Information Communication Technology in Public Health: The Role of Systems Modelling

Fahey, Daragh; Carson, Ewart R.; Cramp, D.G.; Gray, James

doi:10.1177/14604582030093004

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…18 SSM aims to provide assistance in coherently expressing and operating the learning cycle from meanings to intentions to relevant action without the rigidity of a technique. 18 19 SSM has been used to aid understanding in public health, outpatient services and chronic disease management 20–22 ; however, it has not yet been used in the investigation of a palliative care ICP. The use of focus groups will aid in the validation and development of the SSM map and also help the ICP grow and mature into a more efficient and effective initiative, as in Tolson et al .…”

Section: Aims Objectives and Research Questionsmentioning

confidence: 99%

Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol

et al. 2012

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IntroductionPolicy- and evidence-based guidelines have highlighted the need for improved palliative and end-of-life care. However, there is still evidence of individuals dying undignified deaths with little pain control, therefore inflicting unnecessary suffering. New commissioning powers have enabled a 2-year pilot of an innovative integrated care pathway (ICP) designed to improve arrangements for individuals with life-limiting illnesses requiring palliative care. A novel feature of the ICP is its focus on palliative care over the last 6 months of life, aiming to intervene early to prepare for and ensure a good death. What is not known is if this pathway works, how it works and who it works for.Methods and analysisA realist evaluation and a complex analytical framework will investigate and discover context, mechanism and outcome conjectures and configurations of the ICP and thus facilitate exploration of how it works and who it works for. A mixed methods approach will be used with small sample sizes to capture the breadth of the ICP. Phase 1 will identify if the pathway works through analysis of NHS Morbidity Information Query and Export Syntax data, locality Death Audit data and the Quality of Dying and Death Questionnaire. Phase 2 employs soft systems methodology with data from focus groups with health professionals to identify how the pathway works. Phase 3 uses the Miller Behavioural Style Scale and interviews with palliative care patients and bereaved relatives to analyse communication in palliative care.Ethics and disseminationEthical approval has been granted from the NHS local ethics committee (REC reference number: 11/NE/0318). Research & Development approval has been gained from four different trusts, and relevant voluntary organisations and the local council have been informed about the research. This protocol illustrates the complexity inherent in evaluating a palliative care ICP. Identification of whether the pathway works, how it works and who it works for will be beneficial to all practices and other care providers involved as it will give objective data on the impact of the ICP. Results will be disseminated throughout the study for continuous quality improvement of the ICP. Outcomes from each data collection phase will be disseminated separately if analysis warrants it; all data collection will be utilised in the realist evaluation. The research provides a potential for the dissemination of the pathway to other localities through the transferable knowledge it will generate, from its focus on the contexts that are crucial for successful implementation, the mechanisms that facilitate implementation and the outcomes achieved.

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Section: Aims Objectives and Research Questionsmentioning

confidence: 99%

Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol

et al. 2012

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A Systems Map of the Challenges of Climate Communication

Heneghan,

John,

Bartsch

et al. 2024

Journal of Health Communication

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The role of soft systems methodology in healthcare policy provision and decision support

Kalim

Carson

Cramp

2004 IEEE International Conference on Systems, Man and Cybernetics (IEEE Cat. No.04CH37583)

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Developing and implementing policy at govenimeiital level implies dealing with complexiry mid hence understanding the multi-foceted nature of the domain in question. This paper offers a candidate fromework for such policy analysis and implementation. A key feature of the pamework is the adoption of soft systems methodology (SSM). 777e approach is illustrated iii the context af a healthcare application; namely the introduction by the UK National Health Service of a National Service Framework for delivering services to diabetic patients. This application demonstrates the power of SSM in providing a rigorous and logical approach to determinirig the attributes, criteria and c17st-elements of the system that can their befed into a more formal model to yield irformatioir as to cost effectiveness.

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Information Communication Technology in Public Health: The Role of Systems Modelling

Cited by 5 publications

References 4 publications

Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol

Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol

A Systems Map of the Challenges of Climate Communication

The role of soft systems methodology in healthcare policy provision and decision support

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