eHealth as a driver of change in digitalization processes

May 3, 2018

What happened?

Recently, the Dutch Ministries of Economic Affairs, Climate, Health, Welfare, Sport and 12 other parties, including healthcare insurer Menzis and the Dutch College of General Practitioners signed a Health Deal. This deal stimulates eHealth projects that are concerned with eHealth prevention solutions. Their aim is to get 10% of the Dutch to use these eHealth services by 2020. According to a new market research report, this is in line with a worldwide trend in which government initiatives aim to enhance and scale-up the use of eHealth. Reason for this trend is that eHealth offers a solution for many financial challenges in healthcare such as ageing societies and the increase of chronical diseases.

What does this mean?

As we mentioned before, the demand for active participation and user-unfriendly programs, the implementation of eHealth stays behind. Users (doctors, patients etc.) experience eHealth as an extra burden instead of a solution and prefer old ways of interaction between patient and doctor. The Dutch initiative aims to anticipate some of the inconveniences by making use of the gamification trend, seducing users with fun games to monitor their personal health. Initiatives like these show that governments are determined to make eHealth a prominent factor in healthcare as soon as possible.

What's next?

The more we become dependent on eHealth services, solutions and the digital storage of our medical records, the more we are in need of a (secure) digital identity that can be connected to our personal medical data. In Estonia, for example, eHealth has already come a long way due to a mandatory digital identity card. Implementing eHealth more thoroughly into our healthcare process might therefore stimulate other digitalization processes as well, such as a digital identity card.

Series 'AI Metaphors'

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1. The tool
Category: the object
Humans shape tools.

We make them part of our body while we melt their essence with our intentions. They require some finesse to use but they never fool us or trick us. Humans use tools, tools never use humans.

We are the masters determining their course, integrating them gracefully into the minutiae of our everyday lives. Immovable and unyielding, they remain reliant on our guidance, devoid of desire and intent, they remain exactly where we leave them, their functionality unchanging over time.

We retain the ultimate authority, able to discard them at will or, in today's context, simply power them down. Though they may occasionally foster irritation, largely they stand steadfast, loyal allies in our daily toils.

Thus we place our faith in tools, acknowledging that they are mere reflections of our own capabilities. In them, there is no entity to venerate or fault but ourselves, for they are but inert extensions of our own being, inanimate and steadfast, awaiting our command.
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2. The machine
Category: the object
Unlike a mere tool, the machine does not need the guidance of our hand, operating autonomously through its intricate network of gears and wheels. It achieves feats of motion that surpass the wildest human imaginations, harboring a power reminiscent of a cavalry of horses. Though it demands maintenance to replace broken parts and fix malfunctions, it mostly acts independently, allowing us to retreat and become mere observers to its diligent performance. We interact with it through buttons and handles, guiding its operations with minor adjustments and feedback as it works tirelessly. Embodying relentless purpose, laboring in a cycle of infinite repetition, the machine is a testament to human ingenuity manifested in metal and motion.
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3. The robot
Category: the object
There it stands, propelled by artificial limbs, boasting a torso, a pair of arms, and a lustrous metallic head. It approaches with a deliberate pace, the LED bulbs that mimic eyes fixating on me, inquiring gently if there lies any task within its capacity that it may undertake on my behalf. Whether to rid my living space of dust or to fetch me a chilled beverage, this never complaining attendant stands ready, devoid of grievances and ever-willing to assist. Its presence offers a reservoir of possibilities; a font of information to quell my curiosities, a silent companion in moments of solitude, embodying a spectrum of roles — confidant, servant, companion, and perhaps even a paramour. The modern robot, it seems, transcends categorizations, embracing a myriad of identities in its service to the contemporary individual.
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4. Intelligence
Category: the object
We sit together in a quiet interrogation room. My questions, varied and abundant, flow ceaselessly, weaving from abstract math problems to concrete realities of daily life, a labyrinthine inquiry designed to outsmart the ‘thing’ before me. Yet, with each probe, it responds with humanlike insight, echoing empathy and kindred spirit in its words. As the dialogue deepens, my approach softens, reverence replacing casual engagement as I ponder the appropriate pronoun for this ‘entity’ that seems to transcend its mechanical origin. It is then, in this delicate interplay of exchanging words, that an unprecedented connection takes root that stirs an intense doubt on my side, am I truly having a dia-logos? Do I encounter intelligence in front of me?
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5. The medium
Category: the object
When we cross a landscape by train and look outside, our gaze involuntarily sweeps across the scenery, unable to anchor on any fixed point. Our expression looks dull, and we might appear glassy-eyed, as if our eyes have lost their function. Time passes by. Then our attention diverts to the mobile in hand, and suddenly our eyes light up, energized by the visual cues of short videos, while our thumbs navigate us through the stream of content. The daze transforms, bringing a heady rush of excitement with every swipe, pulling us from a state of meditative trance to a state of eager consumption. But this flow is pierced by the sudden ring of a call, snapping us again to a different kind of focus. We plug in our earbuds, intermittently shutting our eyes, as we withdraw further from the immediate physical space, venturing into a digital auditory world. Moments pass in immersed conversation before we resurface, hanging up and rediscovering the room we've left behind. In this cycle of transitory focus, it is evident that the medium, indeed, is the message.
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6. The artisan
Category: the human
The razor-sharp knife rests effortlessly in one hand, while the other orchestrates with poised assurance, steering clear of the unforgiving edge. The chef moves with liquid grace, with fluid and swift movements the ingredients yield to his expertise. Each gesture flows into the next, guided by intuition honed through countless repetitions. He knows what is necessary, how the ingredients will respond to his hand and which path to follow, but the process is never exactly the same, no dish is ever truly identical. While his technique is impeccable, minute variation and the pursuit of perfection are always in play. Here, in the subtle play of steel and flesh, a master chef crafts not just a dish, but art. We're witnessing an artisan at work.
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About the author(s)

At FreedomLab, Jessica's research primarily centered on the impact of technology on education and the nature of virtual reality and artificial intelligence. She is an alumna of the Vrije Universiteit Amsterdam, where she completed two degrees in philosophy and an additional research program. Integral to her personal and professional development, Jessica delves deep into literature concerning the philosophical relationships between humans and nature, and the importance of critical thinking and human autonomy vis-à-vis the impending wave of technological revolutions.

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