Culture-centred approach to digital health communication: Sustaining health, addressing inequalities, transforming structures

2021 ◽  
Vol 13 (2) ◽  
pp. 311-319 ◽  
Author(s):  
Mohan J. Dutta
Keyword(s):  
Health Communication ◽  
Health Outcomes ◽  
Digital Health ◽  
Digital Technologies ◽  
Inequalities In Health

This essay examines critically the hegemonic discourses of digital health communication, attending to the role of digital technologies in expanding the reach of digital technologies while exacerbating inequalities in health outcomes. Drawing on a culture-centred approach, it foregrounds the role of communication infrastructures for voices at the margins of neo-liberal economies. These voices put forth an organizing logic of care that dismantle the ideology of neo-liberalism.

Digital health technology enhances resilient behaviour: evidence from the ward

2019 ◽  
Vol 40 (1) ◽  
pp. 34-67 ◽  
Author(s):  
Iacopo Rubbio ◽  
Manfredi Bruccoleri ◽  
Astrid Pietrosi ◽  
Barbara Ragonese
Keyword(s):  
Patient Safety ◽  
Dynamic Capabilities ◽  
Digital Health ◽  
Digital Technologies ◽  
Healthcare Management ◽  
Content Type ◽  
Health Technologies ◽  
Management Domain ◽  
Operational Failure

PurposeIn the healthcare management domain, there is a lack of knowledge concerning the role of resilience practices in improving patient safety. The purpose of this paper is to understand the capabilities that enable healthcare resilience and how digital technologies can support these capabilities.Design/methodology/approachWithin- and cross-case research methodology was used to study resilience mechanisms and capabilities in healthcare and to understand how digital health technologies impact healthcare resilience. The authors analyze data from two Italian hospitals through the lens of the operational failure literature and anchor the findings to the theory of dynamic capabilities.FindingsFive different dynamic capabilities emerged as crucial for managing operational failure. Furthermore, in relation to these capabilities, medical, organizational and patient-related knowledge surfaced as major enablers. Finally, the findings allowed the authors to better explain the role of knowledge in healthcare resilience and how digital technologies boost this role.Practical implicationsWhen trying to promote a culture of patient safety, the research suggests healthcare managers should focus on promoting and enhancing resilience capabilities. Furthermore, when evaluating the role of digital technologies, healthcare managers should consider their importance in enabling these dynamic capabilities.Originality/valueAlthough operations management (OM) research points to resilience as a crucial behavior in the supply chain, this is the first research that investigates the concept of resilience in healthcare systems from an OM perspective, with only a few authors having studied similar concepts, such as “workaround” practices.

Digital Health Literacy

2021 ◽  
Vol 11 (1) ◽  
pp. 0-0
Keyword(s):  
Health Literacy ◽  
Literature Review ◽  
Health Communication ◽  
Health Outcomes ◽  
Mobile Phone ◽  
Digital Health ◽  
Interpersonal Relationship ◽  
Quality Criteria ◽  
Health Organizations

The pandemic has shown the importance of health organizations adapting rapidly to teleconsultation services, investing in e-health with quality criteria and monitoring outcomes. Through a literature review and gathering research already carried out on e-health communication and with practical examples it is verified that, if the requirements of proximity, quality and interpersonal relationship are met, better health results can be obtained. When communication is established in health via mobile phone, with image, sound, voice, text, it is thus possible to work the memory and health instructions of patients and obtain better health outcomes. These strategies must be personalized and adapted to the patient's age and context.

Digital Health Literacy

2019 ◽  
Vol 10 (2) ◽  
pp. 1-11
Author(s):  
Cristina Vaz de Almeida
Keyword(s):  
Health Literacy ◽  
Literature Review ◽  
Health Communication ◽  
Health Outcomes ◽  
Mobile Phone ◽  
Digital Health ◽  
Interpersonal Relationship ◽  
Quality Criteria ◽  
Health Organizations

The pandemic has shown the importance of health organizations adapting rapidly to teleconsultation services, investing in e-health with quality criteria and monitoring outcomes. Through a literature review and gathering research already carried out on e-health communication and with practical examples, it is verified that, if the requirements of proximity, quality, and interpersonal relationship are met, better health results can be obtained. When communication is established in health via mobile phone, with image, sound, voice, text, it is thus possible to work the memory and health instructions of patients and obtain better health outcomes. These strategies must be personalized and adapted to the patient's age and context.

scholarly journals Workshop: Social-to-biological processes over the lifecourse and social inequalities in health

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Systemic Inflammation ◽  
Social Inequalities ◽  
Social Inequalities In Health ◽  
Inequalities In Health ◽  
Biological Responses ◽  
The Social ◽  
The Relationship

