ndosie.bsky.social
Associate Prof | UWE Bristol | Health Outcomes | Health Education | Research Evidence Advocate | Rheumatology Nursing | Editor Rheumatology Advances in Practice
https://orcid.org/0000-0002-7764-3173
63 posts
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293 following
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Listen to the podcast of this paper ndosie.podbean.com/e/developmen... or download the audio mcdn.podbean.com/mf/web/rxg98...
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Sounds like an inspiring and productive meeting✨
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8️⃣Digitalising healthcare isn’t just about innovation — we must also address the risks
🧩Fragmentation
⚙️Taskification
🩺➡️📲Deprofessionalisation
🔀Complexification
📡 Distanciation
🌍Disembedding
🎭Responsibilisation
🤖Facsimilisation
Reading www.phc.ox.ac.uk/research/gro... @trishgreenhalgh.bsky.social
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7️⃣Facsimilisation = creating a 'digital facsimile' of the patient on the electronic record and 'treating' that facsimile
Digital interactions may mimic in-person care, but lacks the depth, nuance, and personal connection needed for effective care
Facsimilisation = the illusion of care
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6️⃣Is "responsibilisation" just another word for shifting the blame?🤔
Digital tools push individuals to manage their own health — but not everyone has equal access or skills
Without support, this shift risks deepening health inequalities instead of empowering patients
More: doi.org/10.1016/j.so...
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5️⃣Distanciation shifts healthcare away from in-person settings, reducing face-to-face interactions
Disembedding detaches care from traditional environments, making access more reliant on technology
While digital tools offer convenience, they may make healthcare less personal or widening access gaps
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4️⃣Complexification is the increasing intricacy of digital systems, processes and technologies, making them harder to navigate
Individuals with lower digital #literacy, older adults, and underserved communities struggle the most - can't access the care they need
🌀Complexification = barrier to access
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3️⃣Taskification breaks complex clinical work into smaller tasks, often shifting responsibility to algorithms, patients, or less-qualified workers.
De-professionalisation diminishes the role of trained professionals, outsourcing critical expertise and decision-making to non-experts or automation 🩺➡️📲
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2️⃣ Digital health inequalities are structural—shaped by factors embedded in healthcare digitalisation itself.
🧩Fragmentation is a major culprit, causing disjointed care, uneven access, and inconsistent quality —ultimately deepening existing inequalities.
📖 Read more: doi.org/10.3399/bjgp...
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Looking forward
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I will be attending and am very much looking forward to your insights on inequalities in digital healthcare 💻
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Your son Rob is doing incredible, noble work — improving biodiversity is truly invaluable and benefits us all, Happy New Year to him 🎊
The underwater footage is absolutely breathtaking. Thank you for sharing such a perfect clip to start the new year!