Broadcasts of Deliberative Polls: Aspirations and Effects

2005 ◽  
Vol 36 (1) ◽  
pp. 184-188 ◽  
Author(s):  
JAMES S. FISHKIN ◽  
ROBERT C. LUSKIN
Keyword(s):  
Public Opinion ◽  
National Health Service ◽  
Health Service ◽  
Random Sample ◽  
National Health ◽  
Policy Makers ◽  
Face To Face ◽  
The Future ◽  
The Subject ◽  
Central Claim

Every face-to-face Deliberative Poll (DP) to date has been the subject of a television broadcast. We consider these broadcasts a helpful adjunct to the design – a way of motivating both the random sample and the policy experts and policy makers to attend, of educating the broader public about the issues, and, perhaps, of nudging public opinion in the direction of the results. In ‘Rickety Bridges’, John Parkinson examines just one of these broadcasts, Channel 4's on the DP on the future of Britain's National Health Service (NHS) in 1998. Applying his coding of the contents to other DP broadcasts might or might not yield similar results, but we are happy to assume, for argument's sake, that it would. If DP broadcasts are generally doing what he describes the NHS DP broadcast as doing, they are doing pretty well, at least as far as the distribution of coverage is concerned. It is Parkinson's notion of what they should be doing that is mistaken. As a result, his critique is fundamentally misguided.THE AIMS OF DP BROADCASTSParkinson's critique rests on an inappropriate standard. His central claim is that Channel 4's broadcast of the NHS DP did not replicate the participants' experience. Of course it did not. No broadcast could ever give viewers the same experience they would have if they were actually part of the DP's on-site, weekend-long deliberations. The broadcast in that case would have to be weekend-long, and there would actually have to be multiple broadcasts – as many as there are participants – since every participant's experience is different.

scholarly journals The Future of Health Care: Protocol for Measuring the Potential of Task Automation Grounded in the National Health Service Primary Care System (Preprint)

2018 ◽  
Author(s):  
Matthew Willis ◽  
Paul Duckworth ◽  
Angela Coulter ◽  
Eric T Meyer ◽  
Michael Osborne
Keyword(s):  
Machine Learning ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Care Staff ◽  
Primary Health ◽  
The Future

BACKGROUND Recent advances in technology have reopened an old debate on which sectors will be most affected by automation. This debate is ill served by the current lack of detailed data on the exact capabilities of new machines and how they are influencing work. Although recent debates about the future of jobs have focused on whether they are at risk of automation, our research focuses on a more fine-grained and transparent method to model task automation and specifically focus on the domain of primary health care. OBJECTIVE This protocol describes a new wave of intelligent automation, focusing on the specific pressures faced by primary care within the National Health Service (NHS) in England. These pressures include staff shortages, increased service demand, and reduced budgets. A critical part of the problem we propose to address is a formal framework for measuring automation, which is lacking in the literature. The health care domain offers a further challenge in measuring automation because of a general lack of detailed, health care–specific occupation and task observational data to provide good insights on this misunderstood topic. METHODS This project utilizes a multimethod research design comprising two phases: a qualitative observational phase and a quantitative data analysis phase; each phase addresses one of the two project aims. Our first aim is to address the lack of task data by collecting high-quality, detailed task-specific data from UK primary health care practices. This phase employs ethnography, observation, interviews, document collection, and focus groups. The second aim is to propose a formal machine learning approach for probabilistic inference of task- and occupation-level automation to gain valuable insights. Sensitivity analysis is then used to present the occupational attributes that increase/decrease automatability most, which is vital for establishing effective training and staffing policy. RESULTS Our detailed fieldwork includes observing and documenting 16 unique occupations and performing over 130 tasks across six primary care centers. Preliminary results on the current state of automation and the potential for further automation in primary care are discussed. Our initial findings are that tasks are often shared amongst staff and can include convoluted workflows that often vary between practices. The single most used technology in primary health care is the desktop computer. In addition, we have conducted a large-scale survey of over 156 machine learning and robotics experts to assess what tasks are susceptible to automation, given the state-of-the-art technology available today. Further results and detailed analysis will be published toward the end of the project in early 2019. CONCLUSIONS We believe our analysis will identify many tasks currently performed manually within primary care that can be automated using currently available technology. Given the proper implementation of such automating technologies, we expect considerable staff resources to be saved, alleviating some pressures on the NHS primary care staff. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11232

scholarly journals The Future of the Membership

1981 ◽  
Vol 5 (4) ◽  
pp. 63-66
Author(s):  
Sydney Brandon
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Royal College ◽  
Psychiatric Training ◽  
Private Practitioners ◽  
The Future ◽  
Minimum Requirements

