Lucien Engelen: Crowdsource your health

翻译人员: Chunxiang Qian 校对人员: Xiujian Xie

I would like to talk to you about why many ehealth projects fail.

我想和大家谈谈

众多电子医疗保健(e-health)项目失败的原因

And I really think that the most important thing of it

我想最重要的一点

is that we stopped listening to patients.

是我们没有倾听病人的心声

And one thing we did at Radboud University

我们在荷兰内梅亨大学(Radboud University)做的一件事

is we appointed a Chief Listening Officer.

就是委任了一名首席倾听官

Not in a very scientific way --

不是以一种很科学的方式－

she puts up a little cup of coffee or a cup of tea

她倒杯咖啡或者茶

and asks patients, family, relatives,

问问病人，家庭，亲戚

“近来好啊？

"What's up?

How could we help you?"

有什么需要我们帮助的？”

And we think, we like to think,

我想，我们愿意认为

that this is one of the major problems

这就是导致

why all -- maybe not all --

几乎所有电子医疗保健项目失败的

but most of the ehealth projects fail,

主要原因之一

since we stopped listening.

即我们没有倾听

This is my weight scale.

这是我的WiFi体重测量仪 是个很简单的玩意

It's a very simple thing. It's got one knob, on/off.

这有个开关

每天早上我坐上去称重

And every morning I hop on it.

哈不错，我给自己定了个目标值

And yes, I've got a challenge,

你可以看到的

as you might see.

And I put my challenge on 95 kg.

我把体重目标值定为95kg

But the thing is that it's made this simple

事实上整个操作非常简单

that whenever I hop on,

我一坐上去

it sends my data to Google Health as well.

它就把我的数据发送到谷歌健康(Google Health)

And it's collected by my general practitioner as well,

同时我的全科医生也可以收到

so he can see what's my problem in weight,

然后他就能看看我的体重有什么问题

not on the very moment that I need cardiologic support

不是等到像心脏病发作

这样十万火急的时候才想到看体重

or something like it,

but also looking backward.

而是一路走来都会关注

But there's another thing.

但还有一点

As some of you might know,

你们有些人可能知道 我在推特(Twitter)上有四千多粉丝

I've got more than 4000 followers on Twitter.

所以每天早上

So every morning, I hop on my weight scale

我用WiFi体重测量仪称重

and before I'm in my car,

在我上车之前 人们就开始跟我说话了

people start talking to me,

“我想你今天午饭还是就简吧，吕西安”

"I think you need a light lunch today, Lucien."

（笑声）

(Laughter)

But that's the nicest thing that could happen,

但其实那再好不过了

since this is peer pressure.

因为这是同伴压力

Peer pressure used to help patients --

同伴压力能帮助病人－

它可以帮助治疗肥胖

since this could be used for obesity,

可以帮助

it could be used to stop patients from smoking.

戒烟

But on the other hand,

但是另外一方面，它也可以

it also could be used to get people out of their chairs

把人们聚集到一起

and try to work together in some kind of gaming activity

参加一些类似游戏的活动

来更好地维护健康

to get more control of their health.

As of next week, it will soon be available,

下一周这个功能就要上马了

there will be this little blood-pressure meter

届时会有一个像这样的小血压计

connected to an iPhone or something or other.

连接到智能手机或者其他设备上

And people will be able, from their homes,

然后人们便可在家中

测量血压

to take their blood pressure,

之后把数据发给他们的医生

send it to their doctor

and eventually share it with others, for instance,

同时也可同其他人分享

for over a 100 dollars.

只要一百美元

And this is the point where patients get into position

这就是关键之处，当患者各就各位

and can collect, not only their own control again,

收集数据时，他们不仅能自我控制

be captain of their own ship,

亲自掌舵

but also can help us in health care

还能帮助我们应付

due to the challenges that we face,

医疗保健中面临的挑战

like health-care cost explosion,

比如医疗费用剧增

doubled demand and things like that,

或者需求成倍增加等等

make techniques that are easy to use

我们要让技术便于掌控

and start with this to embrace patients in the team.

以鼓励已步入轨道的病人

你可以通过这样的技术来实现

And you can do this with techniques like this,

也可以将任务分派给普通大众(crowdsourcing)

but also by crowdsourcing.

今天我将通过

And one of the things we did,

that I would like to share with you introduced by a little video.

一个短片来向各位展示我们做的一个项目

（音乐）

(Music)

(Heart-beat)

我们车里都有导航装置

We've all got navigation controls in our car.

甚至手机里也有

We maybe even have it in our cellphone.

We perfectly know where all the ATMs are,

我们知道马斯特里赫特市

所有ATM(自动取款机)的位置

just about the city of Maastricht.

The other thing is we know where all the gas stations are.

也知道所有加油站的位置

当然还有快餐店

And sure, we could find fast food chains.

但是最近的能拯救患者的

But where would be the nearest AED to help this patient?

自动体外除颤器(AED)在哪儿？

我们到处问也没有人知道

We asked around, and nobody knew.

Nobody knew where the nearest lifesaving AED

没人知道的能救命的自动体外除颤器

was to be obtained right now.

现在能找到了

So what we did, we crowdsourced the Netherlands.

我们将属于整个荷兰的任务派发给群众

我们建了一个网站

We set up a website, and asked the crowd,

告诉人们，“如果你看到一个自动体外除颤器(AED)

"If you see an AED, please submit it,

就请在网上标出它的位置

tell us where it is, tell us when it's open,"

并备注开放时间”

since sometimes in office hours it's closed, of course.

备注是因为它不一定24小时都开放

在荷兰已经有一万多个AED

And over 10,000 AEDs in the Netherlands

被标注上了

already have been submitted.

The next step we took was to find the applications for it.

下一步就是开发相应的应用程序

And we built an iPad application.

我们开发了一个iPad应用

We made an application for Layar: Augmented Reality,

一个Layar的应用，扩增实境

to find these AEDs.

来寻找AED

And whenever you are in a city like Maastricht,

如果你在马斯特里赫特市 看到有人倒下了

and somebody collapses, you can use your iPhone,

你可以用iPhone

and within the next weeks also your Microsoft cellphone,

几周之内微软手机也可以了

找到最近的AED

to find the nearest AED,

which can save lives.

来拯救生命

And as of today,

今天

we would like to introduce this, not only as AED4EU,

我想介绍的，不仅仅是AED4U

which is what the product is called,

这是那个产品的名字

but also AED4US.

还有aed4.us(网站域名——译者注)

And we would like to start this on a worldwide level.

我们打算将这项目推广到全世界

And ask all of our colleagues in the rest of the world,

在这里我们也呼吁世界各地的同事

colleague universities, to help us

和大学来帮我们

to find and work and act like a hub

让我们万众一心

to crowdsource all these AEDs all around the world,

一起将世界各地的AED标识出来

that whenever you're on holiday and somebody collapses,

这样当你假日外出看见有人昏倒了

might it be your own relative or someone just in front of you,

也许是你的亲人或者只是路人

你就能找到AED

you can find this.

The other thing we would like to ask

在这里我们还想呼吁

is of companies also all over the world

世界上的各个公司

that will be able to help us validate these AEDs.

能帮我们验证这些AED

These might be courier services

譬如，或许让快递员

or cable guys, for instance,

或者电报员

just to see whether the AED that is submitted

去看看被标识的AED

is still in place.

是不是还在那个位置

So please help us on this one

所以请在这一项目上帮助我们

and try to make not only health a little bit better,

让我们不仅更健康，并且能将其掌握，胸有成竹

but take control of it.

谢谢大家

Thank you.

(Applause)

（掌声）