{"id":92708,"date":"2025-10-20T17:08:08","date_gmt":"2025-10-20T15:08:08","guid":{"rendered":"https:\/\/schaltzeit.com\/?p=92708"},"modified":"2026-09-27T15:17:24","modified_gmt":"2026-09-27T13:17:24","slug":"mut-zur-zukunftsgestaltung","status":"publish","type":"post","link":"https:\/\/schaltzeit.com\/en\/the-courage-to-shape-the-future\/","title":{"rendered":"The courage to shape the future"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"92708\" class=\"elementor elementor-92708\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c856afb e-con-full e-flex e-con e-parent\" data-id=\"c856afb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-533d9e8 elementor-widget elementor-widget-text-editor\" data-id=\"533d9e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>What the 24th DKVF reveals about the state and future of health services research<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ca65bbc elementor-widget elementor-widget-text-editor\" data-id=\"ca65bbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tAt the <strong>24th German Congress for Health Services Research (DKVF)<\/strong> in Hamburg, three days were devoted to intense discussion about the future of our health care system \u2013 and about how change can actually succeed. Hosted by the <strong>German Network for Health Services Research (DNVF)<\/strong>, the congress brought together research, practice and policy.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-609bb8c elementor-widget elementor-widget-text-editor\" data-id=\"609bb8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The Advanced Foresight Group was there together with Foresight Solutions, Schaltzeit GmbH and Zukunft X UG \u2013 with a clear mission: giving people the courage to shape the future.<\/p><p><strong>\ud83d\udd2c State of the Art: Zukunftsforschung in der Versorgungsforschung<\/strong><\/p><p>In the session <em>\u201cState of the Art: Futures Studies\u201d<\/em> Dr. Bernhard Albert, Prof. Dr. Kerstin Cuhls, Karlheinz Steinm\u00fcller and Michaela Evers-W\u00f6lk, among others, discussed how future-ready health services research is today \u2013 and where it stands between reacting and actively shaping.<\/p><p>My own contribution started right there: with a comprehensive analysis of the abstracts from past DKVF years, which shows that health services research recognizes things early \u2013 but too rarely shapes the future consistently.<\/p><p>The big topics are clear: digitalization, AI, resilience, skills shortages, climate change, social inequality.<br \/>But a structural gap still yawns between insight and implementation.<\/p><p><strong>\ud83e\udde0 Nicht nur reden \u2013 erleben: Zukunftshaltungen im H\u00f6rsaal<\/strong><\/p><p>Instead of presenting this insight only in theory, Schaltzeit CEO Andr\u00e9 Winzer took a different route in his talk. The entire lecture hall had to stand up. In a large-group exercise on five attitudes toward the future, the future suddenly became something you could physically experience: passive \u2013 reactive \u2013 active \u2013 proactive \u2013 pre-active.<\/p><p>The exercise is documented in detail and was developed by Andr\u00e9 Winzer. It is based on a simple but profound insight: sustainable shaping of the future doesn\u2019t come from external pressure \u2013 but from inner energy, foresight and courage.<\/p><p>Participants went through the following one after another:<\/p><ul><li>Passive attitude: waiting, no movement, no drive.<\/li><li>Reactive attitude: moving only when someone gives a push.<\/li><li>Active attitude: your own energy, your own action.<\/li><li>Proactive attitude: looking ahead, recognizing signals, being prepared.<\/li><li>Pre-active attitude: boldly stepping forward, making ideas visible, setting the future.<\/li><\/ul><p>The pre-active phase in particular changed the atmosphere: people step forward and formulate concrete demands and plans, which are then written down and put up publicly \u2013 as a visible symbol of collective courage for the future. Here in Hamburg, not a single person stepped forward.<\/p><p>Surely a reflection of the fact that courage for the future isn\u2019t always there. This method exemplifies how Schaltzeit works: <em>Experiences for Forward Thinking!<\/em> Complex questions about the future are not only analyzed, but made tangible emotionally, physically and socially in order to release real energy for change.