Pereno Amina, Eriksson Daniel
Department of Architecture and Design, Politecnico di Torino, Viale Pier Andrea Mattioli 39, 10125 Torino, Italy.
Stiftelsen TEM, Nordic Center for Sustainable Healthcare, Altongagatan 3, 21138 Malmö, Sweden.
Futures. 2020 Sep;122:102605. doi: 10.1016/j.futures.2020.102605. Epub 2020 Jul 22.
Over the past years, the interest in sustainable healthcare has been growing globally and the transition toward environmentally, economically and socially viable health systems is perceived as inevitable and necessary. All the approaches to this emerging field are mainly focusing on short-term specific issues and involving a limited number of stakeholders. This study aimed to address the topic of the possible futures of sustainable healthcare from a multi-stakeholder perspective, in order to define a long-term scenario and the key strategies to enhance this transition. A series of workshops have involved a representative selection of stakeholders based in Nordic countries and concerned with sustainable healthcare (health industries, health providers, managing authorities, universities and research centres, clusters, NGOs and healthcare networks, professional consortia) through a collaborative foresight process. A design-based approach has been adopted to investigate the current scenario and deepen foresight outcomes. The results highlighted three different horizons and the drivers to reshape the roles of individual stakeholders, enhancing the socio-technical transition towards a desirable scenario based on collaboration between distributed dynamic networks. The identified transition strategies move from the local to the international level, focusing on innovation, information and collaboration between stakeholders. This study provides the framework for future studies to deepen the transition process towards sustainable healthcare and its implications at Nordics, European and international levels.
在过去几年里，全球对可持续医疗保健的兴趣不断增长，向环境、经济和社会可行的卫生系统转型被视为不可避免且必要的。该新兴领域的所有方法主要聚焦于短期特定问题，且涉及的利益相关者数量有限。本研究旨在从多利益相关者的角度探讨可持续医疗保健的可能未来这一主题，以确定长期情景以及促进这一转型的关键战略。通过协作式前瞻性过程，一系列研讨会邀请了北欧国家具有代表性的、关注可持续医疗保健的利益相关者（健康产业、医疗服务提供者、管理当局、大学和研究中心、集群、非政府组织和医疗保健网络、专业联盟）参与。采用基于设计的方法来研究当前情景并深化前瞻性成果。结果突出了三个不同的阶段以及重塑各利益相关者角色的驱动因素，加强了向基于分布式动态网络间合作的理想情景的社会技术转型。所确定的转型战略从地方层面延伸至国际层面，重点关注利益相关者之间的创新、信息和合作。本研究为未来研究提供了框架，以深化向可持续医疗保健的转型过程及其在北欧、欧洲和国际层面的影响。
