EXPLOIT THE INTERNET AND THE SMARTPHONE RELENTLESSLY

The third healthcare revolution will come out of the barrel of the smartphone

In his highly influential trilogy on the network society, Manual Castells describes the three drivers of the third industrial revolution as citizens, knowldege and IT. Castells does not write about healthcare but his thinking is entirely appropriate.

Complementing the industrial revolutions we have had two healthcare revolutions.The first healthcare revolution, like the first industrial revolution that gave us the spinning jenny and the steam engine, was based on common sense and empiricism and gave us the public health revolution. 

The second revolutions in both industry and healthcare have been high tech, giving us computers and nuclear power in the former and transplantation and the artificial hip in the latter. The third healthcare revolution will be based on the same drivers - citizens, knowledge and the smartphone. The Internet, as Tim Berners Lee predicted, is no more mentioned than is the electricity supply of a transplant unit – it is just there – and the smartphone gives citizens access to best current knowledge.

The founders of BVHC have been engaged in the knowledge revolution since its earliest days. They:

  • Utilized the internet to support Iain Chalmers in the creation of the Cochrane Collaboration
  • Worked to promote equal access to best current knowledge when setting up national screening programmes (an initiative driven by Sir Muir Gray - BVHC's Director)
  • Developed NHS Choices
  • Worked with Neil Bacon in the development of IWantGreatCare, which uses the internet to give citizens a means of providing feedback about their experiences in healthcare and suggestions on how services can be improved

Technology Changes Culture

In one of the classics of 20th century history Lynn White argued that technology changes culture. His examples were mediaeval but his logic is relevant to the impact that the Internet and Smartphone is having and will have on the culture of healthcare.