Table 1 Four W questions addressing the past and present and proposing the future of health systems
4 Ws | Past | Present | Future |
|---|---|---|---|
Where | Hospital-based health system | Community-based health system | Anywhere in a social system |
What | Acute care | Long-term care | People-centred care (personalised, affordable, accessible) |
When | In the case of acute and communicable diseases | In the case of chronic and non-communicable diseases | At any time |
Who | Ambulatory patients (younger population) | Elderly patients (older population) | All people, leaving no one behind, through a life course approach |