Hodges' Model: Welcome to the QUAD: Search results for Global Health

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 ...

Showing posts sorted by date for query Global Health. Sort by relevance Show all posts
Showing posts sorted by date for query Global Health. Sort by relevance Show all posts

Monday, October 12, 2026

Report - Health Misinformation: Public Perceptions of Threat to the UK

A London School of Hygiene & Tropical Medicine report

Published: 28 September 2026

Authors: Pete Wilton & Dr Ben Kasstan-Dabush

Foreword

The London School of Hygiene & Tropical Medicine (LSHTM) has a long track-record of developing innovative approaches to countering false or misleading health information (health misinformation). While health misinformation has always been with us, in the last few years changes to the technological and political landscape have enabled it to spread further and faster around the world, threatening to undermine trust in health experts and institutions.

That was why in January 2025 LSHTM launched a new initiative focusing on fighting dangerous health misinformation in the UK through interventions in the media, online, and on social media. While misinformation is global the response often has to be national or even local and what we quickly realised is that there is still a lot we don’t know about the prevalence and impact of health misinformation in the UK.

How equipped are Britons to identify false or misleading health claims? What do they do to factcheck if these claims are true? Are our fears about the harms of health misinformation on the UK population justified? And, if they are, who is being harmed and how can we help them to protect themselves? These were just some of the questions we had.

Of course one survey was never going to give us all the answers, but we believe the findings detailed in this report are an important first step towards gathering some of the ‘missing evidence’ on health misinformation in the UK. We hope that this report will help to motivate and inform all those working to make ours a healthier, stronger society.

Professor Liam Smeeth
Director, London School of Hygiene & Tropical Medicine

Continued . . .


My source: BBC Radio 4 Woman's Hour - 36mins 
https://www.bbc.co.uk/sounds/play/m0032qn8

'How can medical misinformation harm women, and how do we combat dangerous myths? Nuala McGovern is joined by former consultant breast surgeon and cancer survivor Liz O'Riordan and Dr Rachael Kent, whose academic research focuses on the impact of digital technology on mental and physical health.' 

Saturday, October 03, 2026

World Health Congress 2027 Prague - 20-22 August

Dear Friends,

The World Health Congress 2027 Prague is a global professional gathering focused on traditional, complementary, and integrative medicine (TCIM/CAM) and evidence-based medicine (EBM).

Under the motto “Health Knows No Boundaries – Let Us Seek a Common Path,” the congress provides a platform for professionals to come together, share knowledge and experience, engage in professional dialogue, and foster international cooperation in healthcare.

The previous congress attracted more than 1,000 participants from 50 countries worldwide and brought together prominent experts and organizations.

If you are considering actively participating in the 5th World Health Congress 2027 Prague, to be held from 20–22 August 2027, and are planning to submit an abstract for your presentation, please give some thought to the following four questions. They reflect the direction envisioned for the upcoming Congress. This direction will also be embodied in the Congress’s concluding document, the Prague Declaration.

  1. How can we build bridges between TCIM and EBM in healthcare?
  2. How does your contribution help advance TCIM?
  3. If you have participated in one of our previous congresses, what new perspectives does your presentation offer compared with your previous presentation?
  4. What is the future of TCIM, and what strategies would you propose for the way forward?

Abstract submissions are now open. You can submit your abstract here:

ABSTRACTS

Warm greetings from Prague,

Tomas Pfeiffer
President of the 5th World Health Congress 2027 Prague
Soukenicka 21, 110 00 Prague 1
Czech Republic
www.whc2027prague.com 

Director
Institute for TCIM/CAM 

e-mail: info AT itcim.org
www.itcim.org

n.b. I have had some problems accessing the site - 'new domain'.

Friday, October 02, 2026

Gaps and Legacy Issues in Health and Education

 ... and across the Professions and Disciplines

I've just revised what may be table 1 of an exploratory paper. The table's role is to inform the motivation, scope and overall purpose within the introduction. The aim is to outline the gaps and legacies in health and education. Is this the combined inheritance of life chances, health and work career: gaps?

