Sdhi strategy presentation


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Presentation of SDHI Research Strategy

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Sdhi strategy presentation

  1. 1. Thilo Kroll
  2. 2. Interdisciplinary Research in Partnership Universities of Dundee and St Andrews since 2003 Interdisciplinary research should supplement, not displace, single- discipline efforts. . . . Bridging Disciplines in the Brain, Behavioral, and Clinical Sciences,
  3. 3. Professor Paul Boyle Chair, ESRC Geography, University of St Andrews Founding Director
  4. 4. Professor Brian Williams Past Director of SDHI Now Director CSO-funded NMAHP Research Unit, Universities of Stirling and Glasgow Caledonian
  5. 5. Professor Huw Davis, Co-Director of SDHI Professor of Health Care Policy and Management, University of St Andrews
  6. 6. Organisation 2 Co-Directors (Dundee, St Andrews), 5 Associate Directors Researchers, PhD students are affiliated with ‘home departments’ Administrative base of Co-Director, Dundee (College of Medicine, Dentistry, Nursing in the School of Nursing & Midwifery), of Co-Director St Andrews (School of Management) Administrative support to co-ordinate inter-university, inter- departmental activities
  7. 7. Demographics Looking at recent years, the current overall picture is of one of growth, with increased net in-migration and fertility, as well as increased life expectancy, all contributing to overall growth. Scottish Government, 2010 Scotland’s population is continuing to age, with a 50% increase in over 60s projected by 2033. Health inequalities in Scotland result in significant variation in mortality, life expectancy and healthy life expectancy, with deprivation being a key determining factor
  8. 8. Environment The provision, cost and funding of care services, generally and in the light of Scotland’s rural geography Despite the opportunities provided by the neighbourhood for children’s physical activity, many children, nowadays, may be classified as ‘indoor children’ who play predominantly within the con- fines of the home (Karsten, 2005)
  9. 9. Economy To help them grow and develop, young people need the support of their families, neighborhoods, and communities. However, changing societal and economic factors have had a significant impact on the ability of families at all income levels to provide such supervision and guidance. IOM 2011 With an increasingly higher proportion of the workforce falling into the older age groups, lower employment rates in these age groups may impact on overall labour market participation. However, growth in employment rates has Scottish Government, 2010
  10. 10. Technology
  11. 11. Health(care) Many older people are never counseled to stop smoking, start exercising, or take other measures commonly urged on the young, despite clear evidence that such measures help older people.
  12. 12. Wellbeing
  13. 13. Participation The ICF puts the notions of ‘health’ and ‘disability’ in a new light. It acknowledges that every human being can experience a decrement in health and thereby experience some degree of disability. Disability is not something that only happens to a minority of humanity. The ICF thus ‘mainstreams’ the experience of disability and recognises it as a universal human experience. By shifting the focus from cause to impact it places all health conditions on an equal footing allowing them to be compared using a common metric – the ruler of health and disability. Furthermore ICF takes into account the social aspects of disability and does not see disability only as a 'medical' or 'biological' dysfunction. By including Contextual Factors, in which environmental factors are listed ICF allows to records the impact of the environment on the person's functioning. WHO International Classification of
  14. 14. EnvironmentEnvironment Technology Demographics EconomyEconomy Health Wellbeing Participation Interdisciplinary Research to Address Key Challenges
  15. 15. Three pillars
  16. 16. 5 core strategic aims • Identify and pursue key interdisciplinary programmatic topics for research reflecting social dimensions of health • Networking the networks, knowledge mobilisation, strategic partnering, public engagement • Diversified funding base • New partnerships with 3rd sector, voluntary organisations/charities, business • Internationalisation
  17. 17. Two programmatic strands • Social and environmental dimensions of health, wellbeing and service delivery • Human resilience and capabilities
  18. 18. Social and environmental dimensions of health, wellbeing and service delivery Work within this programme explores the significance of ‘context’ for people’s health and efforts to improve it. We take a broad view of ‘environments’ (including for example geographical considerations of space and place, anthropological considerations of culture in healthcare organisations, design considerations of technological adaptations to support health and well-being, and research assessments) and ‘relationships’ (attending to both relative positions and interactions).
  19. 19. Examples: Social and environmental dimensions of health, wellbeing and service delivery • Explorations of youth and domestic violence as a public health issue in Scotland. • Sources and implications of work stress on nurses • Sources and uses of feedback about patient experiences for quality improvements in primary care • Reducing alcohol-related harm and social disadvantage • The use of relational understandings of ‘autonomy’ and ‘trust’ to study and critique the ways in which health care provision shapes people’s ability to contribute to their own health and social care. • The role of knowledge exchange networks for policy makers, practitioners, and researchers in promoting self care in long-term conditions • The role of context in collective learning in health care organisations • The measurement of outcomes in community-based stroke rehabilitation • Barriers and facilitators to physical activity for people with disabilities in the community • Natural disaster mitigation for people with disabilities • Social geographies of wellbeing • Employment, disability and long-term conditions • Socioeconomic determinants of health inequalities • Organisational culture in general practice
  20. 20. Human resilience and capabilities Work within this programme addresses the particular concerns and experiences that people with physical, cognitive and/or communicative impairments have in relation to health and healthcare. It has a strong emphasis on enabling participation, and is increasingly making use of insights from the ‘Capabilities Approach’ to encourage a broad evaluative space for interventions intended to improve the lives of people with disabilities. Work within the programme is also exploring applications of ‘Capabilities’ thinking to healthcare provision more generally.
  21. 21. Examples: Human resilience and capabilities • Illness representations of and cognitive factors in the self management of long-term conditions • Perceived ability to self care among people with learning disabilities • Digital ‘storytelling’ of people with communication disabilities • Low literacy and health outcomes • Manualised stroke rehabilitation • Patient-centered assessment and patient experience • Technology-supported interventions for people with dementia • Use of the Capabilities Approach to justify and develop the notion of ‘Person Centred Care’
  22. 22. Conferences
  23. 23. Research Development Groups Learning Disabilities (Vikki Entwistle) Cancer and Employment (Mary Wells) Physical Activity and Long-Term Conditions (Jacqui Morris) *New* Oral Health and Inequalities (SDHI as facilitator) *New* Disability from a Public Health Perspective (Thilo Kroll) Other potential RDGs on the horizon Environmental change and health service access Violence and Public Health Aging and Dementia E-Health Inequalities Low literacy (Phyllis Easton)
  24. 24. Seminars
  25. 25. Webinars *New in 2012* Cate Buchanan Director, Surviving Gun Violence Project, Sydney Surviving Gun Violence Project 15th March 2012
  26. 26. Workshops
  27. 27. Public Engagement and Knowledge Exchange
  28. 28. Post-graduate support Postgraduate and postdoctoral retreat (Kindrogan) Grant Writing Scheme (with SNM) Writing for Publications (with SNM) *Planned for 2012* Innovative Research Groups (with DJCAD)
  29. 29. Internet and social media
  30. 30. Networking the networks • Centre for Environmental Change and Human Resilience (CECHR) • Alliance for Self Care Research (ASCR) • Centre for Medical Education (CME) • Applied Quantitative Methods Network (AQuMen) • ….
  31. 31. Opportunities • Research Development Groups (initiate, join, contribute) • Knowledge Mobilisation and Exchange (Seminars, Webinars, Workshops, Public Engagement) (suggest topics, co-host) • Postgraduate support (co-facilitate; innovative, applied learning and teaching from an interdisciplinary perspective)
  32. 32. Thank you!
  33. 33. Please get in touch @SDHIresearch Dr Thilo Kroll Dr Fred Comerford Rosanne Bell