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Agenda	
  
•    Inleiding,	
  doel	
  en	
  voorstellingsronde	
  
•    Presenta2e	
  
•    Discussie	
  
•    Vervolgac2es	
  
Care,	
  Society	
  and	
  Technology	
  

            We	
  shape	
  our	
  tools,	
  
   and	
  therea0er	
  our	
  tools	
  shape	
  us	
  
                                         McLuhan	
  
Agenda	
  
•    Change	
  in	
  society	
  
•    Impact	
  on	
  care,	
  challenges	
  
•    Digital	
  reali2es	
  
•    The	
  future	
  of	
  care,	
  solu2ons	
  
From	
  1900	
  	
  to	
  now	
  

CHANGES	
  IN	
  SOCIETY	
  
Village	
  
Religion	
  
Community	
  
Changes	
  in	
  my	
  parents	
  life2me	
  
•  Families	
  got	
  dispersed	
  
Changes	
  in	
  my	
  fathers	
  life2me	
  
•  Families	
  got	
  dispersed	
  

	
  
Changes	
  in	
  my	
  fathers	
  life2me	
  
•  Families	
  got	
  dispersed	
  

•  Increase	
  of	
  wealth	
  
Changes	
  in	
  my	
  fathers	
  life2me	
  
•  Families	
  got	
  dispersed	
  

•  Increase	
  of	
  wealth	
  

•  Welfare	
  state	
  &	
  pensions	
  
Changes	
  in	
  my	
  fathers	
  life2me	
  
•  Families	
  got	
  dispersed	
  

•  Increase	
  of	
  wealth	
  

•  Welfare	
  state	
  

•  Anonymity	
  in	
  ci2es	
  
Changes	
  in	
  my	
  fathers	
  life2me	
  
•  Families	
  got	
  dispersed	
  

•  Increase	
  of	
  wealth	
  

•  Welfare	
  state	
  

•  Anonymity	
  in	
  ci2es	
  
     	
  
•  Loss	
  of	
  public	
  live	
  
Limitless	
  possibili2es	
  
More	
  communica2on,	
  less	
  contact	
  
In	
  search	
  of	
  shared	
  feelings	
  
Ageing	
  society	
  
Do	
  we	
  care?	
  

IMPACT	
  ON	
  CARE	
  
AWBZ*	
  
•  New	
  law	
  approved	
  1968	
  

•  Care	
  is	
  ins2tu2onalized	
  
   –  People	
  feel	
  en2tled	
  to	
  care	
  
   –  Children	
  feel	
  no	
  obliga2on	
  


•  Care	
  is	
  professionalized	
  
   –  Explosion	
  of	
  costs	
  
                                          *	
  Algemene	
  Wet	
  Bijzondere	
  Ziektekosten	
  
Home	
  for	
  the	
  elderly	
  
AWBZ	
  
•  Great	
  inten2ons	
  
    –  Independent	
  living,	
  not	
  dependent	
  on	
  charity	
  
    –  Product	
  of	
  a	
  social	
  and	
  civilized	
  society…	
  


•  Side	
  effects	
  
    –  Dependancy	
  on	
  professionals,	
  less	
  personal	
  
    –  Explosion	
  of	
  costs	
  
Growth	
  AWBZ	
  
The	
  (near)	
  future	
  
2025
- 40% more demand
- 20% less labor capacity


                                              s	
  
                                   	
  service
                    	
  of 	
  care
             Need
                                                      the
                                                      care
                                                      gap	

            Peop
                 le	
     deliv
                               ering
                                    	
  care
                                            	
  
Twice	
  the	
  workload	
  in	
  2025	
  
The	
  double	
  helix	
  of	
  digital	
  and	
  physical	
  reali2es	
  

DIGITAL	
  REALITIES	
  
Mixed	
  reali2es	
  
                        Physical	
  and	
  Digital	
  
Digital	
  
space	
  
Digital
 Pub	
  
750million	
  Digital	
  Friends	
  
751million	
  Digital	
  Friends	
  
752	
  million	
  Digital	
  Friends	
  
753	
  million	
  Digital	
  Friends	
  
754	
  million	
  Digital	
  Friends	
  
755	
  million	
  Digital	
  Friends	
  
Digital	
  marketplace	
  
Digital	
  search	
  
Digital	
  hardware	
  
The	
  
Digital	
  
world	
  is	
  
just	
  as	
  
real	
  as	
  
the	
  
physical	
  
world	
           “Finally	
  a	
  Harvester	
  to	
  go	
  with	
  my	
  Tractor	
  on	
  Farmville.	
  