  1. Theory-Practice gap

    A. Research in Practice – Translational Research;
     B. Education/Training: University – Apprenticeship (see 4.B);

  1. There is no research-based conceptual framework taught and applied across health and social care systems and services.

  2. Individual – Collective (Population) Health

  3. Legacies of:
      A. Integrated care (global: funding / philosophy / location / disciplines / academic …);
      B. Parity of Esteem
           i   Mind - Body – Cartesian dualism;
           ii  Funding of Health Services [mental health - general];
           iii Research funding; Policy & Education);

C. Person-Centred Care – Service-Centred Care;

D. NHS - Social care;

  1. (Ill-Health-Disease, see 4.B.ii) Treatment versus Prevention first 

  2. Long-term policy Vs Short-termism

  3. Personal, Local, Global: Developed – Developing Health Systems & Services 

  4. Determinants of Health (Schrecker and Bambra, 2025)

Any thoughts, key sources ... are most welcome, e.g. should there be a place for sustainability, self-care, the literacies and the basis of funding public, private, or charitable (mixed)? h2cmng AT yahoo.co.uk
 

Schrecker, T., Bambra, C. (2025). ‘Lethal But Legal’: The Corporate Connections (Commercial Determinants of Health). In: How Politics Makes Us Sick. Palgrave Macmillan, London. 
https://doi.org/10.1057/978-1-349-96127-6_7

Thursday, October 01, 2026

Paper - 'Women's voices in rural Malawi: antenatal care research and community learning'

Dear HIFA colleagues,

My friend, Ted Lankester, suggested I share my recently published research with this community.

The paper, published in PLOS Global Public Health, explores women’s perceptions of pregnancy and antenatal care in Chizenga village, Chikwawa, Malawi. It arose from my MSc dissertation at the Liverpool School of Tropical Medicine, with co-authors Deborah Nyirenda and Terry Kana.

Through interviews with 14 pregnant women, we explored how understanding of antenatal care interacts with transport costs, distance, nutritional constraints, gender dynamics and experiences of respectful and disrespectful care. Women also expressed a desire for more community-based education and outreach.

The full open-access paper is available here: https://doi.org/10.1371/journal.pgph.0005515

Layton H, Nyirenda D, Kana T (2026) A qualitative study to explore women’s perceptions of pregnancy and antenatal care in Chizenga village, Chikwawa, Malawi. PLOS Glob Public Health 6(9): e0005515. https://doi.org/10.1371/journal.pgph.0005515

Their accounts inspired me to develop the Sangalala Maternal Health Partnership Programme with local partners, through The Reach Foundation UK. Our first cohort (39 women and 1 man) has recently completed the programme in Uganda, and we are now learning from participants’ experiences to strengthen it.

I would welcome members’ experiences of making maternal health information accessible and useful in rural communities, particularly where information needs sit alongside practical barriers to accessing care.

I promised the women who participated that I would help raise their voices. Sharing their perspectives and learning from this community is one way I hope to honour that promise.

Best Wishes,

Helen

HIFA profile [and my source]: Helen Layton is a Nurse and Global Health Consultant; Founder & Clinical Director, The Marula Institute; Co-founder & Executive Director, The Reach Foundation UK/Spain. My professional interests include maternal and child health, global health equity, respectful maternity care, community-led health education, and translating research into practice. As Co-founder and Executive Director of The Reach Foundation UK and Founder and Clinical Director of The Marula Institute, I am particularly interested in strengthening health systems, workforce education, safe care for children with complex needs, and ensuring women’s and families’ voices inform care. 
Helen AT cathcom.org

Thursday, September 17, 2026

World Patient Safety Day 2026

World Patient Safety Day calls for global solidarity and concerted action by all countries and international partners to improve patient safety.

The Day brings together patients, families, caregivers, communities, health workers, health care leaders and policy-makers to show their commitment to patient safety.

The resolution WHA 72.6 ‘Global action on patient safety’ recognizes patient safety as a global health priority and endorses the establishment of World Patient Safety Day to be observed annually on 17 September. ...

