Abstract
The perceptions and attitudes of society, including both people and organisations, are changing along with the development of knowledge and technology. Several fundamental changes have taken place in healthcare in recent decades. Hospitals around the world are challenged to support patients’ recovery and well-being by adding value to traditional medical treatments and developing new services. The holistic approach to health in developing and designing services based on patient well-being has become an integral part of hospital services. The development of Dunn’s high-level holistic wellness concept was triggered by the World Health Organisation’s definition of health in 1946, which carried the message that everyone is responsible for their own health. This broader understanding of health encouraged research and service development, including in the field of healthcare. By focusing on wellness as a continuous process that is never static, healthcare providers play a fundamental role in maintaining the vitality of a person. However, gaps can be found in the application of the holistic wellness concept in the design of healthcare services. This chapter will present an overview of implementing theoretical approaches of the holistic wellness concept in healthcare, noteworthy changes and trends in the design and development of hospital services, and the application of the concept in the design of services. The experience of planning, targeting and developing a rehabilitation and well-being centre at Pärnu Hospital (Estonia) is described to explain how the wellness concept and wellness dimensions were the basis of the design and development of the centre’s services.
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References
Boyd, H., McKernon, S., Mullin, B., & Old, A. (2012). Improving healthcare through the use of co-design. New-Zealand Medical Journal, 125(1357), 76–87. https://assets-global.website-files.com/5e332a62c703f653182faf47/5e332a62c703f6f7f92fde06_boyd.pdf. Accessed 1 Jun 2021.
Castro, E. M., Malfait, S., Regenmortel, T. V., Hecke, A. V., Sermeus, W., & Vanhaecht, K. (2018). Co-design for implementing patient participation in hospital services: A discussion paper. Patient Education and Counseling, 101(7), 1302–1305. PMID: 29602511 DOI: https://doi.org/10.1016/j.pec.2018.03.019.
Drew, C. (2019). Design council. The double diamond: 15 years on. https://www.designcouncil.org.uk/news-opinion/double-diamond-15-years. Accessed 31 May 2021.
Dunn, H. (1959). What high-level wellness means. Canadian Journal of Public Health/Revue Canadienne de Santé Publique, 50(11), 447–457. Canadian Public Health Association. DOI: https://doi.org/10.2307/41981469. https://www.jstor.org/stable/41981469.
Dunn, H. L. (1977). High-level wellness. Slack Publishing.
Estonian Development Fund. (2010). Tervishoiuteenused 2018: Eesti tervise- ja heaoluteenuste ekspordivõimalused (Health Services 2018: Export opportunities for Estonian health and welfare services). Accessed June 1, 2021, from http://www.arengufond.ee/upload/Editor/Publikatsioonid/Tervishoiuteenuste-eksport-2018.pdf.
Estonian Spa Association. (2012). Kuurortravi arengusuunad (Development trends of spa treatment). Kuurortravi arengukava 2013–2020 (Spa treatment development plan 2013–2020). Eesti terviseturismi klaster (Estonian Health Tourism Cluster, Ed.). Eesti Spaaliit (Estonian Spa Association, Ed.). http://healthrepublic.ee/wp-content/uploads/2013/09/KUURORTRAVI-ARENGUKAVA_2013_2020.Final_.pdf. Accessed 1 Jun 2021.
Ghiya, G. D. (2019). Promoting spiritual health and holistic wellness. Journal of Health Management, 21(2), 230–233. https://doi.org/10.1177/0972063419835104.
Glausier, G. (2018). The changing role of hospitals as healthcare evolves. https://scrubbing.in/the-changing-role-of-hospitals-as-healthcare-evolves/. Accessed 1 Jun 2021
Global Wellness Institute. (2019) Understanding wellness: Opportunities & Impacts of the wellness economy for regional development. Global Wellness Institute White Paper Series. Global Wellness Institute (Ed.). https://globalwellnessinstitute.org/industry-research/understanding-wellness-opportunities-impact-wellness-economy-for-regional-development/. Accessed 1 Jun 2021
Janamian, T., Crossland, L., & Wells, L. (2016). On the road to value co-creation in health care: The role of consumers in defining the destination, planning the journey and sharing the drive. The Medical Journal of Australia, 204(7), S12. https://doi.org/10.5694/mja16.00123.
Maher, L., Hayward, B., Hayward, P., & Dr, W. C. (2017). Increasing patient engagement in healthcare service design: A qualitative evaluation of a co-design programme in New Zealand. Patient Experience Journal, 4(1), 23–32. https://doi.org/10.35680/2372-0247.1149.
