functional funding based on case-management by the patient

Possible measures (1)

Health 2.0, it’s up to you; www.rvz.net

counterbalance the nonsense promulgated on the internet

introduce rules that make the misuse of personal information impossible

make Health 2.0 solutions known to policy makers, Health Care providers and the public

Possible measures (2)

Health 2.0, it’s up to you; www.rvz.net

‘eHealth in beeld’