Inclusive Systemic Design for Health System Flourishment

Abstract

Flourishment is conceptualized as an engagement experience associated with eudaimonic flourishing, a component of psychological wellbeing. Analogous to nourishment, flourishment drives a sense of being one's authentic best self (eudaimonia) in a way that can be deliberately encouraged and registered within health systems, and their records, by design. Here, frameworks of social neuroscience, social fields, and inclusive human-centred design are elaborated into a framework synthesis for guiding systemic design of a system for registering evidence of patient experienced flourishment. Systemic design considerations are described for a registry of personal records of eudaimonic flourishment and enhanced resilience (PREFER). These are illustrated through description of patient engagement with the suggested PREFER registry elements. Their use in promoting a virtuous cycle of flourishment transactions within a system of patient-centred collaborative care for a person living with chronic pain is described.