                  The	
  only	
  problem	
  I	
  see	
  with	
  the	
  Harvester	
  is	
  that	
  it	
  is	
  
                  using	
  the	
  same	
  gas	
  that	
  you	
  use	
  for	
  your	
  Tractor.”	
  
                  	
  
Farmville	
  is	
  valued	
  at	
  25	
  Billion	
  dollar.	
  
	
  
Their	
  business	
  model	
  is	
  selling:	
  
	
  
	
  
	
  
	
  
  Digital	
  	
  
  “farming	
  Equipment”	
  …	
  
Neelie	
  Kroes	
  
  ICT	
  radically	
  alters	
  how	
  people	
  
    inhabit	
  the	
  world,	
  how	
  they	
  
 interact,	
  how	
  they	
  perceive	
  the	
  
 world	
  around	
  them:	
  indeed,	
  it	
  is	
  
changing	
  what	
  it	
  is	
  to	
  be	
  a	
  human	
  
            being	
  in	
  society.	
  
Neelie	
  Kroes	
  
    ICT	
  radically	
  alters	
  how	
  people	
  
      inhabit	
  the	
  world,	
  how	
  they	
  
   interact,	
  how	
  they	
  perceive	
  the	
  
   world	
  around	
  them:	
  indeed,	
  it	
  is	
  
  changing	
  what	
  it	
  is	
  to	
  be	
  a	
  human	
  
              being	
  in	
  society.	
  
hDp://www.europa-­‐nu.nl/id/viskg1vdzwxf/nieuws/toespraak_eurocommissaris_kroes_over?ctx=vig9egsodqzy	
  
Sherry	
  Turkle	
  
Immersion?	
  
Social?	
  
Communica2on?	
  
Dependance	
     In-­‐dependence	
  
Digital	
  contacts	
  
•    Ofen	
  “free”	
  
•    Low	
  threshold	
  to	
  leave	
  
•    Liile	
  investment	
  
•    Huge	
  choice	
  
•    “Poor”	
  
Physical	
  contacts	
  
•    Time	
  consuming	
  
•    High	
  threshold	
  to	
  leave	
  
•    High	
  investment	
  
•    Limited	
  choice	
  
•    Physical	
  presence	
  
•    “Rich”	
  
Best	
  of	
  both	
  worlds	
  
•  Mixture	
  of	
  digital	
  and	
  physical	
  

•  Ease	
  of	
  star2ng	
  digital	
  

•  Deepening	
  through	
  physical	
  contact	
  

•  Efficiency	
  and	
  real	
  connec2on	
  
Urban	
  Photo	
  collec2ve	
  
Society	
  3.0	
  
•  Reduc2on	
  of	
  fric2on	
  and	
  transac2on	
  costs	
  

•  Social	
  technologies	
  to	
  enhance	
  physical	
  
   contacts	
  

•  Mutual	
  dependencies	
  

•  Conversa2on	
  and	
  contact	
  
THE	
  FUTURE	
  OF	
  CARE	
  
Shared	
  space	
  
Physical	
  shared	
  space	
  
Digital	
  shared	
  space	
  
Shared	
  interest	
  
Hybrid	
  care	
  
Paro	
  
AIBO	
  
The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.
The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.
From	
  
Ins2tu2on	
  centric	
  
        	
  
       To	
  
        	
  
  People	
  centric	
  
67	
  
We	
  choose	
  to	
  go	
  to	
  the	
  moon.	
  We	
  choose	
  to	
  go	
  to	
  
the	
  moon	
  in	
  this	
  decade	
  and	
  do	
  the	
  other	
  things,	
  
not	
  because	
  they	
  are	
  easy,	
  but	
  because	
  they	
  are	
  
hard,	
  because	
  that	
  goal	
  will	
  serve	
  to	
  organize	
  and	
  
measure	
  the	
  best	
  of	
  our	
  energies	
  and	
  skills,	
  
because	
  that	
  challenge	
  is	
  one	
  that	
  we	
  are	
  willing	
  to	
  
accept,	
  one	
  we	
  are	
  unwilling	
  to	
  postpone,	
  and	
  one	
  
which	
  we	
  intend	
  to	
  win,	
  and	
  the	
  others,	
  too.	
  