Source:  https://www.who.int/campaigns/world-patient-safety-day

Sunday, September 13, 2026

Book Announcement | The Examined Illness: A Philosopher's Confrontation with Deadly Disease

The Examined Illness
Intellect is pleased to share that The Examined Illness: A Philosopher's Confrontation with Deadly Disease, by Darrel Moellendorf, is out in paperback and hardback.

A visceral personal memoir of being seriously unwell – and the consolations of philosophy during sickness. Being a patient is part of being alive. Disease and serious illness often strike randomly, and when they do, we quickly become subject to the impersonal forces of biochemistry and pharmacology. We rarely think about sickness beforehand and are often totally unprepared for it when it happens. Suddenly, there we are, subject to a standard treatment protocol. Darrel Moellendorf learned this by experience during a month confined to a solitary and sterile hospital room where he received a life-saving stem cell transplant. His room was somebody’s workspace, his schedule was somebody’s work routine, his immune system was systematically crushed, and his prognosis was out of his hands. There was no assurance that it would all work out.

Having spent thirty years teaching philosophy to college students, He was facing the biggest test of all—perhaps the final exam. These are his reflections before, during, and after his cancer treatment, written in real time. He writes, “My brain was sometimes addled by the chemotherapy that sapped my energy and destroyed my immune system, but I wrote out of the conviction that living well includes living well with disease, and eventually living well facing death.” This memoir expresses the conviction that the virtues of patience, courage, trust, and hope serve us well. A measure of good humor also can’t hurt.

Part of the Global Health Humanities series.

Table of Contents

Acknowledgements
Introductory Note

Part I: Diagnosis

1. First Thoughts and Second Opinions
2. Healthcare for All Pt. 1
3. Patients and Patience
4. Father to Son and Back
5. Give It Up for Lent!

Part II: Inside
6. Day 7: The Countdown Begins
7. Day 6: Carpe Diem
8. Day 5: Vegetarianism Is Not an Option
9. Day 4: Sweatin’ and Shakin’
10. Day 3: Making Decisions When You Can’t Think
11. Day 2: Nausea and Fatigue
12. Day 1: Courage
13. Day 0: Communion
14. Day +1: Confinement
15. Day +2: Waiting and Anxiety
16. Day +3: Relaxed
17. Day +4: Toiling and Spinning
18. Day +5: Healthcare for All Pt. 2
19. Day +6: Patience and Hope?
20. Day +7: A Letter Arrives
21. Day +8: Anaemia
22. Day +9: Why I Write
23. Day +10: Why I Dyed My Hair Blue
24. Day +11: Shorn
25. Day +12: Tired, Itchy, and Hiccupping
26. Day +13: Waiting
27. Day +14: Signs of Progress
28. Day +15: Turn Me Lose, Set Me Free
29. Day +16: Fresh Air
30. Day +17: Postponement

Part III: Recovery
31. Home Sweet Home
32. Home Update
33. The Social Determinants of My Survival
34. Letting the Days Go By
35. A Thread of Good Fortune
36. Magical Thinking
37. Hope Kept Me Eating
38. Sunshine, Suffering, Rebirth, and Freedom
39. Food Aversions
40. Inching Towards Normalcy
41. Human Fatigue and Canine Anxiety
42. Healthcare for All Pt. 3
43. Still Wearing My Helmet
44. Same as It Ever Was
45. Who Is That Masked Man?
46. Inspiration in the Oncology/Haematology Waiting Room
47. With a Little Help from My Friends
48. Springtime on My Face
49. Feeling the Love … and the Likes
50. Disease, Bodily Alienation, and Transhumanism
51. Dem Fingernails
52. Traversing the Rim of the Valley of the Shadow of Death
53. The Examined Illness

Epilogue: Living with Mortality
References


Please visit our website for more information:
www.intellectbooks.com/the-examined-illness

--
My source: Georgia Glasspole
Marketing Executive (she/her)
Intellect  | 0117 9589910 | georgia AT intellectbooks.com

Thursday, August 27, 2026

[IBPnetworkGlobalConnect] 🎉 It's live: the investment case for pleasure-based sexual health

*Shared via the IBP Network Global Community of Practice hosted by the WHO Department of Sexual Reproductive Maternal Child Adolescent Health and Ageing. Learn more at www.ibpnetwork.org*

Dear pleasure champions,

Our new research, The Investment Case for Pleasure-Based Sexual Health, is officially published in BMJ Global Health.