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-899828a sz-nav-square elementor-widget__width-initial elementor-widget elementor-widget-jet-carousel\" data-id=\"899828a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;slides_to_show_mobile&quot;:&quot;1&quot;,&quot;slides_to_scroll_mobile&quot;:&quot;1&quot;,&quot;slides_to_show&quot;:&quot;3&quot;,&quot;slides_to_scroll&quot;:&quot;1&quot;}\" data-widget_type=\"jet-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-carousel jet-elements\"><div class=\"jet-carousel-wrap jet-equal-cols\">\n\t<div class=\"jet-carousel\" 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class=\"jet-carousel__item-inner\"><img decoding=\"async\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/260115_SZ_Bilder_4-5_DKVF_5-1-819x1024.jpg\" class=\"jet-carousel__item-img\" alt=\"260115_SZ_Bilder_4-5_DKVF_5\" loading=\"lazy\" title=\"\"><div class=\"jet-carousel__content\"><\/div><\/div>\n<\/div>\n\n<div class=\"jet-carousel__item\">\n\t<div class=\"jet-carousel__item-inner\"><img decoding=\"async\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/260115_SZ_Bilder_4-5_DKVF_4-1-819x1024.jpg\" class=\"jet-carousel__item-img\" alt=\"260115_SZ_Bilder_4-5_DKVF_4\" loading=\"lazy\" title=\"\"><div class=\"jet-carousel__content\"><\/div><\/div>\n<\/div>\n\n<div class=\"jet-carousel__item\">\n\t<div class=\"jet-carousel__item-inner\"><img decoding=\"async\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/260115_SZ_Bilder_4-5_DKVF_1-819x1024.jpg\" class=\"jet-carousel__item-img\" alt=\"260115_SZ_Bilder_4-5_DKVF_1\" loading=\"lazy\" title=\"\"><div class=\"jet-carousel__content\"><\/div><\/div>\n<\/div>\n\n<div class=\"jet-carousel__item\">\n\t<div class=\"jet-carousel__item-inner\"><img decoding=\"async\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/260115_SZ_Bilder_4-5_DKVF_2-819x1024.jpg\" class=\"jet-carousel__item-img\" alt=\"260115_SZ_Bilder_4-5_DKVF_2\" loading=\"lazy\" title=\"\"><div class=\"jet-carousel__content\"><\/div><\/div>\n<\/div>\n\n<div class=\"jet-carousel__item\">\n\t<div class=\"jet-carousel__item-inner\"><img decoding=\"async\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/260115_SZ_Bilder_4-5_DKVF_7-1-819x1024.jpg\" class=\"jet-carousel__item-img\" alt=\"260115_SZ_Bilder_4-5_DKVF_7\" loading=\"lazy\" title=\"\"><div class=\"jet-carousel__content\"><\/div><\/div>\n<\/div>\n<\/div><div class=\"jet-carousel__prev-arrow-899828a jet-arrow prev-arrow\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 640 640\"><path d=\"M164.7 331.3C158.5 325.1 158.5 314.9 164.7 308.7L372.7 100.7C378.9 94.5 389.1 94.5 395.3 100.7C401.5 106.9 401.5 117.1 395.3 123.3L198.6 320L395.3 516.7C401.5 522.9 401.5 533.1 395.3 539.3C389.1 545.5 378.9 545.5 372.7 539.3L164.7 331.3z\"><\/path><\/svg><\/div><div class=\"jet-carousel__next-arrow-899828a jet-arrow next-arrow\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 640 640\"><path d=\"M475.3 308.7C481.5 314.9 481.5 325.1 475.3 331.3L267.3 539.3C261.1 545.5 250.9 545.5 244.7 539.3C238.5 533.1 238.5 522.9 244.7 516.7L441.4 320L244.7 123.3C238.5 117.1 238.5 106.9 244.7 100.7C250.9 94.5 261.1 94.5 267.3 100.7L475.3 308.7z\"><\/path><\/svg><\/div><\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4877302 elementor-widget elementor-widget-text-editor\" data-id=\"4877302\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>\ud83e\udd16 Wenn KI spricht \u2013 und Menschen nur die Lippen bewegen<\/strong><\/p><p>Another moment caused irritation \u2013 and had a lasting effect. I had generated a podcast with the help of AI. Two volunteers were asked to come to the front and merely lip-sync the text. The message was unmistakable: AI can take away our agency, too. If we don\u2019t consciously shape how technologies are integrated into decision-making processes, we lose control over our actions \u2013 even when everything seems more efficient.<\/p><p>The reward for this gamble: thunderous applause and an intense discussion about responsibility, control and the future of decision-making in the health care system.<\/p><p><strong>\ud83d\udd2e Ein besonderes Goodie: Das Zukunftsorakel<\/strong><\/p><p>As an extra highlight, we brought our Futures Oracle to Hamburg. All participants could playfully experience individually tailored oracle messages about the future of health services research \u2013 from technological turning points and new forms of cooperation to questions of responsibility and governance. The oracle worked as a conversation starter, a provocation to think and a motivator all at once. Many of its impulses came up again later in the discussions.