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I recommend this simple exercise to try out when redesigning a service.  Draw your organisational structure or service configuration and decide where to put the patient.  If it's a hierarchy - where does the patient go? The top, bottom, somewhere in the middle?  If it's patient centred - what about all the patients you care for?  Can they all be at the centre? What if the physio (for example) is heavily involved in one case - can they be equally available to everyone who might need them?  If...

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Victoria Hewitt

Meeting patient need isn't as simple as getting something off a shelf to order.  it's about understanding that the person concerned is complex and individual. It's about empowering them to exercise their voice and take a central position in care planning.  But there must also come a point when the service has to respond (sensitively) by saying "unfortunately that isn't available".  How comfortable do we feel as health care professionals saying this?

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Harnessing the power of amateur participation is being used in citizen science, fan-fiction and citizen journalism.  Professional astronomers rely on their amateur colleagues to input data from the vast night skies.  Wikipedia depends on volunteer contributions.  Could we do the same in redesigning care by using Web 2.0 technologies to gather collective intelligence to create responsive and relevant services? 

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Life is complex, right? Humans often behave irrationally, especially when they are ill, exhausted and emotional.  So why do we spend so much energy trying to eliminate the uncertainty, ambiguity and complexity that is an inherent part of health and social care? We use terminology such as "pathway", "journey" and "flow", suggesting a linearity that is not reality.  We are setting ourselves up to fail when we don't accept those problems, which Grint (2008) so eloquently terms "wicked"...

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Victoria Hewitt
 

Victoria Hewitt

Durham, United Kingdom

Joined this community on Oct 9, 2015

Your role / job title
Doctor and educator

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@doctavic

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