www.patientopinion.org.uk [email protected] how the web is changing how we involve...
Post on 19-Dec-2015
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![Page 1: Www.patientopinion.org.uk Paul.hodgkin@patientopinion.org.uk How the web is changing how we involve patients](https://reader030.vdocument.in/reader030/viewer/2022032800/56649d2a5503460f949ff04e/html5/thumbnails/1.jpg)
How the web is changing how we
involve patients
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Easy for the NHS
blogging
Formal complaints
Surveys
YouTube, Flickr,RateMDs.comLitigation
Engaging with patients
Hard for the NHS
Easy for the public
Hard for the public
© P
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l Ho
dg
kin
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Voice
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Flickr.com
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Easy for the NHS
blogging
PatientOpinion
Formal complaints
Surveys
YouTube, Flickr,RateMDs.comLitigation
Engaging with patients
Hard for the NHS
Easy for the public
Hard for the public
© P
au
l Ho
dg
kin
![Page 8: Www.patientopinion.org.uk Paul.hodgkin@patientopinion.org.uk How the web is changing how we involve patients](https://reader030.vdocument.in/reader030/viewer/2022032800/56649d2a5503460f949ff04e/html5/thumbnails/8.jpg)
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Does Patient Opinion work?
• 10,000 plus stories on the site
•60% of stories posted to Patient Opinion get a response(43% on NHS Choices)
• We only reject 5% of stories(24% rejected on NHS Choices)
•Some stories clearly generate service improvements
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A society of networked individualism creates an new economic landscape
Cheap voice
Ridiculously easy collaboration
These are citizen-centric not organisation-centric
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Lower prices lead to an over-supply. For voice this can lead to on-line offensiveness and bullying
‘Shroud wavers on speed’ using these toolsmay reduce solidarity
How do create social capital out of social software?
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Socio-economic status of contributors
Least deprived 20% of population
Most deprived 20% of population
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NHS NW subscribers: Trusts• 5 Boroughs Partnership• Bolton NHS Trust• Cardiothoracic Centre NHS Trust• Christie FT• Clatterbridge FT• Countess of Chester FT• East Cheshire NHS Trust• Mid Cheshire NHS Trust• North Cheshire NHS Trust • North Cumbria Acute Hospital Trust• North West Ambulance Trust• Pennine Acute NHS Trust • Southport & Ormskirk NHS• Tameside & Glossop Acute Trust• Trafford Healthcare NHS Trust • Walton Centre NHS Trust• Wirral NHS Trust• Wrightington, Wigan & Leigh Trust
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• Ashton, Leigh & Wigan PCT• Blackburn with Darwen PCT• Blackpool PCT• Bolton PCT• Bury PCT• Central & Eastern Cheshire PCT• Central Lancs PCT• Cumbria PCT• East Lancashire PCT• Halton & St Helens PCT• Heywood Middleton&Rochdale PCT• Knowsley PCT• Liverpool PCT• Manchester PCT• Oldham PCT• Sefton PCT• Tameside & Glossop PCT• Trafford PCT• Warrington PCT • Western Cheshire PCT• Wirral PCT
NHS NW subscribers: PCTs
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Life enhancing today
Avoiding death tomorrow
Best solution known/Good evidence
Best solution unknown/No evidence
Co-create using small budget
Significant Discretionary
budget
Vouchers and menu based care+/- discretionary budget Accept/decline
best practice advice
Multiple Co-morbidities
Worried well
screening
Medical aspectsof individual LTC
Much mental health
Life style: obesity, exercise, smoking
Palliative care
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Per
sona
lised
car
e
Systematic care
Low
Low
High
High
50’s/60’s
70’s/80’s
90’s/00’s
10’s/20’s
© P
au
l Ho
dg
kin
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A society of networked individuals empowered by the new economics of the web experiences
Reduced informational asymmetries
Reduced power differentials
Reduced vulnerabilityincreased solidaritynew gift economiesco-creation with professionals
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We have put ‘choice’ at the wrong point
Ill people make terrible shoppers
But afterwards know exactly what went right and what went wrong
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