Skip to content
Bergson

Real Lived Experience

The Missing Dimension in Health and Care
Health systems, providers, and enterprises struggle to see, understand, and respond to the everyday hidden realities of life with chronic conditions, illness, care, and life proceeding. 

Seventeen years of research, philosophy, and practice have produced a complete system for perceiving, knowing, and designing with the real lived experience of any chronic condition or illness - shaping enterprise strategy, market access, care, and offerings that no-one else can match.

Bergson 6

See what others miss

Clinical data, satisfaction surveys, scorecards, and outcomes frameworks help health systems and enterprises measure, prioritise, and act. What they cannot capture is the Real Lived Experience of health and care. The hidden struggles, adaptations, and workarounds that shape every chronic condition, and that determine whether clinical effort actually reaches the life it is meant to serve.

Bergson 4

Work with new possibilities

Designing from within real lived experience surfaces the problems worth solving, and the opportunities standard thinking never reaches. This is the demand-side architecture of a market made visible. Innovation finds the right target, market access finds a stronger argument, and value arguments land where clinical claims alone cannot.

Bergson 1

Compete on livability

Products and features get replicated yet RLX fit does not. Enterprises that understand how life is truly lived build products, services, and market positions that resonate in ways clinically-derived competitors cannot reach. This is where strategic orientation, market definition, positioning, and reimbursement are all reset on different ground.

Bergson 5

Create real advantage

RLX is a shift in how your enterprise perceives, designs, and competes. The perception comes first. The design-creation follows. The strategic advantage compounds. Different questions, deeper answers, and an advantage competitors cannot copy because they cannot yet see it.

Introducing Real Lived Outcomes (RLOs)

Introducing Real Lived Outcomes from Umio-1

The outcomes health systems track were designed for systems, not for people. They measure what gets recorded, not what matters. Real Lived Outcomes or RLOs describe what people are actually navigating - day to day, in real conditions, across all the dimensions of life that a clinical framework never sees.  Working from RLOs changes what you can design, commission, and position.

Every context is different. Bergson generates RLOs for any condition, any population, anywhere in the world.

Download Example RLO Sets

RLO Cover Nurses
RLO Cover Professionals

Our latest thinking

Umio Article 1

This article introduces livability as the form of value that health systems consistently fail to recognise - and what it means to design for it.

Umio Article 2

Health systems don't fail because they're poorly run. They fail because they were built for a world that no longer exists.

Umio Article 4

Health equity is not a measurement problem. It is a perception problem - and RLX is where the answer begins.

Umio Article 3

We keep building smarter health systems. But the crisis in chronic conditions is not a failure of intelligence - it is a failure of perception.

Services

Bergson 6
RLX Research and Insight
Bergson 1
RLX Strategy and Consulting
Bergson 2
RLX Outcomes Innovation Process
Bergson 2
Education and Development

Testimonials

"Umio are top professionals in this field, they delivered on time and on budget, with the final product being the best piece of pre-business planning a company could hope for. Their ability to depict and model innovation opportunities from all angles is quite simply phenomenal! An outstanding piece of work."

Paolo di Vincenzo, President, Medtronic

"It was important we put into place a driver of a different way of thinking. Umio made a lot of people to think differently about user needs. it allowed different parts of the organisation to come together and understand users in a different way, leading to the successful development of several new ostomy care products."

Peter Kragh, Ostomy Care, Coloplast

"Masterful .. outstanding .. detailed what and how framework for embracing a dynamic creational .. view based on whole lived experiences."

Prof. Venkat Ramaswamy, author of The Co-creation Paradigm

Get the book

Real Lived Experience A Radical New Design Philosophy for Health and Care

Umio Blue Three RLX Book Image Preview Stack Stop Designing for Patients

Out Now

Health systems around the world are stuck. Chronic illness, mental distress, and care inequities continue to rise. Endless cycles of reform, innovation, and restructuring offer only partial fixes. 

Why? Because we continue to look at health and care from the outside in - through metrics, technologies, abstractions, and policies - rather than from within the messy, affective, relational ground of experience itself.

Our new book introduces a radical new approach: Design with Real Lived Experience (RLX). More than a framework or method, RLX is a perceptual and philosophical reorientation. 

Let's talk

Our ecosystem

Umio operates as an integrated ecosystem of three connected platforms, each serving a distinct purpose and audience while sharing the same intellectual foundation.

Bergson Light Transparent White

Experiential Intelligence for any condition, anywhere in the world, any population or other context. 

Ooex 20206 Logo Black Background-1

Real-time lived experience sensing and co-composition for populations, communities and enterprises. 

Umio lage uncropped logo 2024 TM (2048 x 700 px)

Research, insight, innovation, strategy, and education services for enterprises and health systems.