Abstract
Western developed health and care policy is shifting from a patriarchal medical model to a co-managed and integrated approach. Meanwhile, the fourth industrial revolution (Industry 4.0) is transforming manufacturing in line with the digital consumer revolution. Digital health and care initiatives are beginning to use some of the same capabilities to optimize healthcare provision. However, this is usually limited to self-management as part of an organization-centric delivery model. True co-management and integration with other organizations and people is difficult because it requires formal care organizations to share control and extend trust. Through a co-design lens, this paper discusses a more person-centered application of Industry 4.0 capabilities for care. It introduces ‘Care 4.0’, a new paradigm that could change the way people develop digital health and care services, focusing on trusted, integrated networks of organizations, people and technologies. These networks and tools would help people co-manage and use their own assets, in the context of their own care circle and community. It would enable personalized services that are more responsive to care needs and aspirations, offering preventative approaches that ultimately create a more flexible and sustainable set of integrated health and social care services that support meaningful engagement and interactions.
Highlights
There is a well understood sustainability crisis affecting Western European health and care economies [1]
Digital Health and Care Institute (DHI) is distinct in its whole system approach, which is underpinned by co-design with those providing and using health and social care services [6]
This paper provides an overview of trends in Scottish health and care policy alongside the key integrated and person-centered care themes emerging from the co-design and design research within
Summary
There is a well understood sustainability crisis affecting Western European health and care economies [1]. People are becoming increasingly accustomed to choice and use of flexible, dynamic services that stay relevant and useful within a rapidly changing world These two forces—(i) strategic, and systemic service redesign enabled by technology and (ii) the emerging digital consumer, have intersected during the early stages of the fourth industrial revolution (Industry 4.0). It is likely that Industry 4.0 capabilities (4.0 toolkit) will be initially applied to health and social care systems following the dominant organization-centric discourse This risks isolating the user as an independent consumer being managed by, and passively consuming from, a formal health or social care service. It argues that Health 4.0 alone will not deliver the services targeted in policy and proposes a new paradigm, ‘Care 4.0’, to enable integrated, person-centered care services
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