Four Stages of Systems Evolution: Four Operating Systems by Otto Scharmer

“In health we saw a shift from traditional doctor-centric to managed care and evidence based medicine. Realizing that only 20% of health depends on health care services, while 60% depends on social, environmental and behavioral factors, major health system innovators like Kaiser Permanente have begun to refocus from pathogenesis (focusing on the 20%) to salutogenesis (to also focus on the 60%) by strengthening the sources of health and well-being in communities. As the mainstream health organizations have been moving into 2.0 (evidence-, standards-, and science-centric), we have seen the more innovative health care providers shift to organize around the actual patient journey (3.0). While that patient-centric way of delivering health care services is moving more mainstream, we see yet another frontier of health innovation at the horizon: a system that strengthens the sources of well-being both individually and collectively (4.0).”

~ MIT Senior Lecturer Otto Scharmer on the future of health via 4.0 Lab: Inventing the Future of Food, Finance, Health, Ed, & Management

For those interested in learning more about the salutogenic model:

What will Health 4.0, 5.0, and 6.0 look like in British Columbia? How can we utilize technology to support the 60% (social, environmental, and behavioural factors)? How can our medical education system prepare learners to contribute to the design and implementation of the models that they will work and live in?

Off the top of my head, it would be interesting to install a university-community health liaison office that bridges the social and intellectual capital in both spheres and initiates partnerships to specifically address the vitality, health, and wellness of our shared ecology.

Warm Regards and Happy New Year!


#salutogenesis #medicaleducation #universitycommunityhealthpartnership #sharedecology

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