                                                                                     	
  
                      hDp://er.jsc.nasa.gov/seh/ricetalk.htm	
  
                                           68	
  
69	
  
Zorg	
  en	
  ICT	
  Healthlab	
  
Metropole	
  regio	
  Amsterdam	
     70	
  
(www.health-­‐lab.nl)	
  
2025	




                                                       2020	



                                                       2015	


                                                       2013	

Organisatie	

   Regelgeving	

 Technologie	

 Onderwijs
Skype-­‐les	
  
Hulkesteijn	
  
Tablets
eHealth	
  

         Van	
  	
  
 e(lectronic)	
  Health	
  
        Naar	
  
e(mpowered)	
  Health	
  
EDBA	
  
•  Man	
  on	
  the	
  Moon	
  
    –  Wat	
  is	
  nu	
  een	
  zeer	
  ambi2euze	
  doelstelling	
  voor	
  2025	
  
•  Roadmap	
  
    –  Doelstellingen	
  voor	
  2013,	
  2015	
  en	
  2020	
  
    –  (Raket	
  buiten	
  dampkring,	
  rondje	
  aarde,	
  onbemande	
  
       vlucht)	
  
•  Volgorde	
  
    –  Gemeente	
  en	
  zorginstellingen	
  (wat	
  moet	
  bereikt	
  worden)	
  
    –  Daarna	
  betrekken	
  bedrijven	
  (hoe	
  gaan	
  we	
  het	
  realiseren)	
  
    –  Technologie,	
  Organisa2e,	
  Regelgeving,	
  Onderwijs	
  


                                             79	
  
Mijn	
  doelstelling	
  

               In	
  2025	
  is	
  
  iedere	
  Amsterdammer	
  	
  
in	
  staat	
  om	
  zelf	
  de	
  regie	
  te	
  
  voeren	
  zijn	
  of	
  haar	
  zorg	
  
•    Hybride	
  
•    Van	
  ins2tuut	
  naar	
  consument	
  
•    Social	
  Media	
  
•    (Electronische)	
  hulpmiddelen	
  /	
  ICT	
  
•    Nieuwe	
  verbindingen	
  lokaal	
  
Aardige	
  Amsterdammers	
  
Thank	
  you!	
  

