Before the pilot, dentists had expressed concerns about the potential for words in the SAID-provoking negative feelings. Children, however, wanted and needed facts, so requested that dentists use plain language, not euphemisms, to describe problems and treatment options. We report their selected practical suggestions. SAID-informed negotiated care may promote more patient cooperation and satisfaction at appointments, and more attention to oral hygiene between appointments.
Purpose
There has been a lack of meaningful information systems architecture, which comprehensively conceptualise the essential components and functionality of an information system for fire emergency response addressing needs of different job roles. The purpose of this paper is to propose a comprehensive information systems architecture which would best support four of the key firefighter job roles.
Design/methodology/approach
The study has built on the outcomes of two previous preliminary studies on information and human-computer interaction needs of core firefighter job roles. Scenario-based action research was conducted with firefighters in a range of roles, to evaluate human-computer interaction needs while using various technology platforms.
Findings
Several key themes were identified and led us to propose several layers of an integrated architecture, their composition and interactions.
Research limitations/implications
The selected fire scenarios may not represent every type of fire expected in high-risk built environments.
Practical implications
The current paper represents a shared discussion between end users, system architects and designers, to understand and improve essential components. It therefore provides a reference point for the development of information system architecture for fire emergency response.
Originality/value
The proposed information system architecture is novel because it outlines specific architectural elements required to meet the specific situation awareness needs of different firefighters job roles.
The Inverse Care Law is principally concerned with the effect of market forces on health care which create inequities in access to health services through privileging individuals who possess the forms of social capital that are valued within health care settings. The fields of disaster risk reduction need to consider the ways in which inequities, driven by economic and social policy as well as institutional decision-making, create vulnerabilities prior to a disaster, which are then magnified post disaster through entrenched structural differences in access to resources. Drawing on key principles within the Inverse Care Law, the Inverse Response Law refers to the idea that people in lower socio-economic groups are more likely to be impacted and to experience disparities in service provision during the disaster response and recovery phase. In a market model of recovery, vulnerable groups struggle to compete for necessary services creating inequities in adaptive capacity as well as in social and wellbeing outcomes over time. Both the Inverse Care Law and the Inverse Response Law focus on the structural organisation of services at a macro level. In this article, the Inverse Care Law is outlined, its application to medical treatment following disasters considered and an explanation of the Inverse Response Law provided. Case studies from recent disasters, in London, New Zealand, Puerto Rico and Mexico City are examined in order to illustrate themes at work relating to the Inverse Response Law.
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