Read it here: https://gh.bmj.com/content/11/8/e024479

Headline finding: making sexual health services pleasure-inclusive for young people returns $23 for every $1 invested, across 99 countries. Full details, plus everything you need to help spread the word — captions, hashtags, visuals for you to use, the works — are in our media pack: https://drive.google.com/drive/folders/1FSrXz5XO1qYiZX9NoExBvvc51nCpmT-H?usp=drive_link 
We'd love it if you shared it with your communities and whomever you think needs to read it; this is exactly the kind of moment we built this toolkit for. Instructions inside!
Thank you for being part of this movement with us, reach out to me at any time if you have questions.
Warmly,
Elena and The Pleasure Project Team

Elena Ascione (lei/she/her) 

Strategic Communication Lead

e:     elena AT thepleasureproject.org

w:    www.thepleasureproject.org

 

n.b.My source as indicated. When I first read this, I did a double-take, but all good in the end! PJ

Thursday, August 20, 2026

"Hey Jonesy: Where's the book?"

This prompt from yesterday is far from new. There are outlines for papers on W2tQ.

Seriously though, what would a book outline look like - now?

The introduction is probably already written, it just needs to be pulled-together. But, in truth it (desperately) needs a new perspective. The question of how to update the explanation - short of running a workshop? The model's original purposes 1-4 are a statement of fact. The intro figures that invariably show how the axes 'create' the model's care, or knowledge domains? What if...? Could we also present the inverse? That would be a new slant. Does the model still 'work'? 

Details aside, here is a quick outline:

Part 1

Introduction and Background 

1.1 Brian E. Hodges and Post-Registration Nurse Education

1.2 Peter Jones - Primed to mind-map

1.3 Web presence: Initial website 1998-2015 - Blog 'Welcome to the QUAD' 2006 ...

1.4 Brian's original lecture notes

1.5 Looking back and forward: Models of care for the 21st Century

1.6 Confessions: So, where is the new site / platform? 

Part 2

 The Four (Five) Care Domains 

2.1 Science

2.2 Interpersonal (& Intrapersonal)

2.3 Sociology

2.4 Political

2.5 Spiritual

Part 3

Hodges' model in Practice - Applications

3.1 Self care

3.2 Clinical

3.3 Social Care - Community 

3.4 Management

3.5 Informatics

3.6 Policy 

3.7 Education

3.8 Workforce: Local - Global 

Part 4

The Legacies (still) in Our Midst

4.1 Person-centredness

4.2 Integrated Care

4.3 Holistic Care

4.4 Parity of Esteem

4.5 The Theory-Practice Gap

4.6 Change - Transformation: When? Disease to Prevention

Part 5

It's Tomorrow Now

5.1 Health Promotion

5.2 Public (Mental) Health & Protection

5.3 Citizenship

5.4 Global Health

5.5 Planetary Health

Part 6

Research

6.1 Hodges' model as a Research Tool

6.2 Climate change

6.3 Planetary Health

6.4 Beyond the Bio-Psycho-Social Model: The Political Domain

6.5 The Literacies 

6.6 InterDisciplinary, Multi- and Transdisciplinary

6.7 Hodges' model as a Mathematical Object?

Part 7

Philosophy
 
7.1 Revisiting the Original Purposes
 
7.2 AI - The Elephant in Mind
 
7.3 Value & Values  

...?

Much to add, revise ... 'Education as Part X'. Political and Literacy too - a specific part - and with AI (in every part!)?

STOP!!

