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Healthcare Ecosystems FUTURE OF Healthcare Ecosystems Preventive Anytime, Anywhere High Tech and High Touch Bespoke for All Catalyst for Urban Regneration Diffusing the Monolith Behind the Scenes FUTURE OF Preventive Anytime, Anywhere High Tech, High Touch The scope of healthcare services looks likely to Technology is transforming the ways in which As healthcare becomes embedded into almost every shift to a more preventive model that accounts for healthcare professionals provide their services Healthcare aspect of our lives, technology will continue to the wider determinants of health. This change is and how patients access them. Rapid advances in drive increased convenience and better outcomes. driven by a rise in chronic illness, environmental mobile as well as wearable and hearable technology, Physical and emotional needs remain as strong as risk factors, personalised approaches to life-long the increased emphasis on operational and cost Ecosystems ever, so digital advances will need to be met with health and economic pressures. New approaches efficiency, shifts in behaviour and lifestyle patterns, increasingly inclusive and human-centred solutions to healthcare will seek to achieve health by or and changing business models are redefining when, and experiences. through design, with a greater emphasis on mental where and how healthcare services are delivered health and wellbeing, a balance of physical and and accessed. digital solutions and better understanding of the role of green urban spaces. Read more Read more Read more Bespoke for All Catalyst for Urban Diffusing the Monolith Behind the Scenes Regeneration Improved access to both physical and digital In a future when healthcare systems in cities will be The operation of future healthcare systems will information and a better understanding of individual By 2030, 1 billion more people will be living in urban characterised by the need to provide on-demand, high inevitably become more complex, driven by the health needs means that the days of ‘one-size-fits- areas than in 2020 . While rapid urbanisation poses a tech, high-touch, bespoke and preventive services, the demands of personalised medicine, greater numbers of all’ healthcare solutions are over. Revolutionary challenge for the operational capacity and efficiency role of the built environment and its buildings will be touchpoints – both on- and off-line – climate change- new medical approaches and a greater appreciation of healthcare and city systems, the opportunities it more important than ever. The ‘monolithic’ physical driven environmental extremes, and global health crises of demographic and cultural needs are supporting provides to embed health and wellbeing into new form of conventional hospitals will need to adapt to that will make safe, accessible and consistent services the delivery of bespoke solutions. At the same time, urban developments are two-fold. Better-designed an increasingly health-aware population, and an urban more challenging. The human and digital systems tailored services in intelligent, adaptable spaces buildings, spaces and places can improve resident context where traditional boundaries between modes that underpin healthcare systems’ performance will have the potential to deliver better outcomes whilst health and wellbeing and overall quality of life. At and activities, public and private, and inside and outside evolve to deliver improved access and outcomes while reducing costs. the same time, hospitals and healthcare facilities can are no longer fixed. At the same time, they will need the capacity to respond to sudden demand will surge, support the long-term economic growth and social to remain equipped to respond rapidly and locally to enabled by advances in logistics, resilient infrastructure, cohesion of local communities. health crises. automation and communication technologies. Read more Read more Read more Read more INTRODUCTION PREVENTIVE ANYTIME, HIGH TECH, BESPOKE CATALYST FOR URBAN DIFFUSING THE BEHIND THE CONCLUSION ANYWHERE HIGH TOUCH FOR ALL REGENERATION MONOLITH SCENES Healthcare affects us all. For many, This report considers the long-term Our environmental projects, whether Foreword the events of 2020 have made the threat future of healthcare as a collaborative, providing new renewable energy or and consequences of ill health more multi-disciplinary endeavour – one that water treatment systems, also reflect our apparent than ever; for others it has extends far beyond physical healthcare commitment to the UNSDGs and the underlined the importance of staying assets to include transport networks, unequivocal link between planetary and healthy, and the support networks we public spaces, residential and human health. all need to do this. commercial design, urban planning and