Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...
... to think about social and ecological phenomena":
What if there was a model that could encompass mechanism-based and humanistic-based theorising?
'A core challenge of studying ecosystems and societies as one system is integrating social and ecological theorizing. Although the social and the ecological intertwine in multiple ways, much traditional theory focuses on one or the other (Schlüter et al. 2022). Despite good intentions, attempts for integration are often only partially successful. One reason for this is the apparent incommensurability of methodological and theoretical approaches. However, the mechanism-based approach to theorizing offers an encompassing way to think about social and ecological phenomena by framing them in terms of entities and their interactions. Mechanism-based theorizing has been gaining popularity in science philosophy (Machamer et al. 2000, Craver 2007, Glennan and Illari 2017), including social sciences philosophy (Elster 1989, Hedström and Swedberg 1998, Hedström and Ylikoski 2010) and philosophy of ecology (Pâslaru 2017, González del Solar et al. 2019). It has helped to resolve many traditional problems related to scientific explanation and it is consistent with the way in which social and natural scientists talk about theorizing, causation, and explanation.'
Fig. 1. The social-ecological expansion of Coleman’s diagram.
Martínez-Peña, R., & Ylikoski, P. (2024). Coupling social and ecological mechanisms with the Coleman boat. Ecology and Society, 29(4). https://doi.org/10.5751/ES-15209-290406
The increasing availability of digital data, along with recent developments in Artificial Intelligence, especially in the Machine Learning and Deep Learning fields, led the scientific community to debate whether data alone is sufficient for decision making and scientific exploration. We focus the attention on the healthcare domain, where peculiar issues affect data: indeed, data are usually collected under heterogeneous conditions (i.e., different populations, regimes, and sampling methods), suffer missingness – very often not at random – and their use is strongly constrained by privacy issues. In such a complex setting, this special issue challenges computer scientists to contribute to the above debate by designing and developing innovative methodological approaches, for solving complex decision-making problems in health care, leveraging on observational data.
Topics of interest include, but are not limited to, the following with an emphasis on novel generalizable methods applied to the healthcare domain:
Causal discovery from multiple data sets.
Federated causal discovery.
Causal discovery from heterogeneous data sets.
Transportability of causal models and inference.
Neuro-symbolic approaches to learn from heterogeneous data sources.
Continual learning on streams from multiple data sources.
Computational intelligent strategies to support causal inference.
Edge computing for decision making in healthcare.
Integrative AI methodologies.
Distributed inference methods.
Continual Learning.
Knowledge Discovery and Integration.
Combination of deductive approaches with ML models.
Combination of ontologies and/or knowledge-bases with ML to support decision making.
Peer Review Process:
All submitted papers will undergo a rigorous peer-review process featuring at least two reviewers. All submissions should follow the guidelines for authors available at the Journal of Biomedical Informatics website (http://www.elsevier.com/locate/yjbin). JBI’s editorial policy outlined on that page will be strictly enforced by special issue reviewers.
Note that JBI emphasizes the publication of papers that introduce innovative and generalizable methods of interest to the informatics community. Specific applications can be described to motivate the methodology being introduced, but papers that focus solely on a specific application are not suitable. A few examples of papers focused on methods previously published in JBI include: Kyrimi, et al. [1], Huang, et al. [2], Kocbek et al. [3], Houston et al. [4], García Del Valle et al. [5], Graudenzi et al. [6] and Sims et al. [7].
In particular, the authors of [1] showed the relevance of causal models and expert knowledge to develop credible models, i.e., capable of achieving good predictive performances when transported from the study cohort to the target population. Furthermore, [2] tackles the relevant issue of partially overlapping variables when data are collected from multiple data sources. This problem is extremely relevant both in theoretical and practical terms for decision making in the healthcare sector.
The contribution provided in [3] stressed the importance of working in a multi-source context by demonstrating how the linking of different repositories can improve the overall understanding of patients' conditions. Similarly, in [4] the authors extended this concept by introducing a methodology to evaluate to audit the data quality of the sources exploited by healthcare information systems. Then, in [5] the multi-source concept is transferred within the multi-modal environment and the authors surveyed the importance of considering different modalities to obtain a better disease understanding.
