From eHealth for ‘illnesscare’ to the eHealth for healthcare


Now that Health 2.0 Europe is bound to begin in two days, it is time to recall a personal impression on what has been happening with the use of new technologies and communication channels during these last years: all the innovation that they are supposed to bring is not arriving to the people that most need it.

Truth is that all the hype created is now in its plateau and many of the fast track initiatives in the field have waned or have been abandoned because of lack of engagement and real use.

Much has been said about the need to design apps and websites with the user needs in mind. But truth is that no market research, no design principle perfectly applied, no marketing campaign perfectly implemented is going to succeed if the same healthcare business model and paradigm is going to be kept.

This model consists in providing products and services for the ‘illnesscare’  but now with 2.0 approaches. Is it not having more success than the 1.0 approach. And, according to the number of petitions of publicity I am receiving at this edition of Health 2.0 Europe, it seems that the business machinery is determined to insist in this way and replicate a wasting 2.0 system that does not satisfy anyone, as the real use of mHealth reveals.

This seem to happen because the utility measure in the intersection of medicine, technology and behavior is health and the producers of it are the same persons called patients in the other model. Many of the apps and designs made under the Health 2.0 umbrella lack the main principle needed to engage a person: authonomy, relevance and capacity.

Some say that this is changing now that we are in the plateau of the hype and that only those apps that have designed thinking in the patient needs will survive. I doubt it. Simply because, in the end what all these apps provide to the people is more assymetric dependency on expensive and inefficient healthcare systems. Its an electronic biomedicalization that doesn’t take into account the importance of inner belief, personality and context as drivers of behavior.

These are the reasons why the great majority of Health 2.0 approaches don’t take into account the determinants of health in their designs.  This only  reproduces the vicious cycle whereby lack of digital access or the inability to make beneficial use,  reinforces and amplifies existing disadvantage. This phenomenon and some suggestions for better building health 2.0 proposals have been well documented by Francisco Lupiañez in his study in 14 EU Countries.

It will be interesting to contrast these views, see the evolution and learn how to achieve the necessary eHealth for health.

Health20-London-2014-stacked-web-01Register online today and join over 450 innovators in London next week
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Diseñar comportamientos no es un juego

Aplicar los principios del diseño de comportamientos es lo que pretende transmitir Dustin Di Tomasso, VP de Diseño de MAD*POW, a los asistentes al congreso Health 2.0 de Londres la próxima semana.

Los expertos en estrategias de cambio en estilos de vida, ayudamos a aplicar los principios del comportamiento humano en el diseño de productos y servicios digitales. De esta manera, se ayuda a las personas a superar retos relacionados con su salud y calidad de vida.

Este diseño puede dirigirse a mejorar el manejo de una enfermedad crónica o a motivar a una persona para hacer ejercicio o llevar una vida activa de una forma sostenible. La motivación y la vinculación de la persona con el cambio son ejes fundamentales en la construcción de hábitos que nos ayuden a vivir mejor.

La conexión con «otros como yo» y la diversión, son otros factores que inciden en el éxito de las iniciativas en internet dirigidas a conseguir una mejora de los estilos de vida.
Durante el workshop de Londres intercambiaré mis conocimientos y experiencias con asistentes de varios continentes y diversas áreas de conocimiento. Hablaremos sobre  estrategias para el cambio de comportamiento y el diseño de juegos, con el fin de crear sistemas de cambio efectivos y motivadores.

Entre todas estas técnicas y estrategias se encuentran:

  • Psicología motivacional
  • Economía del comportamiento
  • Modelo ecológico de salud
  • Teoría de juegos
  • Fijación estructura de objetivos
  • Juego de roles
  • Diseño de desafíos y circuitos de retro alimentación
  • Incentivos y recompensas intrínsecas

Todo un escenario de intercambio y aprendizaje excitante. ¡Nos vemos en Londres!

Europe as THE place for digital health investments

health20eu-2014An investors’ forum on How do we make Europe the next best place for digital health investments will kick off the 5th Health 2.0 Annual Europe Conference. The investors session will include short presentations from 12 investment-ready SMEs in the GET Funded programme.


I will have the pleasure to join health entrepreneurs & startups, providers, patients, pharma groups and policy-makers representing over 30 countries at the Mermaid Center in London.

Among other exciting activities, I will be able to meet, interchange experiences and learn in a full set of activities that the organizers, Pascal Lardier (@pascal_lardier) and Paul Batherham (@Paul Batterham) have prepared. Some of them are:

1. Keynotes from

  • Kemal MALIK, Head of Innovation at Bayer (Germany)
  • Tim KELSEY, Director of Patient and Information at NHS England (United Kingdom)
  • Dr. Jack COCHRAN, Executive Director at The Permanente Foundation/Kaiser Permanente (USA)
  • Uwe DIEGEL, President at IHealthLabs Europe (France)

2. Demos of solutions that will include health taboos such as stress, depression, substance abuse, death and feature speakers from:

  • Big White Wall – Jen HYATT (United Kingdom)
  • CareZapp – Andrew MACFARLANE (Ireland)
  • Paper – Rupert TEBB (United Kingdom)
  • DeadSocial – James NORRIS (United Kingdom)
  • MyDirectives – Jonathon CARR-BROWN (United Kingdom)
  • Newolo – Philippe SANTRAINE (Finland)

3. A workshop: Beyond Gamification, Designing Behaviour Change facilitated by renowned design expert Dustin DiTOMMASO, VP of Experience Design at Mad*Pow

4. A session focusing on Health 2.0 Accelerating Medical R&D including demos of solutions such as PXHealthcare, F1000, TrialReach and Lumos!

7. A special track session on Wellness chaired by HealthSPA chairman Christian Lindholm, also featuring demos from EmotionSense, Nutrino, BigHealth, Remente, and Wellmo.

The organizers have previewed an area dedicated to live demos of technologies covering key health topics such as:

  • Tools for Hospitals and Providers
  • Supporting and Empowering Patients in between Doctors’ Visits
  • Health 2.0 for Kids and the Elderly
  • Citizen-Led Digital Health & Well-Being
  • Addictions, Mental Health,and other SHHH Topics…

And many more!

Register online today and join over 450 innovators in London on Nov. 10-12