The Future of Hospitals in Amsterdam in 2020

MBA09 team:
Peter Hoppesteyn
Roel Kock
Piotr Ptasinski
Miranda Tjiang
Marjoleine van der Zwan

"Work under construction. In case you have any questions, additions or comments, please do not edit these pages, but you are more than welcome to contact us.'

Scenarios:

UNDER CONSTRUCTION BY ** roel **
I like the coaching session, and think you have a good command of the topic. The key challenge is now going to take the stories we talked about (and others) and put them together in NEW and interesting ways. Look at which stories you think fit well together and build the scenarios from that.
Good Luck - D

1. Too much prevention
It is 2020 and we are living in Amsterdam. The number of people living in the capital of The Netherlands stabalised at around 750.000 many years ago. However, due to globalisation, the atractiveness of the city to foreigners, and relative high number of children per person of the allochtonous population compared to the number of children of the autochtonous population there is an increadible number of nationalities living on a relative small area. Therefore, the city is vulberable for pandemies. In 2015 the Bengalese flue had a major impact on the citizens (and the economy) of Amsterdam. When the pandemy peaked, more than one-third of the citizens of Amsterdam were sick. As a reaction to this disaster, people in Amsterdam started to focus on prevention of deseases. This resulted in beter public health, because people spend more time in sports schools than ever and healthy food is readily available. The last McDonalds in Amsterdam closed its doors one year ago! A drawback of this focus on prevention of deseases is that it is observed that human resistance to deseases significantly reduces. In the past people got a 'cold' or a flue every few years. Most people kept working or stayed at home for a couple of days. People recovered quite quickly. Nowadays, in general people have not been ill for a long time, but when the get a flue the need extra care and many times they end up in hospitals. In fact, the vulnerabiluty of the citizens of Amsterdam for a new pandemy is extremely high. Currently the Dutch government is investigating how to deal with this new threat.

2. Abandoning collective base insurance
Demand for health care decrease, but complexity of the care increases. The poor are not insured and do not go to hospitals unless absolutely unavoidable.

3. Lifestyle "the health community system"
Keywords: - Mind, body and soul - Experience - Gym, yoga exercise more, coach, facial, psychiatrist - Role of insurance - Incentive if you life your life “GOOD” - Role pharmacy - Biological food, healthy recepies - FCG supplier - Prevention - Tailormade - Healthcenter - Knowledge of food (yellow carrot of India) - How to get there is easy with public transport or own car - Allignment, better communication with specialists that also are more centralised and consolidated their power - More accessible - Shops/Branding (Nike, Healthy food) - Doctors (1e lijns) - Dentists - Chip, with personal file

Story In the beginning of the 20th century people living in each other neighbourhood were most of the time closely related. And when people needed care there was always a family member or neighbour around. In those days the neighbourhood was a close community. Nowadays people do not even know one another in their neighbourhood. People live their live very individualistic and communities are fragmented and more established by activities or events e.g. a gym, mall, etc. Still the need of care is increasing especially because people are getting older. Above that the multicultural differences can add to further fragmentation. A community that can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background. Purpose The HCC will take care of the mind, body and soul of all her members in the following way: to prevent, to inform, to advise and to guide along in the process from birth till death Organised There are no real hospitals anymore. Health care is organised differently: The health community knows your profile, knows what is good for your mind, body and soul. If you are a member of Amsterdam you are a member of the HCC. The community provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. There are no specialists working but 1e line doctors. Specialists are consolidated in their own centres. If something is not going well the HCC will take care of you and advise which process(es) are needed and have to take place and will make all the arrangements with the specialists that have their own centres. Financed The HCC is financed by the government, insurance and citizens of Amsterdam. If you are a citizen of Amsterdam you are a member and you need to pay to use the basic services. Other services and products are optional you can pay them yourself or via your insurance. Those shops/stores that supply the variable goods and services have to pay rent.

4. Solidarity within families
Shift from individualism to collectivism in Amsterdam

Research Questions:

To be added

Driving forces:

• Innovation in health care
• Accessibility of hospitals in Amsterdam
• Biometrics
• Aging population
• Low cost of internet connections
• Continuously growing demand for new medical applications
• Consumer health informatics in the information age
• Emergence of new Technology Related Diseases
• Increasing empowerment of consumers
• Increasing Neglect of the Elderly
• Medicine
• Religion
• Segmentation
• Number of people in Amsterdam
• Number of visitors in Amsterdam