The works in [6] and [7] focuses on the importance of data. In [6] a data integration framework is defined for characterizing the metabolic deregulations that distinguish cancer phenotypes, by projecting RNA-seq data onto metabolic networks without the need for metabolic measurements; in [7] a biomedical informatics method is introduced that uses multiple public health data sources to perform surveillance of methadone-related adverse drug events. Interestingly, even if patient data are not linked between different data sources, results show that the integration of multiple public data sources can capture more cases and provide more clinical details than individual data sources alone.
Key requirements for JBI ML papers in addition to presenting novel methods (not simply application of existing methods to a new healthcare domain) are as follows: 1) projects must have clinicians involved in research question/problem formulation, defining input data, and assessing the results. 2) An explanation (with clinicians) of how the proposed method would fit into the clinical workflow is expected. It must be translational to practice. 3) Data sets should preferably be collected from hospitals after the research question was formulated, thus avoiding the use of available data (MIMIC) to define a very wide research problem that could potentially be answered with available open datasets (as an example: detecting if someone has COVID from Chest X-Rays would not be acceptable, as the gold standard test is the laboratory test). 4) As for explainability, SHAP values and related diagrams would not be enough: the paper should clearly describe and explain how clinicians use the visualization to make decisions. For further details please refer tohttps://www.sciencedirect.com/journal/journal-of-biomedical-informatics/publish/guide-for-authors.
Ten years ago
we made available Social Determinants of Health: The Canada Facts to
fill the vacuum created by Canadian governments and public health
agencies on the social causes of illness and health. In contrast these
issues of health inequalities and their causes are front and centre in the European
Union.
Despite virtually no media coverage the document was downloaded
over 1,200,000 times over the decade, 85% of which were by Canadians. It
penetrated into just about every civil society
and public health agency documents and gets 7560 hits in a google
search.
Of special
interest to you may be the Epilogue that places all of the disturbing
information into a political economy perspective that examines the
imbalance in power between the corporate and business sectors and the
rest of us and how
this skews public policymaking.
Yes. Accessibility is critical but given its age, and presentation of Hodges' model as a 2x2 table, this blog is best viewed on a tablet, laptop, or PC.
If I can assist please contact me h2cmng AT yahoo.co.uk or @h2cm 'X'. Thank you.
Hodges' model also known as 'Hodges' Health Career Model' H2CM
A person's health career is impacted by their life chances.
Total Pageviews
Hodges' Health Career - Care Domains - Model
'Care Domains' was added to the model's title as some people associated the model with employment, work, jobs.
Born in Liverpool, UK. Community Mental Health Nurse NHS, Part-time Lecturer, Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General Community Psychiatric Nursing (Cert.) MMU PG Cert. Ed. BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man. MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise. Comments are disabled. If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
* IO Magazine
Source:
Reveal Digital , 01-01-1988
Contributed by: Charles Stein; Don Byrd; A.S. Yessenin-Volpin; Christer Hennix; Henry
Flynt; Henry Flynt; George Quasha; Charles Stein; Christer Hennix; Luitzen Egbertus Jan
Brouwer; L.E.J. Brouwer; L.E.J. Brouwer; Charles Stein
Stable URL: https://www.jstor.org/stable/community.28038534
Hodges' model was created by Brian E. Hodges [Senior Lecturer, Retired] in the mid-1980s at what is now Manchester Metropolitan University.
Peter Jones, author / editor of this blog has championed Hodges' model as a personal initiative online since 1998, but discovered the model on the CPN(Cert.) course 1988. The driver is recognition of the increasing relevance - decade-by-decade - of Hodges' model as a primary resource for local, national, global and glocal (virtual) health and education.
Visitors to this blog, individuals and organisations, are invited to consider use of Hodges' model.
Hodges' model is provided as an open educational resource (OER).
"Open Educational Resources are teaching and learning materials that you may freely use and reuse, without charge. OER often have a Creative Commons or GNU license that state specifically how the material may be used, reused, adapted, and shared." [Google, 8 Feb 2016]
CC CREATIVE COMMONS:
Hodges' model is assigned Attribution-ShareAlike 3.0 Unported (CC BY-SA 3.0):
OER is important for teaching, learning, and collaboration generally. Hodges' model is an ideal tool to span individual and global health care. Peter Jones encourages and will try to respond to support users interested in exploring how Hodges' model can support their work.
