A user driven health care learning model. 用户驱动的健康护理学习模式。

Summary Points: 总结几点：

1. In E-learning for E-health “There is no doctor or patient, only different categories of medical learners”. Although a real life physician often remains a pillar of strength for any individual patient the patient may still need to view his problem from multiple angles that his physician may not be expected to be even aware of.在电子学习电子商务的健康“ 是没有医生或病人，只有不同类别的医疗学习者” 。虽然现实生活中的医师，往往仍然是一个支柱力量，为任何个别病人的病人可能仍需要以查看他的问题从多个的角度，他的医师可能不预期会更知道。

2. The wisdom or expertise of a real world physician may be a manifestation of accumulated information input signals that have stabilized/optimized over the years.智慧或专业知识，一个真正的世界医师可能的一种表现，积累了资料，输入信号有稳定/优化多年来。 It may not be feasible for an expert physician to have an optimal solution to each and every individual patient need.它可能不是可行的专家医师有一个最优解每一个个别病人的需要。 At best s/he can provide an answer based on averaged patient outcome data.在最好的他/她可以提供一个答案的基础上，平均每门诊的结果数据。

3. Average patient data, which occupies most of our present day information bases, is often unable to satisfy individual patient needs.一般病人的数据，占据我们大部分的现今的信息基地，往往是无法满足个别病人的需要。

4. There is no proof of the present top down subspecialty approach in medicine   resulting in better outcome or patient satisfaction.有没有证据证明本由上而下subspecialty的做法，在医学上，导致更好的结果或病人的满意度。

5. Evidence based guidelines (that keep evolving with continued research) may continue to function as a good parameter at present to judge the validity of the information collected by the individual user driven by his needs.循证指引（即保持不断发展的继续研究） ，可继续发挥作用成为一个好的参数，目前法官的有效性，所收集的资料由个人用户的推动，他的需要。

6. Evidence based health care has brought validity to modern medicine, yet is limited by its inability to provide the whole picture.证据为基础的保健带来的有效性，以现代医学的，但是有限的其无法提供的全貌。 Every individual patient and health professional has multidimensional information needs that require fulfillment.每一个人的耐心和健康专业人士已多层面的信息需求，需要完成。

7. A web based user driven learning solution similar to a complex adaptive system may be a stepping-stone to address the present problem of information oversupply in medicine that mostly remains unutilized, as it doesn’t match the needs of the individual patient/health professional user.基于Web的用户驱动学习解决方案，类似一个复杂的自适应系统可能是一个踏脚石，以解决目前的问题是信息过剩，在医学上说，大多仍是未使用，因为它不匹配的需要，个别病人/保健专业用户。