Health 2.0’s original tag line of ‘user-generated healthcare’ contains the germ of a compelling idea—patients are using new tools to guide their own care. And now those tools are starting to integrate with the health care system. Doctors, patients, and health care organizations are all starting to use a new generation of online and mobile technologies which are fundamentally changing the way health care works.

The Health 2.0 Conference is the leading showcase of cutting-edge technologies in health care, including Online Communities, Search and lightweight Tools for consumers to manage their health and connect to providers online.

Matthew Holt and Indu Subaiya collaborated to organize the first Health 2.0 conference in September 2007 in San Francisco. Health 2.0 has been featured in The New York Times, the Washington Post, the San Francisco Chronicle, the Huffington Post, on CNN, CBS News, and in the healthcare trade press. The Washington Post called the conference “…a high-energy gathering of great minds…” Now many conferences on, Health 2.0 has become the place to see and be seen for the leaders in health care technology.

In addition Health 2.0 has set up a non-profit industry consortium, the Health 2.0 Accelerator, and a research consulting service, Health 2.0 Advisors. But above all Health 2.0 remains a venue where innovation in technology is introduced and ground-breaking ideas are shared to drive change in the health care system.

Matthew Holt and Indu Subaiya collaborated to organize the first Health 2.0 conference in September 2007 in San Francisco. Health 2.0 has been featured in The New York Times, the Washington Post, the San Francisco Chronicle, the Huffington Post, on CNN, CBS News, and in the healthcare trade press. The Washington Post called the conference “…a high-energy gathering of great minds…” Now many conferences on, Health 2.0 has become the place to see and be seen for the leaders in health care technology.
Matthew Holt和Indu Subaiya于2007年9月在旧金山联合举办了第一届Health 2.0会议。Health 2.0已在纽约时报，华盛顿邮报，旧金山纪事报的赫芬顿邮报，美国有线新闻网，哥伦比亚广播公司新闻，等有关医疗行业新闻中专题报道。华盛顿邮报称此会议为“...一个智者们的高峰会议...”如今，在多数会议上，Health 2.0已成为医疗技术的领导者们必关注与知晓的方面。

 

In addition Health 2.0 has set up a non-profit industry consortium, the Health 2.0 Accelerator, and a research consulting service, Health 2.0 Advisors. But above all Health 2.0 remains a venue where innovation in technology is introduced and ground-breaking ideas are shared to drive change in the health care system.
此外，Health 2.0已成立了一个名为the Health 2.0 Accelerator的非盈利行业协会，以及名为Health 2.0 Advisors研究咨询服务站。但Health 2.0仍然是引进创新技术，以及分享开创性的想法，以推动医疗制度最重要的方面。

 

Our definition is currently focusing on user-generated aspects of Web2.0 within health care but not directly interacting with the mainstream health care system. That means, a) search, b) communities, c) tools for individual and group consumer use. But clearly there are blurring boundaries between all these, and the question of connecting Health 2.0 user-generated content to the wider health care system—which hasn’t exactly adopted Web 1.0 with a flourish—is coming into closer focus as more clinicians and organizations start to use these technologies to communicate with consumers.
我们目前的定义在医疗方面侧重于web 2.0用户生成，而且不直接与主流的医疗系统交互。这意味着，1）搜索，二）社区，三）个人和团体消费使用的工具。但显然地，这三者与连接Health 2.0用户生成的内容到更广泛的医疗系统所存在的问题之间仍有些模糊界限——随着Health2.0的蓬勃发展，已不完全采用Web1.0——而是更为密切关注越来越多的临床医生和组织开始使用这些技术和消费者交流。

 

There is huge room for debate about whether we’re talking about limited use of tools and technologies or a wider movement to change the whole healthcare system—or perhaps if it’s just all buzzwords with no substance.
对于争论我们所说的工具和技术的有限使用或者是可以改变整个医疗系统更为广泛的活动，两者还存在巨大的空间——或者也许，如果它仅仅是没有任何实质内容的流行语。

 

There are more definitions on the Health 2.0 wiki, and the California Health Care Foundation recently released a report on The Wisdom of Patients: Social Media in Healthcare by our friend and consigliere Jane Sarasohn-Kahn that is quite informative.
有关Health2.0 wiki的定义有很多，和加州医疗基金会最近发表了一份关于“The Wisdom of Patients”的报告：通过我们的朋友和法律顾问Jane Sarasohn-Kahn提供的医疗行业中社会媒体确切的资料。

 

