Wairoa
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Transcript of Wairoa
Wairoa Medical, Midwifery & Practice
Nurse staff
Tuesday 27th April
Thank you
especially to
Ron Janes
FAQ(Frequently Asked Questions)
OutlineIntroduction
Subject area
Research questions
Methodology
Your assistance with this project
INTRODUCTION
Who am I?
Dallas Knightstudent researcherUniversity of Otago
Why am I here?
SUBJECT AREA
Health Informatics
What am I studying?
Information & communication technologies
in
health care service delivery
More specifically Internet and mobile
technologies.
Service sector under scrutiny
Midwifery service delivery.
So…….this is an
exploratory study
A case study
Case study Using one (of twenty one) District Health Boards
(DHB) in New Zealand.
One clearly defined geographical region (Hawke’s Bay).
Using only independent midwives gives a tightly defined group.
Using a population which includes a high percentage of Maori women, Pacific Island women, and rural women groups.
exploring elements within the current use
and possible future use
of Internet and mobile
technologies
to enhance health service delivery
Acknowledging that
technology as used in healthcare service delivery
is a
Socio-technical system
A socio-technical system
and
There has been a convergence of technologies
Smart phones (3G) are now
computers
They Collect video, image, voice and text data
Send data
Send and receive emails
Access Web services
Are personal devices
Sync with laptop and PC
Send and receive SMS (text) messages
Have a standardised platform for application developers
Are mobile phones
Access the social web (Facebook, Twitter, YouTube, Skype, Google)
RESEARCH QUESTIONS
asking
Can Internet and mobile
technologies be leveraged ?
How?
What current hardware,
software/applications and services could be
considered
to enhance
midwifery service delivery?
(continued)Are there time saving efficiencies?
Are there perceived and assessed risks?
Are there perceived and assessed benefits?
Can current information and communication technologies enhance the service delivery process?
If so, how?
The trust factorAdditionally, perceptions of trust, surveillance
and their relationship to consumer satisfaction will be investigated.
How does each primary group (women and midwives) view the trust element?
Does frequency and characteristics of the communication medium increase or decrease aspects of trust?
Three-phase approachPhase One
User needs (perceived and assessed)
Phase TwoPilot study using Action Research methodology?
Phase ThreeEvaluation?
Why ask these questions?
because
Information and communicationtechnologies are now able to
provide more and diverse ways for health care providers and patients to communicate and
transfer information.
The rise and rise of mobile phone subscribers *
http://www.itu.int/newsroom/press_releases/2008/29.html
Explosion in growthThere has been an explosion in the growth of
information and communication technologies and particularly mobile technologies.
There are around 45 million Internet users compared with <4 billion mobile phone subscribers (2008)*
Cost is an inhibiter for mobile but many more now rely on mobile only and there is a clear shift in this direction..
*http://www.itu.int/newsroom/press_releases/2008/29.html
Mobile phones
Mobile phones could be seen as
disruptive technologies /disruptive innovation*
because they are changing the ‘traditional’ way of communicating and transferring information.
*Clayton Christensen (Harvard Prof of Business Studies)
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
Disruptive technologies
For exampleRefrigerator
Touch screen technology
Digital images
iPod and iTunes
Cloud computing
Skype and VOIP
Web 2.0
Web 2.0Participatory – user generated content
Collaborative – Google Docs
Social – social networks [Facebook, Twitter]
Multi-media – Youtube, podcasts, Flickr
Dynamic – blogs
http://www.jisc.ac.uk/media/documents/techwatch/tsw0701b.pdf
Consumer expectations
Web 2.0 aware consumers will demand to have access to, and to control their data.
Eysenbach: Consumer health informaticshttp://www.slideshare.net/eysen/eysenbach-consumer-health-informatics
One patient one record?or
information in inaccessible and
unconnected silos?
Healthcare restraints are necessitating a move towards
increased patient engagement, involvement, participation,
empowerment and responsibility
for their own health outcomes.
The rise of the ePatient
Whywas the midwifery health service sector chosen?
because
Midwives practice in clinics and
birthing centres/hospitals and women’s homes.
It is therefore a mobile service setting with
mobility presenting as a challenge
and
Women ~15 – 45 are more likely to be active users of
new technologies
compared with other groups of people receiving
healthcare.
also
Data collection does not interfere with service
delivery
because
semi-structured interview data is collected
after the healthcare service
encounter.
Users of midwifery service
are well women
who receive relatively standardised care
for a clearly defined period of time
and
areinformation hungry
(normally, especially primigravidas).
Midwifery service to each woman could be viewed as single health episode
or unit of service delivery.
Duration of health episode/service
METHODOLOGY
Ethics approvalUniversity of Otago Ethics
Central EthicsApproved
Plunket Ethics CommitteePending
DocumentationInformation describing the project
Informed consent process
How am I trying to answer the
research questions?
Paradigm viewConstructivist
Hermeneutical
Interpretive
Pragmatic
Grounded Theory Methodology
Data collection:Semi-structured interviewsMidwives: who practice independently within the
Hawke’s Bay region.
Women: after they have been discharged from midwifery care.
Data collection
Midwives’ demographic data
Women’s demographic data
Constant review process
Status27/30 Napier – Hastings midwives have been
interviewed.
All general practices in Napier, Hastings and Central Hawke’s Bay have been personally approached and given documentaion.
14/? Women have been interviewed.
Next stage (April 2010)Interview data is presenting fascinating insight
and will continue to saturation.
Teen aged parents, rural women and Maori women are currently being recruited.
Internet and mobile technologies (hardware, software, applications, services) are constantly under review.
YOUR ASSISTANCE
Please assist by:
1. Consenting to be interviewed
MidwivesGP LMCs?GPs?
2. Recruiting women
Briefly explain the project (documentation)
Fill in a form with the women’s contact details
Fax form to me so I can arrange interview times
If you are agreeable
I will come to Wairoa for ~3 days at a convenient time to carry out interviews.
Thank you
Dallas Knight
2 Milton Terrace,
Hospital Hill, Napier 4110
Ph: [H] 06 835 5939
Ph: [M] 021 105 9866
Slides will be stored at Slideshare &Google Docs