OK. It's a minefield. Even a proposal is a 'non-trivial' task.

Who's writing this? Not me! Not all of it, and for me; not AI either.

It would be marvellous to be one of several editors: one day? 

Clearly, a great project for students and early career researchers and current practitioners. 

An inoculation to help new cohorts deal with the realities, ravages and rewards of 'care' in its entirety*. 

P.S. With the start of a title right there? PJ

Tuesday, August 04, 2026

Brief introduction to Hodges' model

Hodges’ model is a conceptual framework of universal value in theoretical work, practice, policy and care management. While this model is a product of the health-education sector, it is global in scope, taking in the current situation, history and future as complicated by scientific, socio-political, technology and climate change. Practice-based, Hodges’ model is a tool simple in form and yet powerful in terms of how it can help users frame the problems and opportunities of the 21st century. The model was originally taught in studies for the post-registration certificate of care of the mentally ill in the community and other courses. Student assessment included the completion of a case study (vignette), demonstrating competence in application of the model and its embedded (implicit) values.

Access to education, especially early years, is emphasised as foundational for personal and community growth and development. For individuals this can set the course for lifelong learning and an ability to contribute to society and the economy. Given this primary challenge, global institutions and policy makers point to the need for curricula that are relevant. In turn employers and industry leaders need a (global) workforce who are: 

  • reflective practitioners;
  • critical thinkers;
  • able to see the ‘big-picture’; and focus on detail and priorities when needed (risk and triage);
  • decompose a problem, but also integrate (care);
  • work as team-members;
  • and extend across several literacies.
These challenges are ongoing for education (being health literate, so as to address personal, social, health and economic education, and the sustainable development goals), and increasingly climate impacts.

Wednesday, July 29, 2026

Arriving at Hodges' model via guided discovery ...

Following Brian Hodges’ lead in his notes, I have engaged a great many learners with a guided discussion through the following questions:

Questions

Answers

Outcome/Significance

Who do we care for?

The person, individual, patient, client, carer.The group, family, community, national/global population. The 'duty of care'. The Planet.

It is the individual (guardian) who consents to care. The subject at the top of the vertical axis of Hodges’ model is first identified. It is the person who consents to care (or their guardian); then the group occupies the bottom of the vertical axis.

What do we do to help deliver care?

We attempt - complete tasks and interact in ways that are both mechanistic and humanistic. We use procedures, equipment, devices, technologies, physical interventions; and the self – empathy, rapport listening, being present. Team work with effective communication, coordination and collaboration are also essential.

To care is to act. The horizontal axis is added, with humanistic to the reader’s left; and mechanistic to the right.

The axes are then complete, revealing the model’s ‘fixed’ structure. Interdisciplinary can be identified and further discussed.

What skills and knowledge do we need to care for the individual, family and populations?

Here we are concerned with the content of the given situation. This can encompass the whole curriculum and acknowledges experiential learning.

The epistemological and ontological scope and scale of health is revealed from self to planet. The importance of context and situation can be stressed. Including first-aid and its rules and risk assessment. Discussion visits and demonstrates the significance of each of the domains of Hodges’ model and the spiritual to participants. The relevance of Hodges' model to the 21st century, as a bio-psycho-socio-POLITICAL model is emphasised.

Previously: 'Hodges' model'.

Friday, July 24, 2026

WHO’s Self-Care Month (June 24th – July 24th) and International Self-Care Day July 24th


 

The Global Self-Care Federation (GSCF) is putting the spotlight on the benefits of self-care ahead of and beyond WHO’s Self-Care Month (June 24th – July 24th) and International Self-Care Day July 24th – two key annual advocacy milestones. 
 
GSCF’s 2022 International Self-Care Day campaign builds on the #SelfCarePromise theme, encouraging everyone to make and share their personal commitment to embrace a specific self-care action. This year, we are specifically focusing on the topic of resilience.  