Health 2.0 (as well as the closely related concept of Medicine 2.0) are terms representing the possibilities between health care, eHealth and Web 2.0, and has come into use after a recent spate of articles in newspapers, and by Physicians and Medical Librarians.  A concise definition of Health 2.0 is the use of a specific set of Web tools (blogs, Podcasts, 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..[4]  A possible explanation for the reason that Health has generated its own "2.0" term are its applications across health care in general, and in particular it potential in public health promotion. One author describes the potential as "limitless."
Health2.0（以及与Medicine 2.0概念密切相关）的条款，代表医疗，电子医疗和Web 2.0之间的可能性，并在医生和医学研究员在报章上的近期接连发表文章之后，已投入使。Health 2.0可以简单的定义为医疗行为者包括医生，病人，科学家，运用网络工具的特殊设置（博客，播客，标签，搜索，维基等），用户使用开放源码原则并生成文件内容，而网络的力量则是为了个性化医疗保健，合作，促进健康教育.. [4] 对Health已经产生了自己的“2.0”条款原因的可能解释则是一般情况下它在医疗方面的应运，特别是它在公共医疗方面的促进作用。一位作者曾描述此潜力是“无限的”。

 

Health 2.0 refers to a number of related concepts including telemedicine, electronic medical records, and the use of the internet by patients themselves such as through messageboards, blogs, and other more advanced systems. A key concept is that patients themselves should have greater insight and control into information generated about them. Traditional models of medicine had patient records (held on paper or a proprietary computer system) that could only be accessed by a physician or other medical professional. Physicians acted as gatekeepers to this information, telling patients test results when and if they deemed necessary. Such a model operates relatively well in situations such as acute care, where information about specific blood results would be of little use to a lay person, or in general practice where results were generally benign. However, in the case of complex chronic diseases, psychiatric disorders, or diseases of unknown etiology patients were at risk of being left without well-coordinated care because data about them was stored in a variety of disparate places and in some cases might contain the opinions of healthcare professionals which were not to be shared with the patient. Increasingly, medical ethics considers such actions to be medical paternalism and are discouraged in modern medicine.
Health2.0指的是一些相关概念，它们包括远程医疗，电子病历，以及病人本身对网络的使用，如通过留言板、博客、以及其他更先进的系统。其中的一个关键观念是，病人本身应该更深入地了解和控制生成的关于他们自己的信息。在传统的医学模式中，病历（在纸上或专有的计算机系统中）只能由医生或其他医疗专家访问。医师则担任此信息的看门人，在他们认为必要的时候告诉病人测试结果。这种模式在一些情况下运作比较良好，如在急诊护理中，专门的验血结果信息就对躺着的病人没有多大用处，或者在结果为良性的情况下。然而，对复杂的慢性疾病，精神失常，或不明病因的疾病患者来说，就容易留下不能良好协调护理的隐患，因为有关他们的数据都存储在不同的地方，并且在某些病历中可能包含医疗专家的意见，而这些意见病人可能不知道。越来越多的医学理论认为这种行为是一种医疗家长作风，在现代医学中并不鼓励。

 

A hypothetical example demonstrates the increased engagement of a patient operating in a Health 2.0 setting: A patient goes to see their primary care physician with a presenting complaint, having first ensured his own medical record was up to date via the internet. The treating physician might make a diagnosis or send for tests, the results of which could be transmitted direct to the patient's electronic medical record. If a second appointment is needed the patient will have had time to research what the results might mean for them, what diagnoses may be likely, and may have communicated with other patients who have had a similar set of results in the past. On a second visit a referral might be made to a specialist. The patient might have the opportunity to search for the views of other patients on the best specialist to go to, and in combination with their primary care physician decides who to see. The specialist gives a diagnosis along with a prognosis and potential options for treatment. The patient has the opportunity to research these treatment options and take a more proactive role in coming to a joint decision with their healthcare provider. They can also choose to submit more data about themselves, such as through a personalized genomics service to identify any risk factors that might improve or worsen their prognosis. As treatment commences, the patient can track their health outcomes through a data-sharing patient community to determine whether the treatment is having an effect for them, and can stay up to date on research opportunities and clinical trials for their condition. They also have the social support of communicating with other patients diagnosed with the same condition throughout the world.
下面的假设例子可以说明在Health2.0的运作中会增加与病人的接触：一位病人带着他的现病史去见初级保健医师，在此之前他先确定自己的病历在互联网上更新了。治疗医生可能做出诊断或发送检验，其结果可直接传送到病人的电子病历。如果需要第二次检查，病人将有时间来研究这结果对他可能意味着，诊断有可能是什么，并可能与其他过去有类似检查结果的病人交流。在第二次检查时可能作出转介到专科。因为病人可能有机会寻找其他病人对最佳专家的意见，并与他们的初级保健医师商议决定去见哪位专家。该专家给出了一个连同预后和治疗的可能选择的诊断。病人有机会研究这些治疗方案，并在将来做的治疗时，可以更好的与医生达成共识。他们还可以选择提交更多的自己的数据，如通过个性化基因组学服务，以识别任何可能改善或加重预后的风险因素。随着治疗开始，病人可以通过数据共享病人社区跟踪自己的治疗结果，以确定治疗是否对他们有效，并为他们保留最新研究和临床试验的机会。他们还可以得到世界各地其他有相同病史的患者的支持。