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Que Será, Será Prof. Dr. Nico L.U. van Meeteren
Dr. Thomas Hoogeboom
Healthy Living, TNO
CAPHRI, University Maastricht-MUMC+
Center for care Technology Research
EUNNAAPA
[email protected] & @meeterennluv
Societal paradigmshifts
In order to continue success …
Illness, cure and care
Behavior and health
Prevent vital functioning
Top down
Push
bottom up
Pull
Health definition
National Prevention
Program
Macro level New, nation wide … top down …
Governmental
Advisory board
(RVZ … RVS)
Professional- and
educational system
Knowledge- and
innovation infrastructure
Regional
citizen driven
insurance system
Transition research
Topsectors
Creative Industry-
Life Sciences and Health Infrastructure and Built
environment
Etc. …
Meso level Holland: Living-Lab-Land … bottom up
Leadership
User led
Co-creation
Coalition
Learning community
Open innovation
Action Research
Round about-metaphor
http://timreview.ca/issue/2012/september
FUNCTIONING
Functions and
structures Activities
Personal factors Context factors
Participation
Disease
WHO, 2002, DIMDI, 2005
Paradigmshift ingredients I WHO Framework … ICF … 2002 …
FUNCTIONING
Participation Activities Functions
and structures
Personal factors
Context factors
Heerkens et al, in prep, 2014
Paradigmshift ingredients I WHO Framework … ICF … 2015 …
Hood et al, 2010
Paradigmashift ingredient II P4 … vital functioning life span …
Hood et al, 2010
‘P4’ Life span
Paradigmashift ingredient II P4 … vital functioning life span …
Paradigmashift ingredient III Participatory technological innovations…
Technological innovation Private-public partnership …
Imaging
Minimal invasive interventions
Home care and rehabilitation
40
50
60
70
80
90
100
Training Training
26-feb
Physical Activity
♀(71jr, BMI: 41) TKP Adaptation↑: “chaos” home (pre)rehab
Hospital stay: 1,5 day
Physic
al F
unctionin
g
(DE
MM
I; J
ans e
t al, 2
012
)
Micro level ”My patient”, vital functioning and deciding …
- 1959 - - 2014 -
- 2014 -
Micro level Changes: culture and infrastructure (past and future) …
Societal paradigmshifts
In order to continue success … together …
Illness, cure and care
Behavior and health
Prevent vital functioning
“If ‘I’ is replaced by ‘we’,
even illness turns into wellness”