Once the patients have an online medical record (EMR) most patients can examined by online doctors, and in many cases those remote professionals can solve the problem. Of course we are excluding many cases in which human contact is necessary for physical or psychological reasons.
I conceive the near future of medical care as a connected, distributed space where only a few persons have direct contact with the patient, and a number of consultants examine the relevant data and make recommendations. The eHealth paradigm will make medicine ultra-specialized, a bit de-personalized, faster and cheaper than today.
Imagine a situation where a complicated case is exposed to an inexperienced doctor, far from a high complexity centre. Let ‘s assume that this patient has his data online, but physically-present doctor does not have a marketplace where to seek advice. He can maybe bother a friend once or twice, or even pay him. But this friend is no assurance of quality, availability or price.
There is not a site where patients or doctors can publish their cases (with the necessary EMR) and seek advice from online doctors. It would be ideal for isolated places where no doctor would visit, for second medical opinion and for 3rd World doctors willing to sell their knowledge in the 1st World.
Such marketplace would implement many mechanisms to validate doctors, and to assure quality responses. This concept intersects the Verifiable CV business described elsewhere.
In order to sell services online as Telemedicine, doctors will need a little more than a diploma and a license. The competition will be intense, and they will need to demonstrate their knowledge, plus cost-efficiency, availability, response time, technology and marketing. They will need ability to receive payment in many forms, offer guarantee and credit, thinks that they very rarely do in the real world, in traditional Medicine or even in the many popular TV series that depict the medical world.
A few forms of knowledge marketplaces within the Health area:
– Business-to-Consumer markets, where the patient demands service offers from all the possible providers;
– Business-to-Business markets, where clinics will find complementary institutions across the Net
– Auctions and reverse auctions, where medical services/hours are sold to the best buyer.
– Professional Social Networks, which proved their value in other marketplaces
These “medical knowledge marketplaces” should have at least these features:
– access to a reliable online EMR (electronic medical record) for patients
– a doctor’s database, with a critical number of providers in any field. These providers do not need to travel to market their knowledge, because the transactions are essentially online.
– a companies database, ready to buy knowledge on given clinical cases, from doctors online. These companies will be validated in their contact data, and they will be required to pay any services bought thru the marketplace. Or face blacklisting.
– quality assurance service for doctors who want to validate their credentials by any necessary mean
– transaction platform, including bidding, alert mailing and auction.
Other features present in current service eMarketplaces:
- tests – quizzes
- blacklist of those who broke the market rules
- product offerings
- group purchases
- physical meetings
This market would be ideal for isolated places where no doctor would visit, for second medical opinion and for 3rd World doctors willing to sell their knowledge in the 1st World. In the near future, it would be nonsensical NOT to have a Medical Knowledge Marketplace