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Wairoa

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Wairoa

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Wairoa

  1. 1. Wairoa Medical, Midwifery & Practice Nurse staffTuesday 27th April<br />
  2. 2. Thank you<br />
  3. 3. especially toRon Janes<br />
  4. 4. FAQ(Frequently Asked Questions)<br />
  5. 5. Outline<br />Introduction<br />Subject area<br />Research questions<br />Methodology<br />Your assistance with this project<br />
  6. 6. INTRODUCTION<br />
  7. 7. Who am I?Dallas Knightstudent researcherUniversity of Otago<br />
  8. 8. Why am I here?<br />
  9. 9. SUBJECT AREA<br />
  10. 10. Health Informatics<br />
  11. 11. What am I studying?<br />
  12. 12. Information & communication technologies in <br />
  13. 13. health care service delivery <br />
  14. 14. More specifically Internet and mobile technologies.<br />
  15. 15. Service sector under scrutiny <br />
  16. 16. Midwiferyservice delivery.<br />
  17. 17. So…….this is an<br />
  18. 18. exploratory study<br />
  19. 19. A case study <br />
  20. 20. Case study<br /> Using one (of twenty one) District Health Boards (DHB) in New Zealand.<br />One clearly defined geographical region (Hawke’s Bay).<br />Using only independent midwives gives a tightly defined group.<br />Using a population which includes a high percentage of Maori women, Pacific Island women, and rural women groups.<br />
  21. 21. exploring elements within the current use<br />
  22. 22. and possible future use <br />
  23. 23. of Internet and mobile technologies <br />
  24. 24. to enhance health service delivery<br />
  25. 25. Acknowledging that technology as used in healthcare service delivery is a<br />
  26. 26. Socio-technical system<br />
  27. 27. A socio-technical system<br />
  28. 28. and<br />
  29. 29. There has been a convergence of technologies<br />
  30. 30. Smart phones (3G) are now computers<br />
  31. 31. They<br />Collect video, image, voice and text data<br />Send data<br />Send and receive emails<br />Access Web services<br />Are personal devices<br />Sync with laptop and PC<br />Send and receive SMS (text) messages<br />Have a standardised platform for application developers<br />Are mobile phones<br />Access the social web (Facebook, Twitter, YouTube, Skype, Google)<br />
  32. 32. RESEARCH QUESTIONS<br />
  33. 33. asking<br />
  34. 34. Can Internet and mobile technologies be leveraged ?<br />
  35. 35. How?<br />
  36. 36. Whatcurrent hardware, software/applications and services could be considered<br />
  37. 37. to enhancemidwifery service delivery?<br />
  38. 38. (continued)<br />Are there time saving efficiencies?<br />Are there perceived and assessed risks?<br />Are there perceived and assessed benefits?<br />Can current information and communication technologies enhance the service delivery process?<br />If so, how?<br />
  39. 39. The trust factor<br />Additionally, perceptions of trust, surveillance and their relationship to consumer satisfaction will be investigated.<br />How does each primary group (women and midwives) view the trust element?<br />Does frequency and characteristics of the communication medium increase or decrease aspects of trust?<br />
  40. 40. Three-phase approach<br />Phase One<br />User needs (perceived and assessed)<br />Phase Two<br />Pilot study using Action Research methodology?<br />Phase Three<br />Evaluation?<br />
  41. 41. Whyask these questions?<br />
  42. 42. because<br />
  43. 43. Information and communicationtechnologies are now able to provide more and diverse ways for health care providers and patients to communicateand transfer information.<br />
  44. 44. The rise and rise of mobile phone subscribers *<br />http://www.itu.int/newsroom/press_releases/2008/29.html<br />
  45. 45. Explosion in growth<br />There has been an explosion in the growth of information and communication technologies and particularly mobile technologies.<br />There are around 45 million Internet users compared with <4 billion mobile phone subscribers (2008)*<br />Cost is an inhibiter for mobile but many more now rely on mobile only and there is a clear shift in this direction..<br />*http://www.itu.int/newsroom/press_releases/2008/29.html<br />
  46. 46. Mobile phones<br />Mobile phones could be seen as <br />disruptive technologies /disruptive innovation*<br />because they are changing the ‘traditional’ way of communicating and transferring information.<br />*Clayton Christensen (Harvard Prof of Business Studies)<br />
