https://www.scenariothinking.org/api.php?action=feedcontributions&user=Mtjiang&feedformat=atomScenarioThinking - User contributions [en]2024-03-29T00:49:18ZUser contributionsMediaWiki 1.37.0https://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33288The Future of Hospitals in Amsterdam in 20202009-10-22T21:54:30Z<p>Mtjiang: /* Scenarios */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers each of us made individually and the mind map that we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
Each of us made a list of at least 3 questions he or she wanted to ask the interviewee. Together we made even more questions, consolidated the list and choose the best questions. Naturally we also discussed the background of our interviewees, how to start the interview and how to keep the interviewees triggered in his story but also answering our questions.<br> <br />
The questions we made were:<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
We had three interviews to give us more insight and information.<br><br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
Finally we choose and realized four scenarios.We build the story of the scenarios individually and together. In the scenarios we made links to the the drivers that inspired us to build the story of the scenarios. Most of the scenarios have the same drivers.<br><br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33287The Future of Hospitals in Amsterdam in 20202009-10-22T21:50:21Z<p>Mtjiang: /* Summary of Interviews */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers each of us made individually and the mind map that we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
Each of us made a list of at least 3 questions he or she wanted to ask the interviewee. Together we made even more questions, consolidated the list and choose the best questions. Naturally we also discussed the background of our interviewees, how to start the interview and how to keep the interviewees triggered in his story but also answering our questions.<br> <br />
The questions we made were:<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
We had three interviews to give us more insight and information.<br><br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_Labor_productivity_in_health_care&diff=33286Decrease Labor productivity in health care2009-10-22T21:48:28Z<p>Mtjiang: /* Experts */</p>
<hr />
<div>==Description==<br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
<br />
==Inhibitors==<br />
* Lack of time, communication and financial resources<br><br />
* Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
* Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
* Trend to extend education and specialise <br><br />
<br><br />
<br><br />
<br />
==Paradigms==<br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br />
*ICT specialists<br><br />
*Technological experts<br><br />
*Managers in health care<br><br />
*Health insurance experts<br><br />
*Patient representatives<br><br />
<br><br />
<br><br />
==Timing==<br />
n.a <br><br />
<br><br />
<br><br />
<br />
==Web resources==<br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_Labor_productivity_in_health_care&diff=33285Decrease Labor productivity in health care2009-10-22T21:48:12Z<p>Mtjiang: /* Experts */</p>
<hr />
<div>==Description==<br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
<br />
==Inhibitors==<br />
* Lack of time, communication and financial resources<br><br />
* Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
* Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
* Trend to extend education and specialise <br><br />
<br><br />
<br><br />
<br />
==Paradigms==<br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br />
*ICT specialists<br><br />
*Technological experts<br><br />
*Managers in health care<br><br />
*Health insurance experts<br><br />
*Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
<br />
==Web resources==<br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_Labor_productivity_in_health_care&diff=33284Decrease Labor productivity in health care2009-10-22T21:47:51Z<p>Mtjiang: /* Inhibitors */</p>
<hr />
<div>==Description==<br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
<br />
==Inhibitors==<br />
* Lack of time, communication and financial resources<br><br />
* Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
* Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
* Trend to extend education and specialise <br><br />
<br><br />
<br><br />
<br />
==Paradigms==<br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
==Web resources==<br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_Labor_productivity_in_health_care&diff=33283Decrease Labor productivity in health care2009-10-22T21:47:31Z<p>Mtjiang: /* Enablers */</p>
<hr />
<div>==Description==<br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
<br />
==Inhibitors==<br />
- Lack of time, communication and financial resources<br><br />
- Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
- Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
- Trend to extend education and specialise <br><br />
<br><br />
<br><br />
==Paradigms==<br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
==Web resources==<br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_Labor_productivity_in_health_care&diff=33282Decrease Labor productivity in health care2009-10-22T21:46:58Z<p>Mtjiang: </p>
<hr />
<div>==Description==<br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
- (More) Platforms between different forms of healthcare<br><br />
- More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
- Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
o Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
o Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
==Inhibitors==<br />
- Lack of time, communication and financial resources<br><br />
- Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
- Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
- Trend to extend education and specialise <br><br />
<br><br />
<br><br />
==Paradigms==<br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
==Web resources==<br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33281The Future of Hospitals in Amsterdam in 20202009-10-22T21:45:40Z<p>Mtjiang: /* Research Questions */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers each of us made individually and the mind map that we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
Each of us made a list of at least 3 questions he or she wanted to ask the interviewee. Together we made even more questions, consolidated the list and choose the best questions. Naturally we also discussed the background of our interviewees, how to start the interview and how to keep the interviewees triggered in his story but also answering our questions.<br> <br />
The questions we made were:<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33280The Future of Hospitals in Amsterdam in 20202009-10-22T21:44:32Z<p>Mtjiang: /* Interview Questions */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers each of us made individually and the mind map that we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br><br />
Each of us made a list of at least 3 questions he or she wanted to ask the interviewee. Together we made even more questions, consolidated the list and choose the best questions. Naturally we also discussed the background of our interviewees, how to start the interview and how to keep the interviewees triggered in his story but also answering our questions.<br> <br />
The questions we made were:<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33279The Future of Hospitals in Amsterdam in 20202009-10-22T21:38:38Z<p>Mtjiang: /* Research Questions */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers each of us made individually and the mind map that we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33278The Future of Hospitals in Amsterdam in 20202009-10-22T21:38:07Z<p>Mtjiang: /* Research Questions */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
We did research how our first questions made the link with the drivers - each of us made individually - and the mind map which we build together. <br> <br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33276The Future of Hospitals in Amsterdam in 20202009-10-22T21:31:22Z<p>Mtjiang: /* Research Questions */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33275The Future of Hospitals in Amsterdam in 20202009-10-22T21:30:37Z<p>Mtjiang: /* Mind Map */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm session on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33274The Future of Hospitals in Amsterdam in 20202009-10-22T21:30:22Z<p>Mtjiang: /* Mind Map */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstormsession on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33273The Future of Hospitals in Amsterdam in 20202009-10-22T21:30:04Z<p>Mtjiang: /* Mind Map */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
Our first brainstorm on Driving Forces resulted in the following mind map:<br />
<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33271The Future of Hospitals in Amsterdam in 20202009-10-22T21:28:14Z<p>Mtjiang: /* EMBA09 team */</p>
<hr />
<div>==EMBA09 team==<br />
This team was formed by the following members of EMBA09:<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
After our first brainstorm on Driving Forces the below shown mind map was made.<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33270The Future of Hospitals in Amsterdam in 20202009-10-22T21:27:22Z<p>Mtjiang: /* Driving forces */</p>
<hr />
<div>==EMBA09 team==<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two already existing Driving Forces and made and added two new Driving Forces (with a focus on the subject "The Future of Hospitals in Amsterdam in 2020). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
After our first brainstorm on Driving Forces the below shown mind map was made.<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33268The Future of Hospitals in Amsterdam in 20202009-10-22T21:25:50Z<p>Mtjiang: /* Introduction */</p>
<hr />
<div>==EMBA09 team==<br />
*Peter Hoppesteyn<br><br />
*Roel Kock<br><br />
*Piotr Ptasinski<br><br />
*Miranda Tjiang<br><br />
*Marjoleine van der Zwan<br><br />
<br><br />
<br />
==Introduction==<br />
During the first meeting of Scenario Thinking we all presented our 'topics'. Based on the initial topic each of us could vote for his or her favourite. And it turned out that the 'future of hospitals in Amsterdam in 2020' was the most common favourite. With this topic in mind we did a small brainstorm on questions of interest. <br />
<br />
*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br><br />
<br />
*''Will we live longer and have higher demands for quality?<br><br />
<br />
*''Will technology and ICT continue to devolope at high speed? <br><br />
<br />
*''How can health care be finances in 2020? <br><br />
<br />
*''Will The Netherlands be a province of the European Union by 2020? <br><br />
<br />
*''Are the negotiators from the health insurance companies taken over by European ones or even Azian or American?'' <br><br />
<br />
Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br><br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. <br />
<br />
These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br><br />
<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br><br />
<br />
==Driving forces==<br />
All teammembers of the group improved two Driving Forces and made two new Driving Forces (with the focus on the subject). The most important Driving Forces are shown below:<br />
* [[Innovation in health care]]<br><br />
* [[Accessibility of hospitals in Amsterdam]]<br><br />
* [[Biometrics]]<br><br />
* [[Aging population]]<br><br />
* [[Low cost of internet connections]]<br><br />
* [[Continuously growing demand for new medical applications]]<br><br />
* [[Consumer health informatics in the information age]]<br><br />
* [[Emergence of new Technology Related Diseases]]<br><br />
* [[Increasing empowerment of consumers]]<br><br />
* [[Increasing Neglect of the Elderly]]<br><br />
* [[Medicine]]<br><br />
* [[Religion]]<br><br />
* [[Segmentation]]<br><br />
* [[Number of people in Amsterdam]]<br><br />
* [[Number of visitors in Amsterdam]]<br><br />
* [[Financing and costs of the Dutch health care system]]<br><br />
* [[The power of insurance companies in health care]]<br><br />
