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Public Health - An ecosystem approach
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Talk at the plenary session of Digital Public Health in Marseille Nov 2020
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Public Health - An ecosystem approach
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© 2019 CGI
Inc. 1 Public Health – Do we need an ecosystem approach? “Digital Technologies in the Humanitarian Context” (Plenary*) Marseille, 21st Nov 2019 Francis D’Silva, CGI Norway * https://www.acm-digitalhealth.org/daily-agenda/plenary2/
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© 2019 CGI
Inc. 2 Topics Context Smart CareEcosystem
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© 2019 CGI
Inc. 3 WHO’s “People-Centred Integrated Care” framework advocates an ecosystem approach “Integrated people-centred health services is an important new way to empower patients, fight health system fragmentation and foster greater coordination and collaboration with organizations and providers across care settings, to deliver health services that are aligned with the needs of people.” Source: https://www.who.int/servicedeliverysafety/areas/people-centred-care/ipchs-what/enWHO’s People-Centred Integrated Care Framework
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© 2019 CGI
Inc. 4 What is a health technology? Source: https://www.who.int/health-technology-assessment/about/healthtechnology/en/ “A health technology is the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives”
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© 2019 CGI
Inc. 5 An ecosystem enhances and drives complementarity “In an enterprise ecosystem, actors collaborate using non-generic complementary offerings that depend on each other's activities; the actors are not hierarchically controlled and ensure multilateral dependencies through commons and shared protocols of engagement that reduce or eliminate the need for bilateral contracts.” A definition based on the author’s project experiences and own research “Towards a theory of ecosystems” https://onlinelibrary.wiley.com/doi/full/10.1002/smj.2904 Strategic Management Journal, Volume: 39, Issue: 8, Pages: 2255-2276, First published: 02 May 2018, DOI: (10.1002/smj.2904)
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© 2019 CGI
Inc. 6 Society in a nutshell Households MarketGovernance • Commercial • Not-for-profit • Publicly owned Services – Goods – CommoditiesLegislation – Regulation – Infrastructure • Local • Regional • Federal • (Business Associations) Digital Commons See also: Sovereign Digital Platforms (ECIS 2018) FundingResearchEducation • Individuals • Families • Neighbourhoods
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© 2019 CGI
Inc. 7 Consumer Services Public Health brings together a wide array of actors Policy and Quality Research and Education Manufacturing Self-enablement Bridge-making and Innovation Care Management and Delivery Informal caregivers People (Care Beneficiaries) Healthcare Professionals Digital Developers (Content Managers | Instruction Designers) HealthTechnology(ServicesandProducts) DisseminationandQualityManagement • Fjeldstad, Ø. D., Snow, C. C., Miles, R. E., & Lettl, C. (2012). “The architecture of collaboration” Strategic Management Journal, 33(6), 734-750. • Gulati, R., Puranam, P., & Tushman, M. (2012). “Meta‐organization design: Rethinking design in interorganizational and community contexts” Strategic Management Journal, 33(6), 571-586
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© 2019 CGI
Inc. 8 Consumer Services Public Health brings together a wide array of actors Policy and Quality Research and Education Manufacturing Self-enablement Bridge-making and Innovation Care Management and Delivery Informal caregivers People (Care Beneficiaries) Healthcare Professionals Digital Developers (Content Managers | Instruction Designers) HealthTechnology(ServicesandProducts) DisseminationandQualityManagement • Fjeldstad, Ø. D., Snow, C. C., Miles, R. E., & Lettl, C. (2012). “The architecture of collaboration” Strategic Management Journal, 33(6), 734-750. • Gulati, R., Puranam, P., & Tushman, M. (2012). “Meta‐organization design: Rethinking design in interorganizational and community contexts” Strategic Management Journal, 33(6), 571-586
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© 2019 CGI
Inc. 9 Ecosystems can be created using technological assets that enable service-aggregation and data-sharing. Standards are a prerequisite. Knowledge sharing drives learning, innovation and research “Care Interconnect” Healthcare MobilitySocial Care and Wellness Nutrition and Pharmacy Home & Energy Integrated Care Inter-regional trade and policy cooperation secures cross-border care delivery (national and transnational), enabled by standards … Healthcare Services Consumer Services Technology Assets Regulatory Agencies Knowledge Institutions “Smart Care” – A conceptual architecture for People-centred Integrated Care
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© 2019 CGI
Inc. 10 A people-centric healthcare system needs a needs-based approach and a supporting socio-technological infrastructure Service Providers Platform Operators Active Citizenship “Integrated people- centred health services means putting the comprehensive needs of people and communities, not only diseases, at the centre of health systems, and empowering people to have a more active role in their own health.” - World Health Organization https://www.who.int/servicedeliverysafety/ areas/people-centred-care/en/ Patients, informal care- givers and care professionals are encouraged to collaborate to obtain the best outcomes Secure and safe digital tools for all - patients, formal and informal caregivers are built on a knowledge-based public health infrastructure that supports complementarity “Smart Care” – A conceptual architecture for People-centred Integrated Care
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© 2019 CGI
Inc. 11 Thank you! Francis D’Silva Director, Consulting CGI - Health & Life Sciences francis.dsilva@cgi.com +47 908 26 049 @francisds
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