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Change in healthcare needs multi-level approach

via vimeo.com Change in healthcare is needed, on many levels and aspects. Some tend to focus on one pilar alone or may think a quick fix is possible. In our vision there is no Silver Bullet, but a multi-level approach is needed. Had this animation...

Change in healthcare is needed, on many levels and aspects. Some tend to focus on one pilar alone or may think a quick fix is possible. In our vision there is no Silver Bullet, but a multi-level approach is needed. Had this animation made to use in my keynotes.

Healthcare will be changing. It has to because the challenges are huge. Besides double aging and budget pressures we are heading for a labor problem. Simultaneously we are dealing with changing patientgroups that want to be more involved in their health. Here are topics like shared-decision making based on clear information, the role of the Internet often is seen as a striking development, that’s striking on its own i think. 

We will have to do smart things to cope with the increasing demand. This will bring shift n roles and tasks. Tasks from doctor to nurse, from nurse to patient, family or informal care. The role of doctor will be shifting in to a one that of a guide. From “god” to “guide” so to speak, you might have a look at the TEDxMaastricht talk of my colleague Bas Bloem with that name.

Setting up the REshape vision, scoping the direction, speed and pathway to set the ambition of our Radboud University Medical Center we think it is fundamental to Re-create the position of the patient. From patient-central into “be embraced in the (treatment) team.” Seen in that light technology is an important determinant. Not so much as thé most important condition, but in some cases as a major tool for change within the process as possible. Tool instead of goal therefore. We therefore redefined eHealth from Electronic Healthcare to Empowered Health. 

Technology is facing exponential growth, it seems almost unlimited what can be done. By linking the Singularity University in Silicon Valley and the Radboud REshape & Innovation Centre an interaction between care practice on one hand, and often stunning technological advances in the other. The possibilities seem unlimited and that’s exactly where there is a pitfall as well. We are awaiting a great (industry) “push” in terms of solutions in which a significant number of cases the question (yet) even exist whether we are awaiting this solution. Leaving aside the question of what is or is not required, the grip held on the process of scoping, analysing and choosing these options will be fairly time consuming. 

Empowered health could make people live longer in their own familiar surroundings leave less to the Healthcare institution to get measurements and monitors.  The pressure on a society level like simple things as parking spots and roads taken into an account, we have challenges there as well. But more importantly maybe empowering the patient and his or her family and informal care as much as possible, as long as possible brings lowering pressure on healthcare, something that’s very welcome. 

Prerequisite for well functioning e-health standards will be needed. Both for the human side of e-health in terms of good agreements between healthcare providers and institutions themselves “in real life”, but on the as the electronic version of it.  What I see happening over and over again is that many crie out that they  “have set the standard,” but to be honest I believe the market will do so. The patient, user and other payers (like insurers) makes their own choices. IN that standaards will be made.Look at the .CSV that grew into a standard, nobody decided it to be like that, same goes for PDF.

Empowered Health is a major development of opportunities that we should develop together, test together and learn together, professionals, patients, their family and informal care.  

More on Radboud REshape & Innovation Centre

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