* [[Decrease Labor productivity in health care]] <br><br />
* [[Impact of Social and Cultural Differences in Healthcare ]] <br><br><br />
<br />
==Mind Map==<br />
After our first brainstorm on Driving Forces the below shown mind map was made.<br />
<br />
[[Image:Ziekenhuizen 2020.jpeg|900px]]<br />
<br />
==Research Questions==<br />
* What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
* Which differentiations are there at the moment?<br><br />
* Which stakeholders are known in health care?<br><br />
* What is the demand?<br><br />
* What are the trends?<br><br />
* How is the health care financed?<br><br />
<br />
<Graag aanvullen><br />
<br />
<br><br><br />
<br />
==Interview Questions==<br />
* Which developments were the most impressive to you over the last 15 years?<br><br />
* Which developments will have the most impact on your hospital over the next 10 years? <br><br />
* Which developments do you see in Amsterdam? <br><br />
''a. Which of these developments have a potential impact on hospitals? <br><br />
''b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
''c. Which developments deserve more attention and/of investigation? Why? <br><br />
* What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
* What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
''For example: <br><br />
''a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
''b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
''c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
* A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
* What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
* For which trends is the hospital preparing? <br><br />
* What do you think hospital care looks like in 2020? <br><br />
* What needs to be changed in 2020? <br><br />
* Will there be the same players? <br><br />
* What shifts do you expect the coming years? <br><br />
* Will there be a shift in focus? <br><br />
* Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
* Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
* What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Summary of Interviews==<br />
*[[Interview with the chairman of the board of management]]<br><br />
*[[Interview with the financial controller]]<br><br />
*[[Interview with the responsible manager for housing and buildings]]<br><br><br />
<br />
==System Diagrams==<br />
The photo (below) shows the Driving Forces and their impact on each other. <br><br><br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
The imput (shown on the picture) has been put in Powerpoint. And in various versions, updated by every teammember, to this presentation.<br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
[[1. Transsensual]]<br><br />
[[2. Unsolidarity?]]<br><br />
[[3. The health community system]]<br><br />
[[4. All together now]]<br><br />
<br />
==Resources==<br />
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br><br />
*[http://www.nza.nl Dutch Healthcare Authority]<br><br />
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br><br />
*[http://www.amc.nl Academic Medical Centre]<br><br />
*[http://www.wikipedia.nl Wikipedia]<br><br />
*[http://www.obesitas.nl Obesitas]<br><br />
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br><br />
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br><br />
*[http://www.amsterdam.nl Amsterdam]<br><br />
*[http://www.cbs.nl Statistics Netherlands]<br><br />
*[http://www.nictiz.nl NICTIZ]<br><br />
*[http://sync.nl/vinger-aan-de-pols-met-sensoren/1 SYNC on elderly people]<br><br />
*[http://sync.nl/ook-de-insulinepomp-krijgt-ipod-looks/ SYNC on modern healthcare tools] <br><br />
*[http://www.gvsmedia.com/video-2/rpJQNMBNtOo/-Way-of-the-Future---Nokia-Nanotech--Morph--Concept-Phone-- Nokia Nanotech]<br><br />
*[http://video.google.com/videosearch?q=nanotechnology+development+carbon&hl=en&emb=0#q=nanotechnology+example&hl=en&emb=0&start=60 Nanotechnology]<br><br />
*[http://sync.nl/hoe-een-robot-kan-helpen-bij-hartoperaties/ SYNC on healthcare robots]</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_labor_productivity_in_health_care&diff=33190Decrease labor productivity in health care2009-10-19T20:57:21Z<p>Mtjiang: </p>
<hr />
<div>==Description==<br><br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br><br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
==Inhibitors==<br><br />
* Lack of time, communication and financial resources<br><br />
* Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
* Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
* Trend to extend education and specialise <br><br />
<br><br />
<br><br />
==Paradigms==<br><br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br><br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
==Timing==<br><br />
n.a <br><br />
<br><br />
<br><br />
==Web resources==<br><br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_labor_productivity_in_health_care&diff=33189Decrease labor productivity in health care2009-10-19T20:53:30Z<p>Mtjiang: </p>
<hr />
<div>==Description==<br><br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
==Enablers==<br><br />
* Less hierarchy between staff, specialistic and nursing personnel<br><br />
* (More) Platforms between different forms of healthcare<br><br />
* More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
* Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
* Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
* Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
==Inhibitors==<br><br />
* Lack of time, communication and financial resources<br><br />
* Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
* Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
* Trend to extend education and specialise <br><br />
<br><br />
<br><br />
==Paradigms==<br><br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
==Experts==<br><br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
==Timing==<br><br />
n.a <br><br />
<br><br />
<br><br />
==Web resourc==es<br><br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=331883. The health community system2009-10-19T20:46:43Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
* mind, body and soul<br><br />
* experience<br><br />
* gym, yoga exercise more, coach, facial, psychiatrist<br><br />
* day care and kindergartens<br><br />
* role of insurance<br><br />
* incentive to live your life “GOOD”<br><br />
* role pharmacy<br><br />
* biological food, healthy recepies<br><br />
* FCG suppliers<br><br />
* prevention<br><br />
* tailormade<br><br />
* health center<br><br />
* knowledge of food (yellow carrot of India)<br><br />
* public and private transport<br><br />
* allignment, better communication with centralized and consolidated specialists<br><br />
* accessibility<br><br />
* shops and branding (e.g. Nike, Healthy food, etc)<br><br />
* chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life very [[Increasing social isolation|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 [[Aging population|getting]] [[Increasing Neglect of the Elderly|older]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight [[The growing population of overweight people| obesity]] and as a consequence also diabetic and high blood pressure . Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the [[increase in people going on-line|internet ]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They will take care of the mind, body and soul of all her members in the following way: to [[Preventive health care in The Netherlands|prevent]], to inform, to advise and to guide along in the process from birth till death.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the [[Liberalization of the Dutch health care market|government]] . Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this also means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=331853. The health community system2009-10-19T20:44:51Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
* mind, body and soul<br><br />
* experience<br><br />
* gym, yoga exercise more, coach, facial, psychiatrist<br><br />
* day care and kindergartens<br><br />
* role of insurance<br><br />
* incentive to live your life “GOOD”<br><br />
* role pharmacy<br><br />
* biological food, healthy recepies<br><br />
* FCG suppliers<br><br />
* prevention<br><br />
* tailormade<br><br />
* health center<br><br />
* knowledge of food (yellow carrot of India)<br><br />
* public and private transport<br><br />
* allignment, better communication with centralized and consolidated specialists<br><br />
* accessibility<br><br />
* shops and branding (e.g. Nike, Healthy food, etc)<br><br />
* chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life very [[Increasing social isolation|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 [[Aging population|getting]] [[Increasing Neglect of the Elderly|older]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight[[The growing population of overweight people|obesity]] and as a consequence also diabetic and high blood pressure . Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the [[increase in people going on-line|internet ]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They will take care of the mind, body and soul of all her members in the following way: to [[Preventive health care in The Netherlands|prevent]], to inform, to advise and to guide along in the process from birth till death.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the [[Liberalization of the Dutch health care market|government]] . Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this also means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=331583. The health community system2009-10-19T19:53:39Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
* mind, body and soul<br><br />
* experience<br><br />
* gym, yoga exercise more, coach, facial, psychiatrist<br><br />
* day care and kindergartens<br><br />
* role of insurance<br><br />
* incentive to live your life “GOOD”<br><br />
* role pharmacy<br><br />
* biological food, healthy recepies<br><br />
* FCG suppliers<br><br />
* prevention<br><br />
* tailormade<br><br />
* health center<br><br />
* knowledge of food (yellow carrot of India)<br><br />
* public and private transport<br><br />
* allignment, better communication with centralized and consolidated specialists<br><br />
* accessibility<br><br />
* shops and branding (e.g. Nike, Healthy food, etc)<br><br />
* chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life very [[Increasing social isolation|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 [[Aging population|Increasing Neglect of the Elderly|getting older ]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight obesity and as a consequence also diabetic and high blood pressure [[The growing population of overweight people ]]. Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the internet [[increase in people going on-line]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They will take care of the mind, body and soul of all her members in the following way: to prevent [[Preventive health care in The Netherlands]], to inform, to advise and to guide along in the process from birth till death.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the government[[Liberalization of the Dutch health care market]] . Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this also means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=RSM_EMBA_2009_Scenarios&diff=33019RSM EMBA 2009 Scenarios2009-10-18T17:07:28Z<p>Mtjiang: /* Will attend */</p>
<hr />
<div>=Scenarios=<br />
<br />
[[The Future of Hospitals in Amsterdam in 2020]]<br />
<br />
[[The Future of R&D in Pharmaceutical Industry in 2025]]<br />
<br />
[[The Future of Corporate Websites in Europe 2015]]<br />
<br />
[[The Future of Maritime trade in 2020 and the implications for the port of Amsterdam]]<br />
<br />
[[Oil Production 2030]]<br />
<br />
=EMBA 2009 FINAL PRESENTATIONS=<br />
Friday November 6, 2009 from 17.00 - 21.00<br><br><br />
The DTN, Prinsengracht 707, 1017 JW Amsterdam<br />
<br />
=Will attend=<br />
Peter Hoppesteyn<br><br />
Jetske Tamboezer<br><br />
Ruth Donners (no alcohol, no pork meat)<br><br />
Michael Aouad <br><br />
Marjoleine van der Zwan<br><br />
Miranda Tjiang<br><br />
Roel Kock<br><br />
<br />
= Will not attend=<br />
<br />
=Guest Speaker=<br />
Former Shell Netherlands CEO, and Senator Rein Willems presented his personal perspectives on the use of scenarios in Shell over the last two decades. [[Media: ShellScenarioReflection.PPT]]<br />
