Hodges' Model: Welcome to the QUAD: December 2017

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Friday, December 29, 2017

Book: Sound - A Story of Hearing Lost and Found

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
Sound
"Sight gives you the world, ...


... but hearing gives you other people."



Source: Holgate, A. The Sunday Times, Culture, Books, 28 May 2017. p.36.

Thursday, December 28, 2017

A Space for Reflection (fully-boxed in?)

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group



Total parking charges
£174 million
in a year




Parking Bays


BBC News - NHS parking charges: Hospitals made £174m in a year
Image: https://www.planningni.gov.uk/index/policy/supplementary_guidance/dcans/dcan11_draft/dcan11_draft_design/dcan11_draft_reserved.htm

Tuesday, December 26, 2017

"Modern financial theory ..." Letter c/o FT

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group





"... for their quantitative models based on equilibrium, efficiency and rationality. By co-opting methods from the physical sciences, a bewildering array of fancy-looking graphs and complex equations was soon spawned. Having stripped out the fuzziness of mortal endeavours, these neo-economists were freed to use their slide-rules on a quantitative version of our world. ... Their Möbius-strip models go everywhere and arrive nowhere." (2)


"Since the early writings of 13th century theologians such as Thomas Aquinas, what we call economics had been taught as a broad discipline covering politics, society, ethics, husbandry and moral philosophy. But by the 19th century, academics such as Vilfredo Pareto, Alfred Marshall and Thorstein Veblen had jettisoned humanistic thinking ..." (1)


"For the rest of the 20th century, the cult of quants purged humanity from the study of finance. This was a big mistake. We don't build businesses, work in offices, service customers or sell products to satisfy arcane algorithms.
We pursue a very human set of needs: food, shelter, status, community and well-being. Economics needs to be re-entered on human ad societal conduct - however messy and irrational it actually is." (3) Aron Miodownik




Aron Miodownik, Modern financial theory is built on conceit, Letters, FT Weekend, 9-10 December 2017, p.10.

Sunday, December 24, 2017

Focus on Theory - wither the website (gulp)

"A subtler effect of ego is one that doesn't threaten reputation so much as how you prioritize what is important. The threat is based on a sense that your opinion, approach, and perspective are the only ones with merit. While arrogance is one outcome of these elements, a much subtler risk that can bubble to the surface is becoming too focused on theory.

...
Unfortunately, some folks have something of a love affair with theory. Many of these people write extensive blog entries, give very generic (though well-meaning) presentations, and often seem to think that their primary role is to impart knowledge to others and sound as wildly academic as possible. But there is no secret ingredient in growing community. What makes a great community leader is experience: trying new ideas and concepts and learning from the successes and mistakes." p.17.

Bacon, J. 2012. The Art of Community, Building the New Age of Participation (2nd ed.)  CA, O'Reilly. (1st edition)

@jonobacon

Saturday, December 16, 2017

Healthcare: One Story - Several Voices - if Heard?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

1st PERSON here

'Me' 'I' - my dialogue

'Me' - a PERSON - as Narrator

Psychiatrist... as Narrator?


and ... 1st PERSON here

perspective, point of view

Physician... as Narrator?

Case Study as Narrator



'We' as Narrator 1st PERSON

'You' 2nd Person

'He' or 'She' as Narrator -
3rd PERSON

Carer / Relative as 1st or 2nd PERSON


NHS as Narrator - The Clinical Record

Commissioner - Insurer as Publisher?

Dept of Health as Narrator

Governments as Publishers 
(What chance of an 'advance')?



"The person narrating the story influences the amount of information you, the reader obtains."
https://www.slideshare.net/MsSharonLim/1st-3rd-person-narrative-classslides

When governments do not fund healthcare the stories that truly count go untold. As carers and families know too well, there is never just one story in healthcare but several.

Wednesday, December 13, 2017

Universal Health Coverage (UHC): WHO is Listening?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

COGNITIVE
ACCESS


PHYSICAL
ACCESS


SOCIAL
ACCESS

Tuesday, December 12, 2017

Ayurvedic Man: Encounters with Indian Medicine

The Wellcome Collection


‘Woman Swinging Below an Aubergine Plant’, watercolour with pencil, 19th century (Wellcome Collection)

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

oral traditions
learning teacher - student

3000 years
botany
turmeric


culture, history,
community knowledge, 
traditional medicine


West - contested - East
prices
scope of patents



My sources: November London visit research and FT.com Magazine, 28-29 October 2017, pp.20-22.

Image: http://www.independent.co.uk/life-style/food-and-drink/turmeric-ayurveda-india-health-tradition-healing-a8060476.html

Sunday, December 10, 2017

EHR Individual - Group: Aggregator

People probably look at Hodges' model and see something that is simplistic. There is a great power, however, in the scenarios that the structure of Hodges' model can readily encompass. Not just in the hospital, but across all care contexts.

