Co-creation in health
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JAMA Challenges at the Intersection of Team-Based and Patient-Centered Health Care

Team-based health care may help the United States achieve improved health and improved health care at a sustainable cost.1 It is central to many reforms of health care delivery, both actual and proposed. Team-based care can occur in many settings (eg, home, office, hospital); focus on different problems (eg, specific diseases); and include team members with a variety of backgrounds.

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Co-creation in health
E-citizens, e-patients, communities in shaping e-health, health literacy.
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Why Physicians Need ‘Right Compassion’

Why Physicians Need ‘Right Compassion’ | Co-creation in health | Scoop.it
To be effective in relieving suffering, doctors must strike a balance between paucity and excess of empathy.


As a young doctor working in the E.R. my capacity for compassion, and that of my colleagues, was often stretched; this was particularly the case when my patients could be said to have brought misfortune on themselves. I saw drug addicts suffering overdose, teenagers retching after self-poisoning, thieves injured through being arrested, all treated more brusquely than other theoretically more blameless patients.


I tried hard to maintain empathy, reflecting that the overdosed, self-poisoned and criminal may no more have brought their problems on themselves than those with skiing or horse-riding injuries or heart palpitations through overwork.


But it’s complicated: I’ve stitched up many slashed wrists cut not through willfulness but as a release from intense anguish; I’ve attended alcoholics for whom alcohol was clearly a substitute for love.


I may not have always succeeded, but I always hoped that my humanity, or my professional duty to provide a high standard of care, would step in when my compassion was running low.



By GAVIN FRANCIS
NY Time  Opinion Pages
 

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Some big questions about life and death: challenging 'conveyer belt' of Western medicine and wishing for a loving end.

Some big questions about life and death: challenging 'conveyer belt' of Western medicine and wishing for a loving end. | Co-creation in health | Scoop.it

Marie McInerney writes: Should “bad deaths”, where people suffer unnecessary pain and distress or needless and harmful medical interventions, be pursued in the courts as violations of human rights? Is palliative care failing its mission if it doesn’t go far beyond supporting those dying in our hospitals, homes and hospices to challenge the staggering number of deaths caused by hunger, environmental injustice, and female infanticide? Does humanity itself need palliative care in an era where the planet's health is in crisis? And when we talk about ‘good deaths’, what do we mean? 

 

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Guillermo Grosso's curator insight, September 19, 5:22 PM
Marie McInerney escribe: ¿Deben las "malas muertes", donde las personas sufren dolor innecesario y angustia o intervenciones médicas innecesarias y dañinas, ser perseguidas en los tribunales como violaciones de los derechos humanos?
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Dancing to the same tune? Patient advocacy groups and pharma companies have the same ultimate goal – better health outcomes....

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FDA Cracks Down on Stem Cell Clinics But Patients Are Still at Risk

FDA Cracks Down on Stem Cell Clinics But Patients Are Still at Risk | Co-creation in health | Scoop.it

On Monday, the U.S. Food and Drug Administration (FDA) announced that the agency is targeting clinics that offer unproven stem cell therapies, calling such offices "unscrupulous clinics" selling "so-called cures." The FDA seized materials from one clinic in California, and sent a warning letter to another in Florida.

“The FDA will not allow deceitful actors to take advantage of vulnerable patients by purporting to have treatments or cures for serious diseases without any proof that they actually work," said FDA Commissioner Dr. Scott Gottlieb in a statement.

 

The agency announced that on Friday, Aug. 25th, U.S. Marshals seized five vials of a vaccine that is intended for people at a high risk for smallpox (for example, people in the military) from StemImmune Inc. in San Diego, California. The FDA says it learned that StemImmune was using the vaccines as well as stem cells from body fat to create an unapproved stem cell therapy. On its website, StemImmune says "The patient’s own (autologous, adult) stem cells, armed with potent anti-cancer payloads, function like a “Trojan Horse,” homing to tumors and cancer cells, undetected by the immune system." The stem cell treatment was injected into the tumors of cancer patients at the California Stem Cell Treatment Centers in Rancho Mirage and Beverly Hills, California.