<br />
=Evaluation=<br />
50% Group work (final scenarios)<br><br />
40% Individual work (survey, learning log, driving forces, strategic challenge)<br><br />
10% Class participation (virtual and physical) <br><br />
<br><br />
==Final Scenario Evaluation Criteria==<br />
Based on the full time MBA viewing of the existing scenarios, please add to this list as you see fit.<br><br />
* Scenarios will be considered to be of high quality if they contain the following:<br><br />
* Solid assumptions and data reasoning <br><br />
* Rich, thought-provoking ideas <br><br />
* Beyond the obvious, assumption breaking ideas <br><br />
* Scenarios that are linked to driving forces/factors<br><br />
* Scenarios, driving factors, and ideas that are relevant to the issue (and related stakeholders)<br><br />
* Scenarios with clear names<br><br />
* Logical flow with visual representations of the thought process <br><br />
* Plausible scenarios<br><br />
* Balanced scenarios (1/4, 1/4, 1/4, 1/4)--all of the scenarios should be equally likely<br><br />
* Surprising scenarios<br><br />
* Detailed stories that enable the reader to follow the logic of the thought process<br><br />
* Conclusive within themselves<br><br />
<br />
Short movie on numbers that matter<br />
<br />
==Driving Forces==<br />
As an individual define 2 driving forces and improve 2 driving forces in the [[Driving Forces]] section<br />
<br />
==Learning Log==<br />
Make a map of your learning process by picking variables <br><br />
group process: group roles (interchange), advocacy-listening, who talks the most, cultural<br><br />
personal development: reflexivity, emotions, difficulty <br><br />
content: subjective view of possible futures, many/few, divergence/convergence, deductive thinking, inductive thinking, sites visited, <br><br />
learning: key learning moments, insights<p><br />
Write a less than 3000 word essay on your learning in the course <br><br />
<br />
===Learning Maps===<br />
Seda Demircioglu<br><br />
Ruth Donners<br><br />
Maria Marcos<br><br />
Phil Poetter<br><br />
Jetske Tamboezer<br><br />
Daniel Peters<br><br />
Joost d'Hooghe<br><br />
<br />
===Learning Essays===<br />
Rosalie Kuyvenhoven<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=330183. The health community system2009-10-18T17:02:24Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
- Mind, body and soul<br><br />
- Experience<br><br />
- Gym, yoga exercise more, coach, facial, psychiatrist<br><br />
- Daycare or kindergartens<br><br />
- Role of insurance<br><br />
- Incentive if you life your life “GOOD”<br><br />
- Role pharmacy<br><br />
- Biological food, healthy recepies<br><br />
- FCG supplier<br><br />
- Prevention<br><br />
- Tailormade<br><br />
- Healthcenter<br><br />
- Knowledge of food (yellow carrot of India)<br><br />
- How to get there is easy with public transport or own car<br><br />
- Allignment, better communication with specialists that also are more centralised and consolidated their power<br><br />
- More accessible<br><br />
- Shops/Branding (Nike, Healthy food)<br><br />
- Doctors (1e lijns)<br><br />
- Dentists<br><br />
- Chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life very individualistic [[Increasing social isolation]] 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 [[Aging population]][[Increasing Neglect of the Elderly]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight obesity and as a consequence also diabetic and high blood pressure [[The growing population of overweight people ]]. Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the internet [[increase in people going on-line]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They will take care of the mind, body and soul of all her members in the following way: to prevent [[Preventive health care in The Netherlands]], to inform, to advise and to guide along in the process from birth till death.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the government[[Liberalization of the Dutch health care market]] . Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this also means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=330173. The health community system2009-10-18T16:57:04Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
- Mind, body and soul<br><br />
- Experience<br><br />
- Gym, yoga exercise more, coach, facial, psychiatrist<br><br />
- Daycare or kindergartens<br><br />
- Role of insurance<br><br />
- Incentive if you life your life “GOOD”<br><br />
- Role pharmacy<br><br />
- Biological food, healthy recepies<br><br />
- FCG supplier<br><br />
- Prevention<br><br />
- Tailormade<br><br />
- Healthcenter<br><br />
- Knowledge of food (yellow carrot of India)<br><br />
- How to get there is easy with public transport or own car<br><br />
- Allignment, better communication with specialists that also are more centralised and consolidated their power<br><br />
- More accessible<br><br />
- Shops/Branding (Nike, Healthy food)<br><br />
- Doctors (1e lijns)<br><br />
- Dentists<br><br />
- Chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life very individualistic [[Increasing social isolation]] 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 [[Aging population]][[Increasing Neglect of the Elderly]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight obesity and as a consequence also diabetic and high blood pressure [[The growing population of overweight people ]]. Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the internet [[increase in people going on-line]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They 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.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the government[[Liberalization of the Dutch health care market]] . Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this also means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=3._The_health_community_system&diff=330163. The health community system2009-10-18T16:47:39Z<p>Mtjiang: </p>
<hr />
<div>----<br />
Keywords:<br><br />
----<br />
- Mind, body and soul<br><br />
- Experience<br><br />
- Gym, yoga exercise more, coach, facial, psychiatrist<br><br />
- Daycare or kindergartens<br><br />
- Role of insurance<br><br />
- Incentive if you life your life “GOOD”<br><br />
- Role pharmacy<br><br />
- Biological food, healthy recepies<br><br />
- FCG supplier<br><br />
- Prevention<br><br />
- Tailormade<br><br />
- Healthcenter<br><br />
- Knowledge of food (yellow carrot of India)<br><br />
- How to get there is easy with public transport or own car<br><br />
- Allignment, better communication with specialists that also are more centralised and consolidated their power<br><br />
- More accessible<br><br />
- Shops/Branding (Nike, Healthy food)<br><br />
- Doctors (1e lijns)<br><br />
- Dentists<br><br />
- Chip, with personal file<br><br />
<br><br />
----<br />
Story<br><br />
----<br><br />
<br />
Background <br><br />
In the beginning of the 20th century people living in each others 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. In the beginning of the 21th century not even neighbours know each other anymore. People live their life 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 [[Aging population]][[Increasing Neglect of the Elderly]]. Above that the multicultural differences can add to further fragmentation. Another problem is that more and more people old and young have to fight obesity and as a consequence also diabetic and high blood pressure. Preventive care is needed. A health community can supply several services that will answer the common needs of men and woman, young and old, with any kind of cultural background.<br />
<br />
2010-2015<br />
Especially after the recession consciousness of people is growing. People begin to think of their lives differently. Health, spirit and family have again more meaning.<br />
Consciousness especially of taking care of your mind, body and soul this leads to a higher priority regarding prevention.<br><br />
Also the population of Amsterdam is getting older. Sons and daughters are mostly working. More and more sons and daughters do not have a family live or choose to stay single. As a consequence people are often living unhealthy, do not eat right, living under high pressures without the care of the social network. As a surogat for a family life these people build social lives and contacts through the internet [[increase in people going on-line]]. <br />
Government is lowering the finance budget of health care more and more due to the crisis, that still has an impact. Insurance is getting more and more vote and became too dominant in the health care. Several insurers are taken over by European and American giants and even Indian are entering our system. Support has to come from other "sponsors".<br><br />
<br><br />
2010-2020<br />
Technology and internet Technology is still developing and the use of technology is maturing. New technologies will continue to give all companies the chance to differentiate themselves by service.<br><br />
Service is the key differentiator. More and more companies are implementing the, so called, "custom made, personolized" trend especially now the use of technology is maturing. <br />
Custom made is not only the trend that has impact on companies in general. Also the importance of branding is getting through all companies even those mainly subsidized or financed by the government. Health care is bug business. The focus is shifting beyond performance. Making profit is the goal.<br />
<br />
Purpose<br><br />
The Health Community (HC), is there for you and supported by you. They 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.<br />
<br />
Their businessmodel is as follows. Because of the crisis there are no real general hospitals anymore. The health community knows your profile (by birthchip) and knows what is good for your mind, body and soul. <br />
<br />
If you are a member of Amsterdam you are a member of the HC. The HC provides all the tools and services to life your life at the utmost healthiest way. Every year a basic check up is done. If something is not going as planned (a lot is already forseen, adressed and prevented) the HC 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 needed specialists.<br />
<br><br />
The HC is still financed for a minor part by the government. Because the insurance companies are taken over by giant insurers, the citizens of Amsterdam searched together with there city council for alternative ways to cope and bond again as community. The city and the citizens of Amsterdam are financially and physically supporting the HC. <br />
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. In contrast to the early 20th all the HC basic services and products are caring the mind, body and soul to the citizens of Amsterdam. All members registered as citizen of Amsterdam become a member of the HC automatically. this alos means that if a member can help another member he or she is called. Also in case an accident and a organ is needed for a transplant of a member. To stay a member people need to participate actively by following 90% (we are still from "I Amsterdam") the prevention programs developed especially for them. If not you have to leave the community. <br />
<br><br />
HC is a center of health advisors(first line), doctors, specialists, gyms, beautyfarms, kindergartens,coaches, psychiatrists, dietists, dentists, bio-supermarkets, shops like Nike and the Bodyshop to provide goods and services to their members, the citizens of Amsterdam, to keep their and those of their fellow member's minds, bodies and souls in ultimate shape and the city save and profitable. A place were every company want his employees to live and work in.</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_labor_productivity_in_health_care&diff=33012Decrease labor productivity in health care2009-10-18T16:33:44Z<p>Mtjiang: </p>
<hr />
<div>Description<br><br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
Enablers<br><br />
- Less hierarchy between staff, specialistic and nursing personnel<br><br />
- (More) Platforms between different forms of healthcare<br><br />
- More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
- Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
o Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
o Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
