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Reinventing Europe Through InnovationDiogo VasconcelosDistinguished FellowCisco International
Innovação e SaúdeLisboa, 28 Janeiro 2009
1st Priority: Stabilise Financial System
Banksy, Primrose Hill, London
2nd Priority: Stimulate Demand
Banksy, West Bank, Palestine
Now: Assure Sustainable Growth
“A Crisis is a Terrible Thing to Waste.”
Social Challenges
• Economic growth
• Fighting unemployment
• Climate change
• Ageing population
• Social exclusion
• Public sector innovation
• Recovery from the crisis together with social and environmental challenges.
• Need to build sustainable recovery: solve social challenges, cut costs and create jobs.
• “Empowering people in inclusive societies” as one of the key main drivers of EU 2020.
Time for a renewed Lisbon Strategy: Europe 2020
http://www.ec.europa.eu/eu2020
Greater Emphasis on the Social…in Research and Technology• European TechnolEuropean Research Area (ERA): is firmly rooted in society and responsive to its needs and ambitions in pursuit of sustainable development
• European Technology Platforms (ETPs) : endorse the ‘Lund Declaration’ which calls on the European Institutions and Member States to focus European research on the major social and environmental challenges facing our world.
Companies now “realize that global challenges such as climate change, the supply of clean water, epidemics and social needs constitute a huge new market. ‘Corporate social innovation’may be an important new business area for private companies and a core driver of innovation.”
The New Nature of Innovation, FORA et al – a report for the OECD
Greater emphasis on the social…. in business
What are the big growth areas?
•Lead Market Initiative in Europe: eHealth, sustainable construction, renewable energies, recycling, protective textiles, bio‐based products.
•Largest growing sectors ‐ health, care , environmentally sustainable products and services. Will prove to be an important source of jobs over the next few decades.
Challenges are also Opportunities
“Growth, sustainable public finances, tackling climate change, social inclusion, a strengthened industrial base and a vibrant services sector are not alternatives. We need new sources of growth to replace the jobs lost in the crisis”
Jose Manuel Barroso
President of the European CommissionEU 2020 ConsultationDecember 2009
Jospeh A. ShumpeterBorn in February 8, 1883, Austria
Died in Connecticut on January 8, 1950
John Maynard Keynes Born in 1883, Cambridge, England
Died in England on 1946
“We propose a broader sense of innovation (from business to social innovation). EU innovation should be based around compelling social challenges such as chronic disease and other implications of our ageing society; inter‐culturalism and hyper‐diversity; climate change; environmental protection”
Business Panel Future EU Innovation Policy, Oct 2009
A New Approach to Innovation
http://ec.europa.eu/enterprise/policies/innovation/files/panel_report_en.pdf
1. Broaden the concept of innovation
2. Invest in future infrastructure
3. Innovative financing models
4. Speed and synchronisation
5. New places for new types of collaboration
Because of the demographic and lifestyle changes, chronic conditions will be the leading cause of disability by 2020
The biggest healthcare challenge facing all developed countries is that of delivering care to older people and those with chronic conditions
The number of care professionals will decrease so there will be increasing demand for care yet less resource to deliver it
To accommodate these changes will have to make greater use of technology; deliver care closer to, and sometimes in, the home; and make increasing use of people’s capacity to care for themselves whilst offering them appropriate support
Trends in Society
Much more Information. Feedback intensive. Empower. Public and Patient expectations. Self management.
Trends in Healthand Social Care
• 19th / 20th C solutions for 21st C challenges
• Geared to treating acute illness
• Professionally delivered ‐ clinicians and managers in charge
• Limited involvement of the individual
• Reactive – treating illness
rather than promoting wellness
• Institutionalized
Health is what hospitals and doctors deliver...
“The front line of health care is not in hospitals nor even general practice waiting rooms, but in people's living rooms and kitchens, supermarkets and restaurants, gyms and parks”
Do for...
Do to...
Do with...
Do by...
Charles Leadbeater
New Trends in Care
Knowledge and learning
from experts to people
The TO World
Authority top down, centralised
Politics that speaks for you
Organisations as hierarchies
Services that deliver for & to you
Value created by transaction
The WITH World
Knowledge and learning co‐created, ProAm
Organisations as networks, partnerships
Authority earned peer to peer, distributed
Solutions that co‐produced, negotiated
Politics is your voice in conversation and argument
Value created through interaction
Generating capabilities/building on assets
http://www.nhs.uk/Conditions/Expert‐patients‐programme‐/Pages/Introduction.aspx
Help Patients Take Control of Their Lives
http://www.nhs.uk/LiveWell
Choice information. On‐demand expertise
Promoting Healthy Living Advice
http://www.patientopinion.org/
Sharing Experiences, Rating Services
www.in‐control.org.uk
Participative Public Services
http://tyze.com
Platforms That Mobilize Resources
The online support group can provide the benefits of social support traditionally conveyed face‐to‐face without conventional limitations of material resources, proximity and temporality
Not only information and advice but also emotional support and companionship among strangers
User Generated Health Care
The Future in Integrated Care
Hybrid professional rolesPersonalisationPatient‐centeredChoiceMaintenance careResilienceProactive
Very strong systems in pharma, medical, biotech
Much more sporadic in service innovation
Sporadic on interface of services, technology, users etc – which is likely to be key space for innovation and new model
History of Health Innovation
Health Launchpad provides funding and long term practical support from the germination of an idea through the pilot stage and finally to the delivery and scaled up application of the service
New Spaces for New Collaborations
New Funding Mechanisms
Social impact bondsInnovation ProcurementCommissioned base outcomesSocial Innovation funds
Proposal: 1% budget for open innovation funds
Remote Care
James Ferguson, Clinical Lead, The Scottish Centre for Telehealth
Remote CareHôpital Européen Georges Pompidou et Hôpital Gériatrique Vaugirard
En 4 mois, 152 patients ont bénéficié de 192 sessions cliniques. L’âge moyen des patients est 85.7 ans. Les 192 sessions de Télémédecine ont concerné seize spécialités. L’orthopédie est la spécialité la mieux représentée (38%), dermatologie (16%), lcardiologie (7%) et médecine vasculaire (7%). Dr Pierre Espinoza – HEGP Télémédecine Janvier 2010
Cinco Revoluções Tecnológicas
Idade do Vapor, Carvão, Ferro e caminhos de Ferro 182918291829
Idade do Aço e da Engenharia Pessada (quimica, civil e naval)187518751875
Idade do Automóvel, Oléo, Petroquimicas e Produção em Massa 190819081908
Revolução Industrial (máquinas, fábricas e canais) 177117711771
Idade da Tecnologia da Informaçao e Telecomunicações197119711971
Idade da Biotecnologia, Nanotecnologia e novos materiais?200?200?200?
Source: Carlota Perez, “Technological Revolutions and Financial Capital” [Elgar 2002]
Aprender o novo, desaprender o velho
Uma grande experimentação mercado
Termina com um crash Bolsa
INSTALAÇÃO
Source: Carlota Perez, “Technological Revolutions and Financial Capital” [Elgar 2002]
Aplicar novo paradigma para inovar em todos
os sectores e para espalhar
beneficios sociais
DESENVOLVIMENTO
HOJEHOJE
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http://tv.apdc.pt
Conclusion: Time to Fix the Future
“…you’d better startswimmingor you’ll sink like astonefor the times they area changing…”
Bob Dylan
[email protected]@apdc.pt
Obrigado