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David Aylward
Wellbeing: A Systems Approach.
Sickcare Falls Far Short
Photo: Sunita Bai sharing knowledge of soya & wheat, Rajasthan
Critical Trends
▪ Infectious disease and trauma shifting to chronic
illness, indeed MCC, and trauma
▪ Personal behavior and environment become key
drivers
▪ Ubiquity of mobile IT, mobile diagnostics, big data
▪ Truth: specialist and acute care are very expensive
▪ Truth: investments upstream of acute care save $
and suffering
Person-Centered Vitalness: 4 Key Sources
Health
Food Systems
Community
Environ-ment
Person Family
Water
Sanitation
Air
Institutions and professionals
Frontline/information
Education
Workplace
Security
Nutrition
Agriculture
Takeaways
• Develop new metrics for well being
• Pay for wellbeing outcomes
• Emphasize and reward person/patient engagement
• Shift health investment upstream where there is far greater return
• Empower patients and frontline, less skilled providers
• Create coalitions for wellbeing: don’t expect medical professionals to deliver it
• Architect IT system underlying the complex system required to create well being – not the system to produce profits