Post-publication I have learnt of new papers that have cited, or even used Hodges' model. This is very welcome news. If you are contemplating using h2cm, I'd be pleased to help. The aim is to see h2cm applied, especially in the real world, across disciplines and to help squeeze all the conceptual juice out of the model as per your context.
Nodes & Edges: Structure Content distinct
BIBLIOGRAPHY & Citations for Hodges' model
Please note the website - p-jones.demon.co.uk listed in many papers below is no longer active and maintained. 'Demon' ceased operating as an internet provider in 2015.
April 23 2025: There is a link to the archived POLITICAL links page, listed under 'External links': https://en.wikipedia.org/wiki/Outline_of_political_science Which is itself a useful page.
A new site for introductory materials and Brian Hodges' original notes will follow (one day!?) ...
Hodges, B.E. (1989) The Health Career Model, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Practice and Health Care, 1st Edition only, London, Edward Arnold.
Adams, T. (1987) Dementia is a family affair. Community Outlook, Feb, 7-8.
Jones, P. (1999) It's time to master the latest tools and Hodges' Health Career Model, IT in Nursing, 11.2.
Jones, P. (2004) Viewpoint: Can informatics and holistic multidisciplinary care be harmonised? British Journal of Healthcare Computing & Information Management, 21, 6, 17-18.
Jones, P. (2004) The Four Care Domains: Situations Worthy of Research. Conference: Building & Bridging Community Networks: Knowledge, Innovation & Diversity through Communication, Brighton, UK.
Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.
Kernohan, G. (2010) Theoretical review of public engagement in Nursing. Proc 1st Public Engagement Colloquium, Kells, Co Antrim, 22 April.
Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care.International Journal of Older People Nursing. 7, 75–80.
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.
Bom, J. (2015) Geboeid signaleren. De Verpleegkundig Specialist. 10. 14-15. 10.1007/s40884-015-0051-z.
Jones P. Exploring the relationship of threshold concepts and Hodges’ model of care from the individual to populations and global health. Rev Cuid. 2017; 8(3): 1697-720. http://dx.doi.org/10.15649/cuidarte.v8i3.464
Maffissoni, André & Vendruscolo, Carine & De Lima Trindade, Letícia & Zocche, Denise. (2018). Redes de atenção à saúde na formação em enfermagem: interpretações a partir da atenção primária à saúde. Revista Cuidarte. 9. 1-13.
Holmes, D. Perron, A. Jacob, J.D. Paradis-Gagné, É. & Gratton, S (2018). Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire, (Practice in forensic psychiatry: A proposed interdisciplinary model). Recherche en soins infirmiers, 134, 33-43. DOI: 10.3917/rsi.134.0033
Ashiquer Rahman, S.K. (2019) Mobilizing ePLANETe.Blue knowledge mediation portal to deal with new challenges of sustainable development in Higher Education and Research Etablishments (HERE) from a perspective of Knowledge Economy.
Thèse de doctorat de l'Université Paris-Saclay
préparée à l’Université de Versailles-Saint-Quentin-en-Yvelines. École doctorale n°578 Sciences de l’homme et de la societé Spécialité de doctorat : Sciences Économiques.
Kennedy, Harry G. (2019). National Forensic Mental Health Service (NFMHS) Model of Care. 10.13140/RG.2.2.30103.59041.
Hayward, B.A. (2020), Mental health nursing in bushfire‐affected communities: An autoethnographic insight. Int J Mental Health Nurs. doi:10.1111/inm.12765
Iris Lohja, Yves Demazeau, Christine Verdier. A multi-agent system approach to dynamic ridesharing for older people: State-of-the-art work and preliminary design. 18èmes Rencontres des Jeunes Chercheurs en Intelligence Artificielle, RJCIA’20, Jun 2020, Angers, France. pp.52-59. ⟨hal-02897446⟩
Byrt R. Forensic Mental Health Nursing in Secure Hospitals and the Criminal Justice System. Nurs Health Care Int J. 2019, 3(2): 000176.
Hamilton EAA, Dornan L, Sinclair M, McCoy J, Hanna-Trainor L, Kernohan WG. A scoping review protocol: Mapping the range of policy-related evidence influencing maternal health outcomes in a fragile, low-income country. J Adv Nurs. 2021 Jul 20. doi: 10.1111/jan.14956. Epub ahead of print. PMID: 34288043.
