1. Ligne de vie and Personal Health Project Philippe AMELINE Odysse philippe@ameline.net 2. Web 2.0 and beyond Web 1.0e-Userthe You modelWeb 2.0e-CitizentheI modelMy site, my forum, my tribe, my blog... The big thing isegology (coined by Jol de Rosnay) 3. Anthropology Ive a body thats apparently really mine, and its what makes me me. I number it among my possessions and I claim to exercise full sovereignty over it. So I think Im unique and independent.Its not thought of as a thing, not in New Guinea, any more than in Amazonia, East Africa or Europe. On the contrary, it has the particular form of its connection with otherness that constitutes the person.Q But thats an illusion, because there is no human society in which one thinks that the body is any good on its own. All bodies are engendered, and not only by their fathers and mothers. Its not made by the one that has it, but by others.My body really mine? Its it that determines that I dont belong to myself, that I dont exist alone and that my destiny is to live in a social context. 4. Egology 5. Industrialized care Care place centered reference frameTechnical excellency - Treating bodies Efficient treatment vs Taking good care of 6. Toward a new modelHow to keep scientific evidence, in a more humanistic and sustainable vision? 7. Continuity Person centered reference frameHealth Team Health Project Life long behavior Risk management 8. Ligne de vie 9. New paradigms of care Cohen, J (21st Century Challenges for Medical Education; 9th International Medical Workforce Conference; Melbourne, Australia; November 2005)The individual Acute disease dominates Episodic care Cure of disease Reactive Physician provider Paternalism Provider centred Parochial health threats The community More chronic illness /disability Continuous care Preservation of health Prospective Teams of providers Partnership with patients Patient / family centred Global health threats 10. Risk management cycle drugslab results health problemspersonal historyfamily history biometrics genes Clinical data social issues Risk factorsExplicit risk issueRisk level evaluationHealth goals drug interaction quaternary prevention treatment contraindication primary, secondary, tertiary prevention 11. Conclusion New reference frame New vision = Paradigm shift New audience New actors Opportunity for open source How do we we grow the community of people who are solving interesting problems? 12. Thanks Blog: http://philippe.ameline.free.fr Mail: philippe@ameline.net Forge: http://episodus.sourceforge.net Twitter: p_ameline