Palumbo, R. (2016). Contextualizing co-production of health care: A systematic literature review. International Journal of Public Sector Management, 29(1), 72–90. https://doi.org/10.1108/IJPSM-07-2015-0125.
Pärnu Hospital. (2019). Pärnu Haigla arengukava 2019–2023 (Pärnu Hospital Development Plan 2019–2023). Pärnu Hospital (Ed.). https://www.ph.ee/content/editor/files/SA%20P%C3%A4rnu%20Haigla%20arengukava.pdf. Accessed 1 Jun 2021
Pärnu Hospital. (2021). Family school. https://www.ph.ee/clinics_services/womens_and_childrens_clinic/family_school. Accessed 27 May 2021.
Pilzer, P. Z. (2001). The next trillion. Why the wellness industry will exceed the $1 trillion healthcare (sickness) industry in the next ten years. VideoPlus, Inc. Dallas. USA.
Prescott, S. L., Logan, A. C., & Katz, D. L. (2019). Preventive medicine for person, place, and planet: Revisiting the concept of high-level wellness in the planetary health paradigm. International Journal of Environmental Research and Public Health, 16(2), 238. https://doi.org/10.3390/ijerph16020238.
Riigi Teataja. (2021). Haiglavõrgu arengukava (Hospital network development plan). Riigi Teataja RT I 2003, 35, 223. https://www.riigiteataja.ee/akt/13353001. (https://www.riigiteataja.ee/en/). Accessed 1 Jun 2021.
Riigi Teataja. (2021). Tervishoiuteenuste korraldamise seadus (Health Care Services Organization Act 2001). RT I 2001, 50, 284. https://www.riigiteataja.ee/akt/110032011009. (https://www.riigiteataja.ee/en/eli/ee/Riigikogu/act/530042021002/consolide). Accessed 1 Jun 2021.
Russell-Bennett, R., Glavas, C., Josephine Previte, J., Härtel, C., & Smith, S. (2017). Designing a medicalized wellness service: Balancing hospitality and hospital features. The Service Industries Journal, 37(9–10), 657–680. https://doi.org/10.1080/02642069.2017.1354988
Stickdorn, M., & Schwarzenberger. K. (2016). Service design in Tourism. In H. Siller & A. Zehrer (Eds.), Entrepreneurship und Tourismus (pp. 261–275). Linde International. Wien. https://books.google.ee/books?hl=en&lr=&id=wNqOCwAAQBAJ. Accessed 1 Jun 2021.
Stickdorn, M., Hormess, M. E., Lawrence, A., & Schneider, J. (2018). This is service design doing: Applying service design thinking in the real world. O’Reilly. Sebastopol.
Subhedar, R., & Dave, P. (2016). Bombay hospital “Wellness Clinic”: A Holistic concept in a Tertiary care multi specialty hospital for promoting “Global Wellness and Global Health” a scientific study on “The Holistic Physiotherapy Approach” In Rehabilitating Geriatric Community of Indore - India. International Journal of Business and Management Invention, 5(10), 22–31.
Sule, U. (nd). Pärnu Haigla—oluline nurgakivi Eesti tervisevõrgustikus (Pärnu Hospital—a cornerstone in the Estonian healthcare network). http://pol.parnumaa.ee/content/editor/files/Urmas%20Sule,%20P%C3%A4rnu%20haigla.pdf. Accessed 1 Jun 2021.
Travis, J., & Ryan, S. R. (2004). The Wellness Workbook (3rd ed). How to achieve enduring health and vitality. Celestial Arts, Berkeley. USA.
World Health Organization. (n. d.). Constitution. World Health Organization (WHO, Ed.). https://www.who.int/about/who-we-are/constitution. Accessed 27 May 2021.
Acknowledgements
The authors would like to thank Pärnu Hospital’s Chief Physician Urmas Sule, Marketing and Communication Manager Kätlin Muru, Head of the Quality Management Department Teele Orgse, Customer Service Manager Lea Kalda, and former Marketing Manager for many years Errit Kuldkepp for providing valuable information and photos of the development of this unique well-being centre. Their enthusiastic attitude and will to contribute to the promotion of holistic well-being have had a great impact on health and well-being services offered in Estonia.
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Tooman, H., Piirman, M., Kärp, M. (2022). Using the Principles of the Holistic Wellness Concept in Designing and Developing Hospital Services: Case of Pärnu Hospital, Rehabilitation and Well-Being Centre. In: Pfannstiel, M.A., Brehmer, N., Rasche, C. (eds) Service Design Practices for Healthcare Innovation. Springer, Cham. https://doi.org/10.1007/978-3-030-87273-1_10
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