more. Our research focuses on With its global outlook, we hope this Pandemics like COVID-19 are part the built environment, but considers report illustrates the potential for of the new normal, accelerating a a broader set of drivers, trends and inclusive, sustainable and efficient changing approach to healthcare that innovations that could support more healthcare across multiple contexts, accounts for the wider determinants efficient, effective and inclusive and the opportunities within our grasp. of health and follows a more healthcare systems. It is intended for developers, architects preventive model. The breadth of and designers as much as policymakers challenges we face – whether adequate Recent Arup projects indicate this and healthcare providers, managers and nutrition, antimicrobial resistance emerging approach, and the pace operators – indeed, anyone with a stake or the effects of climate change – is of innovation. These include patient- in the future of healthcare. daunting, and change will take time, centred environments at the Alfred investment and coordinated effort. Hospital Intensive Care Unit, Yet philosophically and financially Melbourne; guidelines for ‘plug- in’ there can be no going back. modular hospital capacity, developed by our team in Dublin; and our work with Matternet to create an effective drone logistics system for healthcare facilities. MAGGIE’S CENTRE Leeds, UK This recovery centre offers a calm space for cancer patients and visitors. Natural DAVE PITMAN materials, bespoke amenities and plants Director, UKIMEA Healthcare embedded into the structure create a Business Leader, Arup respite from clinical spaces. Click to read ©Hufton+Crow more on Arup Inspire. 3 INTRODUCTION PREVENTIVE ANYTIME, HIGH TECH, BESPOKE CATALYST FOR URBAN DIFFUSING THE BEHIND THE CONCLUSION ANYWHERE HIGH TOUCH FOR ALL REGENERATION MONOLITH SCENES The first half of 2020 showed in stark healthcare environments can positively The graphics in this report aim to convey Introduction terms the direct relationship between contribute to local people’s physical and some key themes within the future human health and human settlements, mental health and wellbeing, as well as of healthcare. Blue was chosen for its TYPOLOGIES OF HEALTHCARE and the defining influence of different galvanising economic and social benefits. SETTINGS AND THEIR INTERACTION associations with trust and stability, economic, social and political contexts. WITH THE URBAN CONTEXT key ingredients for healthcare in a Our understanding of health and Addressing innovation, it explores how digital age. This becomes gradually lighter wellbeing has evolved significantly as a convenience, cost and efficiency pressures chapter by chapter, indicating result, along with our expectations of are driving greater digital adoption – the future decentralisation and diffusion healthcare systems. including Artificial Intelligence (AI), of healthcare. telemedicine and wearables – at the same Healthcare systems globally were under time as strategies that account for and Each chapter is represented by a simple growing pressure to change and innovate engage human emotions and senses. abstract gif using universal shapes and even before the COVID-19 pandemic. It also considers the potential for services a sound effect, intended to immediately In many countries affordability of and spaces to engage with the needs convey the chapter’s focus. Lastly, the healthcare services in relation to national of different demographics and use of linework suggests the increasingly healthcare spending, ageing populations, cultural groups. DIY and self-made nature of healthcare, and a rise in lifestyle-related and chronic a deliberate move away from polished diseases have forced a rethink about how Future of Healthcare Ecosystems impersonal-style renders or vector graphics. and where healthcare services addresses these themes across seven are delivered. This is set against a chapters, exploring a variety of scales backdrop of global urbanisation and from the urban to the individual. The climate change, as well as the pursuit of report ends with a focus on the outlook social value and inclusive growth. for systems that underpin the smooth operation of healthcare environments, DIAGRAM Future of Healthcare Ecosystems before concluding with the overarching Typologies of healthcare settings explores the trends, drivers and contexts implications of the research. Each section and their interaction with the shaping the future of healthcare, and the contains best practice case studies and a urban context innovations affecting change. Fundamental plausible vision for the future. to this is a shift towards preventive Hospital buildings are moving from an models, and a philosophy that accounts for Planning, designing
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