"Where is the great value promised by the transition to EHR [Electronic Health Record]? Where is the huge surplus from all those lives saved? Without an actor who can find it, and deploy it to shift the doctors into surplus, nothing will happen. 
If the ecosystem* includes just the five traditional players, EHR will remain an academic dream. The answer, then, requires introducing a new player - an aggregator. Because the odds of mistakes are so low, the benefits of EHR are invisible to the individual patient. They become material only when we aggregate outcomes over a large enough number of patients. We need to find an actor whose surplus is affected by patients not as individuals but as a group, and who is able to both capture and distribute this benefit; insurers, health-care systems, and governments all fit the bill. And the larger the group, the larger the surplus." p.130.

*The ecosystem illustrated by Adner is simplified and includes:
Payer/ Insurer, IT Provider, Hospital Administration, Hospital Department, Doctor, Nurse, Patient
(I have added Nurse)

Adner, R. (2012). The Wide Lens: A New Strategy for Innovation. London: Portfolio/Penguin.

Friday, December 08, 2017

Is Hodges' model a selection machine?

Sober (1984) Child's toy
"It is gratifying to find these biological ideas already enshrined in the ordinary meaning of 'selection for' and 'selection of'. My young son has a toy which takes all the mystery out of this distinction. Plastic discs with circles cut out of them are stacked with spaces in between in a closed cylinder. Top-most disc contains very big holes, and the holes decrease in size as one moves down from disc to disc. At the top of the cylinder are found balls of different sizes. A good shaking will distribute the balls to their respective levels. The smallest balls end up arrayed at the bottom. The next smallest sized balls settle at the next level up, and so on. It happens that the balls of the same size also happen to have the same color. Shaking sends the black balls to the bottom, the pink to the next level up, and so on. The whole cylinder (plus paternal administered shaking) is a selection machine. The device selects for small balls (these are the ones which pass to the bottom). It does not select for black balls (even though these are the ones that pass to the bottom). But when we ask after a shaking what was selected, it is equally correct to say that the black balls were selected and that the small ones were. 'Selection for' focuses on causes; 'selection of' picks out effects." p.50-51.
Sober, E. Force and disposition in evolutionary theory. In. Hookway, C. (ed.) (1984). Minds, Machines And Evolution. Cambridge: Cambridge University Press. pp.43-61.

Image adapted from figure 4 within "Is art an adaptation? Prospects for an evolutionary perspective on aesthetic emotions" http://homes.chass.utoronto.ca/~sousa/artfunction/art.htm

See also: slide 35/47  http://slideplayer.com/slide/9735486/

Thursday, December 07, 2017

Film: Human Flow

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
h       u m  an f   l   o      w
h  u m   a      n
f l            o   w




Human Flow - Film

Wednesday, December 06, 2017

Out Lines

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group








Source: The Sunday Times, Culture, On Record, 29 October, 2017. p.22.

Tuesday, December 05, 2017

Quadratic Social Erosion..?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

(a) lived experience

mobility

SOCIAL MOBILITY


SOCIAL MOBILITY COMMISSION



Please see (for context):

BBC News

Social mobility board quits over lack of progress
"Mr Milburn, a former health secretary, took up his role at the commission in July 2012, under the coalition government led by David Cameron and Nick Clegg.Speaking on the BBC's Andrew Marr Show, he said divisions in Britain were becoming wider - pointing to the ongoing squeeze on wages.
The government lacked the "bandwidth" to tackle social division while also dealing with Brexit, he said, describing his task as being like "pushing water uphill".
[My emphasis]

As can be seen, in broad terms, above, Hodges' model can help to promote awareness of holistic bandwidth, facilitating reflective practice, critical and transdisciplinary thinking and person-centeredness. Social mobility is clearly sociopolitical.


Sunday, December 03, 2017

Data, Information, Knowledge :: conflict, movement, artistry - Integration defined?

David Bomberg, Ju-Jitsu, c.1913

http://www.pallant.org.uk/about1/press-office/press-releases/2017/bomberg

http://www.tate.org.uk/art/artists/david-bomberg-777

My source: The Sunday Telegraph, Arts, Critic's Choices. 15 October, 2017. p.25.

Image source: http://www.tate.org.uk/art/images/work/T/T00/T00585_10.jpg

Saturday, December 02, 2017

Data, Information, Knowledge defined c/o McGonigle & Mastrian

Graves and Corcoran (1989) drew from Blum (1986) to define the three concepts as follows: (1) data are discrete entities described objectively without interpretation; (2) information is data that are interpreted, organised, or structured; and (3) knowledge is information that is synthesized so that relationships are identified and formalized. Drawing on this work, Nelson (1982, 2002) defined wisdom as the appropriate application of knowledge to the management and solution of human problems.  
Data, which are processed to create information and then knowledge, may be obtained from individuals, familes, communities, and populations and the environment in which they exist. Data, information, knowledge, and wisdom are of concern to nurses in all areas of practice. For example, data derived from direct care of an individual may then be compiled across persons and aggregated for decision making by nurses, nurse administrators, or other health professionals. Further aggregation may address communities and populations. Nurse educators may create case studies using these data, and nurse researchers may access aggregated data for systematic study. pp.97-98.

McGonigle, D., Mastrian, K.G. (2012) Nursing Informatics and the Foundation of Knowledge, Second Edition. Jones & Bartlett Learning, Burlington, MA.

Fourth edition: http://www.jblearning.com/catalog/9781284121247/

See also:
Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.