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

nico.vanmeeteren@tno.nl & @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”