Inhibitors<br><br />
- Lack of time, communication and financial resources<br><br />
- Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
- Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
- Trend to extend education and specialise <br><br />
<br><br />
<br><br />
Paradigms<br><br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
Experts<br><br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
Web resources<br><br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Decrease_labor_productivity_in_health_care&diff=33011Decrease labor productivity in health care2009-10-18T16:33:10Z<p>Mtjiang: New page: Description<br> According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureauc...</p>
<hr />
<div>Description<br><br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
Enablers<br><br />
- Less hierarchy between staff, specialistic and nursing personnel<br><br />
- (More) Platforms between different forms of healthcare<br><br />
- More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
- Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
o Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
o Increase use of information technology in health care to enable less timespending in administrative tasks<br><br />
<br><br />
<br><br />
Inhibitors<br><br />
- Lack of time, communication and financial resources<br><br />
- Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
- Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
- Trend to extend education and specialise <br><br />
<br><br />
<br><br />
Paradigms<br><br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
Experts<br><br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br><br />
<br><br />
Timing<br><br><br />
n.a <br><br />
<br><br />
<br><br />
Web resources<br><br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33007The Future of Hospitals in Amsterdam in 20202009-10-18T16:29:20Z<p>Mtjiang: /* Driving forces */</p>
<hr />
<div>''MBA09 team:''<br><br />
Peter Hoppesteyn<br><br />
Roel Kock<br><br />
Piotr Ptasinski<br><br />
Miranda Tjiang<br><br />
Marjoleine van der Zwan<br><br />
<br><br />
''"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 [mailto:peter.hoppesteyn@xs4all.nl contact us].''' <br />
<br><br />
==Introduction==<br />
<br />
Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels for specific care? <br><br />
<br />
We are all living longer and have higher demands for quality. Technology and ICT are devoloping in high speed. How to finance that? Will the Netherlands be a province of the European Union by than? And are the negotiators from the health insurance cmpanies taken over by European ones or even Azian or American? Who knows. All scenarios were more or less possible, when we started this 8 weeks parttime project. <br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with 3 professionals (CEO, Planning & Control, Construction) and our professor Erasmus. <br />
<br />
These sources of information form the basis under the scenarios:<br><br />
<br />
1. The new process<br><br />
2. Abandoning collective base insurance<br><br />
3. Lifestyle "the health community system"<br><br />
4. Solidarity within families, shift from individualism to collectivism in Amsterdam<br><br />
<br />
==Research Questions==<br />
Starting point for the research questions:<br><br />
----<br />
[[Image:Ziekenhuizen 2020.jpeg]]<br />
<br />
----<br />
Research Questions<br />
---------------<br />
<br />
1. What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
2. Which differentiations are there at the moment?<br><br />
3. Which stakeholders are known in health care?<br><br />
4. What is the demand?<br><br />
5. What are the trends?<br><br />
6. How is the health care financed?<br><br><br><br />
........<br />
<br />
<Graag aanvullen><br />
<br />
These research questions led to the development of the driving forces. These driving forces can be found under the link Driving forces. <br />
<br />
<br />
1. Which developments were the most impressive to you over the last 15 years?<br><br />
2. Which developments will have the most impact on your hospital over the next 10 years? <br><br />
3. Which developments do you see in Amsterdam? <br><br />
a. Which of these developments have a potential impact on hospitals? <br><br />
b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
c. Which developments deserve more attention and/of investigation? Why? <br><br />
4. What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
5. What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
For example: <br><br />
a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
6. A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
7. What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
8. For which trends is the hospital preparing? <br><br />
9. What do you think hospital care looks like in 2020? <br><br />
10. What needs to be changed in 2020? <br><br />
11. Will there be the same players? <br><br />
12. What shifts do you expect the coming years? <br><br />
13. Will there be a shift in focus? <br><br />
14. Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
15. Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
16. What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Driving forces==<br />
• [[Innovation in health care]]<br><br />
• [[Accessibility of hospitals in Amsterdam]]<br><br />
• [[Biometrics]]<br><br />
• [[Aging population]]<br><br />
• [[Low cost of internet connections]]<br><br />
• [[Continuously growing demand for new medical applications]]<br><br />
• [[Consumer health informatics in the information age]]<br><br />
• [[Emergence of new Technology Related Diseases]]<br><br />
• [[Increasing empowerment of consumers]]<br><br />
• [[Increasing Neglect of the Elderly]]<br><br />
• [[Medicine]]<br><br />
• [[Religion]]<br><br />
• [[Segmentation]]<br><br />
• [[Number of people in Amsterdam]]<br><br />
• [[Number of visitors in Amsterdam]]<br><br />
• [[Financing and costs of the Dutch health care system]]<br><br />
• [[The power of insurance companies in health care]]<br><br />
• [[Decrease Labor productivity in health care]] <br><br />
• [[Impact of Social and Cultural Differences in Healthcare ]] <br><br />
<br />
==Summary of Interviews==<br />
In order to support the development of the scenarios, the team has visited one of the main hospitals in Amsterdam. The following persons have been intervied during this visit: <br><br />
<br />
[[Interview with the chairman of the board of management]]<br><br />
[[Interview with the financial controller]]<br><br />
[[Interview with the responsible manager for housing and buildings]]<br><br />
<br />
==System Diagrams==<br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
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.<br><br />
Good Luck - D<br />
<br />
<br><br />
''[[1. Transsensual]]<br><br />
''[[2. Unsolidairity?]]<br><br />
''[[3. The health community system]]<br><br />
''[[4. All together now]]<br><br />
<br />
==Resources==<br />
http://www.minvws.nl<br><br />
http://www.nza.nl<br><br />
http://www.slaz.nl<br><br />
http://www.amc.nl<br><br />
http://www.wikipedia.nl<br><br />
http://www.obesitas.nl<br><br />
http://www.rivm.nl<br><br />
http://www.cpb.nl<br><br />
http://www.amsterdam.nl<br><br />
http://www.cbs.nl<br><br />
http://www.nictiz.nl<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=33003The Future of Hospitals in Amsterdam in 20202009-10-18T16:26:32Z<p>Mtjiang: /* Driving forces */</p>
<hr />
<div>''MBA09 team:''<br><br />
Peter Hoppesteyn<br><br />
Roel Kock<br><br />
Piotr Ptasinski<br><br />
Miranda Tjiang<br><br />
Marjoleine van der Zwan<br><br />
<br><br />
''"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 [mailto:peter.hoppesteyn@xs4all.nl contact us].''' <br />
<br><br />
==Introduction==<br />
<br />
Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels for specific care? <br><br />
<br />
We are all living longer and have higher demands for quality. Technology and ICT are devoloping in high speed. How to finance that? Will the Netherlands be a province of the European Union by than? And are the negotiators from the health insurance cmpanies taken over by European ones or even Azian or American? Who knows. All scenarios were more or less possible, when we started this 8 weeks parttime project. <br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with 3 professionals (CEO, Planning & Control, Construction) and our professor Erasmus. <br />
<br />
These sources of information form the basis under the scenarios:<br><br />
<br />
1. The new process<br><br />
2. Abandoning collective base insurance<br><br />
3. Lifestyle "the health community system"<br><br />
4. Solidarity within families, shift from individualism to collectivism in Amsterdam<br><br />
<br />
==Research Questions==<br />
Starting point for the research questions:<br><br />
----<br />
[[Image:Ziekenhuizen 2020.jpeg]]<br />
<br />
----<br />
Research Questions<br />
---------------<br />
<br />
1. What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
2. Which differentiations are there at the moment?<br><br />
3. Which stakeholders are known in health care?<br><br />
4. What is the demand?<br><br />
5. What are the trends?<br><br />
6. How is the health care financed?<br><br><br><br />
........<br />
<br />
<Graag aanvullen><br />
<br />
These research questions led to the development of the driving forces. These driving forces can be found under the link Driving forces. <br />
<br />
<br />
1. Which developments were the most impressive to you over the last 15 years?<br><br />
2. Which developments will have the most impact on your hospital over the next 10 years? <br><br />
3. Which developments do you see in Amsterdam? <br><br />
a. Which of these developments have a potential impact on hospitals? <br><br />
b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
c. Which developments deserve more attention and/of investigation? Why? <br><br />
4. What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
5. What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
For example: <br><br />
a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
6. A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
7. What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
8. For which trends is the hospital preparing? <br><br />
9. What do you think hospital care looks like in 2020? <br><br />
10. What needs to be changed in 2020? <br><br />
11. Will there be the same players? <br><br />
12. What shifts do you expect the coming years? <br><br />
13. Will there be a shift in focus? <br><br />
14. Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
15. Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
16. What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Driving forces==<br />
• [[Innovation in health care]]<br><br />
• [[Accessibility of hospitals in Amsterdam]]<br><br />
• [[Biometrics]]<br><br />
• [[Aging population]]<br><br />
• [[Low cost of internet connections]]<br><br />
• [[Continuously growing demand for new medical applications]]<br><br />
• [[Consumer health informatics in the information age]]<br><br />
• [[Emergence of new Technology Related Diseases]]<br><br />
• [[Increasing empowerment of consumers]]<br><br />
• [[Increasing Neglect of the Elderly]]<br><br />
• [[Medicine]]<br><br />
• [[Religion]]<br><br />
• [[Segmentation]]<br><br />
• [[Number of people in Amsterdam]]<br><br />
• [[Number of visitors in Amsterdam]]<br><br />
• [[Financing and costs of the Dutch health care system]]<br><br />
• [[The power of insurance companies in health care]]<br><br />
• [[Decrease Labor productivity in health care]] <br><br />
<br />
==Summary of Interviews==<br />
In order to support the development of the scenarios, the team has visited one of the main hospitals in Amsterdam. The following persons have been intervied during this visit: <br><br />
<br />
[[Interview with the chairman of the board of management]]<br><br />
[[Interview with the financial controller]]<br><br />
[[Interview with the responsible manager for housing and buildings]]<br><br />
<br />
==System Diagrams==<br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
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.<br><br />
Good Luck - D<br />
<br />
<br><br />
''[[1. Transsensual]]<br><br />
''[[2. Unsolidairity?]]<br><br />
''[[3. The health community system]]<br><br />
''[[4. All together now]]<br><br />
<br />
==Resources==<br />
http://www.minvws.nl<br><br />
