Further to last months post, I've worried at times about the axes of Hodges' model and their status and function. Can I let the axis stand for itself?
INDIVIDUAL
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GROUP
Do I expand (explode) the conceptual labels?
self - INDIVIDUAL - person
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relationship - family - GROUP - community - population
There seems to be an asymmetry, when you traverse the axis - and its horizontal counterpart; from wherever you start. Perhaps, I worry too much as if the axis was regular then the generic property of the model overall would be diminished. Is this an axis at all?
The website for the Quality Toolkit at: https://qualityhealthservices.who.int/quality-toolkit
- explains the toolkit's scope that includes:
"This new online resource is a user-friendly toolkit to support action on
improving the quality of health services at every level of the health
system, from national and district to facility and community levels."
I have only scratched the surface here and hope to revisit again - in more detail. Please see below for reflections on the levels by which the toolkit can support action to improve the quality of health services. I have tried to suggest proximity and distance between the SOCIOLOGICAL and POLITICAL (policy). Perhaps, what is a 'clinic' has a name, that it is known by - a key part of the community. The community is closer to the people - to the would-be users of the facility. You can appreciate(?) here the challenge of getting the local community involved in their services. What is 'NATIONAL' should not be remote. Can people compare and contrast with what they are offered?
On the website I note there are video presentations also. The prospect of regular updates for the toolkit is also welcome.
INDIVIDUAL
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INTERPERSONAL : SCIENCES
HUMANISTIC -------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
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GROUP
psychological access
'My' clinic
Trust, I feel safe)
(feeling safe)
Tell others - my experience..
| physical access
clinic
(appearance, facilities, safety)
controlled environment
(cleanliness, sterile.., or more social)
|
'the centre'
COMMUNITY
DISTRICT
national
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facility (policy translation / coherence?)
community
district
NATIONAL
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Original source: Jules Storr,
Independent Consultant, S3 Global & working with WHO as part of the Quality Toolkit development team - via HIFA
Previously: New WHO Quality Toolkit
'Take II'? Quality means getting it right first time (even as you persist in what you are doing - your aspirations and quality improvement). Vitally, this means you, the team make a positive impression for the person, the individual, client .. carer, group.
If they need to - they will recognise their own ability, knowledge, follow advice, they will come back, they leave not to return soon as they can now self-care and care for others in their home, community ...
Please note: This post and that previous is not intended to denote endorsement of Hodges' model.