MORE: Three People Are Nearly Blind After Getting a Stem Cell Treatment

The FDA also sent a warning later to U.S. Stem Cell Clinic in Sunrise, Florida. The company recently came under public scrutiny when a March report revealed that three people had severe damage to their vision — one woman went blind—after they were given shots of what the company said were stem cells into their eyes during a study sponsored by the clinic. The FDA says that an inspection of U.S. Stem Cell Clinic revealed that the clinic was using stem cells to treat diseases like Parkinson's, amyotrophic lateral sclerosis (ALS), chronic obstructive pulmonary disease (COPD), heart disease and pulmonary fibrosis. According to the FDA, there are currently only a limited number of stem cell therapies approvedby the agency—including ones involving bone marrow, for bone marrow transplants in cancer care, and cord blood for specific blood-related disorders. There are no approved stem cell treatments for other diseases.

 


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Richard Platt's curator insight, September 2, 4:31 PM

On Monday, the U.S. Food and Drug Administration (FDA) announced that the agency is targeting clinics that offer unproven stem cell therapies, calling such offices "unscrupulous clinics" selling "so-called cures." The FDA seized materials from one clinic in California, and sent a warning letter to another in Florida.  “The FDA will not allow deceitful actors to take advantage of vulnerable patients by purporting to have treatments or cures for serious diseases without any proof that they actually work," said FDA Commissioner Dr. Scott Gottlieb in a statement.

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Magnus Carlsen Vs. Kasparov

Magnus Carlsen was only 13 years old here. Prince of Chess directed and produced by Oyvind Asbjornsen. See the whole film here: www.princeofchess.com. Thi
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We need a whole-community response in health and health care - Susannah Fox

We need a whole-community response in health and health care - Susannah Fox | Co-creation in health | Scoop.it

It’s inspiring to watch the “Cajun Navy” of fishing and pleasure boats rescuing people in post-Hurricane Harvey Houston, along with the National Guard and other officials. I’m always on the look-out for examples of people pitching in to help each other and solve problems, whether in peer-to-peer health care, the Maker movement, or evacuating a plane, so I loved the article that David A. Graham just published in The Atlantic on why ordinary citizens are acting as first responders in Houston.

Read what Craig Fugate, former head of the Federal Emergency Management Agency, told Graham in 2015:

“We had almost by default defined the public as a liability. We looked at them as, We must take care of them, because they’re victims. But in a catastrophic disaster, why are we discounting them as a resource? Are you telling me there aren’t nurses, doctors, construction people, all kinds of walks of life that have skills that are needed?”

 

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Helping Patients Voice What Matters to Them: Decisions are About More Than Information - Victoria Baskett

Helping Patients Voice What Matters to Them: Decisions are About More Than Information - Victoria Baskett | Co-creation in health | Scoop.it

“What do you want your quality of life to be like?” 
It was a question Victoria never expected to hear from a surgeon, before engaging in a dialogue about his recommended treatment plan. In that moment, she was in control. In a vulnerable situation, she had the opportunity to be the author of her own story.
 
Victoria’s Story
Just a month before this conversation, I’d been rapidly intubated while still awake to secure my airway, which was closing due to an infection called Ludwig’s Angina. Maybe it was genetics, maybe it was the intubation, or both, but a tremendous amounts of scar tissue formed on my vocal cords. This left my voice sounding raspy -- like I was a chain smoker or always sick.
 
The recommended course of treatment was 6 months of speech and vocal therapy, followed by surgery if my voice hadn’t improved. Six months of vocal and speech therapy passed and surgery was still on the table.
 
My physician laid out both options for me and explained the pros and cons of each. For me, the recent memory of being intubated while awake was still fresh my mind. So, the idea of choosing to go through surgery, was frightening. While he explained that I’d be fully asleep for the surgery, he also took the time to understand my emotions. He saw that information alone wasn’t going to change my mind. And he respected my emotions, which created trust.
 
It helped to know that it wasn’t a limited or forced suggestion, but simply an option for my own personal quality of life. His opinion wasn't interjected, or I didn’t feel like it was. He shared his knowledge, and I had the opportunity to share my thoughts and emotions and make a choice. I feel like people can never have too much information. Knowledge is power when making a decision about your life. That said, our experiences and emotions are important.
 

