Book review: "The Power of the 2 x 2 Matrix" iv

Yes, it is a literal reading but if I didn't 'see' Lowy and Hood's discussion of "The team goes to work" (p.74) with symptoms identification and "Listen, listen, listen" (p.75) I'd miss a trick.

In healthcare the team really matters; in mental health care (especially) it is a professional and therapeutic* ... duty to listen; symptoms are not enough, we must seek signs too; what goes unspoken? A 2x2 matrix once created and agreed can also help identify positive and negative symptoms, in healthcare we differentiate this in several ways. The individual whether psychosis or cancer; and the group (socially and politically) through the impact of constraints and opportunities. There's a 'Health Magazine Marketplace Matrix' (p.76).

Strategy is central with tactical and operational factors in business and commerce and chapter 6 deals with strategic frameworks. The chapter starts: 

"Strategy is the art and science of competing more effectively than one's competitors." (p.91).

Below are two of the matrices described which I've placed within Hodges' model. Nursing is all about seeking, testing, trying, accepting, parking and respecting unexploited opportunities, not only 'in' the intra- interpersonal domain, but the other domains too. I will let you reflect upon the commodification of health and 'end of life'. 

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Beyond Customer Led Matrix p.96.	Discontinuity and Life Cycle Matrix p.101

The social and political domains are obviously well represented throughout the book: value, customer, prosumer, civics and much more. An example is the Librarian Scenario Matrix which comprises of the dimensions - Locus of Concern  and Social Contract (p.119).

There's mention of architecture in the book which in a business context is understandable. I can not find where I read it but recently the addition of 'architecture' as in 'care architecture' represents a misuse? This is not architecture. This book and Hodges' model makes concepts the bricks, mortar, spans and splines of architecture. 

 

There is much more I could draw out. The Johari Window, individual frameworks - in which the quadrant's significance (size) varies, Myers-Briggs. In addition to a couple of references with the chapters, a notes section provides a full-list. The index is thorough and there are copyright notices for the many tables and figures.

A great book - just lacking one-other model, but I would say that!

Here are the previous posts:

Q. What is Hodges' model? A. It is NOT a 2x2 matrix

Book review: "The Power of the 2 x 2 Matrix" i

 
Book review: "The Power of the 2 x 2 Matrix" ii

Book review: "The Power of the 2 x 2 Matrix" iii

'Proof' of the Four Quadrants

Alex Lowy, Phil Hood (2004) The Power of the 2 x 2 Matrix: Using 2 x 2 Thinking to Solve Business Problems and Make Better Decisions, San Francisco, CA: Jossey-Bass. ISBN: 978-1-118-00879-9

With many thanks to the publisher for my review copy.

 *All effective carers (formal and informal) are 'good listeners' and not just 'good listeners' they respect what is said and if presented with it: a silence.

Hodges' model DoB = early 1980s. So it's obsolescent?

No Way!

The model is more relevant than ever...

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

The 'discerning' customer

P PR PRI PRIN PRODUCE - PRODUCT chuck, drop, dump, bin. throw, fling, tip DISPOSABLE - DURABLE [left] 20% ink? How many ink cartridges do you need? How many blades...? ---------------------------- engineering

The discerning market?

"In passing the "Hamon Law," as it's known, in 2014, France became the first country in the world to open the door to sanctions for the widespread manufacturing practice of "planned obsolescence" - creating products pre-designed for failure at some point so that consumers will be enticed to replace them. Specifically, the legislation outlaws "the use of techniques whereby the person responsible for placing a product on the market deliberately aims to reduce its lifetime in order to increase the replacement rate." David Schrieberg

Forbes.com David Schrieberg - Landmark French Lawsuit Attacks Epson, HP, Canon And Brother For 'Planned Obsolescence'

Halte à l’Obsolescence Programmée (HOP)

My source: Sage, A. French have last word on printers, The Times, September 20, 2017, p.40-41.

the GE METRY of CARE and C NTRACTS

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

Image source:
http://upload.wikimedia.org/wikipedia/commons/thumb/a/a0/Circle_-_black_simple.svg/500px-Circle_-_black_simple.svg.png

#entanglement

Patient or Customer?: Caring under a panoply of words

Through twitter I came across a blog post 'Should patients be treated as customers' at Kevin MD.

I posted a comment and this post develops the thoughts there....

There is a panoply of words we apply in the various contexts covered by health and social care. Those associated with patient are subject to ongoing debate...

I use the word 'panoply' on purpose because individuals and services can hide behind words - or jargon - as we all do, using words as a defensive shield.

Panoply struck me with its multiple meanings. As definitions reveal the word suggests an abundance of something - 'flags'! Panoply also suggests something covered. A need to protect as per the meaning applied to armour.

A friend - a retired nurse - recently had an in-patient experience that proved rather shocking in terms of the past 3-4 decades of nursing theory and practice. During this time of course the nursing literature has espoused the need for individualised nursing care. All that effort according to my friend's particular patient experience or customer journey suggest that nursing has not moved on.

Perhaps there is a perpetual policy irony (PPI?!) that sets wiser heads rocking to-and-fro: the more something is in vogue - written and talked (flagged) about - the less it really applies in reality?

Which brings me back to KevinMD's post. There is and needs to be a tension between patients as passive players in the sense of them being (allowed to be) patients; and patients as members of the public with experience to translate into service improvement and change. Patients are also citizens - taxpayers and many of whom have a desire to push up the quality and accessibility of health and social care services.

The first stumbling steps of PROMS (patient reported outcome measures) is now under way to gauge quality and outcomes.

'Patients' will tend to be viewed as 'customers' when the systems used to collect their 'satisfaction ratings' of the 'patient experience' are adapted from existing CRM applications: re-engineered - tinkered and tailored - to suit another industrial commercial niche or market sector.

This is not to be cynical, it is being realistic about the commercial realities in which health and social care is practised.

There's a dated concept in nursing theory (and medicine) patiency. When does patiency begin? When does it end? Perhaps it is time to revisit this from an informational perspective?

If the public is engaged as per the Patient Public Initiative then (idealistically) they can 'shop around' before they extend their health career reach to the mobile paramedics (strategically sited around the community) and possibly on through to A&E. Then the public has acted politically and socially prior to their need to engage in the actual care processes themselves.

<>

Here's the post on the 'public' and the sanctity of records which includes some additional links...
(Confidential) Letter to self - and you, and you, and you... ?

http://hodges-model.blogspot.com/2009/02/confidential-letter-to-self-and-you-and.html