http://www.nza.nl<br><br />
http://www.slaz.nl<br><br />
http://www.amc.nl<br><br />
http://www.wikipedia.nl<br><br />
http://www.obesitas.nl<br><br />
http://www.rivm.nl<br><br />
http://www.cpb.nl<br><br />
http://www.amsterdam.nl<br><br />
http://www.cbs.nl<br><br />
http://www.nictiz.nl<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Economic_Driving_Forces&diff=33001Economic Driving Forces2009-10-18T16:25:18Z<p>Mtjiang: </p>
<hr />
<div><p align="right">''Go back to [[Main Page]]''</p><br />
*[[A growing market during a recession]]<br />
<br />
*[[Shift to Alternative Energy Sources]]<br />
<br />
*[[Business in Society]]<br />
<br />
*[[Chinese Families' economic condition]]<br />
<br />
*[[Competitiveness through innovation in the technology industry]]<br />
<br />
*[[Cost of Setting up a Wi-Fi Network ]]<br />
<br />
*[[Crisis of the capitalism]]<br />
<br />
*[[Declining Dollar]]<br />
<br />
*[[Decrease of revenues in lowlands from national gas fields]]<br />
<br />
*[[Digital Literacy]]<br />
<br />
*[[E-commerce in developing countries]]<br />
<br />
*[[Economic Growth in China]] <br />
<br />
*[[Decrease labor productivity in health care]]<br />
<br />
*[[Growth of developing markets]]<br />
<br />
*[[Economies of scale]]<br />
<br />
*[[Energy crisis in Asia]]<br />
<br />
*[[European integration]]<br />
<br />
*[[European Labour Market]]<br />
<br />
*[[Global Labour Market]]<br />
<br />
*[[Huge difference between the western and the eastern part of China]]<br />
<br />
*[[Imbalance of Global Supply and Demand]]<br />
<br />
*[[Increase of IPO activity in US stock exchange market]]<br />
<br />
*[[Influence of the World Trade Organization (WTO)]]<br />
<br />
*[[Information Markets & Gambling]]<br />
<br />
*[[Internal consumption in US]]<br />
<br />
*[[Oil price]]<br />
<br />
*[[Online Gaming Business]]<br />
<br />
*[[Open Source]]<br />
<br />
*[[Poverty and Economic Disparities]]<br />
<br />
*[[Products are Turned Into Services]]<br />
<br />
*[[Reduce IT-infrastructure cost]]<br />
<br />
*[[Reduction of organizational and technological complexity]]<br />
<br />
*[[Sophisticated logistics system and distribution channel]]<br />
<br />
*[[Struggling old world economy]]<br />
<br />
*[[Support from international companies]]<br />
<br />
*[[Sustainable Development & Global Economy]]<br />
<br />
*[[The Increase of the United States Budget Deficit]]<br />
<br />
*[[The Rise of the Long Tail]]<br />
<br />
*[[UK House Prices]]<br />
<br />
*[[Decrease of the relative share of the US economy in the global economy]]<br />
<br />
*[[The High Price of Computer Systems]]<br />
<br />
*[[The increasing role of barter in the global economy]]<br />
<br />
*[[The increasing globalization of markets]]<br />
<br />
*[[The increasing gap between developed, emerging and poor economies]]<br />
<br />
*[[The increasing effect of the development of technology on the global economy]]<br />
<br />
*[[The effect of Brazil's economy on the global economy]]<br />
<br />
*[[The Rise of BRIC Economies]]<br />
<br />
*[[China's economic productivity growth]]<br />
<br />
*[[China's accumulated capital as the driving force of the economic growth]]<br />
<br />
*[[Iranian Oil Bourse]]<br />
<br />
*[[Pay-as-you-drive]]<br />
<br />
*[[Wider economic divide]]<br />
<br />
*[[Increasing empowerment of consumers]]<br />
<br />
*[[China becoming the largest economy]]<br />
<br />
*[[Rising costs of labour in China]]<br />
<br />
*[[International Trade of goods]]<br />
<br />
*[[The cost of freight shipping]]<br />
<br />
*[[The increased importance of online corporate branding]]<br />
<br />
*[[Financing and costs of the Dutch health care system]]<br />
<br />
*[[The power of insurance companies in health care]]<br />
<br />
<br />
[http://scenariothinking.org/wiki/index.php/Driving_Forces >>Back>>]<br />
<br />
<p align="right">''Go back to [[Main Page]]''</p></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Increase_Labor_productivity_in_health_care&diff=33000Increase Labor productivity in health care2009-10-18T16:22:58Z<p>Mtjiang: Removing all content from page</p>
<hr />
<div></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Economic_Driving_Forces&diff=32999Economic Driving Forces2009-10-18T16:21:19Z<p>Mtjiang: </p>
<hr />
<div><p align="right">''Go back to [[Main Page]]''</p><br />
*[[A growing market during a recession]]<br />
<br />
*[[Shift to Alternative Energy Sources]]<br />
<br />
*[[Business in Society]]<br />
<br />
*[[Chinese Families' economic condition]]<br />
<br />
*[[Competitiveness through innovation in the technology industry]]<br />
<br />
*[[Cost of Setting up a Wi-Fi Network ]]<br />
<br />
*[[Crisis of the capitalism]]<br />
<br />
*[[Declining Dollar]]<br />
<br />
*[[Decrease of revenues in lowlands from national gas fields]]<br />
<br />
*[[Digital Literacy]]<br />
<br />
*[[E-commerce in developing countries]]<br />
<br />
*[[Economic Growth in China]] <br />
<br />
*[[Decrease labor productivity in health care]]<br />
<br />
*[[Growth of developing markets]]<br />
<br />
*[[Economies of scale]]<br />
<br />
*[[Energy crisis in Asia]]<br />
<br />
*[[European integration]]<br />
<br />
*[[European Labour Market]]<br />
<br />
*[[Global Labour Market]]<br />
<br />
*[[Huge difference between the western and the eastern part of China]]<br />
<br />
*[[Imbalance of Global Supply and Demand]]<br />
<br />
*[[Increase of IPO activity in US stock exchange market]]<br />
<br />
*[[Influence of the World Trade Organization (WTO)]]<br />
<br />
*[[Information Markets & Gambling]]<br />
<br />
*[[Internal consumption in US]]<br />
<br />
*[[Oil price]]<br />
<br />
*[[Online Gaming Business]]<br />
<br />
*[[Open Source]]<br />
<br />
*[[Poverty and Economic Disparities]]<br />
<br />
*[[Products are Turned Into Services]]<br />
<br />
*[[Reduce IT-infrastructure cost]]<br />
<br />
*[[Reduction of organizational and technological complexity]]<br />
<br />
*[[Sophisticated logistics system and distribution channel]]<br />
<br />
*[[Struggling old world economy]]<br />
<br />
*[[Support from international companies]]<br />
<br />
*[[Sustainable Development & Global Economy]]<br />
<br />
*[[The Increase of the United States Budget Deficit]]<br />
<br />
*[[The Rise of the Long Tail]]<br />
<br />
*[[UK House Prices]]<br />
<br />
*[[Decrease of the relative share of the US economy in the global economy]]<br />
<br />
*[[The High Price of Computer Systems]]<br />
<br />
*[[The increasing role of barter in the global economy]]<br />
<br />
*[[The increasing globalization of markets]]<br />
<br />
*[[The increasing gap between developed, emerging and poor economies]]<br />
<br />
*[[The increasing effect of the development of technology on the global economy]]<br />
<br />
*[[The effect of Brazil's economy on the global economy]]<br />
<br />
*[[The Rise of BRIC Economies]]<br />
<br />
*[[China's economic productivity growth]]<br />
<br />
*[[China's accumulated capital as the driving force of the economic growth]]<br />
<br />
*[[Iranian Oil Bourse]]<br />
<br />
*[[Pay-as-you-drive]]<br />
<br />
*[[Wider economic divide]]<br />
<br />
*[[Increasing empowerment of consumers]]<br />
<br />
*[[China becoming the largest economy]]<br />
<br />
*[[Rising costs of labour in China]]<br />
<br />
*[[International Trade of goods]]<br />
<br />
*[[The cost of freight shipping]]<br />
<br />
*[[The increased importance of online corporate branding]]<br />
<br />
*[[Financing and costs of the Dutch health care system]]<br />
<br />
*[[The power of insurance companies in health care]]<br />
*[[Increase Labor productivity in health care]]<br />
<br />
[http://scenariothinking.org/wiki/index.php/Driving_Forces >>Back>>]<br />
<br />
<p align="right">''Go back to [[Main Page]]''</p></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Societal_Driving_Forces&diff=32996Societal Driving Forces2009-10-18T16:17:09Z<p>Mtjiang: </p>
<hr />
<div><p align="right">''Go back to [[Main Page]]''</p><br />
*[[Access of Technology and IT applications in Developing countries]]<br />
<br />
*[[Aging Europe]]<br />
<br />
*[[Aging population]]<br />
<br />
*[[Business in Society]]<br />
<br />
*[[Buying preferences]]<br />
<br />
*[[Change of personal traits]]<br />
<br />
*[[Chinese people's increasing leisure time]]<br />
<br />
*[[Community Feeling]]<br />
<br />
*[[Computer games and health issues]]<br />
<br />
*[[Continuously growing demand for new medical applications]]<br />
<br />
*[[Consumer health informatics in the information age]]<br />
<br />
*[[Decreasing attention for software development]]<br />
<br />
*[[Digital Literacy]]<br />
<br />
*[[Dynamic Mobile Workspace]]<br />
<br />
*[[Emergence of Focus Groups on Issues Surrounding Child Care]]<br />
<br />
*[[Emergence of new Technology Related Diseases]]<br />
<br />
*[[Decline in Ethnic Integration in The Netherlands]]<br />
<br />
*[[Future Value of an MBA]]<br />
<br />
*[[Growing privacy and security concerns]]<br />
<br />
*[[How violence spoils your child]]<br />
<br />
*[[Importance of authentic identity]]<br />
<br />
*[[Increasing democratization of knowledge]]<br />
<br />
*[[Increasing Empowerment of Consumers in Healthcare System]]<br />
<br />
*[[Increased need for Idea Generation during this ‘information age’ era]]<br />
<br />
*[[Increase in people going on-line]]<br />
<br />
*[[Increasing importance of brand equity]]<br />
<br />
*[[Increasing influence of Millennials]]<br />
<br />
*[[Increasing Mobility]]<br />
<br />
*[[Increasing Neglect of the Elderly]]<br />
<br />
*[[Increasing quantity of non-critical/populist media]]<br />
<br />
*[[Increasing social isolation]]<br />
<br />
*[[Increasing use of computer-mediated communication]]<br />
<br />
*[[Increase in Stress of Adult Workers in The Netherlands]]<br />
<br />
*[[Information overload]]<br />
<br />
*[[Islamic Fundamentalism]]<br />
<br />
*[[Liberalization of the Dutch health care market]]<br />
<br />
*[[Media Globalization]]<br />
<br />
*[[Medicine]]<br />
<br />
*[[Medium for Dissidence]]<br />
<br />
*[[My job is not the only thing in my life ANYMORE!!!!]]<br />
<br />
*[[Need for Information On Demand]]<br />
<br />
*[[People's need for communication and information]]<br />
<br />
*[[Pornography]]<br />
<br />
*[[Power of Information-anywhere, everywhere ]]<br />
<br />
*[[Religion]]<br />
<br />
*[[Remote educations]]<br />
<br />
*[[Rising Charities and Funds]]<br />
<br />
*[[Segmentation]]<br />
<br />
*[[Suicide Bombings in Israel]]<br />
<br />
*[[Switching from School Education to Family Education ]]<br />
<br />
*[[THE DECREASING OF BIRTHRATE AND UNBALANCE OF PHYSICAL LABOR]]<br />
<br />
*[[The Globalization of Culture (or Cultural Globalization)]]<br />
<br />
*[[The growing population of overweight people]]<br />
<br />
*[[THE SWITCHING OF SCHOOL EDUCATION TO FAMILY EDUCATION]]<br />
<br />
*[[Urbanization and Social Status]]<br />
<br />
*[[Violence in computer games]]<br />
<br />
*[[Virtual Integration]]<br />
<br />
*[[Wireless is better than wire]]<br />
<br />
*[[World population growth]]<br />
<br />
*[[Worldwide and higher lifelong education]]<br />
<br />
*[[Increasing the portion of aging people in south Korea]]<br />
<br />
*[[Young Generation in South Korea]]<br />
<br />
*[[ageing population : Retirement]]<br />
<br />
*[[Health impact of mobile and wireless devices]]<br />
<br />
*[[Increase in travel infrastructure in China]]<br />
<br />
*[[Piracy]]<br />
<br />
*[[Consumer/customer demands regarding speed of service/delivery]]<br />
<br />
*[[Accessibility of hospitals in Amsterdam]]<br />
<br />
*[[Number of people in Amsterdam]]<br />
<br />
*[[Number of visitors in Amsterdam]]<br />
<br />
*[[Impact of Social and Cultural Differences in Healthcare]]<br />
<br />
*[[Healthcare demand of etnical groups in Amsterdam]]<br />
*[[Impact of Social and Cultural Differences in Healthcare]]<br><br />
<br />
*[[Preventive health care in The Netherlands]]<br />
[http://scenariothinking.org/wiki/index.php/Driving_Forces >>Back>>]<br />
<p align="right">''Go back to [[Main Page]]''</p></div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=32995The Future of Hospitals in Amsterdam in 20202009-10-18T16:15:36Z<p>Mtjiang: /* Driving forces */</p>
<hr />
<div>''MBA09 team:''<br><br />
Peter Hoppesteyn<br><br />
Roel Kock<br><br />
Piotr Ptasinski<br><br />
Miranda Tjiang<br><br />
Marjoleine van der Zwan<br><br />
<br><br />