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Death with Shelly Kagan 

Death with Shelly Kagan  | Co-creation in health | Scoop.it
There is one thing I can be sure of: I am going to die. But what am I to make of that fact? This course will examine a number of issues that arise once we begin to reflect on our mortality. The possibility that death may not actually be the end is considered. Are we, in some sense, immortal? Would immortality be desirable? Also a clearer notion of what it is to die is examined. What does it mean to say that a person has died? What kind of fact is that? And, finally, different attitudes to death are evaluated. Is death an evil? How? Why? Is suicide morally permissible? Is it rational? How should the knowledge that I am going to die affect the way I live my life?
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Addressing Vaccine-Hesitant Parents’ Perceptions About Immunizations - JAMA

Addressing Vaccine-Hesitant Parents’ Perceptions About Immunizations - JAMA | Co-creation in health | Scoop.it
Vaccines are frequently cited as one of the greatest successes in the history of public health. The World Health Organization estimates that vaccines for diphtheria, pertussis, tetanus, and measles save between 2 million and 3 million lives annually. However, in recent years, parental resistance toward childhood vaccinations has increased.1Many parents have become concerned and distrusting of scientific evidence about vaccinations. As a result, cases of vaccine-preventable diseases have reemerged in the United States and other countries. Unvaccinated and undervaccinated individuals are susceptible to disease and increase the risk of transmitting diseases even to those who are fully vaccinated.1
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Preventing Overdiagnosis — Winding back the harms of too much medicine

Preventing Overdiagnosis — Winding back the harms of too much medicine | Co-creation in health | Scoop.it
Preventing Overdiagnosis is pleased to announce the 2017 international conference will be delivered in both French and English.
Hosted by the Quebec Medical Association (QMA) at the City Convention Centre this will be the first bi-lingual conference on Overuse and Too Much Medicine.
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CMO’s: Beware Of Specialist Bias

CMO’s: Beware Of Specialist Bias | Co-creation in health | Scoop.it
A specialist knows a lot about a little. Sometimes this is a good thing. Sometimes it’s even vital. But, not always.

In the realm of cancer medicine, for example, research has found that specialists have a tendency to over-recommend the treatments they are capable of administering. This phenomenon is very human. And very hard to avoid. It’s known as specialist bias – the tendency for specialists to over-recommend solutions they are capable of delivering. And it’s something CMO’s should be paying close attention to in the year ahead.

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Relazionalità consapevole. La comunicazione pubblica nella società connessa - Gea Ducci

Relazionalità consapevole. La comunicazione pubblica nella società connessa - Gea Ducci | Co-creation in health | Scoop.it

Sono trascorsi più di venticinque anni dalla nascita della Comunicazione Pubblica, in Italia e in Europa. Anni caratterizzati da processi di riforma e digitalizzazione della Pubblica Amministrazione, esplosione di Internet e avvento della società connessa. Quali sfide deve affrontare oggi una disciplina nata per rendere la comunicazione una leva del cambiamento istituzionale e uno strumento di governo, a tutela dei diritti di cittadinanza? Quale ruolo essa svolge nelle attuali democrazie investite da una profonda crisi economica, in cui prevale un senso di sfiducia verso le istituzioni? Il volume affronta il modo in cui il rapporto fra PA e cittadini è stato inteso nel corso del tempo, con riferimento alle teorie sociologiche sulla comunicazione, sui media e sull'organizzazione. Modelli e principi, norme, strumenti e professioni creati per curare l'informazione e la comunicazione esterna e interna della PA italiana a partire dagli anni Novanta costituiscono un punto di riferimento per rinnovare oggi il sistema di comunicazione pubblica integrata e realizzare un'amministrazione realmente partecipata e condivisa. Ciò richiede la crescita di una "relazionalità consapevole" da parte delle istituzioni: il superamento definitivo della propaganda, una forte presa di coscienza della necessità di curare relazioni efficaci con i cittadini on e offline, il potenziamento del public engagement, la capacità di abitare il nuovo ecosistema mediale adottando forme dialogiche e impiegando strumenti e linguaggi contemporanei. Tale consapevolezza può consentire alla PA di affrontare in modo positivo, evitandone gli effetti perversi, le nuove sfide digitali, fra cui una maggiore trasparenza e accountability attraverso gli open data e la gestione della propria presenza sui social media.

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Pharmaceutical companies’ policies on access to trial data, results, and methods: audit study

Pharmaceutical companies’ policies on access to trial data, results, and methods: audit study | Co-creation in health | Scoop.it
Objectives  To identify the policies of major pharmaceutical companies on transparency of trials, to extract structured data detailing each companies’ commitments, and to assess concordance with ethical and professional guidance.

Design  Structured audit.

Setting  Pharmaceutical companies, worldwide.

Participants  42 pharmaceutical companies.

Main outcome measures  Companies’ commitments on sharing summary results, clinical study reports (CSRs), individual patient data (IPD), and trial registration, for prospective and retrospective trials.

