Changing

our
practices
in the
age of
online
social
media Alejandro (Alex) R. Jadad, MD DPhil
FRCPC FCAHS
ajadad@ehealthinnovation.org
ajadad@gmail.com
Twitter: ajadad
LinkedIn: alexjadad
How could we transform this?
What could we learn from them?
Lesson #1: Nobody is an expert today

More
We than
must1.2
display
billion
humility
hits! and
generosity!
 We are losing mindshare… rapidly!
The Web’s Top 10 (September 2009)
1. Google
2. Facebook
3. Yahoo
4. YouTube
5. Windows Live
6. Wikipedia
7. Blogger
8. MSN
9. Baidu
10.Yahoo.co.jp
 We are in trouble!

Web rankings (May 2009)

• WebMD 597
• Mayo Clinic 1,472
• CDC 1,485
• World Health Organization 2,432
• MEDLINE Plus 68,295
Lesson #2: We gain by playing together

9
What would it take for us to join in?
What incentives are needed?
Will this survive?

12
Patients are leading the way!
Reverse mentorship opportunity?
Lesson#3: We now live ‘glocal’ lives!
We can trigger global efforts, for free!
Tackling complex global problems together
One platform, over 300 innovators, 9 communities
Lesson #4: Pa(ma)ternalism is passé
The power of many!
Meet a modern patient

22
A huge untapped resource!
Lesson #5: We must pursue the same goal

24
I am now a cyber-companion!
 What
“I promise to share the kindness justifies
and wisdom you
shared with me. Having traveled this
the effort… path,
blessed with your help, I will do my best to
reciprocate to those around me.
You responded to my e-mails in minutes, not
even really knowing me, and I cannot describe
the warmth and hope your response brought. A
dedicated and genuine response.
A gift.”
Lesson #6: It is helpful to express our
feelings
 Not to e: What we say!
Confidentiality

Reduction in quality
of care

Absence of evidence
of effectiveness

Poor legal protection

What do we really mean?

Control loss?
Reduction in
quality of life?
Accountable to
Big Brother?
Payment?
Let’s share ideas and pursue them!

31
Lesson #7: Sandboxes are good meeting
points
The Maimonides
Project
Accelerating the
transformation of
the health system,
worldwide
Ben Shahn (1898-1969) in 1954
 Accelerating change, together
Plausible scenarios
Complex issue Living Laboratories
High stakes Stakeholder input
Multiple options
+ Feasible options
Bright minds Business models
Best evidence Risk mitigation plan
 Accelerating change, together
Plausible scenarios
Difficult issue Living Laboratories
High stakes Stakeholder input
Multiple options
+ Feasible options
Bright minds Business models
Best evidence Risk mitigation plan
 Accelerating change, together
Plausible scenarios
Difficult issue Living Laboratories
High stakes Stakeholder input
Multiple options
+ Feasible options
Bright minds Business models
Best evidence Risk mitigation plan
We must meet their expectations!