Future of Healthcare Ecosystems

HighTechandHighTouch CatalystforUrbanRegneration Preventive Anytime,Anywhere FUTUREOF HealthcareEcosystems BespokeforAll DiffusingtheMonolith BehindtheScenes Preventive Thescopeofhealthcareserviceslookslikelytoshifttoamorepreventivemodelthataccountsforthewiderdeterminantsofhealth.Thischangeisdrivenbyariseinchronicillness,environmentalriskfactors,personalisedapproachestolife-longhealthandeconomicpressures.Newapproachestohealthcarewillseektoachievehealthbyorthroughdesign,withagreateremphasisonmentalhealthandwellbeing,abalanceofphysicalanddigitalsolutionsandbetterunderstandingoftheroleofgreenurbanspaces. Readmore Anytime,Anywhere Technologyistransformingthewaysinwhichhealthcareprofessionalsprovidetheirservicesandhowpatientsaccessthem.Rapidadvancesin mobileaswellaswearableandhearabletechnology,theincreasedemphasisonoperationalandcostefficiency,shiftsinbehaviourandlifestylepatterns,andchangingbusinessmodelsareredefiningwhen,whereandhowhealthcareservicesaredeliveredandaccessed. Readmore HighTech,HighTouch Ashealthcarebecomesembeddedintoalmosteveryaspectofourlives,technologywillcontinuetodriveincreasedconvenienceandbetteroutcomes. Physicalandemotionalneedsremainasstrongasever,sodigitaladvanceswillneedtobemetwithincreasinglyinclusiveandhuman-centredsolutionsandexperiences. Readmore FUTUREOF HealthcareEcosystems BespokeforAll Improvedaccesstobothphysicalanddigitalinformationandabetterunderstandingofindividualhealthneedsmeansthatthedaysof‘one-size-fits-all’healthcaresolutionsareover.Revolutionary newmedicalapproachesandagreaterappreciationofdemographicandculturalneedsaresupportingthedeliveryofbespokesolutions.Atthesametime,tailoredservicesinintelligent,adaptablespaceshavethepotentialtodeliverbetteroutcomeswhilstreducingcosts. Readmore CatalystforUrbanRegeneration By2030,1billionmorepeoplewillbelivinginurbanareasthanin2020.Whilerapidurbanisationposesachallengefortheoperationalcapacityandefficiencyofhealthcareandcitysystems,theopportunitiesitprovidestoembedhealthandwellbeingintonewurbandevelopmentsaretwo-fold.Better-designedbuildings,spacesandplacescanimproveresidenthealthandwellbeingandoverallqualityoflife.Atthesametime,hospitalsandhealthcarefacilitiescansupportthelong-termeconomicgrowthandsocialcohesionoflocalcommunities. Readmore DiffusingtheMonolith Inafuturewhenhealthcaresystemsincitieswillbecharacterisedbytheneedtoprovideon-demand,hightech,high-touch,bespokeandpreventiveservices,theroleofthebuiltenvironmentanditsbuildingswillbemoreimportantthanever.The‘monolithic’physicalformofconventionalhospitalswillneedtoadapttoanincreasinglyhealth-awarepopulation,andanurbancontextwheretraditionalboundariesbetweenmodes andactivities,publicandprivate,andinsideandoutside arenolongerfixed.Atthesametime,theywillneedtoremainequippedtorespondrapidlyandlocallytohealthcrises. Readmore BehindtheScenes Theoperationoffuturehealthcaresystemswillinevitablybecomemorecomplex,drivenbythedemandsofpersonalisedmedicine,greaternumbersoftouchpoints–bothon-andoff-line–climatechange-drivenenvironmentalextremes,andglobalhealthcrisesthatwillmakesafe,accessibleandconsistentservicesmorechallenging.Thehumananddigitalsystems thatunderpinhealthcaresystems’performancewillevolvetodeliverimprovedaccessandoutcomeswhilethecapacitytorespondtosuddendemandwillsurge,enabledbyadvancesinlogistics,resilientinfrastructure,automationandcommunicationtechnologies. Readmore INTRODUCTION PREVENTIVE ANYTIME, HIGHTECH, BESPOKE CATALYSTFORURBAN DIFFUSINGTHE BEHINDTHE CONCLUSION ANYWHERE HIGHTOUCH FORALL REGENERATION MONOLITH SCENES Foreword DAVEPITMAN Director,UKIMEAHealthcareBusinessLeader,Arup Healthcareaffectsusall.Formany, theeventsof2020havemadethethreatandconsequencesofillhealthmoreapparentthanever;forothersithasunderlinedtheimportanceofstayinghealthy,andthesupportnetworksweallneedtodothis. PandemicslikeCOVID-19arepartofthenewnormal,acceleratingachangingapproachtohealthcarethataccountsforthewiderdeterminantsofhealthandfollowsamorepreventivemodel.Thebreadthof challengesweface–whetheradequatenutrition,antimicrobialresistance ortheeffectsofclimatechange–isdaunting,andchangewilltaketime,investmentandcoordinatedeffort. Yetphilosophicallyandfinancially therecanbenogoingback. Thisreportconsidersthelong-termfutureofhealthcareasacollaborative,multi-disciplinaryendeavour–onethatextendsfarbeyondphysicalhealthcareassetstoincludetransportnetworks,publicspaces,residentialandcommercialdesign,urbanplanningandmore.Ourresearchfocuseson thebuiltenvironment,butconsidersabroadersetofdrivers,trendsandinnovationsthatcouldsupportmoreefficient,effectiveandinclusivehealthcaresystems. RecentArupprojectsindicatethisemergingapproach,andthepace ofinnovation.Theseincludepatient-centredenvironmentsattheAlfredHospitalIntensiveCareUnit,Melbourne;guidelinesfor‘plug-in’modularhospitalcapacity,developedbyourteaminDublin;andourworkwithMatternettocreateaneffectivedronelogisticssystemforhealthcarefacilities. Ourenvironmentalprojects,whetherprovidingnewrenewableenergyorwatertreatm