Self-care is any action that an individual takes to look after their own health, based on the knowledge and information available to them. This practice can also occur in collaboration with healthcare professionals when needed. Actively managing your own health and well-being through self-care has numerous benefits, including better choice between healthcare options, better care for individual wellbeing and better value for governments and health systems worldwide.

Continued ...
 

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

SELF-CARE
Mental health 
self-care & wellbeing
Individual Health literacy
(- and other literacies!)

Self Advocacy

Physical self-care
Personal resilience
Evidence-based interventions
Disease prevention
Diagnostics, Drugs, Devices, 
Integrated into Care


Health Promotion & Education
Community Empowerment
Community Resilience
Community Advocacy
Social cohesion
Rehabilitation, Recovery
& Reablement
 

 
Knowledge & Information Access
Learning opportunities
 
Universal Health Coverage
Approp. Policy frameworks
Improved care outcomes
Advocacy representation
WHO and agencies

 

See also:WHO - Self-care for health and well-being

Monday, July 13, 2026

2nd International Conference on Health Medical Systems and Services (HMSS 2026)

Dear Colleague,

🚨 Last Chance to Submit – Deadline: August 05, 2026

Are you shaping the future of smart, secure healthcare? Join global pioneers at the

The 2nd International Conference on

Health Medical Systems and Services (HMSS 2026)

📍 When & Where? 17–20 November 2026 | Barcelona, Spain

🌐 Explore More: https://hmss-conference.org

📝 Submission Portal: https://hmss-conference.org/authors.php

💡 From AI to cybersecurity, health and medical informatics, and digital health breakthroughs—HMSS 2026 is where innovation meets real-world impact.

🎓 IEEE-indexed (https://conferences.ieee.org/conferences_events/conferences/conferencedetails/71742)

🚀 Submit your paper today and take part in redefining healthcare technology!
📧 Questions? Reach us at: info AT hmss-conference.org

Warm regards,
HMSS 2026 Organizing Committee


My source: SOCIOTECH List at JISCMAIL.AC.UK

Monday, July 06, 2026

Ebola and Mental Health, CDC Response to Ebola in West Africa in 2014-2015: Weds 15 July

Dear Peter, we are thrilled to invite you to our upcoming Webinar: 

Ebola and Mental Health, CDC Response to Ebola in West Africa in 2014-2015 on Wednesday, 15 July at 13:00-14:00 (CEST) 

Register here 

What can the Ebola response in West Africa teach us about mental health, trust, and outbreak preparedness today? We warmly invite you to our upcoming webinar “Ebola and Mental Health: Lessons from the CDC Response in West Africa, 2014–2015” on July 15, 13:00–14:00 CEST. 

Drawing on the 2014–2015 Ebola outbreak in West Africa and its rapid escalation, this webinar will explore why mental health and psychosocial support must be considered an essential part of outbreak response. The session will connect past lessons to current challenges, including the ongoing Ebola outbreak caused by Bundibugyo virus in the Democratic Republic of the Congo and Uganda. We are delighted to welcome Dr. Anna Grigoryan as our keynote speaker. Based on her personal experience and deployment to Sierra Leone in 2015 as part of the CDC Ebola Response Mission, Dr. Grigoryan will share reflections on key response activities, communication challenges, and the intersection of Ebola response and mental health. The webinar will highlight why coordinated, international, and rapidly scaled-up responses are essential to reduce illness, deaths, fear, and psychosocial distress during outbreaks. 

Agenda 
13:00–13:30 Keynote by Dr. Anna Grigoryan 
13:30–13:50 Q&A session 
13:50–14:00 Wrap-up 

About the speaker 

Dr. Anna Grigoryan is a physician–scientist with over 20 years of international experience leading complex public health projects, fostering innovation, and building strategic partnerships. She spearheaded the WHO–CDC Collaborating Center for Global Public Health Informatics, serving as its first Program Manager. During her tenure at the U.S. Centers for Disease Control and Prevention (CDC), she contributed directly to emergency responses to major crises, including the Haiti and China earthquakes, the avian influenza outbreak, and the Fukushima nuclear accident.