''"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 [mailto:peter.hoppesteyn@xs4all.nl contact us].''' <br />
<br><br />
==Introduction==<br />
<br />
Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels for specific care? <br><br />
<br />
We are all living longer and have higher demands for quality. Technology and ICT are devoloping in high speed. How to finance that? Will the Netherlands be a province of the European Union by than? And are the negotiators from the health insurance cmpanies taken over by European ones or even Azian or American? Who knows. All scenarios were more or less possible, when we started this 8 weeks parttime project. <br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with 3 professionals (CEO, Planning & Control, Construction) and our professor Erasmus. <br />
<br />
These sources of information form the basis under the scenarios:<br><br />
<br />
1. The new process<br><br />
2. Abandoning collective base insurance<br><br />
3. Lifestyle "the health community system"<br><br />
4. Solidarity within families, shift from individualism to collectivism in Amsterdam<br><br />
<br />
==Research Questions==<br />
Starting point for the research questions:<br><br />
----<br />
[[Image:Ziekenhuizen 2020.jpeg]]<br />
<br />
----<br />
Research Questions<br />
---------------<br />
<br />
1. What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
2. Which differentiations are there at the moment?<br><br />
3. Which stakeholders are known in health care?<br><br />
4. What is the demand?<br><br />
5. What are the trends?<br><br />
6. How is the health care financed?<br><br><br><br />
........<br />
<br />
<Graag aanvullen><br />
<br />
These research questions led to the development of the driving forces. These driving forces can be found under the link Driving forces. <br />
<br />
<br />
1. Which developments were the most impressive to you over the last 15 years?<br><br />
2. Which developments will have the most impact on your hospital over the next 10 years? <br><br />
3. Which developments do you see in Amsterdam? <br><br />
a. Which of these developments have a potential impact on hospitals? <br><br />
b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
c. Which developments deserve more attention and/of investigation? Why? <br><br />
4. What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
5. What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
For example: <br><br />
a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
6. A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
7. What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
8. For which trends is the hospital preparing? <br><br />
9. What do you think hospital care looks like in 2020? <br><br />
10. What needs to be changed in 2020? <br><br />
11. Will there be the same players? <br><br />
12. What shifts do you expect the coming years? <br><br />
13. Will there be a shift in focus? <br><br />
14. Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
15. Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
16. What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Driving forces==<br />
• [[Innovation in health care]]<br><br />
• [[Accessibility of hospitals in Amsterdam]]<br><br />
• [[Biometrics]]<br><br />
• [[Aging population]]<br><br />
• [[Low cost of internet connections]]<br><br />
• [[Continuously growing demand for new medical applications]]<br><br />
• [[Consumer health informatics in the information age]]<br><br />
• [[Emergence of new Technology Related Diseases]]<br><br />
• [[Increasing empowerment of consumers]]<br><br />
• [[Increasing Neglect of the Elderly]]<br><br />
• [[Medicine]]<br><br />
• [[Religion]]<br><br />
• [[Segmentation]]<br><br />
• [[Number of people in Amsterdam]]<br><br />
• [[Number of visitors in Amsterdam]]<br><br />
• [[Financing and costs of the Dutch health care system]]<br><br />
• [[The power of insurance companies in health care]]<br><br />
• [[Increase Labor productivity in health care]] <br><br />
<br />
==Summary of Interviews==<br />
In order to support the development of the scenarios, the team has visited one of the main hospitals in Amsterdam. The following persons have been intervied during this visit: <br><br />
<br />
[[Interview with the chairman of the board of management]]<br><br />
[[Interview with the financial controller]]<br><br />
[[Interview with the responsible manager for housing and buildings]]<br><br />
<br />
==System Diagrams==<br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
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.<br><br />
Good Luck - D<br />
<br />
<br><br />
''[[1. Transsensual]]<br><br />
''[[2. Unsolidairity?]]<br><br />
''[[3. The health community system]]<br><br />
''[[4. All together now]]<br><br />
<br />
==Resources==<br />
http://www.minvws.nl<br><br />
http://www.nza.nl<br><br />
http://www.slaz.nl<br><br />
http://www.amc.nl<br><br />
http://www.wikipedia.nl<br><br />
http://www.obesitas.nl<br><br />
http://www.rivm.nl<br><br />
http://www.cpb.nl<br><br />
http://www.amsterdam.nl<br><br />
http://www.cbs.nl<br><br />
http://www.nictiz.nl<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_Future_of_Hospitals_in_Amsterdam_in_2020&diff=32993The Future of Hospitals in Amsterdam in 20202009-10-18T16:15:22Z<p>Mtjiang: /* Driving forces */</p>
<hr />
<div>''MBA09 team:''<br><br />
Peter Hoppesteyn<br><br />
Roel Kock<br><br />
Piotr Ptasinski<br><br />
Miranda Tjiang<br><br />
Marjoleine van der Zwan<br><br />
<br><br />
''"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 [mailto:peter.hoppesteyn@xs4all.nl contact us].''' <br />
<br><br />
==Introduction==<br />
<br />
Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels for specific care? <br><br />
<br />
We are all living longer and have higher demands for quality. Technology and ICT are devoloping in high speed. How to finance that? Will the Netherlands be a province of the European Union by than? And are the negotiators from the health insurance cmpanies taken over by European ones or even Azian or American? Who knows. All scenarios were more or less possible, when we started this 8 weeks parttime project. <br />
<br />
In order to investigate the different possibilities we researched literature, had interviews with 3 professionals (CEO, Planning & Control, Construction) and our professor Erasmus. <br />
<br />
These sources of information form the basis under the scenarios:<br><br />
<br />
1. The new process<br><br />
2. Abandoning collective base insurance<br><br />
3. Lifestyle "the health community system"<br><br />
4. Solidarity within families, shift from individualism to collectivism in Amsterdam<br><br />
<br />
==Research Questions==<br />
Starting point for the research questions:<br><br />
----<br />
[[Image:Ziekenhuizen 2020.jpeg]]<br />
<br />
----<br />
Research Questions<br />
---------------<br />
<br />
1. What is the hospital capacity in Amsterdam and The Netherlands?<br><br />
2. Which differentiations are there at the moment?<br><br />
3. Which stakeholders are known in health care?<br><br />
4. What is the demand?<br><br />
5. What are the trends?<br><br />
6. How is the health care financed?<br><br><br><br />
........<br />
<br />
<Graag aanvullen><br />
<br />
These research questions led to the development of the driving forces. These driving forces can be found under the link Driving forces. <br />
<br />
<br />
1. Which developments were the most impressive to you over the last 15 years?<br><br />
2. Which developments will have the most impact on your hospital over the next 10 years? <br><br />
3. Which developments do you see in Amsterdam? <br><br />
a. Which of these developments have a potential impact on hospitals? <br><br />
b. Which developments outside The Netherlands have a potential impact on hospitals? <br><br />
c. Which developments deserve more attention and/of investigation? Why? <br><br />
4. What are the biggest changes for your hospital in the short time (up till 2 years)? <br><br />
5. What are the biggest opportunities and threats for your hospital between now and 5 years? <br><br />
For example: <br><br />
a. How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br><br />
b. How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br><br />
c. Regarding transplantations: what is the need? What is the impact on your hospital? <br><br />
6. A trend in society is “custom made”; how is your hospital adapting to that trend? <br><br />
7. What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br><br />
8. For which trends is the hospital preparing? <br><br />
9. What do you think hospital care looks like in 2020? <br><br />
10. What needs to be changed in 2020? <br><br />
11. Will there be the same players? <br><br />
12. What shifts do you expect the coming years? <br><br />
13. Will there be a shift in focus? <br><br />
14. Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br><br />
15. Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br><br />
16. What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br><br />
<br />
==Driving forces==<br />
• [[Innovation in health care]]<br><br />
• [[Accessibility of hospitals in Amsterdam]]<br><br />
• [[Biometrics]]<br><br />
• [[Aging population]]<br><br />
• [[Low cost of internet connections]]<br><br />
• [[Continuously growing demand for new medical applications]]<br><br />
• [[Consumer health informatics in the information age]]<br><br />
• [[Emergence of new Technology Related Diseases]]<br><br />
• [[Increasing empowerment of consumers]]<br><br />
• [[Increasing Neglect of the Elderly]]<br><br />
• [[Medicine]]<br><br />
• [[Religion]]<br><br />
• [[Segmentation]]<br><br />
• [[Number of people in Amsterdam]]<br><br />
• [[Number of visitors in Amsterdam]]<br><br />
• [[Financing and costs of the Dutch health care system]]<br><br />
• [[The power of insurance companies in health care]]<br><br />
•[[Increase Labor productivity in health care]] <br><br />
<br />
==Summary of Interviews==<br />
In order to support the development of the scenarios, the team has visited one of the main hospitals in Amsterdam. The following persons have been intervied during this visit: <br><br />
<br />
[[Interview with the chairman of the board of management]]<br><br />
[[Interview with the financial controller]]<br><br />
[[Interview with the responsible manager for housing and buildings]]<br><br />
<br />
==System Diagrams==<br />
Systems Diagram: first version <br><br />
[[Image:mindpic.jpg]]<br />
<br><br><br><br />
Systems Diagram: final version<br><br />
[[Image:mindmap.jpg]]<br />
<br><br />
<br />
==Scenarios==<br />
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.<br><br />
Good Luck - D<br />
<br />
<br><br />
''[[1. Transsensual]]<br><br />
''[[2. Unsolidairity?]]<br><br />
''[[3. The health community system]]<br><br />
''[[4. All together now]]<br><br />
<br />
==Resources==<br />
http://www.minvws.nl<br><br />
http://www.nza.nl<br><br />
http://www.slaz.nl<br><br />
http://www.amc.nl<br><br />
http://www.wikipedia.nl<br><br />
http://www.obesitas.nl<br><br />
http://www.rivm.nl<br><br />
http://www.cpb.nl<br><br />
http://www.amsterdam.nl<br><br />
http://www.cbs.nl<br><br />
http://www.nictiz.nl<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Increase_Labor_productivity_in_health_care&diff=32991Increase Labor productivity in health care2009-10-18T16:13:37Z<p>Mtjiang: New page: Description<br> According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureauc...</p>
<hr />
<div>Description<br><br />
According to the CBP (Centraal Plan Bureau) in the Netherlands the labor productivity can be increased in several ways for example: efficient use of knowledge, less bureaucracy, better tuning between different forms of healthcare, better use of information technology. Still the growth of labour productivity in healthcare will stay behind especially where labour is physically intensive like in hospitals. According to the National Accounts the labour productivity decreased with 0.3% every year in the last 20 years<br />
<br><br />
<br><br />
Enablers<br><br />
- Less hierarchy between staff, specialistic and nursing personnel<br><br />
- (More) Platforms between different forms of healthcare<br><br />
- More differentiation in jobs and functions with focus on decrease amount of general tasks and multitasking in specialistic functions<br><br />
