Due to growing pressure on healthcare, particularly from staff shortages, it is vital to provide care that is scalable, effective, affordable, preventive and personal.

How we care

How we care

Healthcare is a valuable field where care and support for people comes first

In the past, care organisations – including hospitals, GPs, long-term care organisations, mental health services, welfare organisations, life sciences companies and insurance firms – worked in different areas. But global major trends, such as AI and the demand for more sustainable solutions, are quickly changing what people want from care systems and how these needs can be met. At the same time, science and technology are expanding what is possible.

How we care
How we care

New areas, such as personalised care and support, prevention and technology for organisations active in the care and welfare market, are gaining more influence. Digital technologies, particularly AI, promise to improve the efficiency and effectiveness of care practices by providing advanced diagnostic tools, predictive analysis, triage and virtual care. If organisations embrace such initiatives, as much as 216 billion dollars in healthcare revenue could be redistributed worldwide by 2025. By 2035, the Care field could grow to contribute 9.31 trillion dollars to global GDP – seven percent of total output.

Dutch care changes under pressure

Dutch healthcare stands at a turning point. Staff shortages represent the biggest challenge according to 65 percent of care leaders, but behind this challenge lies a chance for fundamental renewal. Through co-creation between care organisations, insurers, technology companies and the pharmaceutical sector, groundbreaking solutions are already emerging that shape tomorrow's care.

Dutch innovations point the way forward. Regional partnerships such as the ‘Zeeland care coalition’ tackle staff shortages strategically, whilst digital care programmes such as 'Care at your place' from Santeon effectively support patients at home. Additionally, the ‘Social Approach to Dementia’ shows how cross-field funding and collaboration creates real added value by putting the person at the centre rather than the illness. We see how cross-field collaboration, smart staff deployment and targeted digitalisation drive the sector forward. The Netherlands has the expertise and innovation power to lead this transformation – so you can build personalised care that works.

Willeke Bakker, care expert, PwC Netherlands

'Today's care crisis is tomorrow's innovation opportunity. By using digitalisation for remote care and strengthening regional collaboration, we transform staff shortages into efficient care delivery.'

Willeke Bakker,care expert, PwC Netherlands

Growth depends on major trend development

To get a clear picture of how the Care field might look in 2035, we have modelled the possible worldwide economic impact of two of the most urgent major trends: technological disruption (mainly through AI) and the demand for sustainable solutions.

The result is three varying scenarios that match a range of outcomes, from a minimum of 9.38 trillion dollars to a maximum of 10.56 trillion dollars. The nature and scale of these new business opportunities occurring in the Care field depend on how adoption of AI and sustainable solutions progress. Three scenarios can help Care field leaders think about what the future might hold.

Driving Dutch innovation and impact

Sizing the Care opportunity

The nature and scale of the new business opportunities that emerge in the Care domain will depend on how AI adoption and climate action progress. Your strategy should account for a range of possible outcomes. Three scenarios can help leaders in the Care domain consider what the future might bring.

Trust-Based Transformation

Global alignment | Responsible Tech | Sustainable Solutions

Organisations invest in equitable solutions such as sliding-scale payment models and products specifically designed for underserved populations. With larger volumes of patient data analysed more quickly, the efficacy of treatments improves. Regulators advance data, science and collaboration to the point where drugs are approved (or rejected) in months rather than years.

Who succeeds?

A concierge medical service pairs members with a series of AI agents that function as primary care physicians and specialists. It creates causal digital twins of patients that enable physicians to figure out whether a medicine can work for them before prescribing it.

Tense Transition

Regional alignment | Fragmented Tech | Subscale sustainability

The system prioritises basic survival and national stability over expansive innovation and global equity. Preventative care is narrowly focused on national priorities, with government-funded vaccine programmes and screenings targeting diseases deemed critical for public health resilience. AI-enabled solutions are deployed primarily to optimise workflows, and strict data-localisation laws limit global collaboration. Businesses are incentivised to develop scalable health solutions that address immediate needs.

Who succeeds?

A healthtech company contracts with the government to develop an AI-driven app to manage national vaccination programmes—automatically scheduling and summoning citizens to appointments. Users are directed to affordable telehealth appointments with physician assistants who recommend standard treatments. The company is compensated in part based on its success in fending off or minimising cross-border breakouts of communicable diseases.

Turbulent Times

Atomised interests | Disruptive and divisive tech | Suspended sustainability

Innovations primarily benefit a select few while the rest struggle with declining quality and limited resources. Companies race to monetise proprietary AI systems, data insights and value-added services. Specialised care, such as AI-driven diagnostics or precision treatments, is a lucrative market, especially for firms targeting high-income demographics. A weak regulatory environment allows rapid experimentation and innovation but introduces risks of ethical lapses and diminished trust.

Who succeeds?

A concierge medical practice offers patients continual daily check-ins. AI chatbots recommend personalised daily diets and exercise regimens and communicate with clients in real time when they deviate from plans. It partners with pharmaceutical companies to offer access to trials for personalised therapies.

Learn more about the three divergent tomorrows

To prepare for multiple future scenarios, you must act today

The process of reinvention must begin now, with a focus on priorities that respond to the restructuring already underway. This means working hard on a range of innovation requirements. Investing in labour-saving measures such as digitalisation and new business models is necessary to make care future-ready.

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How to win in the Care domain

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Explore all new domains

Select from the nine domains below to learn how they are forming, the size of the opportunity and how to seize the value in motion.

Contact us

Willeke Bakker

Willeke Bakker

Partner, Consulting Lead, Ministerie van Volksgezondheid, Welzijn en Sport, PwC Netherlands

Tel: +31 (0)61 089 31 82

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