<\/p><p><strong>\ud83c\udfe5 Resilienz reicht nicht \u2013 wir brauchen pr\u00e4aktive Gestaltung<\/strong><\/p><p>Resilience is important. But it isn\u2019t enough. Resilience means withstanding crises. Pre-active shaping of the future means avoiding crises. Not only DNVF Chair Prof. Hoffmann but also we as the foresight community are convinced: innovations need to reach practice faster, more socially and more systemically.<\/p><p><strong>\ud83c\udf0d Ein Kongress als Signal<\/strong><\/p><p>The 24th DKVF was more than a specialist congress. It was a mirror of our system \u2013 between high competence and structural inertia, between reaction and shaping, between risk and courage. If we really want to influence the future of our health care system, then not just through new studies, but through new attitudes.<\/p><p>And that\u2019s exactly where the future begins.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-239d0c0 elementor-widget elementor-widget-spacer\" data-id=\"239d0c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cfe54a elementor-widget elementor-widget-text-editor\" data-id=\"1cfe54a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>\ud83d\ude80 Want more?<\/strong><\/p><p><em>\ud83d\udc49 Download the \u201cAttitudes Toward the Future\u201d method<\/em><br \/>All materials and the facilitation guide are available here:<br \/><a href=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/250928_Zukunftstimmung_verbreiten.pdf\">Download the method<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0f3b13 elementor-widget elementor-widget-text-editor\" data-id=\"f0f3b13\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>\ud83c\udfa7 Listen to the AI podcast from the session<\/em><br \/>Here you can listen to the episode that sparked irritation, reflection and applause at the DKVF.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-787758d elementor-widget elementor-widget-html\" data-id=\"787758d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<audio class=\"sz-audio\" controls preload=\"none\" style=\"display:block;width:100%\" src=\"https:\/\/schaltzeit.com\/wp-content\/uploads\/2025\/10\/KI_Klima_Krise__Die_Trends_der_Deutschen_Versorgungsforschung-1.mp4\"><\/audio>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>At the <strong>24th German Congress for Health Services Research (DKVF)<\/strong> in Hamburg, three days were devoted to intense discussion about the future of our health care system \u2013 and about how change can actually succeed. Hosted by the <strong>German Network for Health Services Research (DNVF)<\/strong>, the congress brought together research, practice and policy.<\/p>","protected":false},"author":17,"featured_media":92826,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_ppma_block_editor_authors":""},"categories":[241],"tags":[264,261,266,270,265,267],"ppma_author":[307],"class_list":["post-92708","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-foresight","tag-foresight","tag-futuresthinking","tag-leitbild","tag-organisation","tag-schaltzeit","tag-strategie"],"acf":[],"authors":[{"term_id":307,"user_id":17,"is_guest":0,"slug":"andrewinzersz","display_name":"Andr\u00e9 Winzer","avatar_url":"http:\/\/schaltzeit.com\/wp-content\/uploads\/2024\/03\/cropped-Andre-w_1920px-96x96.jpg","author_category":"","first_name":"Andr\u00e9","user_url":"","job_title":"","description":"The formal head of the company, but generally happier to dive headfirst into new challenges. His switch is set to \u201cmain\u201d, his range of action preferably to \u201csimultaneous\u201d. He passionately analyzes &amp; interprets business models. His workshops and talks revolve around the theme of \u201cPreparing for Tomorrow\u201d. He likes to show that business models can easily be transferred to other industries."}],"_links":{"self":[{"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/posts\/92708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/comments?post=92708"}],"version-history":[{"count":17,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/posts\/92708\/revisions"}],"predecessor-version":[{"id":99462,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/posts\/92708\/revisions\/99462"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/media\/92826"}],"wp:attachment":[{"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/media?parent=92708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/categories?post=92708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/tags?post=92708"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/schaltzeit.com\/en\/wp-json\/wp\/v2\/ppma_author?post=92708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}