Elien G Neimeijer (2021) "CLOSE(D) CARE: Group climate in a secure forensic setting for individuals with mild intellectual disability." Radboud University, ISBN: 978-94-6416-713-9
https://www.trajectum.nl/sites/default/files/proefschrift_e._neimeijer_pdf.pdf
Fryer, Jon. “Information Literacies – Learning, to Thrive in a Digital Age” IRMS Bulletin 230 (2022): 16-21.
Kistler KB, Tyndall DE. Application of the Threshold Concept Framework in Nursing: An Integrative Review. Nurse Educ. 2022 Mar-Apr 01;47(2):91-95. doi: 10.1097/NNE.0000000000001041. PMID: 34033613.
Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;5:doi: 10.1136/bmjnph-2021-000254
Kernohan, W. G., & Jones, P. (2023). Hodges’ Health Care Model as a Framework for Quality. Paper presented
at Interprofessional work: developing oral care and the health workforce for the future, Brescia, Italy. https://pure.ulster.ac.uk/en/publications/hodges-health-care-model-as-a-framework-for-quality
Above paper cited by:
Leung, T.C.H., You, C.SX. (2023). Environmental, Social, and Governance (ESG) Promotion to Different Stakeholder Groups. In: Environmental, Social and Governance and Sustainable Development in Healthcare. Sustainable Development Goals Series. Springer, Singapore. https://doi.org/10.1007/978-981-99-1564-4_6
Yadav, V. S., & Singh, B. (2023). Evaluating the Human Rights Perspective on Sustainable Development Goals Accessible Health Coverage. Journal of Law and Sustainable Development, 11(6), e1254. https://doi.org/10.55908/sdgs.v11i6.1254
Kernohan, WG, Dornan, L & Jones, P 2023, 'A reflection on Hodges' Health Career Model for integration of health innovation', Trinity Health and Education International Research Conference 2023, Dublin, Ireland, 7/03/23 - 9/03/23.
McLaughlin, P., Brady, P., Carabellese, F., Carabellese, F., Parente, L., Uhrskov Sorensen, L., . . . Kennedy, H. (2023). Excellence in forensic psychiatry services: International survey of qualities and correlates. BJPsych Open, 9(6), E193. doi:10.1192/bjo.2023.578
Kainat Asmat (2024). Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia: Nursing Practice without Theory. International Journal of Practice-based Learning in Health and Social Care. 12. 125-131. 10.18552/ijpblhsc.v12i2.1068.
Güner, Y., Delibalta, B., Üçüncüoğlu, M., Paslı, S. (2025). Challenges encountered by emergency nurses in forensic case management: A qualitative study, Journal of Forensic and Legal Medicine, Volume 109, 102807, ISSN 1752-928X,
https://doi.org/10.1016/j.jflm.2025.102807.
Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085
Ardenny Ardenny, Le Hoang Nam, Pham Anh Tu (2025). Sustainable Health Model: Increasing Universal Access to Health Services in Remote Areas. Journal of World Future Medicine, Health and Nursing. 3. DOI: 10.70177/health.v3i1.1907
Jones, P. (2025), A Generic Model and Conceptual Framework to Prime Curiosity Across Health and Social Care Disciplines to Facilitate Lifelong Learning. Journal of Evaluation in Clinical Practice, 31: e70252. https://doi.org/10.1111/jep.70252
Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today's health dilemma–The 101-statement consensus report., Volume 12:1676080. doi: 10.3389/fnut.2025.1676080. https://doi.org/10.3389/fnut.2025.1676080.
Short form: Wirnitzer, KC. et al. (2025) Toward a roadmap for addressing today's health dilemma – The 101-statement consensus report. Frontiers in Nutrition. Volume 12.
https://frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1676080 DOI:10.3389/fnut.2025.1676080
S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034.
Simms, V., Jacobs, N., Magee, J., De Ornellas, K., Mollik, E., Kernohan, W. G., Leacock, J., Akter, J., Sempey, C., Beech, S. E., Naz Asif, R., Yap, L. K., & Miller, K. (2026, Jan 16). Ulster University Open Research Conference 2026: Conference Speaker Abstracts. Ulster University. Advance online publication. https://doi.org/10.21251/0d7780ce-ce97-468f-b5d5-69201ca90b20
-=<>=-
[ For Dr Wirnitzer's work please see:
The NURMI-Study (NURMI – Nutrition and Running high Mileage) https://www.facebook.com/nurmistudy
Editorial: Situational Awareness, Psychoses, Cardiovascular Nursing, Research Methods and Hodges' model.
