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A brand new (tested) approach, a holistic digital strategy to tackle the challenge of chronicity, launched in the Basque Country for providing responsiveness and sustainability to the process of radically changing the current Health Model.
For Designing a Strategy we need…<br />A clear Direction<br />A solid Architecture for dealing properly with the relationship between the parts and the whole<br />A Response for everyone of the groups of actors involved in the Health System.<br />
Re-health aims<br />Responsiveness and Sustainability<br />
The Pivoting Aim: Chronicity<br />“In the Basque Country, chronic illnesses represent the dominant epidemiological situation of the country. It is estimated that they currently represent 80% of the interactions with the Basque Health System (BHS) and account for more than 77% of health expenditure”<br />Rafael Bengoa<br />
Re-Health is…<br />Conversational<br />Responsive<br />Adapted to HC actors<br />Integrated<br />Chronicity-aware<br />Sustainable<br />Supported by realcommunities of practice<br />
An integrated architecture<br />An Organically Ordered Web Architecture for HealthCare<br />
A well balanced Architecture<br />“Organic Order: … The kind of order that is achieved when there is a perfect balance between the needs of the parts and the needs of the whole”<br />“The principle of organic order: Planning and construction will be guided by a process which allows the whole to emerge gradually from local acts”<br />Christopher Alexander, 1975<br />
Unpredictable Master Plans<br />“Master plans have 2 unhealthy characteristics<br />Its existence alienates the users<br />…the members of the community can have little impact on the future shape of their community<br />Because most of the important decisions have already been made <br />…users live in a frozen future, able to affect only relatively trivial details<br />Neither the users nor the key decision makers can visualize the actual implications of the master plan.”<br />Extracted from Christopher Alexander, 1975<br />
Master Plans as… skyscrapers!<br />“A modern skyscraper has a fixed inflexible interior, which is secondary to the designed beauty of the exterior. Little attention is paid to the natural light, and often the interiors are constructed as “flexible office space,” which means cubicles. The flexibility is for management to set up offices for the company, not for the inhabitants –the employees- to taylor their own space. When you run out of space in the skyscraper, you build another; you don’t modify the existing one or add to it.”<br />Richard P. Gabriel, 1996 <br />
Habitability<br />Healthcare professionals are not mere users, but inhabitants of the Health System, and consequently they need a sense of…<br />Ownership<br />Professionals need to feel that they have some authority over what they are responsible for…<br />…and also a sense of ‘elitism’ that hold them together and makes each member of the team feel responsible for the others’ success (Richard P. Gabriel)<br />Professionals know what they need, and despite of the BHS master plans, they’re engaged with their own (usually modest) marginal communities, with their own look & feel and a consensus-based flexible structure.<br />…so they can comfortably inhabit them.<br />
A Network of Pro Communities<br />Pro Community #2<br />Pro Community #4<br />Agora<br />
Identifying Moods as Objectives<br />Patient’s objectives use to be related to their moods and states-of-mind.<br />But it’s not always easy to recognize them!<br />We needed to use Interaction Design techniques for coming out with effective results<br />…that have being successfully validated by Chronic Patients<br />
Re…Re…Re…Re…Re…Re-Health<br />Re[sponsive]-Health is our way of saying that…<br />We need to react in front of the mere technology sublimation, reformulate our schemes in order to achieve a revolutionary road to an integrated health system, responding to its main actors, and reinserting all their values in it.<br />