- Technological innovations and innovations in ICT can make health care more efficient, cheaper, more patient-friendly and better tailor-made:<br><br />
o Innovation to decrease need of physical intensive labor enables different time spending in executing tasks<br><br />
o Increase use of information technology in health care to enable less timespending in administrative tasks<br />
<br><br />
<br><br />
Inhibitors<br><br />
- Lack of time, communication and financial resources<br><br />
- Old methods to quantify labor productivity in any way methods that are not aligned with current demand of consumer and patient<br><br />
- Numurus fixus at several schools of specialised health care education is not aligned with demand of required personnel<br><br />
- Trend to extend education and specialise <br />
<br><br />
<br><br />
Paradigms<br><br />
Nowadays much more is required from personnel in health care specialist have to execute more time in administrative tasks and the demand of consumers and patients require different approaches like for example time spending in coaching etc.; there is shift from the function that was first more going into depth and now is much more broaden.<br><br />
Due to the aging population in The Netherlands the demand for health care will increase This will require a more efficient and effective labor productivity.<br />
<br><br />
<br><br />
Experts<br><br />
ICT specialists<br><br />
Technological experts<br><br />
Managers in health care<br><br />
Health insurance experts<br><br />
Patient representatives<br><br />
<br />
Timing<br><br />
n.a <br><br />
<br><br />
<br><br />
Web resources<br><br />
www.zorgmarketingplatform.nl<br><br />
www.managementkennisbank.nl<br><br />
http://books.google.nl/books?id=EXD1O7KwfD0C&pg=PA208&lpg=PA208&dq=low+labor+productivity+healthcare&source=bl&ots=n8nT3LoKng&sig=xe4lAuPCznFER2KlZxbd9Z8HrsQ&hl=nl&ei=a32zSsfPJcqN4gaY98B8&sa=X&oi=book_result&ct=result&resnum=2#v=onepage&q=&f=false<br><br />
http://www.liebertonline.com/doi/abs/10.1089/tmj.2005.11.477?cookieSet=1&journalCode=tmj<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Economic_Driving_Forces&diff=32984Economic Driving Forces2009-10-18T16:09:58Z<p>Mtjiang: </p>
<hr />
<div><p align="right">''Go back to [[Main Page]]''</p><br />
*[[A growing market during a recession]]<br />
<br />
*[[Shift to Alternative Energy Sources]]<br />
<br />
*[[Business in Society]]<br />
<br />
*[[Chinese Families' economic condition]]<br />
<br />
*[[Competitiveness through innovation in the technology industry]]<br />
<br />
*[[Cost of Setting up a Wi-Fi Network ]]<br />
<br />
*[[Crisis of the capitalism]]<br />
<br />
*[[Declining Dollar]]<br />
<br />
*[[Decrease of revenues in lowlands from national gas fields]]<br />
<br />
*[[Digital Literacy]]<br />
<br />
*[[E-commerce in developing countries]]<br />
<br />
*[[Economic Growth in China]] <br />
<br />
*[[Increase labor productivity in health care]]<br />
<br />
*[[Growth of developing markets]]<br />
<br />
*[[Economies of scale]]<br />
<br />
*[[Energy crisis in Asia]]<br />
<br />
*[[European integration]]<br />
<br />
*[[European Labour Market]]<br />
<br />
*[[Global Labour Market]]<br />
<br />
*[[Huge difference between the western and the eastern part of China]]<br />
<br />
*[[Imbalance of Global Supply and Demand]]<br />
<br />
*[[Increase of IPO activity in US stock exchange market]]<br />
<br />
*[[Influence of the World Trade Organization (WTO)]]<br />
<br />
*[[Information Markets & Gambling]]<br />
<br />
*[[Internal consumption in US]]<br />
<br />
*[[Oil price]]<br />
<br />
*[[Online Gaming Business]]<br />
<br />
*[[Open Source]]<br />
<br />
*[[Poverty and Economic Disparities]]<br />
<br />
*[[Products are Turned Into Services]]<br />
<br />
*[[Reduce IT-infrastructure cost]]<br />
<br />
*[[Reduction of organizational and technological complexity]]<br />
<br />
*[[Sophisticated logistics system and distribution channel]]<br />
<br />
*[[Struggling old world economy]]<br />
<br />
*[[Support from international companies]]<br />
<br />
*[[Sustainable Development & Global Economy]]<br />
<br />
*[[The Increase of the United States Budget Deficit]]<br />
<br />
*[[The Rise of the Long Tail]]<br />
<br />
*[[UK House Prices]]<br />
<br />
*[[Decrease of the relative share of the US economy in the global economy]]<br />
<br />
*[[The High Price of Computer Systems]]<br />
<br />
*[[The increasing role of barter in the global economy]]<br />
<br />
*[[The increasing globalization of markets]]<br />
<br />
*[[The increasing gap between developed, emerging and poor economies]]<br />
<br />
*[[The increasing effect of the development of technology on the global economy]]<br />
<br />
*[[The effect of Brazil's economy on the global economy]]<br />
<br />
*[[The Rise of BRIC Economies]]<br />
<br />
*[[China's economic productivity growth]]<br />
<br />
*[[China's accumulated capital as the driving force of the economic growth]]<br />
<br />
*[[Iranian Oil Bourse]]<br />
<br />
*[[Pay-as-you-drive]]<br />
<br />
*[[Wider economic divide]]<br />
<br />
*[[Increasing empowerment of consumers]]<br />
<br />
*[[China becoming the largest economy]]<br />
<br />
*[[Rising costs of labour in China]]<br />
<br />
*[[International Trade of goods]]<br />
<br />
*[[The cost of freight shipping]]<br />
<br />
*[[The increased importance of online corporate branding]]<br />
<br />
*[[Financing and costs of the Dutch health care system]]<br />
<br />
*[[The power of insurance companies in health care]]<br />
*[[Increase Labor productivity in health care]]<br />
<br />
[http://scenariothinking.org/wiki/index.php/Driving_Forces >>Back>>]<br />
<br />
<p align="right">''Go back to [[Main Page]]''</p></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32975Shift to Alternative Energy Sources2009-10-18T16:02:42Z<p>Mtjiang: /* Timing: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br>Shell, Exxon, etc..<br />
<br><br />
<br><br />
- Kyoto Protocol will expire in 2012 <br><br />
- Copenhagen is the location of the next UN Climate Change Conference (December 7 to 18, 2009).<br> This purpose of this conference is to establish greenhouse gas targets for the post-Kyoto period.<br><br />
<br />
<br />
<br />
<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp <br><br />
http://unfccc.int/meetings/items/4749.php<br><br />
http://www.reuters.com/article/GCA-GreenBusiness/idUSTRE58G4KE20090917?pageNumber=1&virtualBrandChannel=0<br><br />
http://www.businessinsider.com/clean-energy-growing-says-report<br><br />
http://wetenschap.infonu.nl/onderzoek/13322-alternatieve-energiebronnen.html<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32974Shift to Alternative Energy Sources2009-10-18T16:02:04Z<p>Mtjiang: /* Timing: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br>Shell, Exxon, etc..<br />
<br><br />
<br><br />
- Kyoto Protocol will expire in 2012 <br><br />
- Copenhagen is the location of the next UN Climate Change Conference (December 7 to 18, 2009).<br> This purpose of this conference is to establish greenhouse gas targets for the post-Kyoto period.<br><br />
<br />
<br />
<br />
<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp <br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32972Shift to Alternative Energy Sources2009-10-18T16:01:49Z<p>Mtjiang: /* Timing: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br>Shell, Exxon, etc..<br />
<br><br />
- Kyoto Protocol will expire in 2012 <br><br />
- Copenhagen is the location of the next UN Climate Change Conference (December 7 to 18, 2009).<br> This purpose of this conference is to establish greenhouse gas targets for the post-Kyoto period.<br><br />
<br />
<br />
<br />
<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp <br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32970Shift to Alternative Energy Sources2009-10-18T16:01:14Z<p>Mtjiang: /* Timing: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br><br />
<br><br />
- Kyoto Protocol will expire in 2012 <br><br />
- Copenhagen is the location of the next UN Climate Change Conference (December 7 to 18, 2009).<br> This purpose of this conference is to establish greenhouse gas targets for the post-Kyoto period.<br><br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp <br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32968Shift to Alternative Energy Sources2009-10-18T15:58:41Z<p>Mtjiang: /* Timing: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp <br><br />
- Kyoto Protocol will expire in 2012 <br><br />
- Copenhagen is the location of the next UN Climate Change Conference (December 7 to 18, 2009).<br> This purpose of this conference is to establish greenhouse gas targets for the post-Kyoto period.<br></div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32966Shift to Alternative Energy Sources2009-10-18T15:56:44Z<p>Mtjiang: /* Paradigms: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical.<br><br />
Alternative energy sources are now in a position to compete with more established sources, even in the absence of government subsidies.<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32965Shift to Alternative Energy Sources2009-10-18T15:56:16Z<p>Mtjiang: /* Inhibitors: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br><br />
- Availability of a comprehensive, economy-wide energy plan to maintain growth of use<br><br />
- Availability of an effective energy server or storage device <br><br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical. <br />
<br />
<br />
<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32964Shift to Alternative Energy Sources2009-10-18T15:55:24Z<p>Mtjiang: /* Enablers: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br><br />
- UN Climate Change Conference Copenhagen<br><br />
- Government expenditure and subsidies<br><br />
- Trend green investing<br><br />
- Customer education<br><br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical. <br />
<br />
<br />
<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp</div>Mtjianghttps://www.scenariothinking.org/index.php?title=Shift_to_Alternative_Energy_Sources&diff=32963Shift to Alternative Energy Sources2009-10-18T15:54:34Z<p>Mtjiang: /* Description: */</p>
<hr />
<div>== Description: ==<br />
The average oil- and natural gasoline prices have been increasing over the last decades. This is mainly attributable to the inevitable fact that one day these natural resources are depleted and the demand for oil is still rising, the cost of producing it and the prices for consumers will need to pay for it are extremely uncertain. Today, most of the capital goes to exploring for and developing high costs reserves , partly becaue of limitations of international oil company access to the cheapest resources. Expanding production in the lowest cost countries will be central to meeting the world's needs or seeking for alternative energy sources to keep up with the demand. As the demand for energy is still increasing. In the future we need an alternative energy source capable at satisfying this ever increasing demand and hedge the uncertainty of oil. These future prospects fuel the research done on alternative energy sources.<br><br />
Momentarily the alternative energy sources are amongst others:<br><br />
- Solar energy<br><br />
- Water power<br><br />
- Nuclear power<br><br />
- Wind energy<br><br />
- Hydrogen fusion<br><br />
- Biomass energy<br><br />
- Geothermic power<br><br />
- Tidal en thermic energy of the oceans<br><br />
All these forms of alternative sources have there pros and cons. The conditions of use of every alternative source is different.<br><br />
Relevant is to achieve and maintain efficient and efficient use of competitive alternative energies.<br />
<br />
== Enablers: ==<br />
<br />
- Natural energy source depletion <br />
<br />
- Current high prices of oil and gas <br />
<br />
- Future power shift because of finding/controlling an alternative energy source.<br />
<br />
- Kyoto potocol which regulate the CO2 emission<br />
<br />
- Technical progress of fuel cell which produces energy using hydrogen specially in the field of stack, fuel converter and hydrogen container<br />
<br />
- Technical progress of solar cell<br />
<br />
- Increasing construction of the wind power plant<br />
<br />
- Increasing construction of the tidal power plant<br />
<br />
- Techncal development for geothermal power generation<br />
<br />
- Developing a new process for converting agricultural and other organic wastes into energy <br />
<br />