In 2015, Dr. Grigoryan supported the Sierra Leone Ministry of Health during the Ebola epidemic as part of the CDC Ebola Response Mission. In her more recent role at the UN/IAEA, she managed a portfolio of projects focused on laboratory strengthening, cancer control, and emergency preparedness, supporting Member States across Africa. She has also mentored emerging leaders and promoted cultures of accountability and inclusion during periods of organizational transition.This webinar is intended for public health and mental health professionals, as well as everyone interested in Ebola response, outbreak control, pandemic preparedness, and mental health and psychosocial support.

Please note: 
The webinar will be recorded. If you do not wish to appear in the recording, you are welcome to keep your camera turned off.

We look forward to your participation and to an engaging discussion on the role of mental health in outbreak response.

Please register even if you cannot attend and we will let you know when the video of the webinar is available. 

For any questions, feel free to contact the Hub Management Team at info AT globalhealthhub.de. 

Warm regards,
Katrin 
------
Katrin Würfel, Global Health Hub Germany

Previously: 'ebola' : 'Africa' : 'epidemic'

Friday, June 26, 2026

World Justice Report: a Plan for Equality and Prosperity Within Planetary Boundaries

Box 1: Combining Global Equality and Planetary Habitability

The Global Justice Report describes desirable future scenarios combining two key goals: socioeconomic equality (including full equality between countries, full gender equality in labour hours and pay, sharp compression of within country income and wealth scales, combined with fair access to education, health and political voice), and planetary habitability (aligning global resource use within ecological boundaries, including a limitation of global temperature rise below 2°C). 

To avoid climate catastrophes, we show that sufficiency is required: a structural transformation of the economy involving shorter working hours, a lower material footprint, a shift from material-intensive sectors toward relatively immaterial sectors such as education and health, and major changes in food systems and land use. Rapid decarbonization of energy systems is also necessary, as is the sharp compression of income and wealth inequality. This compression is both a social justice objective and a condition for financing necessary climate investment and human capital expenditure and for sustaining political support from bottom- and middle-income classes in both the North and the South. 

Box 2: Material and Monetary Accounting for Democratic Debate

Economy and ecology cannot be debated apart: every economic activity has a material footprint, every ecological policy shapes incomes and wealth. To make these links visible, the Global Justice Report uses multidimensional social progress indicators. We set quantitative targets for global socioeconomic justice by combining two complementary languages: material accounting (work hours, sectoral shares, education and health, energy systems, GHG emissions, land use, forest cover, temperature levels) and monetary accounting (income and wealth scales between and within countries, progressive tax rates). The report draws on two centuries of historical data on global inequality and resource use, and on the recent literature on social progress, climate and colonial reparations. 

The Global Justice Report proposes a quantitatively and institutionally grounded step toward global justice. It does not seek to close the debate: it offers a transparent basis on which citizens, unions, parliaments, and international bodies can debate, contest, and decide the course of the coming decades.

...

Chancel, L., Dietrich, J., Mohren, C., Moshrif, R., Odersky, M., Piketty, T., Somanchi, A., et al. (2026), The Global Justice Report: A Plan for Equality & Prosperity Within Planetary Boundaries, World Inequality Lab (gjp.wid.world).

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


 


SOCIAL JUSTICE




Previously: 'wealth' : 'poverty' : 'social justice'

 My source: BBC Radio 4 World at One.

 

 

Saturday, June 20, 2026

ii Thoughts re. Ecosia's AI Chat 'answer'

The previous post has been updated, to the prompt is added:

 'Please provide sources and references.

[If you are new here, and too Hodges' model please see the bibliography in the sidebar.] 

A 'human' reading (still) makes me wonder if the 'answer' is what I want to hear (as a user)? Is it worrying that the first provides a 'Conclusion' the latest does not. The table is helpful as I believe that Hodges' model has a role across research (and political!) -isms through methodologies and methods. The model can also encompass ('eat'!) aspects of scale, or level.

The reply still gives me quadraphonic joy (if read out-loud). Not only are the domains recognised, but the LLM/agent ai takes the intrapersonal / interpersonal in its stride (from the blog?). Subjects related to each of the domains are given in brackets. 

