Happiness in Healthcare

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Happiness - IN HEALTHCARE - Games for Health Pieter van Haren 1 november 2016

Transcript of Happiness in Healthcare

Happiness - IN HEALTHCARE -

Games for Health Pieter van Haren

1 november 2016

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Plea: ‘Healthcare’ should be more controlled by happiness. Subjective happiness should be measured and taken

seriously! Agenda:

Definitions and context Goals of healthcare

From negative affect to positive affect

Meegeven: Models to loop at happiness and health

Innovate for happier people

What do we mean by Happiness

Life-satisfaction

Subjective well-being

3 Everybody pursues happiness, on his own way, aware or unknowingly.

life satisfaction

= happiness

peak experience Life in its entirety

Aspect

satisfaction

enjoy Aspect of life

duurzaam voorbijgaand

Goals of healthcare?

•Value of healthcare is health per capita

cost1!

•More healthvalue for money is common goal

for all stakeholders

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•1 Porter ME, Teisberg EO. (2006)Redefining Healthcare: creating valuebased healthcare on results

2Donald M. Berwick, Thomas W. Nolan and John Whittington (2008): The TRiple AIm: Care Health, and Costs

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“Health is a state of complete physical, mental and social

well-being and not merely the absence of disease or

infirmity.”

Preamble to the Constitution of the World Health Organization as adopted by the

International Health Conference, New York, 19-22 June, 1946; entered into force on 7

April 1948.

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Positive health: A new definition of Health

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“Health as the ability to adapt and to self manage, in the face of social, physical and

emotional challenges

© Machteld Huber

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Cornerstones for Positive health - Physical functioning - Daily routine - Mental health - Social participation - Meaning - Quality of Life

Context Health for ‘normal’ people in healthcare setting? Health for ‘normal’ people outsite healthcare setting? Redefining or using other words?

Two different worlds and languages

The ordinary ' people ' world

• Health: feeling good /being happy

• Problems (and who practically solve)

• Individual: N=1

The medical world / System

• Health: bio medical indicators/quality of life

• Problems: diagnosis and treatment

• Patiënts (groups)

9 Bringing together by ‘happiness'

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Disruption Start up energy

outcome

Sturen op Geluk Happiness

Self manage

Adaption

Physical

Different focus and goals

Mortality Bio-medical indicators

Happiness

Illness/cure Care Health Well-being

Doctors trained to… Pursue of individueals…

…and lived happily 1) ever after2)…

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Ever after

Happily Vo

ork

om

en d

at m

ense

n

do

od

gaa

n…

Zo

rg!

Zorg en welzijn

Eigen verantwoordelijkheid

1) Own responsibility 2) Made possible by the society…

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Focus of complaint to force…

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High activation

Low activation

Pleasant Unpleasant

Dejected Tired Depressed

Irritated Angry Tense

Excited Energised

Happy

Content Relaxed Sereen

Healing

Flourishing

Shared Decision Making

• Equivalence between (goals of) doctor and patient by chosing treatment • Technologie as ‘enabler’ • Problems with evidence and funding • Research is still in its infancy…

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As we like to put health and happiness more central: consequences…

• Other definition and desired outcome measures: • Other goals of treatment? • Other business measure? • Other desired evidence? • Other health care and products? • Other funding?

•Much research and reflection desired…

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Effect use Happinessindicator

in scores happiness

+ 0.5 | huwelijk

+ 0.4 | eerste kind

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+ 0.15 | regelmatig gebruik GeluksDagboek

+ 0.05 | loterijwinst incidenteel gebruik GeluksDagboek

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- 0.2 | gewond bij verkeersongeluk

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- 0.8 | werkeloos geraakt

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- 1.23 | partner overleden

Dream or recommendation…

The outcome ' happiness (subjective well-being) ' gets a more prominent place in the healthcare sector. Also at the trade off for which public funds be used in healthcare. There is also more room for innovation aimed at: • Connecting Physical, mental en especially the social domain • People first, not the patient (= collection diagnoses / diseases) • Focus op positive energy • Preventing disruptions • Provide startup energy • Possibility for self management and adaption for al kinds of people

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www.GelukindeZorg.nl I wrote a book

in dutch…