Results  Policies were highly variable. Of 23 companies eligible from the top 25 companies by revenue, 21 (91%) committed to register all trials and 22 (96%) committed to share summary results; however, policies commonly lacked timelines for disclosure, and trials on unlicensed medicines and off-label uses were only included in six (26%). 17 companies (74%) committed to share the summary results of past trials. The median start date for this commitment was 2005. 22 companies (96%) had a policy on sharing CSRs, mostly on request: two committed to share only synopses and only two policies included unlicensed treatments. 22 companies (96%) had a policy to share IPD; 14 included phase IV trials (one included trials on unlicensed medicines and off-label uses). Policies in the exploratory group of smaller companies made fewer transparency commitments. Two companies fell short of industry body commitments on registration, three on summary results. Examples of contradictory and ambiguous language were documented and summarised by theme. 23/42 companies (55%) responded to feedback; 7/1806 scored policy elements were revised in light of feedback from companies (0.4%). Several companies committed to changing policy; some made changes immediately.

Conclusions  The commitments made by companies to transparency of trials were highly variable. Other than journal submission for all trials within 12 months, all elements of best practice were met by at least one company, showing that these commitments are realistic targets.
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Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss

Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss | Co-creation in health | Scoop.it

Importance  Effective long-term treatments are needed to address the obesity epidemic. Numerous wearable technologies specific to physical activity and diet are available, but it is unclear if these are effective at improving weight loss.

Objective  To test the hypothesis that, compared with a standard behavioral weight loss intervention (standard intervention), a technology-enhanced weight loss intervention (enhanced intervention) would result in greater weight loss.

Design, Setting, Participants  Randomized clinical trial conducted at the University of Pittsburgh and enrolling 471 adult participants between October 2010 and October 2012, with data collection completed by December 2014.

Interventions  Participants were placed on a low-calorie diet, prescribed increases in physical activity, and had group counseling sessions. At 6 months, the interventions added telephone counseling sessions, text message prompts, and access to study materials on a website. At 6 months, participants randomized to the standard intervention group initiated self-monitoring of diet and physical activity using a website, and those randomized to the enhanced intervention group were provided with a wearable device and accompanying web interface to monitor diet and physical activity.

Main Outcomes and Measures  The primary outcome of weight was measured over 24 months at 6-month intervals, and the primary hypothesis tested the change in weight between 2 groups at 24 months. Secondary outcomes included body composition, fitness, physical activity, and dietary intake.

Results  Among the 471 participants randomized (body mass index [BMI], 25 to <40; age range, 18-35 years; 28.9% nonwhite, 77.2% women), 470 (233 in the standard intervention group, 237 in the enhanced intervention group) initiated the interventions as randomized, and 74.5% completed the study. For the enhanced intervention group, mean baseline weight was 96.3 kg (95% CI, 94.2-98.5) and 24-month weight 92.8 kg (95% CI, 90.6-95.0). For the standard intervention group, mean baseline weight was 95.2 kg (95% CI, 93.0-97.3) and 24-month weight was 89.3 kg (95% CI, 87.1-91.5). Weight change at 24 months differed significantly by intervention group (estimated mean weight loss, 3.5 kg [95% CI, 2.6-4.5} in the enhanced intervention group and 5.9 kg [95% CI, 5.0-6.8] in the standard intervention group; difference, 2.4 kg [95% CI, 1.0-3.7]; P = .002). Both groups had significant improvements in body composition, fitness, physical activity, and diet, with no significant difference between groups.

Conclusions and Relevance  Among young adults with a BMI between 25 and less than 40, the addition of a wearable technology device to a standard behavioral intervention resulted in less weight loss over 24 months. Devices that monitor and provide feedback on physical activity may not offer an advantage over standard behavioral weight loss approaches.

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Binge Drinking During Pregnancy and Fetal Alcohol Spectrum Disorder 

Binge Drinking During Pregnancy and Fetal Alcohol Spectrum Disorder  | Co-creation in health | Scoop.it

Alcohol use during pregnancy is an established cause of Fetal Alcohol Spectrum Disorder (FASD), with heavy drinking during pregnancy being explicitly linked to Fetal Alcohol Syndrome (FAS). The current paper presents recent estimates of the prevalence of: i) any amount of alcohol use during pregnancy, ii) one or more binge drinking episode(s) (four or more standard drinks on a single occasion) during pregnancy, iii) FAS, and iv) FASD among the general population globally and by World Health Organization region. It is apparent, based on the presented estimates, that alcohol use and binge drinking occur frequently among pregnant women in many countries and as a result, FASD is a prevalent alcohol-related developmental disability. Urgent action is required around the globe to eliminate prenatal alcohol exposure and prevent future children, adolescents and adults from having FASD.

