Helsinki Nov 10, 2010 Helsinki Forum - Future space for wellbeing services Kari Reijula, MD, PhD, Professor Finnish Institute of Occupational Health
Development of Hospital Districts in Finland Rural house calls Tbc hospitals University central hospitals Specialised hospitals -1900 1920 1955 1970 2000- Hospitals: platform for developing wellbeing technology and improving effective medical treatment Central hospital districts?????? / Työterveyslaitos / 12.11.2010 2
At the edge of the life cycle?? / Työterveyslaitos / 12.11.2010 3
Challenges to the health care organization Changes in health care processes old fashioned hospital activities => flexibility, new methods, modern technology, open surgery vs. scopia, hospital infections + resistant bacteria future ward, outpatient care need to separate acute and elective care Need for renovation (due to the age + condition) in hospitals Need to improve the IAQ & hygiene in hospitals Need to improve stragies how to renovate hospital buildings How to get funding, who should own the hospital properties? Global needs! (business, epidemics (SARS, "bird flu"),.) / Työterveyslaitos / 12.11.2010 4
Future hospital? / Työterveyslaitos / 12.11.2010 5
Customers' needs Availability and choice Quality Safety Environment, sustainability "High technology but soft and gentle touch" / Työterveyslaitos / 12.11.2010 6
There will certainly be a change!! Technology Population Funding Legislation Experience Politics Costs 1954 RAND vision for 2004 home computer / Työterveyslaitos / 12.11.2010 7
Helsinki Forum - Development of Health Care Facilities
Helsinki Forum an open forum for Saving resources by the collaboration Networking Sharing information Discussion between different collaborators Planning (launching) new projects Testing/developing/assessing good/best practices Presenting new cases of actions Good practices / Työterveyslaitos / 12.11.2010 9
WELCOME TO THE VERY FIRST "HELSINKI FORUM 2010" / Työterveyslaitos / 12.11.2010 10
Helsinki Forum - Summary BD: Credit crisis can be an opportunity Order of scale larger problem: aging population Not seen in business plans?? UK: 30-50% do not need hospitalization New providers (e.g. Coxa), primary care=hosp avoidance, tertiary specialist, alternative providers, sovial care - whole system effectiveness - GL: - user orientation: an ongoing process! - from health and safety to value and usability - experience of the situation - vision to 2010 or 2050? - behaviour issues, understanding each other / Työterveyslaitos / 12.11.2010 11
Helsinki Forum - summary GL: communication? common language, does it exist? aim: engage the people Lennart Persson (New Karolinska Solna future hospital) motto: Patient first (integrity, safety, better comfort) combining research and practice new professions to hospitals (e.g. immunogenetics) "Dept built on medical specialities obsolete" Focused niche providers goal=value generation Health care = art vs. research = science, sedparated processes but closely linked to facilitate integration Theme = patient's needs => services from several specialities (inflammation, cancer, neuro/cardiovasc, children ) Mercy, samarian => service/quality / Työterveyslaitos / 12.11.2010 12
Helsinki Forum - summary Henny v L: (Orbis Hospital) patient in the focus, what happens if she gets sick practical tools: identification, demand chain, digital work environment, eletronic order, bedside terminal, innovative logistics elderly care! Hennu K: too many rules and regulations wall-less and bedless (vs. one patient room?) young architects, how to train them? marrying function to form evidence based does not fit well in architecture / Työterveyslaitos / 12.11.2010 13
Helsinki Forum - summary Sjoerd de Hoog: human aspects in hospital planning (views, control, comfort, orientation ) structure is based on syndromes and flows hot floor (25%), office, industry, hotel special architects for the hot floor? Keith Alexander: (east Manchester, UK) occuaptional issues, unemployment, other social issues learning from community perspective: focus on health issues integrated primary care with social care project orientation, "lift program"(local improvement finance trust) shift of care from hospitals to the community (prevention?, health promotion?) / Työterveyslaitos / 12.11.2010 14
Helsinki Forum - summary KA: Benefits: better accessibility! Primary vs. "special" care in Bolton: Did this bring primary care closer to the social care? Service, assets, environmental (sustainability), social, learning (usability) EV: Finland leading in number of beds/citizens staying in beds => loosing your functional capacity overtime in hospitals: 35% of total capacity 83% of funding misspent special doctors (or most experienced) to the front line before the death, long duration in hospitals encourage patient to walk in wards health economy needed self care needed rehabilitation, technology / Työterveyslaitos / 12.11.2010 15
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