Transcript positive radical sound

SOCIAL INNOVATION
FOR BETTER HEALTH AND WELLBEING
IN THE EU
Title Text Here
A Young Gasteiner Perspective
EHFG, 5-8 October, 2011
Mariana Dyakova, MD, MPH, PhD
NIHR Clinical Lecturer in public health
Division of Health Sciences, Warwick Medical School
Start on a journey…
Definition
First of all, as a real YG I looked for a simple definition…
“Social innovation refers to new ideas that work
in meeting social goals.”
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Very wide boundaries
Different from improvement / creativity / invention
Different from business / industry innovation
(for profit)
It’s all around us…
however – very restricted knowledge & research
• Just making its way onto the big funding agenda
The present picture in health…
Then, as a typical researcher, I did some more investigation into why
Social Innovation is coming onto the EU health agenda…
Demand for health & social services↑
–
–
–
–
→
Costs of health care ↑
Demographic trends (rising life expectancy & aging population)
Epidemiologic transition (chronic diseases & lifestyle challenges - LTC)
Technologies (dominant in innovations)
Public expectations
Restricted budgets (cost cutting); Workforce reduction; Inequalities still
Diversity & mobility; Climate change
Concept of Wellbeing (mismatch between growing GDP and real welfare)
Life course approach; Disease prevention & Health promotion; Attempts
to integrate health and social services; Improving quality and safety;
Patient-centered care; Disease management; Increasing efficiency;
building information systems etc
A GAP
Needs ↔ solutions/provision
Why Social Innovation?!
• Health, education and social care - key growth sectors of
the 21st century economy (around 20-30% of GDP and
more...)
• All have mixed provision (public, private, 3rd sector), strongly
shaped by public policy
• The required models of innovation are very different to
those that worked well in industry, technology etc
The emerging partnership between individual, social
networks and medical services implies some radical
changes to how health is organized.
Then, again, as a typical YG
I had some inconvenient questions
How come in the EU…
…we managed to unite against crime, but
not against diseases?
…we’ve introduced a common currency, but
not a common health strategy?
…we ensure the protection of our borders,
but not of our bodies?
…gaining wealth is still ahead of gaining
health?!
What about aging?
And finally, as a typical researcher, I did a small “study”,
to try to answer some of the queries I had about ageing...
• Sample of 2 people:
my mother & myself
• Methodology –
qualitative
One question:
Describe briefly
your ideal old age state
Results
My mother
Myself
1.Physical aspect:
no physical suffering; mentally sound;
aesthetically good looking
2. Mental aspect:
Have a perspective/purpose - feeling
responsible and needed (through creativity,
mentoring, relationships etc)
Not being lonely or living a monotonous life
Seeing your loved ones well and prosperous
Feeling satisfied with your past life
Having the sense of home & safety
• Active & self-sufficient
• Be able to contribute and
help (e.g. to children)
• Enjoy everyday life
• No suffering/pain
Similar!
My study’s conclusions
• Health is a prerequisite not a target for the
elderly, just like for the young people
• Health is multifaceted – physical, mental,
social… and more
• We can reconcile ourselves with “poor
health” under certain conditions …and can
feel well and happy!
• The importance of the concept of Wellbeing
- shaped not only by pure individual health,
but by many other factors
• We don’t value something until we lose it
The general messages
• Enhance user involvement:
– Through research to understand needs, perceptions and expectations
(WEMWBS)
– Through active participation of different social groups, NGOs, local
communities etc
• Look for new resources / different approaches to existing
resources / different interrelations between resources
– Through focused research (funding in “high risk” R&D)
– Through user involvement & multidisciplinary collaboration etc
• Pushing forward innovations which are not (only) profit
related, but user/society driven – effective (& cost-saving!)
– Through fighting against vested interests
– Through building working alliances (Public - Health - Social) etc
Steve Jobs (1955 – 2011)
Technical innovator…
and social innovator
“If you live each day as if it was your last,
some day you’ll most certainly be right.”
References
• Mulgan, G. (2006) Social Innovation: what it is, why it matters, how it
can be accelerated, London: NESTA.
• Tennant R, et al. (2007) The Warwick-Edinburgh Mental Well-being
Scale (WEMWBS): development and UK validation. Health and Quality
of Life Outcomes, 5:63.
• Huppert FA, Wittington JE. (2004) Positive mental health in individuals
and populations. In The Science of Well-being Edited by: Huppert FA,
Baylis N. Keverne, Oxford: Oxford University Press.
• Health services research Europe. (2011) Health services research:
helping tackle Europe’s health care challenges. Policy brief:
http://www.healthservicesresearch.eu/hsr_database/health_services_r
esearch_helping_tackle_europes_health_care_challenges/179