  47. 47. Disruptive technology and disruptive innovation are terms used in business and technology literature to describe innovations that improve a product or service in ways that the market does not expect<br />Disruptive technologies<br />
  48. 48. For example<br />Refrigerator<br />Touch screen technology<br />Digital images <br />iPod and iTunes<br />Cloud computing<br />Skype and VOIP<br />Web 2.0 <br />
  49. 49. Web 2.0<br />Participatory – user generated content<br />Collaborative – Google Docs <br />Social – social networks [Facebook, Twitter]<br />Multi-media – Youtube, podcasts, Flickr<br />Dynamic – blogs<br />http://www.jisc.ac.uk/media/documents/techwatch/tsw0701b.pdf<br />
  50. 50. Consumer expectations<br />Web 2.0 aware consumers will demand to have access to, and to control their data.<br />Eysenbach: Consumer health informatics<br />http://www.slideshare.net/eysen/eysenbach-consumer-health-informatics<br />
  51. 51. One patient one record?orinformation in inaccessible and unconnected silos?<br />
  52. 52. Healthcare restraints are necessitating a move towards increased patient engagement, involvement, participation, empowerment and responsibility for their own health outcomes.<br />
  53. 53. The rise of the ePatient<br />
  54. 54. Whywas the midwifery health service sector chosen?<br />
  55. 55. because<br />
  56. 56. Midwives practice in clinics and birthing centres/hospitals and women’s homes.<br />
  57. 57. It is therefore a mobile service setting with mobility presenting as a challenge<br />
  58. 58. and<br />
  59. 59. Women ~15 – 45 are more likely to be active users of new technologies <br />
  60. 60. compared with other groups of people receiving healthcare.<br />
  61. 61. also<br />
  62. 62. Data collection does not interfere with service delivery <br />
  63. 63. because<br />
  64. 64. semi-structured interview data is collected afterthe healthcare service encounter.<br />
  65. 65. Users of midwifery service <br />
  66. 66. are well women <br />
  67. 67. who receive relatively standardised care <br />
  68. 68. for a clearly defined period of time<br />
  69. 69. and<br />
  70. 70. areinformation hungry(normally, especially primigravidas).<br />
  71. 71. Midwifery service to each woman could be viewed as single health episode or unit of service delivery.<br />
  72. 72. Duration of health episode/service<br />
  73. 73. METHODOLOGY<br />
  74. 74. Ethics approval<br />University of Otago Ethics<br />Central Ethics<br />Approved<br />Plunket Ethics Committee<br />Pending<br />
  75. 75. Documentation<br />Information describing the project<br />Informed consent process<br />
  76. 76. How am I trying to answer the research questions?<br />
  77. 77. Paradigm view<br />Constructivist<br />Hermeneutical<br />Interpretive<br />Pragmatic<br />
  78. 78. Grounded Theory Methodology<br />
  79. 79. Data collection:Semi-structured interviews<br />Midwives: who practice independently within the Hawke’s Bay region.<br />Women: after they have been discharged from midwifery care.<br />
  80. 80. Data collection<br />
  81. 81. Midwives’ demographic data<br />
  82. 82. Women’s demographic data<br />
  83. 83. Constant review process<br />
  84. 84. Status<br />27/30 Napier – Hastings midwives have been interviewed.<br />All general practices in Napier, Hastings and Central Hawke’s Bay have been personally approached and given documentaion.<br />14/? Women have been interviewed.<br />
  85. 85. Next stage (April 2010)<br />Interview data is presenting fascinating insight and will continue to saturation.<br />Teen aged parents, rural women and Maori women are currently being recruited.<br />Internet and mobile technologies (hardware, software, applications, services) are constantly under review.<br />
  86. 86. YOUR ASSISTANCE<br />
  87. 87. Please assist by:<br />
  88. 88. 1. Consenting to be interviewed<br />Midwives<br />GP LMCs?<br />GPs?<br />
  89. 89. 2. Recruiting women<br />Briefly explain the project (documentation)<br />Fill in a form with the women’s contact details <br />Fax form to me so I can arrange interview times<br />
  90. 90. If you are agreeable<br />I will come to Wairoa for ~3 days at a convenient time to carry out interviews.<br />
  91. 91. Thank you<br />
  92. 92. Dallas Knight<br />2 Milton Terrace, <br />Hospital Hill, Napier 4110<br />dknight@actrix.co.nz<br />Ph: [H] 06 835 5939<br />Ph: [M] 021 105 9866<br />
  93. 93. Slides will be stored at Slideshare &Google Docs<br />

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