.png#mediaviewer/File:Flag_of_Scotland_(Union_Jack_colours_and_proportion).png) | Border Binary Decision |
magnanimity |  |
| Acute mental health needs RISK Self-harm Local care? Empowering the individual? Accessibility Cognitive distance Let therapy commence Continuity (dist-ress) Remote policy touch Organisational (distance) dementia? threshold ↘ | RISK Self-neglect personal hygiene domestic environment local-regional-national? metrics: Km or Miles or time? Gallons or Litres? Cost? Illusory savings? threshold ↓ |
RISK Harm to others to integrated care multidisciplinary care threshold → | .png){kind=icon} |
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| NHS citizen |
individual - person ethics 'personal' My identity: lost in numbers Vs. specificity of patterns *my attitude to my 'sensitive' information health literacy personal responsibility, self care, quantified self my understanding of care.data Trust | datasets, BIG data hospital episodes, treatments research privacy research anonymising process for nhs data *care.data is a natural step towards personalised medicine? axon - neurobiology Axon - data warehouse statistics service development and innovation |
 | data security, law, information governance NHS commercial, contract potential for abuse - assumptions public mental health public health policy, consultation policy communication public engagement, primary care informed consent, opt-out data definitions, standards ISO27001 population, insurance |
canto do orador Le coin de l'auditeur, Rincón del oyente الزاوية المستمع 听者的角落, Canto do ouvinte, Listener's corner | 音箱的边角 Le coin des haut-parleurs | ||
الزاوية المتكلم esquina del orador |
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The number of sentences and figures that describe the individual, group, community and population (the structure of Hodges' model). The way that values can act as a counterpoint and essential adjunct to evidence (subjective - objective; qualitative - quantitative). The medical literature demonstrates an equivocal attitude which suggests a 'collective need to better integrate scientific quantitative data . . . and the art of human judgement . . . into a common definition of "rational" medical practice (p.40).Figure 7.8 Filtering the evidence through a values-based matrix (values across four care domains?).
The Lancet Global Health published a paper on 2nd August 2013 that we can all use in our advocacy to increase the availability and use of healthcare information in low- and middle-income countries. The paper was written by three HIFA Country Representatives for India – Soumyadeep Bhaumik, Tamoghna Biswas, Pranab Chetterjee – together with the HIFA Coordinator, Neil Pakenham-Walsh. The full text is freely available, open-access, here.My source - above text: HIFA2015
Here is a brief extract: ‘Should governments be held responsible for ensuring that every citizen and every health professional has access to the information they need to protect their own health and the health of those they care for? Should governments be held to account for, and to stop, any action that denies the availability of health information, or that misinforms the public or health professionals contrary to scientific evidence? The answers to these questions are yes and yes, as clearly stated in international human rights law.’
The NHS Commissioning Board will work with a charity to offer 100,000 people access to training in online health literacy over the next year, it has announced.The board’s national director for patients and information Tim Kelsey said on Thursday it had made the agreement with UK Online Centres, an organisation which specialises in tackling digital exclusion.
The work comes in the run up to the board’s deadline of 2015 for patients to have access to their GP health records. ...
Health literacy training on offer for 100,000, Health Service Journal. 14 March 2013, p.10.In terms of health literacy as a whole this is one aspect, but as the previous post point out we need to consider human factors. Innovation also involves physical and cognitive access, relationships, referral, the interplay and dependencies between existing literacies (poor functional literacy and yet high health literacy?), differentiating between literacies, motivations and to what extent can participants themselves be mobilised as a force for change beyond 100,000 ...?
Holistic Medicine
We have lots of data but it's lazy data. We have to make it work and turn it into actionable data - data we can do something with.
Interview: The hard data man's soft spot. Health Service Journal, 2 August, 2012. p.17.There are many ways that we can put data to work. In the interview with HSJ Dr Davies also highlighted the common and not unexpected emphasis upon the organisational views of the world. Here in England in management the current preoccupation is the preparation for April 2013 of clinical commissioning groups. The NHS has an incredible resource in its data. Whether or not the volume involved qualifies as big data is debatable, but in the interview Dr Davies continues:
Professionals have a duty to measure, to compare and open up their data to scrutiny. "We talk about the purchaser provider split," he says. "But I think that is the wrong purchaser and provider. It is the split between the tax payer and public services that is important. ..." p.17.I've mapped this to Hodges' model below. You could say that taxation is POLITICAL and it clearly is, but it is also part of what is frequently termed the social contract. For me this is why Dr Davies' views matter.
| PURPOSE | lazy data (inertia!) actionable data (information - knowledge) |
| public tax payers | ORGANISATIONS / \ PURCHASER PROVIDER (citizens) public services |