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Open data & Big data ; Nouveaux défis pour la vie privée. Bourcier, D. et De Filippi P.

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Arresto cardiaco: i defibrillatori nei centri sportivi salvano il 93 per cento degli atleti

Arresto cardiaco: i defibrillatori nei centri sportivi salvano il 93 per cento degli atleti | Co-creation in health | Scoop.it
Un acquisto provvidenziale. La presenza del defibrillatore nei centri sportivi, diventata da poco obbligatoria in Italia, garantisce la sopravvivenza dall’arresto cardiaco in 14 casi su 15. È quanto emerge da uno studio condotto dall’Ospedale Guglielmo da Saliceto di Piacenza e presentato al convegno della European Society of Cardiology di Barcellona. I ricercatori del Progetto Vita hanno valutato l’impatto dei defibrillatori automatici esterni (Aed) in 252 palestre e campi sportivi amatoriali nella provincia di Piacenza nell’arco di 18 anni.
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Novartis CEO opens door to cancer patient demanding ‘fair’ CAR-T pricing

Novartis CEO opens door to cancer patient demanding ‘fair’ CAR-T pricing | Co-creation in health | Scoop.it

David Mitchell had just finished a five-hour infusion of drugs to keep his multiple myeloma under control when he decided to dash off a letter to Joe Jimenez, CEO of Novartis, requesting a meeting about how the company plans to price tisagenlecleucel (CTL019), its CAR-T leukemia treatment expected to win approval from the FDA in October.

Because the treatment is personalized—immune cells are extracted from patients and engineered to recognize and kill their cancer—its impending approval has sparked concerns about just how expensive it might be.

“I write today to urge you in the strongest possible terms to price your CAR-T drug fairly in light of the fact that U.S. taxpayers invested hundreds of millions of dollars to develop CAR-T before your company became seriously involved,” Mitchell wrote in the letter, which was co-signed by two other patients suffering from blood cancers. Mitchell requested a meeting with Jimenez, even offering to bring along two experts in drug pricing: Steven Pearson, president of the Institute for Clinical and Economic Review (ICER), and Aaron Kesselheim, professor at Harvard Medical School and head of its program on regulation, therapeutics and law.

 

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Antropologia medica. Tullio Seppilli (1929-2017): Antropologia e Etnopsichiatria 

dialogo con Tullio Seppilli
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Robert Darnton: Digitalizzazione e democrazia - FestivalFilosofia Modena

Robert Darnton: Digitalizzazione e democrazia - FestivalFilosofia Modena | Co-creation in health | Scoop.it

Robert Darnton è Carl H. Pforzheimer Professor di Storia presso l’Università di Harvard, dove è anche Direttore della Biblioteca universitaria. Specialista dell’illuminismo francese, è uno dei massimi studiosi della storia del libro come fondamentale fattore di mutamento culturale. Più di recente si è occupato del rapporto tra digitalizzazione, accesso al sapere e democrazia. Tra i suoi libri in italiano:  Il Grande Affare dei Lumi. Storia editoriale dell'Encyclopédie (Milano 1979); L'intellettuale clandestino. Il mondo dei libri nella Francia dell'illuminismo (Milano 1982); Il bacio di Lamourette (Milano 1989); La dentiera di Washington. Considerazioni critiche a proposito di illuminismo e modernità (Roma 1997); L'età dell'informazione. Una guida non convenzionale al Settecento (Milano 2004); Il futuro del libro (Milano 2011); Il grande massacro dei gatti e altri episodi della storia culturale francese (Milano 2013).

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Chi abita in periferia vive 4 anni di meno. Vella (Presidente AIFA): «Accesso alle cure, junk food e sport i problemi principali»

Chi abita in periferia vive 4 anni di meno. Vella (Presidente AIFA): «Accesso alle cure, junk food e sport i problemi principali» | Co-creation in health | Scoop.it
«Chi abita in periferia vive di meno e peggio di chi risiede in centro». SecondoStefano Vella, medico, scienziato e Presidente AIFA (Agenzia Italiana del Farmaco), i determinanti socio-economici influenzano la morbilità e la mortalità, come dimostrato da numerosi studi epidemiologici. La condizione socio-economica infatti consentirebbe un diverso accesso alle cure e una differente predisposizione alla prevenzione. Fondamentale discriminante è anche la cultura che influenza l’aspetto psico-sociale e le conseguenti scelte di vita. «Abbiamo diverse prove – spiega ancora Vella ai nostri microfoni – che effettivamente gli strati più poveri della popolazione vivono di meno e si ammalano di più».
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Doctors using Snapchat to send patient scans to each other, panel finds

Doctors using Snapchat to send patient scans to each other, panel finds | Co-creation in health | Scoop.it

Report says NHS clinicians sending scans using photo messaging app is ‘clearly insecure, risky and non-auditable.

