Sunday, May 31, 2009

From "Dr. Knows Best" to Health 4.0

The human brain provides inspiration for artif...Image via Wikipedia
Mirrored from Aurametrix Blog
What is Health 4.0? To answer this question, let’s take a look at the evolution of World Wide Web.
1st Generation Web, a.k.a internet before the bursting of the dot-com bubble, was a dial-up, 50K bandwidth, built around fixed content, with static pages and framesets providing one-way web of information.
Web 2.0 is usually associated with interactive information sharing, user generated content and the rebound of the Internet after dot com crash. It's "an average 1 megabit of bandwidth Web 3.0 will be 10 megabits of bandwidth all the time, which will be the full video Web, and that will feel like Web 3.0” says Netflix’ Reed Hastings . Everybody has a slightly different vision of generations 2.0, 3.0 and beyond.What are they? In a nutshell:
Web 1.0 “read-only”
Web 2.0 “read-write” (blogs, RSS feeds, tagging)
Web 3.0 “read-write-execute” (small apps with data in the cloud- as envisioned by google; a true communal media – citing yahoo; )
Web 4.0 when all of the above come together to form the learning self-aware Web, the era of artificial intelligence
According to by Tim O'Reilly', in the Web Squared everything and everyone in the world casts an "information shadow," an aura of data which, when captured and processed intelligently, offers extraordinary opportunity and mind bending implications. Web 3.0 will be some sort of virtual reality. If 1990-2004 was the match being struck; 2005-2009 was the fuse; and 2010 will be the explosion.
Web 1.0
Web 2.0
DoubleClick --> Google AdSense
Ofoto --> Flickr
Akamai --> BitTorrent --> Napster
Britannica Online --> Wikipedia
personal websites --> blogging
evite --> and EVDB
domain name speculation --> search engine optimization
page views --> cost per click
screen scraping --> web services
publishing --> participation
content management systems --> wikis
directories (taxonomy) --> tagging ("folksonomy")
stickiness --> syndication

We are now at the fork of Web 2.0 and Web 3.0, focusing on usability for humans and on internet architectures for machines. Some call web 3.0 a 3D game-environment web or a semantic web. Semantic Web was envisioned byTim Berners-Lee as a universal medium for data, information, and knowledge exchange easily understood by computers. Semantic technologies are already out there, for example, TrueKnowledge, Zemanta, newssift, wolframalpha, nextbio
Web 3.0 is a truly personalized web, a customized information delivery system tuned to your every want and need, whenever and wherever you are.
Analogous to the Generations of the Web, everybody is talking about Entrepreuneur 2.0, Women 2.0, DNA Sequencing Technologies 3.0… Business models for health care evolved from solution shops to facilitated networks, transforming the organization of health care delivery.
So, what is Health 4.0? According to this blog:
Health 1.0 = content
Health 2.0 = content + community
Health 3.0 = content + community + consumer-centric commerce
Health 4.0 = content + community + working commerce models + coherence
If that’s all it takes, Aurametrix is already building Health 4.0 technologies.
Health 2.0 is participatory medicine, says Web 2.0 evangelist Mark Scrimshire: Health 2.0 = (Me + MD)Us , where our relationship with medical doctors is enhanced by the community - all of us. Wikipedia definition of Health 2.0 (adopted from Hughes B, Joshi I, and Wareham J paper "Health 2.0 and Medicine 2.0: Tensions and Controversies in the Field" published in Journal of Medical Internet Research) is the use of a specific set of Web tools (such as blogs, tagging, search, wikis, etc) by actors in health care including doctors, patients, and scientists, using principles of open source and generation of content by users, and the power of networks in order to personalize health care, collaborate, and promote health education.
CHW Health blog gives the following definitions:
Health 1.0 Disenfranchised patients, a ”Dr. Knows Best” approach.
Health 2.0 The empowered consumer
Health 3.0. Personal responsibility becomes part of the social contract we all have with one another. Not only will consumers be given the tools and information they need to make better choices — they’ll be expected to do so. And there will be consequences for not doing so.
But consumer owned health care isn’t quite here yet, even though number of US Health 2.0 consumers is at 60 million. 10 million adults use their cell phones and PDA/smartphones to look up health and medical information, and “a growing number of patients are rating prescription drugs and treatments on sites like,, PatientsLikeMe, and WebMD.” Check out the top health web apps, Health 2.0 apps, the trends to watch in health 2.0, the latest industry stats and Health 2.0 updates by ReadWriteWeb.
We see Health 3.0 as truly personalized and highly coordinated health management services, customized diagnostics and expert advice... Just wait and see. You'll like it!
So, Long Live Health 2.0! Welcome Health 3.0! And let’s start thinking about generation 4.
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