Abstract Context Socioeconomic inequalities in health and ageing are observed across contexts and over time, presenting a challenge for public health. The mechanisms driving associations between social conditions and health include biological responses, which in turn are associated with health outcomes. This workshop aims to describe and discuss evidence on the biological embedding of the social environment from research carried out within a large European consortium, and place it within the context of public health. Methods The Lifepath project was funded by the European Commission between 2014-19 and brought together longitudinal datasets from across Europe, as well as an interdisciplinary collective of researchers keen to examine how social inequalities in health are constructed over the lifecourse. Results Four separate studies are presented here. First, Carmeli et al examine the relationship between social position and systemic inflammation through the mediating role of gene regulation. Second, Fraga et al describe the social patterning of chronic inflammation observed in early adolescence. Third, Castagné et al analyse the relationship between social position across the lifecourse and systemic inflammation, and the role of inflammation within the allostatic load heuristic. Fourth, Chadeau-Hyam et al describe social gradients in a multi-system biological health score, and its subsequent relationship with a number of major health outcomes. Discussion We will coordinate a discussion between the audience and workshop participants. The contribution of the inflammatory system to capturing social inequalities and in its association with chronic disease will be discussed. Is it a key player in the construction of health inequalities, or merely an effective signal for many diverse processes? The role biological markers can play in enhancing our understanding of health inequalities, and how the public health community can respond to the evidence will be discussed. Conclusions Socially patterned biological responses begin early in the lifecourse and may be key factors in the construction of social inequalities in health and ageing. As such, they should be taken into account in public health activities and policy. Key messages The biological embodiment of social conditions is observed from early life and across the lifecourse. Systemic inflammation appears to be a central mechanism which is socially patterned and associated with many health outcomes.

scholarly journals Digital Health Literacy

2021 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Cristina Vaz de Almeida
Keyword(s):  
Health Literacy ◽  
Literature Review ◽  
Health Communication ◽  
Health Outcomes ◽  
Mobile Phone ◽  
Digital Health ◽  
Interpersonal Relationship ◽  
Quality Criteria ◽  
Health Organizations

The pandemic has shown the importance of health organizations adapting rapidly to teleconsultation services, investing in e-health with quality criteria and monitoring outcomes. Through a literature review and gathering research already carried out on e-health communication and with practical examples it is verified that, if the requirements of proximity, quality and interpersonal relationship are met, better health results can be obtained. When communication is established in health via mobile phone, with image, sound, voice, text, it is thus possible to work the memory and health instructions of patients and obtain better health outcomes. These strategies must be personalized and adapted to the patient's age and context.

scholarly journals 8.A. Round table: Governing digital transformations in health: Shaping the digital future of Europe

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
European Commission ◽  
Digital Health ◽  
Digital Technologies ◽  
Well Being ◽  
News Article ◽  
Left Behind ◽  
Governance Challenges ◽  
Health And Well Being

Abstract   Digital and data tools are fundamentally changing approaches to health and the design of health systems and health services deliver, but governance models have neither followed nor kept up with the pace of innovation. In response to this challenge, The Lancet & Financial Times Commission Governing health futures 2030: Growing up in a digital world is exploring the convergence of digital health (DH), AI, and other frontier technologies with UHC to support attainment of SDG 3. The COVID-19 pandemic has presented unprecedented challenges, with serious implications for public health and healthcare systems worldwide. With online work and education having become the new norm, the COVID-19 pandemic has exponentially heightened the need to develop digital skills and literacy, while simultaneously revealing and exacerbating existing disparities in digital access and skills, thus widening existing digital divides. That being said, COVID-19 has accelerated the radical implementation and widespread adoption of digital technologies, providing opportunities for improved overall health and well-being outcomes, which may extend well into the future if appropriately and sustainably implemented, evaluated, and most importantly, governed. The findings and recommendations arising from the Commission's report, which will be presented and discussed, are fully aligned with this year's conference theme, “Public health futures in a changing world.” From the outset, the Commission framed its work through the notion that digital transformations, and the technologies that drive them, must be led by public value and governed to benefit population health and well-being. With growing investment in DH technologies in Europe, and increased recognition of governance challenges related to this field, this workshop offers an important and timely opportunity to present the Commission's work and discuss the implications of its findings and recommendations for European countries. The discussion in this workshop will centre around a set of critical questions, drawing from the experiences of experts involved in governance in the European context: Is the European DH ecosystem fit for purpose? To what extent is Europe's current legislative ecosystem and technical infrastructure capable of hosting digital transformations in health? Will the EHDS succeed in promoting citizens' control over their health data across Europe? How can national/regional approaches to governance of digital technologies and data better support public health outcomes and ensure that all Europeans can benefit from digital transformations in health and that no one is left behind? Workshop format: Opening remarks from each speaker to contextualise their work on DH governance in Europe and respond to the Commission's work (5 mins. each) Moderated roundtable discussion between panellists (15 mins.) Hearing & addressing audience questions/concerns (20 mins.) After the workshop, a policy brief and accompanying news article will be shared on the Commission's website. Speakers/Panelists Ilona Kickbusch Graduate Institute of International and Development Studies, Geneva, Switzerland Andrew Wyckoff Directorate for Science, Technology and Innovation, OECD, Paris, France Andrzej Rys European Commission, DG SANTE, Brussels, Belgium Anna Odone University of Pavia, Pavia, Italy Ioana-Maria Gligor Digital Health, European Reference Networks Unit, DG Health and Food Safety, European Commission, Brussels, Belgium Key messages The Lancet & Financial Times Governing health futures 2030 Commission report provides key recommendations for health governance and harnessing digital development for improving health outcomes. With growing investment in digital technologies in Europe, there remain governance challenges in ensuring all Europeans benefit from digital transformations in health and that no one is left behind.

Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth
Keyword(s):  
Health Outcomes ◽  
Pain Perception ◽  
Driving Forces ◽  
Psychological Treatment ◽  
Dominant Role ◽  
Meta Analysis ◽  
General Medicine ◽  
Pain Syndrome ◽  
Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

Improving health outcomes in diabetes: the role of knowledge, skills and beliefs in behavioural change

2002 ◽  
Author(s):  
N. van der Ven ◽  
H. van der Ploeg ◽  
R. Heine ◽  
F. Snoek
Keyword(s):  
Health Outcomes ◽  
Behavioural Change
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