Jen’s Posterous

Health Management Rx 
« Back to blog

Calling All Non-Scientists...

"Principles of Open Source software did not prove to be useful in open drug development. ... Crowdsourcing will not advance quantum physics," he writes. "Open Science in its fullest form is not an issue that scientists can truly solve by themselves."

Open Science's Greatest Need Is ... Non-Scientists? | The Daily Scan | GenomeWeb

Please read Pawel's great post examining models of 'open science' (and quantifying results of Open Innovation challenges like InnoCentive versus our traditional IP patenting process).

While I agree with much of the chewy content goodness, I'm not sure I can sign on to the bit about 'principles of open source software did not prove to be useful in open drug development' being entirely true.

The capability for open source to be useful in things like crowdsourcing new theories of genetics+anthropology (genoanth) in addition to drug development hasn't been proven, but it certainly hasn't been disproven.

Especially in health analytics/personal biometrics ("Me-trics" or the #quantifiedself) Joe the Plumber and I haven't had access to the kind of data about ourselves (much less others) that we'd need to share and contribute to an open-source public health development initiative.

Cancer-survivor communities like ACOR (@gfry, @ePatientDave thanks again for the heads up here) COULD in theory be used to open-source new treatments. In fact, the community/listserv members ARE using the list this way, but the 'establishment' isn't paying much attention.

PatientsLikeMe.com, however, has made open-sourcing one's health data relatively easier, lowering barriers to entry by putting very useful metric tracking/analytics tools in the hands of patients.

Despite my fan-girl-ism for PLM, there are issues with the service, which isn't 'pure' opensource (in my opinion) - I cannot opt out of having my data anonymized and sold, and I can't demarcate if it's used for corporate gain versus nonprofit research purposes. I also can't throw my data open for the world to use/view at will if I so choose.

If I was designing an open-science, open-source health development initiative (product or drug etc.), first I'd go after a software installlation like that offered by Palantir Tech. Then I'd recruit survivors, and scientists, and researchers, and students active within a condition-specific community and start sharing data nodes. Then I'd motivate the community to go to work analyzing the hell out of the data intersection points for sparks of potential relevance. Then each promising x+y node would have to be examined for causation/correlation. Think Wikipedia for health research, or Linux for HIT. 

If I wanted to cure a disease like Parkinson's, or even come up with EBP support (and EBP here would really be defined as E2BP, for Evidence-based practice+ Experiential-based practice) for a new clinical guideline to impregnate into real-world practice, this is how I'd go about it.

I digress. But Pawel Szczesny (Freelancing Science) is right about one very big issue here - open science (or open source, or open health) absolutely requires participation outside traditional professional gradients to succeed.

Talent without a pedigree counts for something here. Let's make sure we don't continue to make the mistake of discounting the value of experiential knowledge, which is open science's (and 'open health's') most underutilized asset.

Comments (2)

Jul 12, 2009
Pawel Szczesny said...
Hi, thanks a lot for the comment. I agree with a major point of your post, however I would like to clarify some things. Drug development is not health care, similarly life sciences are not medicine. There are distinct differences between these fields and crowdsourcing does not apply directly to the former (drug dev. or life sciences), mainly because they usually require an expert input, but also because in most of the countries law forbids doing certain experiments outside of academic lab (which is another long story). :) Certain aspects indeed work surprisingly well, but I'd rather see them as exceptions.

I'm very happy to read that my main point - participation of other disciplines - has been recognized. Scientists seem to assume that whatever challenge we face as a community, we can solve within this community (well, this may be true for other specialities as well). However I feel that with such a big challenge as "opening", we need help and collaboration of other parties.

Thanks for the links - your blog is a great resource on the change within and around healthcare.
Best wishes
PS

Aug 16, 2009
I would like to add that TRUST will be critical in any network-based approach. So, I think that everybody should be very aware of the legal and security aspects about very sensitive data about people and diseases.

Sometimes I think it is a "chicken or egg" problem? At some point some people have to trust other people, or we will never get started.
http://en.wikipedia.org/wiki/Chicken_or_the_egg

Leave a comment...

 
Got an account with one of these? Login here, or just enter your comment below.
Posterous-login    Connect    twitter