Abstract
Until recently, the Western biomedical paradigm has been effective in delivering health care, however this model is not positioned to tackle complex societal challenges or solve the current problems facing health care and delivery. The future of medicine requires a shift to a patient-centric model and in so doing the Internet has a significant role to play. The disciplines of Health Web Science and Medicine 2.0 are pivotal to this approach. This viewpoint paper argues that these disciplines, together with the field of design, can tackle these challenges. Drawing together ideas from design practice and research, complexity theory, and participatory action research we depict design as an approach that is fundamentally social and linked to concepts of person-centered care. We discuss the role of design, specifically co-design, in understanding the social, psychological, and behavioral dimensions of illness and the implications for the design of future care towards transforming the patient experience. This paper builds on the presentations and subsequent interdisciplinary dialogue that developed from the panel session "Transforming Patient Experience: Health Web Science Meets Web 2.0" at the 2013 Medicine 2.0 conference in London.
Highlights
1.1 The Acts of Parliament which founded the National Health Service (NHS) set out a vision of: “a comprehensive health service designed to secure improvement in the physical and mental health of the people ... and the prevention, diagnosis and treatment of illness”[1]
On the simple assumption that private health expenditure remains constant at its present level of around 1.2 per cent of GDP, total UK health spending would rise to between 10.6 and 12.5 per cent of national income in 20 years’ time
7.1 The Review has concluded that the UK must expect to devote a significantly larger share of its national income to health care over the 20 years
Summary
1.1 The Acts of Parliament which founded the National Health Service (NHS) set out a vision of: “a comprehensive health service designed to secure improvement in the physical and mental health of the people ... and the prevention, diagnosis and treatment of illness”[1]. 1.2 To meet its original vision in future, and to justify the value which people attach to it, the health service requires radical reform. 1.3 In July 2000, the Government published the NHS Plan[2] It defined the core values on which the NHS in England should be based in future and many of the detailed changes needed to “universalise the best”, closing both the unacceptable gaps in performance within the UK and the considerable gaps in performance between the UK and other developed countries. 1.5 Against this background, in March 2001, the Chancellor of the Exchequer commissioned this Review to examine future health trends and the resources required over the two decades to close the gaps in performance and to deliver the NHS Plan and the vision of the original Acts. Health is the biggest single component of public expenditure. 15 per cent of our tax and National Insurance Contributions (NICs) go to pay for the health service
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