address to 50th congress of dutch ob/gyns, nov 18 2016
TRANSCRIPT
“e-Patient Dave” deBronkartTwitter: @ePatientDavefacebook.com/ePatientDaveLinkedIn.com/in/[email protected]
The patient of the future: empowered and engaged
Me? An indicator of the future??
• Who’s getting online:– 1989: Me (CompuServe sysop)– 2009: 83% of US adults (Pew)
• Who’s romancing online:– 1999: I met my wife (Match.com)– 2009: One in eight weddings
in the U.S. met online– 2011: One in five couples
met online
Classic Stage IV, Grade 4
Renal Cell Carcinoma
Illustration on the drug company’s
web site
Median Survival:24 weeks
The old (1871): Oliver Wendell Holmes
“Your patient has no more right to all the truth you know than he has to all the medicine in your saddle-bags. He should get only just so much as is good for him.”
Paternalistic caring
“No, honey –you don’t know what you need.”
“I’ll take care of you.”
Sensible – up to a point
“I’ll decide for you.”
• 99% of patients wanted to continue
• 17-26% of docs preferred not to…– But when given the chance to stop, none did
• 85-89% of patients said availability of open notes would influence their choice of providers and health plans
“E” is not a new idea
• Doctor Spock’s Baby and Child Care (1946)
• Our Bodies, Ourselves (1973)
“We weren’t encouraged to ask questions, but to depend on the so-called experts,”Hawley told Women’s eNews.
“We didn’t have the information we needed, so we decided to find it on our own.”
The old (1871): Oliver Wendell Holmes
“Your patient has no more right to all the truth you know than he has to all the medicine in your saddle-bags. He should get only just so much as is good for him.”
“A new scientific truth does not triumph by convincing its opponentsand making them see the light,
Max Planck Nobel Prize, 1918
“A new scientific truth does not triumph by convincing its opponentsand making them see the light, but rather because its opponents eventually die,
Max Planck Nobel Prize, 1918
“A new scientific truth does not triumph by convincing its opponentsand making them see the light, but rather because its opponents eventually die, and a new generation grows up that is familiar with it.”
Max Planck Nobel Prize, 1918
“e-Patient Dave” deBronkartTwitter: @ePatientDavefacebook.com/ePatientDaveLinkedIn.com/in/[email protected]
The patient of the arriving future:
empowered and engaged