SLIDE 1 INCLUSIVE INNOVATION IN HEALTH
Rethinking healthcare delivery
Dr Lindi van Niekerk
Bertha Centre for Social Innovation & Entrepreneurship University of Cape Town Graduate School of Business
SLIDE 2 CARDIAC MILESTONES OVER 2 CENTURIES
- Invention of the stethoscope (René Laënnec, Paris 1816)
- First successful transfusion of human blood (James Blundell,
UK 1818)
- Pioneering use of the ECG as diagnostic tool (Paul Dudley,
USA 1907)
- Repair of a stab wound to the heart (Ludwig Rehn, Frankfurt
1896 )
- Surgery on the aortic valve (Theodore Tuffier, Paris 1912),
- Surgery on the mitral valve (Elliot Cutter, Boston 1923),
- Closure of atrial septal defect (John Lewis, Minnesota 1952)
- Valve substitute implantation (Charles Hufnagel, Georgetown
1952)
- Open heart operation with heart lung machine (John Gibbon,
Boston 1953)
- Totally implantable pacemaker (Ake Senning, Sweden 1959)
- Coronary artery bypass (Michael DeBakey, Houston 1964)
- Cardiac transplantation (Christiaan Barnard, Cape Town 1967)
- ……
SLIDE 3
MOST PREVENTABLE DEATHS
SLIDE 4 HEALTH SERVICE QUALITY
"I do believe the only way we can end all preventable deaths and the suffering of millions is to provide decent health care to all." Hilary Benn, 2006
SLIDE 5 UNEQUAL DISTRIBUTION
Worldmapper: WHO 2005.
Health Workers Public Healthcare spending
SLIDE 6
- Vaccines, drug therapies, and adequate scientific
knowledge to address many of the health issues affecting people in developing countries.
- Funding: unprecedented golden era of funding
for research and for global health How do we take advantage of the scientific knowledge and funding that exists to actually deliver health care outcomes?
SCIENTIFIC/ MEDICAL INNOVATION
SLIDE 7 WHY DO WE NEED INNOVATION?
https://www.youtube.com/watch?v=ou3LuxuWjSI#t=12
SLIDE 8 Definition - Integrated & effective provision of services to underserved people with diseases for which proven therapies exist, in resource-poor areas of the world The ‘delivery gap’ - despite financial investments
- r medical advances, prevents care from reaching
those who need it most. Achieving VALUE – Patient health outcomes per $ spent
HEALTH CARE DELIVERY
SLIDE 9 A novel solution to a social problem that is more effective, efficient, sustainable, or just than existing solutions and for which the value created accrues primarily to society as a whole rather than private
- individuals. (Phylis et al, 2008)
Social innovation is an initiative, product or process or program that profoundly changes the basic routines, resource and authority flows or beliefs of any social system. (Westley, 2010). SOCIAL INNOVATION AS A NEW LENS
SLIDE 10 A SOCIAL INNOVATION HEURISTIC: TWO MINDSETS
CORRECTIVE PARADIGM TRANSFORMATIVE PARADIGM
PROBLEMS POSSIBILITIES GAPS STRENGTHS SERVICE CO-CREATION DEVELOPMENT EVOLUTION PRODUCTS & PROCESSES PATTERNS EXTERNALIZED INSTITUTIONS INTERNALIZED INSTITUTIONS CATEGORY CONTINUUM
Nilsson, Bonnici, Nwosu 2012
SLIDE 11
PRINCIPLES OF SOCIAL INNOVATION IN HEALTH
SLIDE 12
UNDERSTANDING THE CHALLENGES
Asking those on the frontlines…
SLIDE 13
TYPOLOGY OF SOCIAL INNOVATIONS
SLIDE 14
INNOVATORS WITHIN THE SYSTEM
SLIDE 15
INNOVATORS OUTSIDE THE SYSTEM
SLIDE 16
DEVELOPING INNOVATION CAPACITY
SLIDE 17
DEVELOPING ECOSYSTEM - LIVING INNOVATION LAB
SLIDE 18
DEVELOPING AN EVIDENCE BASE
SLIDE 19
What solution can you create?
SLIDE 20 THANK YOU
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