The question has been posed—is an examination necessary to admit to the membership of the Royal College of Psychiatrists? The College represents the views of psychiatrists, maintains the standards of the profession, regulates and monitors practise and accepts a broad overall responsibility for education. It should admit to its membership those who practice as psychiatrists. Who then are the psychiatrists? Should the membership be open to anyone who makes such a claim or should it be linked with appointment to specific jobs as a psychiatrist at a level yet to be determined? What of private practitioners, interested GPs? Surely anyone who wants to be a psychiatrist, to paraphrase Sam Goldwyn, ought to have his head examined by his peers to establish that his claim to be a psychiatrist is acceptable. It is the College which should regulate entry into the profession of psychiatry, not the National Health Service, an employing authority, or even the universities. Some membership entrance conditions are needed which lay down minimum requirements for becoming a psychiatrist and it is important to exclude or reject, in my view, before higher psychiatric training commences.

A Local Act for Social Insurance in the Eighteenth Century

1952 ◽  
Vol 11 (2) ◽  
pp. 191-197
Author(s):  
B. Keith-Lucas
Keyword(s):  
Eighteenth Century ◽  
National Health Service ◽  
Health Service ◽  
Social Security ◽  
National Health ◽  
Social Insurance ◽  
National Insurance ◽  
The Future

It may be that historians of the future will regard the present age as distinguished above all things by the system of social security introduced by the series of statutes which included the National Health Service Act, 1946, the National Insurance Act, 1948, and the National Assistance Act, 1948.

New Labour and Britain's National Health Service: An Overview of Current Reforms

2000 ◽  
Vol 30 (2) ◽  
pp. 309-334 ◽  
Author(s):  
Steve Iliffe ◽  
James Munro
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Medical Profession ◽  
New Labour ◽  
Professional Activity ◽  
Labour Government ◽  
Central Concern ◽  
The Subject

Britain's National Health Service (NHS) has been the subject of unprecedented market reforms, which have failed to solve its problems. The New Labour government elected in 1997 has halted the drive toward the marketization of health care and replaced cost with quality as the central concern of NHS administration and policy. Major changes are occurring in the regulation of professional activity, with profound implications for the medical profession and the health service. The authors discuss these changes and possible future problems for the NHS.

Strikes by Physicians in Public Hospitals in India

2000 ◽  
Vol 9 (4) ◽  
pp. 460-469 ◽  
Author(s):  
SUNIL K. PANDYA
Keyword(s):  
Health Insurance ◽  
National Health Service ◽  
Public Sector ◽  
Health Service ◽  
Medical Care ◽  
National Health ◽  
Public Hospitals ◽  
Teaching Hospitals ◽  
Tertiary Healthcare ◽  
The Subject

Can strikes by resident doctors training to become consultants in Indian public-sector teaching hospitals be ethical? These hospitals were established for the medical care of the very poor in a country where health insurance and a national health service are nonexistent. In such a situation, the paralysis of tertiary healthcare centers by striking doctors runs contrary to the raison d'être of the profession. It also violates the first dictum of medicine: Primum, non nocere. And although there is some discussion in the Western literature on strikes by doctors, authorities in India are silent on the subject.

The long-term future of dentistry

2013 ◽  
Vol 4 (1) ◽  
pp. 4-7
Author(s):  
Earl Howe
Keyword(s):  
Oral Health ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Coalition Government ◽  
Health Minister ◽  
Pilot Programme ◽  
The Future ◽  
Insight Into

Dentistry in the National Health Service (NHS) is undergoing some of the most significant changes in its history as the pilot programme continues to shape the dental contract of the future. Lord Howe, Health Minister, has been at the helm of the transformation since taking responsibility for oral health and dentistry policy when the coalition government formed in 2010. Now, two years into an extraordinary journey, he gives his insight into the progress and hopes for the long-term future of dentistry.

scholarly journals The indexation of periodical payments of damages in tort: the future assured?

Legal Studies ◽  
2010 ◽  
Vol 30 (3) ◽  
pp. 391-407
Author(s):  
Richard Lewis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Personal Injury ◽  
Total Cost ◽  
Lump Sum ◽  
The Future ◽  
Key Factor ◽  
New Form ◽  
Care Costs

This paper examines the new statutory regime for paying damages for personal injury by means of periodical payments instead of a lump sum. How are such payments to increase in future to take account of rising care costs, especially when these usually form the largest part of a major award? The answer to this question is crucial in determining the extent that the new form of payment will be used. How periodical payments are to be indexed is also a key factor in calculating the total cost of compensation and, in particular, in assessing the liabilities of the National Health Service. The issue gave rise to litigation which was voted by personal injury practitioners as the most important of the year. Here, that litigation and the statutory reforms which gave rise to it are set in their wider academic contexts.

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