- Increasing public needs for environmental friendly energy source<br />
<br />
- Limitations of international oil companies access to the cheapest oil resources<br />
<br />
== Inhibitors: ==<br />
<br />
<br />
- Bad economy results in less money to spend on research on alternative energy.<br />
<br />
- Public rejection of alternative energy source (nuclear energy).<br />
<br />
- Finding many new rich oil- and gasoline areas.<br />
<br />
- Technical barrier for developping new technology such as fuel cell, solar cell etc<br />
<br />
- Security issues for using hydrogen<br />
<br />
- High initail cost to buy fuel cell and solar cell system<br />
<br />
- Insufficient Kyoto Teaty- The U.S didn't join<br />
The ecomomy of CO2 quota is less efficient<br />
<br />
== Paradigms: ==<br />
Before, there was enough oil and gasoline for everyone. Now governments and oil and gasoline companies are breaking their minds on how to deal with the demand for energy in the future.<br />
<br />
As everyone concerns for energy crisis, electronic companies started to develop the new technology to use alternative energy.<br />
Aternative energy source has been considered very expensive because people underevaluated invisible environmental cost caused by the use of current energy source. If governments keep strick policy for environmentalism, the cost of current resourecs will go up. Eventually people will realize the use of alternative resource is ecomomical. <br />
<br />
<br />
<br />
<br />
== Timing: ==<br />
<br />
In 2050 only a few countries are capable of exporting oil and natural gasoline. This means that long before the prices have gone up and the public will demand an alternative energy source.<br />
<br />
In 2015 sufficient technical advance will be realized for energy equipments which use alternative energy sources<br />
<br />
<br />
<br />
Shell, Exxon, etc..<br />
<br />
<br />
http://www.global-vision.org/wssd/index.html<br />
<br />
[http://www.odac-info.org/ Oil depletion analysis centre]<br />
<br />
[http://www.eere.energy.gov/hydrogenandfuelcells]<br />
<br />
http://www.ifmo.de/<br />
<br />
http://www.bmwgroup.com/bmwgroup_prod/e/0_0_www_bmwgroup_com/4_news/4_4_aktuelles_lexikon/pdf/3wasserstoff.pdf<br />
<br />
http://www.fuelcellworld.org/article_default_list.fcm?section=1&subsite=1172<br />
<br />
http://www.worldenergyoutlook.org/2008.asp</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_change_of_children_playing_sports_to_children_playing_videogames&diff=32960The change of children playing sports to children playing videogames2009-10-18T15:52:34Z<p>Mtjiang: /* WEB Resources: */</p>
<hr />
<div>''Environmental driving force of [[ The Future of Technology in Secondary Education in 2020]]''<br />
== Description: ==<br />
Since the rise of the Nintendo 8-bit video games have been a part of society. Children who used to play a sport in front of their house with children from the neighbourhood can now play the same sports online with children all over the world. Since the 1960s, the number of overweight kids and adolescents in the United States has nearly doubled. Today, 10% of 2- to 5-year-olds and more than 15% of children between the ages of 6 and 19 are overweight. And a whopping 31% of adults are also obese. Studies indicate that overweight and obese adolescents have up to an 80% chance of becoming overweight and obese adults, especially if one or more parent has the same condition. This trend has been proven to be the same in Europe, so this is not a cultural thing.<BR><BR><br />
<br />
Ofcourse there are a lot more reasons why these changes occur but videogames are a part of it. Ironically there are different kind of theory's regarding this phenomenon. There are people who say that gaming is better then just watching T.V. becuase of the minimal activities while using a controller. And there are even cases of people losing weight while using a "dance-pad" designed to simulate dancing on a console.<BR><BR><br />
<br />
Without even talking about overweight people it is quite obvious to see that there are simularities and opportunities when looking at sports and videogames.<br />
<br><Br><br />
== Enablers: ==<br />
* The advance of information and communication technology<br><br />
* Parents who are also used to growing up with videogames<br><br />
* The growth of online gaming and the increasing amount of gaming tournaments<br><br />
<br />
* Video game playing introduces children to computer and information technology<br> <br />
* Games can give practice in following directions<br><br />
* Some games provide practice in problem solving and logic<br> <br />
* Games can provide practice in use of fine motor and spatial skills<br><br />
* Games can provide occasions for parent and child to play together<br><br />
* Players are introduced to information technology<br><br />
* Some games have therapeutic applications with patients<br><br />
* Family lifestyle<br><br />
* Marketing<br><br />
* Easy access for parent and child<br><br />
<br />
== Inhibitors: ==<br />
* Organizations against the gaming industry<br />
* Sportorganizations trying to keep encouraging young people to play sports<br />
* Active parents trying to combine both choices <br><br />
* Parents managing child’s media consumption <br><br />
* Game environments are often based on plots of violence, aggression and gender bias<br> <br />
* Organisations that rate videogames e.g.the Entertainment Software Rating Board (ESRB)<br><br />
* Customer education<br><br />
<br />
== Paradigms: ==<br />
* A new videogame culture <br><br />
* Advanced videogames are moving towards sports<br><br />
* Blending: combine entertainment with education<br><br />
* Reinforcement :reward system in achieving next level<br><br />
* Motivation: attractiveness<br><br />
<br><br />
<br />
== Experts: ==<br />
* Marshal McLuhan, The Medium is the Massage<br />
* Nancy Morris, Media and Globalization: Why the State Matters<br />
* Monroe E. Price, Media and Sovereignty<br />
<br><br />
== Timing: ==<br />
The notion of the effects of media globalization emerged in 1960s - 1980s when NWICO (New World Information and Communication) literature critized the presence of foreign media, especially from the United States, as a threat to cultural autonomy in the developing world (Dorfman and Mattelart 1972; International Commission for the Study of Communication Problem).<br />
<br><br><br />
The trend of videogame being an individual game is changing to a more social and “connect to a network of a group of people”<br><br />
The analysis of time spend is declining e.g. A good majority now plays best sellers for relatively shorter duration 10 -20 Hours in contrast to 2005,where majority used play games for more than 100 hours.<br><br />
<br />
== WEB Resources: ==<br />
http://www.getupmove.com/media.html<br><br />
http://health.yahoo.com/news/46838<br><br />
http://my.webmd.com/content/article/84/98017.htm<br><br />
http://www.mediafamily.org/facts/facts_effect.shtml<br><br />
http://www.pamf.org/preteen/parents/videogames.html<br><br />
http://books.google.nl/books?id=sl-Hjf-gMyUC&pg=PA409&lpg=PA409&dq=paradigm+children+playing+videogames&source=bl&ots=EvQZ8ydW8I&sig=wRvVhQgHavsrk_omDa4nLuJ6Ze0&hl=nl&ei=13KzSovfJeWK4gaCvPl8&sa=X&oi=book_result&ct=result&resnum=1#v=onepage&q=paradigm%20children%20playing%20videogames&f=false<br><br />
http://www.trendsspotting.com/blog/?p=333</div>Mtjianghttps://www.scenariothinking.org/index.php?title=The_change_of_children_playing_sports_to_children_playing_videogames&diff=32958The change of children playing sports to children playing videogames2009-10-18T15:51:52Z<p>Mtjiang: /* WEB Resources: */</p>
<hr />
<div>''Environmental driving force of [[ The Future of Technology in Secondary Education in 2020]]''<br />
== Description: ==<br />
Since the rise of the Nintendo 8-bit video games have been a part of society. Children who used to play a sport in front of their house with children from the neighbourhood can now play the same sports online with children all over the world. Since the 1960s, the number of overweight kids and adolescents in the United States has nearly doubled. Today, 10% of 2- to 5-year-olds and more than 15% of children between the ages of 6 and 19 are overweight. And a whopping 31% of adults are also obese. Studies indicate that overweight and obese adolescents have up to an 80% chance of becoming overweight and obese adults, especially if one or more parent has the same condition. This trend has been proven to be the same in Europe, so this is not a cultural thing.<BR><BR><br />
<br />
Ofcourse there are a lot more reasons why these changes occur but videogames are a part of it. Ironically there are different kind of theory's regarding this phenomenon. There are people who say that gaming is better then just watching T.V. becuase of the minimal activities while using a controller. And there are even cases of people losing weight while using a "dance-pad" designed to simulate dancing on a console.<BR><BR><br />
<br />
Without even talking about overweight people it is quite obvious to see that there are simularities and opportunities when looking at sports and videogames.<br />
<br><Br><br />
== Enablers: ==<br />
* The advance of information and communication technology<br><br />
* Parents who are also used to growing up with videogames<br><br />
* The growth of online gaming and the increasing amount of gaming tournaments<br><br />
<br />
* Video game playing introduces children to computer and information technology<br> <br />
* Games can give practice in following directions<br><br />
* Some games provide practice in problem solving and logic<br> <br />
* Games can provide practice in use of fine motor and spatial skills<br><br />
* Games can provide occasions for parent and child to play together<br><br />
* Players are introduced to information technology<br><br />
* Some games have therapeutic applications with patients<br><br />
* Family lifestyle<br><br />
* Marketing<br><br />
* Easy access for parent and child<br><br />
<br />
== Inhibitors: ==<br />
* Organizations against the gaming industry<br />
* Sportorganizations trying to keep encouraging young people to play sports<br />
* Active parents trying to combine both choices <br><br />
* Parents managing child’s media consumption <br><br />
* Game environments are often based on plots of violence, aggression and gender bias<br> <br />
* Organisations that rate videogames e.g.the Entertainment Software Rating Board (ESRB)<br><br />
* Customer education<br><br />
<br />
== Paradigms: ==<br />
* A new videogame culture <br><br />
* Advanced videogames are moving towards sports<br><br />
* Blending: combine entertainment with education<br><br />
* Reinforcement :reward system in achieving next level<br><br />
* Motivation: attractiveness<br><br />
<br><br />
<br />
== Experts: ==<br />
* Marshal McLuhan, The Medium is the Massage<br />
* Nancy Morris, Media and Globalization: Why the State Matters<br />
* Monroe E. Price, Media and Sovereignty<br />
<br><br />
== Timing: ==<br />
The notion of the effects of media globalization emerged in 1960s - 1980s when NWICO (New World Information and Communication) literature critized the presence of foreign media, especially from the United States, as a threat to cultural autonomy in the developing world (Dorfman and Mattelart 1972; International Commission for the Study of Communication Problem).<br />
<br><br><br />
The trend of videogame being an individual game is changing to a more social and “connect to a network of a group of people”<br><br />
The analysis of time spend is declining e.g. A good majority now plays best sellers for relatively shorter duration 10 -20 Hours in contrast to 2005,where majority used play games for more than 100 hours.<br><br />
<br />
== WEB Resources: ==<br />
http://www.getupmove.com/media.html<br><br />
http://health.yahoo.com/news/46838<br><br />
http://my.webmd.com/content/article/84/98017.htm<br />
http://www.mediafamily.org/facts/facts_effect.shtml<br />
http://www.pamf.org/preteen/parents/videogames.html<br />
http://books.google.nl/books?id=sl-Hjf-gMyUC&pg=PA409&lpg=PA409&dq=paradigm+children+playing+videogames&source=bl&ots=EvQZ8ydW8I&sig=wRvVhQgHavsrk_omDa4nLuJ6Ze0&hl=nl&ei=13KzSovfJeWK4gaCvPl8&sa=X&oi=book_result&ct=result&resnum=1#v=onepage&q=paradigm%20children%20playing%20videogames&f=false<br />
http://www.trendsspotting.com/blog/?p=333</div>Mtjiang