There is of course a bias (several) in the prompt, as the care domains were never intended to be comparable. It is positive that each domain is seen as having its own specific scope and function. Over twenty years notes were started on a paper on Hodges' model and its role/function in helping to define 'scope of practice'. Significantly, in the UK the rise of associate positions across disciplines has provoked much debate, vitriol (on X and union and lobbying) and soul searching in certain professional groups. Given the increasing importance of the global health and social care workforce this trend is reflected globally. A situation set to be extended with uncertainties and tensions exacerbated by artificial intelligence in practice.

Before 'explaining' the asymmetries (in points 1-4) it seems the domains are complementary (for all their differences), and provide a holistic underpinning for the model as a whole (my reading).

1. Scope and Focus 

Interesting, how the science and sociology domains are described as broad. Perhaps I am underestimating the depth/density of sociology, after all folk theory is found there? Unfortunately, we can also add a myriad of conspiracy theories? Sociology can also lay claim to quite a few constructions of its own. Including aesthetics as a bridge to architecture and design(?).

On 'X', Hodges' model has been described negatively as inviting / fostering generalism. So, this is a bad thing? Is it not strange then that your Advanced Nurse Practitioner, Consultant doctors (all specialities) and students cross-curricula can all use Hodges' model? The fact that my own responses were never engaged has helped train my thought. Here the relevance of the model to students and continued professional development is made through generalizable knowledge.

The response to the political domain is supportive, acknowledging resource allocation and the distinction between individual and collective (see for example):

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.  

I've seen tweets today regards IQ reductions in younger people. This is one reason for support of the top-left mental domain being designated as 'Intrapersonal – Interpersonal'. Our interpersonal skills and awareness are surely dependent upon our achieving a given level of inner mental life? Encouraging to see how subjectivity and objectivity is assigned too. Although, I think I'm in an echo chamber!

2. Epistemological Differences

In arguing for a model of health and social care that goes beyond:

  • medical model;
  • bio-medical model;
  • bio-psycho-social model.

Reading 1-2 from the perspective of the Intrapersonal – Interpersonal domain you see how limiting this is, if an individual in a mental health/illness/mental capacity context can only point to sciences and sociological domains. Indeed, they may be relying guardians and advocates as they are unable to does this and raise the political matter of their rights. Without the POLITICAL domain (or as a result of it - neglect, structural racism) there is no law enshrining independent advocacy...

3. Practical Application in Care

To care is to act. Think about triage and emergency response.

Now in the 21st century 'care' must include self-care, health and social care, and (delayed or not you decide?) planetary care.

This necessitates a change of mindset at an individual and collective level. Consider the literacies that (again) young people must master to be effective, productive and happy citizens tomorrow?

So the following is a gift (in my eyes): 

"This means the intrapersonal-interpersonal domain is not just another 'content area' but a lens through which all other domains are experienced and integrated."

4. Hierarchy of Integration

'While the domains are conceptually equal in Hodges’ model' ..

This is interesting in itself.

[There does seem a emphasis upon the Intrapersonal – Interpersonal domain in this answer?]

This is quite a step, as the idea of a nexus and integration are picked up; and pointing to what are the determinants of health:

'For example:

  • A scientific understanding of depression (e.g., serotonin levels) must be interpreted through the intrapersonal experience of the individual.
  • A sociological analysis of healthcare disparities must be understood through the political structures that enable or inhibit change.
  • A political decision about resource allocation must be filtered through intrapersonal values and priorities.'

I'm pleased I did this, as long as I'm not being trapped in an epistemological cocoon: otherwise known as a circle. Apart from a few occasions, I have not used AI/LLMs, perhaps it is time to explore more? I'd like to preserve my naivety, especially were maths is concerned. I'm not sure of what baggage I may pick up and lack the knowledge to interpret?

Previous post:  https://hodges-model.blogspot.com/2026/06/h2cm-domains-symmetry.html