Transformation of Healthcare in Eastern Europe - TNO Competition Entry | 2009
Healthcare in Emotion
In collaboration with VHP + Royal Haskoning
Team: Jan Koelink, Cihan Daskapan, Mirjam Galje, Shu Yan Tang, Kirsten Colenbrander,
Pauline Bron, Auzie Triratnamurti

This competition was commissioned by the Dutch Center for Health Assets, DuCHA. By generating ideas, strategies and attractive images of possible futures, the architects inspire healthcare managers and local administrations to take a broader view on the options they have for redeveloping their healthcare systems and sites.
Eastern Europe has rapidly been transformed from a communist system into a free market economy. Social and cultural changes that took decades in Western Europe are happening in just a few years in Eastern Europe. More consumer The healthcare sector also has to cope with governments taking a back seat. Healthcare institutions have to be more self-supporting. Scaling-up is essential to viability, so healthcare is disappearing from rural areas and becoming concentrated in the towns and cities. People living in rural communities have to travel great distances using poor infrastructure for the care they need. This compounds their disadvantages. Whereas people are prepared to pay for new consumer goods, they are much less willing to pay for healthcare, because the cost used to be covered by the state. The changes demand a redefinition of the healthcare system in Eastern Europe. There is a need for better quality within a system that can be self-sufficient. Care has to be tailored to need. The client is central and healthcare care can be combined with other provisions as a source of revenue. The patient is a consumer and the consumer is a patient.