Happiness in Healthcare
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Transcript of Happiness in Healthcare
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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.
*
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'
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…
*
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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www.gelukswijzer.nl/happinessindicator
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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