Doctors are using Snapchat to send patient scans to each other, a panel of health and tech experts has found, concluding the “digital revolution has largely bypassed the NHS”.

Clinicians use camera apps to record particular details of patient information in a convenient format, the panel said in a report, describing it as “clearly an insecure, risky, and non-auditable way of operating, and cannot continue”.

It also notes that the NHS still holds the “dubious” title of the world’s largest purchaser of fax machines.

The report was commissioned by DeepMind Health (DMH), which is owned by Google, for an annual independent review of the company’s work. DMH’s work involves introducing and testing new technology for the NHS.

This week the Information Commissioner’s Office (ICO) found thatLondon’s Royal Free hospital failed to comply with the Data Protection Act when it handed over personal data of 1.6 million patients to DMH.

In its review, the panel, chaired by the former Liberal Democrat MP Dr Julian Huppert, said: “The digital revolution has largely bypassed the NHS, which, in 2017, still retains the dubious title of being the world’s largest purchaser of fax machines.

 


Via Marie Ennis-O'Connor
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Beyond Behaviour Change: Key Issues, Interdisciplinary Approaches and Future Directions - Fiona Spotswood

Beyond Behaviour Change: Key Issues, Interdisciplinary Approaches and Future Directions - Fiona Spotswood | Co-creation in health | Scoop.it
Behaviour change for social good is of growing importance to policy-makers and researchers. There is increasing awareness of the relationship between policy, social structures, individual actions and societal outcomes like population health and the environment. As such, research into effective strategies and tactics for changing the population s behaviour is now a priority. Multidisciplinary in approach, this important book is the first to draw together insights from a range of leading academics and thinkers who have worked in behaviour change across a range of disciplines including public health, transport, marketing and the environment. The book explores the political and historical landscape of behaviour change and trends in academic theory before discussing new innovations in both practice and research. It will be a valuable resource for academics and students wanting to locate their research within the broader behaviour change arena.
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Mediocri di tutto il mondo vi siete uniti. E avete vinto

Mediocri di tutto il mondo vi siete uniti. E avete vinto | Co-creation in health | Scoop.it

Parla il filosofo canadese Alain Deneault, autore del longseller internazionale La mediocrazia: “L’unico antidoto è il pensiero critico”

 

Il mondo è dei mediocri. Sarà che è un assunto non difficile da sperimentare - e anche consolatorio per spiegarsi certi successi o insuccessi ugualmente distanti dalle vette del genio e dagli abissi dell’indegnità - ma il saggio La mediocrazia (Neri Pozza, pp. 239, € 18) del filosofo canadese Alain Deneault a un anno dall’uscita è ormai un longseller internazionale. E dire che in centinaia di pagine, dense di pensiero e di citazioni, ne ha davvero per tutti. In politica, da Trump a Tsipras, vede solo un «estremo centro», nell’impresa la «religione del brand», il «consumatore-credente», la «dittatura del buonumore». Nel lavoro «devitalizzato» individua la skill fondamentale nel «fare propria con naturalezza l’espressione: alti standard di qualità nella governance nel rispetto dei valori di eccellenza». E, in ogni ambito, rileva certi tic verbali come «stare al gioco», «sapersi vendere», «essere imprenditori di se stessi». Insomma, dice, «non c’è stata nessuna presa della Bastiglia ma l’assalto è avvenuto: i mediocri hanno preso il potere».  

 

Lo abbiamo incontrato a Milano dove ha parlato al Wired Fest, il festival dell’innovazione, altra parola che non manca nel vocabolario mediocratico. Oggi sarà al Circolo dei Lettori di Torino.  

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Louis Levy's curator insight, June 13, 9:30 AM

Très intéressant le livre doit être passionnant ! : "l'unique antidote à la médiocratie est la pensée critique"... il fallait le dire !

En français : https://www.amazon.fr/m%C3%A9diocratie-Alain-Deneault/dp/2895961956

Il faut cependant dire que les lecteurs sont très partagés, des enthousiastes aux très déçus...