And I really think that the most important thing of it

我要跟你們說

is that we stopped listening to patients.

為什麼很多線上健康企劃會失敗。

And one thing we did at Radboud University

我真的認為最主要的原因是

is we appointed a Chief Listening Officer.

我們不再聽病人說什麼。

Not in a very scientific way --

我們在荷蘭奈美恩大學做了一件事，

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

我們指定一個主要的傾聽人員。

and asks patients, family, relatives,

這不是非常科學的方法 --

"What's up?

她倒了一些咖啡或茶，

How could we help you?"

問病人或者他的家人和親戚們：

And we think, we like to think,

「最近好嗎？

that this is one of the major problems

我們可以給你什麼協助？」

why all -- maybe not all --

我們的想法是，

but most of the ehealth projects fail,

幾乎全部 -- 可能不是全部 --

since we stopped listening.

但大部分線上健康企劃

This is my weight scale.

失敗的主要原因之一

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

是我們不再傾聽。

And every morning I hop on it.

這是我的可無線上網體重機，非常簡單的東西。

And yes, I've got a challenge,

上面有一個按鈕，開和關。

as you might see.

每天早上我站到上面。

And I put my challenge on 95 kg.

是的，我有一個挑戰，

But the thing is that it's made this simple

如你所見。

that whenever I hop on,

我要挑戰減重到95公斤。

it sends my data to Google Health as well.

這台體重機讓事情變得很簡單，

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

當我隨時站上去，

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

它也會將我的資料傳輸到Google Healthe(開放性醫療管理平台)。

not on the very moment that I need cardiologic support

我的醫師也會收到這些資料，

or something like it,

所以他可以觀察我的體重問題，

but also looking backward.

而不是等到

But there's another thing.

我有心臟病時需要接受幫助之類的時候，

As some of you might know,

還有他也可以查詢歷史紀錄。

I've got more than 4000 followers on Twitter.

還有一件事。

So every morning, I hop on my weight scale

你們當中可能有人知道，我在推特上有超過4000名跟隨者。

and before I'm in my car,

於是每天早上

people start talking to me,

我站上我的可無線上網的體重機，

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

當我進入我的車前，人們開始跟我說：

(Laughter)

「我想你今天午餐要吃少一點，Lucien。」

But that's the nicest thing that could happen,

(笑聲)

since this is peer pressure.

但是往好處想，

Peer pressure used to help patients --

這是同儕壓力，

since this could be used for obesity,

同儕壓力可幫助病人 --

it could be used to stop patients from smoking.

像是有肥胖問題，

But on the other hand,

或者是要

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

戒菸的病人。

and try to work together in some kind of gaming activity

此外，這也可以用來

to get more control of their health.

讓人們離開座位

As of next week, it will soon be available,

且試著一起參予些有比賽性質的活動

there will be this little blood-pressure meter

來控制他們的健康。

connected to an iPhone or something or other.

下周即將上市的

And people will be able, from their homes,

是這個小的血壓計，

to take their blood pressure,

可以連接到iPhone或者其它設備，

send it to their doctor

所以人們將能夠在家裡

and eventually share it with others, for instance,

測量血壓，

for over a 100 dollars.

將數值傳給他們的醫生，

And this is the point where patients get into position

最後和其他人分享，

and can collect, not only their own control again,

費用大約是100歐元出頭。

be captain of their own ship,

這樣一來，病人可以搜集自己的資料，

but also can help us in health care

他們不僅再度擁有控制權，

due to the challenges that we face,

當自己的掌舵者，

like health-care cost explosion,

這也對保健事業有所幫助，

doubled demand and things like that,

考慮到我們現在所面臨的挑戰，

make techniques that are easy to use

像是保健成本劇增，

and start with this to embrace patients in the team.

需求倍增等情況，

And you can do this with techniques like this,

製作容易使用的技術，

but also by crowdsourcing.

開始將病患納入這團隊中。

And one of the things we did,

你可以透過像是這種技術參與其中，

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

也可以透過群眾外包的力量。

(Music)

我想要藉由一小段影片

(Heart-beat)

介紹我們做的一件事。

We've all got navigation controls in our car.

(音樂)

We maybe even have it in our cellphone.

我們在車內都有安裝導航系統。

We perfectly know where all the ATMs are,

甚至也有裝在手機裡。

just about the city of Maastricht.

我們知道在馬斯垂克市裡

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

所有的自動提款機在哪裡。

And sure, we could find fast food chains.

我們也知道所有的加油站在哪。

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

毫無疑問，我們也可以找到速食連鎖店。

We asked around, and nobody knew.

但是哪裡可以找到最近的電擊器

Nobody knew where the nearest lifesaving AED

以幫助病患？

was to be obtained right now.

我們四處詢問，但沒有人知道。

So what we did, we crowdsourced the Netherlands.

沒人知道現在可以在附近哪裡取得

We set up a website, and asked the crowd,

可救命的電擊器。

"If you see an AED, please submit it,

我們做的是在荷蘭進行群眾外包。

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

我們架設一個網站

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

請求大家，「如果你看到一個電擊器，

And over 10,000 AEDs in the Netherlands

請傳送此資訊，告訴我們它在哪哩，

already have been submitted.

告訴我們店什麼時候開。」

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

因為店家有營業和休息的時間。

And we built an iPad application.

群眾已經傳送超過一萬個

We made an application for Layar: Augmented Reality,

在荷蘭的電擊器資訊。

to find these AEDs.

我們接著要找到搭配的應用程式，

And whenever you are in a city like Maastricht,

於是我們製作了一個iPad應用程式。

and somebody collapses, you can use your iPhone,

我們為Layar製作一個擴增實境定位的應用程式，

and within the next weeks also your Microsoft cellphone,

以找到這些電擊器。

to find the nearest AED,

於是當你在像馬斯垂克這樣一個城市中的任何地方，有人倒下了，

which can save lives.

你可以使用你的iPhone，

And as of today,

還有再過幾個星期，你也可以用你的微軟手機，

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

找到最近的電擊器

which is what the product is called,

以搶救生命。

but also AED4US.

今天，

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

我們要介紹這程式，不僅是以程式名稱，

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

AED4U (為你)，

colleague universities, to help us

這也是AED4US (為我們)。

to find and work and act like a hub

而且我們想要以全世界為基礎作為起點。

to crowdsource all these AEDs all around the world,

我們請求散布在世界其它各地的同事們，

that whenever you're on holiday and somebody collapses,

同類型大學來幫助我們，

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

蒐集，合作且做為

you can find this.

全世界各地進行群眾外包蒐集電擊器資訊的中心。

The other thing we would like to ask

當你度假時，剛好有人倒下，

is of companies also all over the world

那人可能是你的親戚或者站在你前面的人，

that will be able to help us validate these AEDs.

你就可以找到這個。

These might be courier services

另外我們想要請求

or cable guys, for instance,

全世界可幫助我們

just to see whether the AED that is submitted

驗證這些電擊器資訊的公司，

is still in place.

有可能是快遞公司

So please help us on this one

或者有線電視業者之類的，

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

能確認這些被提交的電擊器位置

but take control of it.

是否仍在原地。

Thank you.

所以請幫助我們

(Applause)

不僅是嘗試提升健康，也試著掌握健康。