Looking forward to 2030 and beyond, the most significant challenge will be number 5 on the list. Numbers 1,2, and 3 might be brought under control somehow if the government is able and willing to intervene with focus on sustainable healthcare for all.
Now the discussion is on the table on how to intervene massively in the field of lifestyle and prevention of chronic diseases. This relates to access to primary care (including the growing number of refugees), changing food and drinking habits, proper housing, and sanitation, etcetera. The population needs to be massively educated, and there are many case studies available globally to learn from on how to do this. Besides the family doctor (whose reimbursement system needs a critical review as well), we need family health workers in the communities, barbers that help educate people on healthy habits, proper income for the lowest strata of the community. Technology might help since the whole world seems to be supported by smartphone apps, but I suspect that this is a much more deeply rooted problem that needs explicit attention in the 2030 debate.
There should be an independent partnership where organizations and formal networks, active in care and welfare, unite to contribute to the continuous improvement of cohesion, quality, and efficiency of the health care and welfare of the people on the island.
We need a partnership where the network within which joint agreements are made; the meeting place and ‘development place’ with room for debate and vision development; the center for result and future-oriented cooperation; the connecting link and point of contact for stakeholders in care and welfare; the center of bundled knowledge and expertise. Many fields of activity are included in the areas of healthcare, cure, and well-being (prevention, social domain).