             We	
  shape	
  our	
  care	
  
  And	
  thereafer	
  our	
  care	
  shapes	
  us	
  …	
  


                        Mar2jn	
  Kriens	
  
Mar2jn.kriens@icrowds.net,	
  twiier:	
  mar2jnkriens,	
  www.icrowds.net	
  

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Zorg, ICT en de Maan

  • 1. Agenda   •  Inleiding,  doel  en  voorstellingsronde   •  Presenta2e   •  Discussie   •  Vervolgac2es  
  • 2. Care,  Society  and  Technology   We  shape  our  tools,   and  therea0er  our  tools  shape  us   McLuhan  
  • 3. Agenda   •  Change  in  society   •  Impact  on  care,  challenges   •  Digital  reali2es   •  The  future  of  care,  solu2ons  
  • 4. From  1900    to  now   CHANGES  IN  SOCIETY  
  • 5.
  • 9.
  • 10. Changes  in  my  parents  life2me   •  Families  got  dispersed  
  • 11. Changes  in  my  fathers  life2me   •  Families  got  dispersed    
  • 12. Changes  in  my  fathers  life2me   •  Families  got  dispersed   •  Increase  of  wealth  
  • 13. Changes  in  my  fathers  life2me   •  Families  got  dispersed   •  Increase  of  wealth   •  Welfare  state  &  pensions  
  • 14. Changes  in  my  fathers  life2me   •  Families  got  dispersed   •  Increase  of  wealth   •  Welfare  state   •  Anonymity  in  ci2es  
  • 15. Changes  in  my  fathers  life2me   •  Families  got  dispersed   •  Increase  of  wealth   •  Welfare  state   •  Anonymity  in  ci2es     •  Loss  of  public  live  
  • 18. In  search  of  shared  feelings  
  • 20. Do  we  care?   IMPACT  ON  CARE  
  • 21. AWBZ*   •  New  law  approved  1968   •  Care  is  ins2tu2onalized   –  People  feel  en2tled  to  care   –  Children  feel  no  obliga2on   •  Care  is  professionalized   –  Explosion  of  costs   *  Algemene  Wet  Bijzondere  Ziektekosten  
  • 22. Home  for  the  elderly  
  • 23. AWBZ   •  Great  inten2ons   –  Independent  living,  not  dependent  on  charity   –  Product  of  a  social  and  civilized  society…   •  Side  effects   –  Dependancy  on  professionals,  less  personal   –  Explosion  of  costs  
  • 25. The  (near)  future   2025 - 40% more demand - 20% less labor capacity s    service  of  care Need the care gap Peop le   deliv ering  care  
  • 26. Twice  the  workload  in  2025  
  • 27.
  • 28. The  double  helix  of  digital  and  physical  reali2es   DIGITAL  REALITIES  
  • 29. Mixed  reali2es   Physical  and  Digital  
  • 34. 752  million  Digital  Friends  
  • 35. 753  million  Digital  Friends  
  • 36. 754  million  Digital  Friends  
  • 37. 755  million  Digital  Friends  
  • 41. The   Digital   world  is   just  as   real  as   the   physical   world   “Finally  a  Harvester  to  go  with  my  Tractor  on  Farmville.   The  only  problem  I  see  with  the  Harvester  is  that  it  is   using  the  same  gas  that  you  use  for  your  Tractor.”    
  • 42. Farmville  is  valued  at  25  Billion  dollar.     Their  business  model  is  selling:           Digital     “farming  Equipment”  …  
  • 43. Neelie  Kroes   ICT  radically  alters  how  people   inhabit  the  world,  how  they   interact,  how  they  perceive  the   world  around  them:  indeed,  it  is   changing  what  it  is  to  be  a  human   being  in  society.  
  • 44. Neelie  Kroes   ICT  radically  alters  how  people   inhabit  the  world,  how  they   interact,  how  they  perceive  the   world  around  them:  indeed,  it  is   changing  what  it  is  to  be  a  human   being  in  society.   hDp://www.europa-­‐nu.nl/id/viskg1vdzwxf/nieuws/toespraak_eurocommissaris_kroes_over?ctx=vig9egsodqzy  
  • 49. Dependance   In-­‐dependence  
  • 50. Digital  contacts   •  Ofen  “free”   •  Low  threshold  to  leave   •  Liile  investment   •  Huge  choice   •  “Poor”  
  • 51. Physical  contacts   •  Time  consuming   •  High  threshold  to  leave   •  High  investment   •  Limited  choice   •  Physical  presence   •  “Rich”  
  • 52. Best  of  both  worlds   •  Mixture  of  digital  and  physical   •  Ease  of  star2ng  digital   •  Deepening  through  physical  contact   •  Efficiency  and  real  connec2on  
  • 54.
  • 55. Society  3.0   •  Reduc2on  of  fric2on  and  transac2on  costs   •  Social  technologies  to  enhance  physical   contacts   •  Mutual  dependencies   •  Conversa2on  and  contact  
  • 56. THE  FUTURE  OF  CARE  
  • 63. AIBO   The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.
  • 64. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.
  • 65. From   Ins2tu2on  centric     To     People  centric  
  • 66.
  • 67. 67  
  • 68. We  choose  to  go  to  the  moon.  We  choose  to  go  to   the  moon  in  this  decade  and  do  the  other  things,   not  because  they  are  easy,  but  because  they  are   hard,  because  that  goal  will  serve  to  organize  and   measure  the  best  of  our  energies  and  skills,   because  that  challenge  is  one  that  we  are  willing  to   accept,  one  we  are  unwilling  to  postpone,  and  one   which  we  intend  to  win,  and  the  others,  too.     hDp://er.jsc.nasa.gov/seh/ricetalk.htm   68  
  • 69. 69  
  • 70. Zorg  en  ICT  Healthlab   Metropole  regio  Amsterdam   70   (www.health-­‐lab.nl)  
  • 71. 2025 2020 2015 2013 Organisatie Regelgeving Technologie Onderwijs
  • 73.
  • 74.
  • 77.
  • 78. eHealth   Van     e(lectronic)  Health   Naar   e(mpowered)  Health  
  • 79. EDBA   •  Man  on  the  Moon   –  Wat  is  nu  een  zeer  ambi2euze  doelstelling  voor  2025   •  Roadmap   –  Doelstellingen  voor  2013,  2015  en  2020   –  (Raket  buiten  dampkring,  rondje  aarde,  onbemande   vlucht)   •  Volgorde   –  Gemeente  en  zorginstellingen  (wat  moet  bereikt  worden)   –  Daarna  betrekken  bedrijven  (hoe  gaan  we  het  realiseren)   –  Technologie,  Organisa2e,  Regelgeving,  Onderwijs   79  
  • 80. Mijn  doelstelling   In  2025  is   iedere  Amsterdammer     in  staat  om  zelf  de  regie  te   voeren  zijn  of  haar  zorg  
  • 81. •  Hybride   •  Van  ins2tuut  naar  consument   •  Social  Media   •  (Electronische)  hulpmiddelen  /  ICT   •  Nieuwe  verbindingen  lokaal  
  • 83.
  • 84. Thank  you!   We  shape  our  care   And  thereafer  our  care  shapes  us  …   Mar2jn  Kriens   Mar2jn.kriens@icrowds.net,  twiier:  mar2jnkriens,  www.icrowds.net