Hodges' model and the use of Diagrams in Case Formulation
Recognising the Value of Hodges’ model as a Known - Unknown in the time of COVID and Information Disorder.
Hughes (1958) is clearly dated, and as reflected in the title. Brian Hodges referenced Hughes to define ‘health career’ the idea of life chances.
Hughes, E. (1958) Men and their work. New York: Free Press.
A paper in 1977 refers to "Health career model", this is not Hodges' model, but we can match the paper's econometric context as follows: 'health career' equates with 'life chances' and so draws upon the model's INDIVIDUAL domains. While in the paper "Life-cycle and Quality of Life" can be matched with the COLLECTIVE domains of Hodges' model, namely, SOCIOLOGICAL and POLITICAL. Of course, Quality of Life is also an individual, subjective, phenomenological experience. The paper however preempts the ongoing focus upon SOCIAL DETERMINANTS, and more generally, the current state of our Social and Political contracts. Now the further differentiation of political, commercial, geopolitical determinants (where we are born, what 'papers' we possess, or not; are we State/Stateless) is an opportunity for Hodges' model. The ability of Hodges' model to encompass and switch contexts provides evidence of the model's potential and power, a result of its structure and situated content. In health and social care, Quality of Life (clearly) remains an individual AND collective matter, from individual assessment tools, to weighing the ethics, benefits and costs of interventions in collective - aggregated terms (QALY).
"900: Welfare Programs; Consumer Economics; Urban and Regional Economics." (1977). Journal of Economic Literature, 15(4), 1451–1457. http://www.jstor.org/stable/2723014
The two papers below pre-date the first website [1998-2015 webarchived], but show how I have subsequently stressed the role of information, informatics and the socio-technical within Hodges model as a unifying concept. I have copious notes to revisit this subject, on: post-COVID and dis- mis- malinformation; and nursing's legacy issues.
Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.
Finally some software publications from the microcomputer era.
Jones, P. (1986) Computing in Nursing NEWS. Computerised Patient Assessment. Nursing Times. 85: 5. Sep 3-9;82(36):63-5. PMID: 3532039 (Describes 'CAPA', a BBC microcomputer program for student nurses.)
Jones, P. (1989) Computers in Nursing NEWS. Creating a Program. Nursing Times. Feb 1-7;85(5):66-8. PMID: 2648342 (Describes 'HAEM', a BBC microcomputer program for student nurses on blood and blood groups.)
Please contact me if you have a paper referencing Hodges' model, or you have a project in mind, but need some advice, more information to help you use the model. Thank you.
21th Annual STS Conference Graz 2023:
online: "Critical Issues in Science, Technology and Society Studies" 8th - 10th May 2023
https://stsconf.tugraz.at/
Information & Records Management Society: IRMS22 - Resilience, Recovery, Renewal
Glasgow - DoubleTree by Hilton, May 15-17 2022
8th Biennial Threshold Concepts Conferences
Online, 7–9 July 2021
Global Remote and Rural Healthcare
(Virtual) 17-18th November 2020
ATTENDED:
Systems: Transition to a Sustainable World 15th September 2023, Richmond Building, University of Portsmouth
RCGP’s 7th Health and Justice Summit: Journeys Through Justice – Leadership and Transformation
Bristol, 25-26 November 2019
Participant: Re-envisaging
Infection Practice Ecologies in Nursing through Arts and Humanities Approaches
Spring 2018 - October 2019
Threshold Concepts in Action, University of Dundee: 27th-28th June 2019
Friday 28th June 2019: Threshold Concepts in Health Special Interest Group meeting. Morning: papers/discussion with virtual access for members at a distance; Afternoon: research/writing workshop; sharing advice and ideas
Presented at UKSS Conference 2018
UK Systems Society: Can systemic thinking reshape health services?
Presented at 4th Int. Nursing Conference Jordan The Tipping Point: Creative Solutions to Health and Nursing Challenges
"نقطة التحول: حلول خلاقة للتحديات الصحية والتمريضية"
Is there interest in an open, accessible conceptual framework not only for self-care and health care but for planetary health too? I believe there is ...