Showing posts with label abuse. Show all posts
Showing posts with label abuse. Show all posts

Thursday, 9 October 2014

Privacy: Open Data, Individual and Group

The vertical axis of Hodges' model is the individual - group, or self through to collective. Health and social care constantly negotiates this from the ideals and delivery of person-centred care to public mental health. So often for health professionals the emphasis is on the individual, the person's care needs, their strengths, their rights, outcomes and feedback on care received. The same individual focus is also ascribed to records and information. Protection of data, maintaining confidentiality is an essential duty of health care  professionals.  

Earlier this year the government's care.data scheme was placed on hold. 'Open' is the way of the world: open access, open source, open data and open government. Increasingly the group as an entity needs to considered in what may be a new way, as Floridi writes:
The idea that groups may have a right to privacy is not new, and it is open to debate, but it has not yet received all the attention it deserves, although it is becoming increasingly important.
 ...
Open data is more likely to treat types (of customers, users, citizens, demographics population, etc.) rather than tokens (you, Alice, me), and hence groups rather than individuals. But re-identifiable groups are ipso facto targetable groups.It is therefore a very dangerous fallacy to think that, if we protect personal data that identify individuals, the protection of the groups will take care of itself. p.23.

Luciano Floridi. Group Privacy. The Philosophers' Magazine. Issue 65, 2nd Quarter 2014. Pages 22-23.


http://grantabooks.com/The-Private-Life

Here is a related book (on my list) a BMJ award winner:

The Private Life, Josh Cohen

The war over private life spreads inexorably. Some seek to expose, invade and steal it, others to protect, conceal and withhold it. Either way, the assumption is that privacy is a possession to be won or lost.

But what if what we call private life is the one element in us that we can't possess? Could it be that we're so intent on taking hold of the privacy of others, or keeping hold of our own only because we're powerless to do either? ...




Wednesday, 6 February 2013

Extrasolar planets, x-phi and The Francis report

I'm sure there is a planet out there - extrasolar - with the physical make-up such that be it an incredible water fall, tidal surge, or rolling polished mega-rocks - the noise, could we hear it, would do far more than make your ears bleed.

Today, here in England there is a legal, health and political media event of very serious import. The ruckus in health and political circles might also make for more than bleeding noses and definitely thousands of continuing broken hearts.

The Francis report will be published today. Further insights and findings will be revealed c/o the Public Inquiry with recommendations on the Mid Staffordshire NHS Foundation Trust health care debacle.

In Philosophy Now Jan/Feb 2013 Tibor Fischer's editorial mentions the need for marketing within philosophy and literature, with the suggestion of placing x-phi on a T-shirt.

'X-phi' of course reads as experimental philosophy.

In health care, nursing and social care evidence counts for everything (and for h2cm too). Evidence based practice that is founded upon research is essential. Experiments are needed that can be reproduced, extended, validated. ...

Today is a profoundly sad day for everyone in the NHS, as many commentators have already predicted. The future constantly beckons, but today reflect we must that in the clamour for evidence based care, does this mean we must don T-shirts?:
x-care

Have we forgotten the principles of what it is to care: compassion - our duty of care?

No, but amid the cacophony of technology, technical care, the targets, statistics, budget cuts, the challenges to morale and nursing's values we need to be ever more vigilant.

We must learn how to x-listen and x-shout in the 21st century health care environment(s).

But experiments in how to listen, how to blow a whistle? Surely not.

Well yes: as clearly here basic care systems did not work they failed terribly: individually, organisationally and across the FIVE care domains of h2cm.

Sunday, 11 March 2012

Use and ab-use of knowledge

The effective ‘use’ of knowledge is constantly espoused in health care both informally with patients and formally in evidence based research. Knowledge is the key to improving patient safety and delivering efficient, high quality care interventions and effective outcomes. Things become complicated in health and social with the number of potential knowledge sources and the disciplines intent on seeing, gathering, recording and utilizing knowledge that is theirs. From that adopted vantage point they are bound to have a certain perspective.

There are still vestiges of C.P. Snow’s The Two Cultures (1959) when we view the use and ab-use of knowledge, particularly the way knowledge is sliced, diced, partitioned and housed into disciplines. In the Introduction to Michel Serres' Parasite, Cary Wolfe notes that:
... the Latin prefix ab- meaning, the Oxford English Dictionary tells us, “off, or away from”: "abuse" value at a tangent to use and exchange value, at a distance from it: a different vector, a different type of value (Wolfe, 2007). p. xx.

Literally looking at the model we see that whilst there is increasing interdisciplinarity and collaboration between disciplines, practitioners and managers, academics and policy makers … there remains much ab-use between the domains of (care) knowledge.

If by definition abuse brings individuals, agencies and whoever falls in-between into disagreement, dispute and possibly much worse then clearly a tool that can help furnish a common understanding and insight should be welcomed.



For all that Hodges’s model can offer as a common foundation and bridge for the disciplines, we must ask where is the patient, the carer and the public? Is there a new discipline emerging?
 
What is needed to help gauge the potentials of use and ab-use in health and social care ...?

Additional links - for the image:
Coxeters Loxodromic Sequence of Tangent Circles
http://mathworld.wolfram.com/CoxetersLoxodromicSequenceofTangentCircles.html

Donald Coexeter
http://www.geometry.net/detail/scientists/coxeter_donald.html

Snow, C.P. (2001 [1959]). The Two Cultures. London: Cambridge University Press.

Wolfe, C. (2007). Introduction to the New Edition. Bring the Noise: The Parasite and the Multiple Genealogies of Posthumanism. In Serres, M. (1980). The Parasite. University of Minnesota Press.

Image source:
http://en.wikipedia.org/wiki/File:Coxeter_circles.png