Social Media in Health and Care Coproduction
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Abstract
EU health systems face the triple challenge of ageing, fiscal restriction and inclusion. For example, in the UK the 65+ group will grow by 6.6 million in the next 25 years. In Scotland, the 75+ group will grow by 82%. Consequently we are seeing a huge increase in demand for care accompanied by significant budget reductions. The current cost of care in the UK is an estimated £119bn annually – considerably more than NHS spending.
Governments are searching for ways to meet health and care needs at lower cost while maintaining quality of care. The full participation of informal carers in the co-production of health and care has the potential to play a significant role in the sustainability of health and care delivery. In the UK there are around 6.5 million informal, voluntary and unpaid carers (around 10% of UK population). A pressing issue is how to coordinate this massive resource with the formal health and care system to enable true coproduction of health and care. Increasingly e-health, is seen as the tool to re-shape healthcare systems. In particular, social media (SM) are seen as critical enablers for coproduction.
Our study investigates the current and possible future for SM as an enabler of coproduction in health and care. To achieve these aims two main sets of questions are asked: what are the current uses of SM in health and social care? How can SM be reshaped to enable health and care coproduction?
We consider a typology of opportunities and limitations of SM for health and care:
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| Existing SM tools|Emerging SM tools|
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Existing Health and Care Service bundles| a) | b) |
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Existing Health and Care Service bundles| c) | d) |
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In this research in progress so far we have: a) Characterised current use of SM and have identified benefits (and risks) of SM for health and care by reviewing the literature; b) Identified coordination tools and social sensemaking as key emerging trends in the use of SM; c) Identified health and care integration as a key driver for service redesign and for the adoption of coproduction and have begun to characterise the needs SM can meet in this context. d) And begun preparing to collect data through collaboration with the Living it Up Project (a sub-project of DALLAS study - Delivering Assisted Living Lifestyles at Scale, a £23 million partnership between the Technology Strategy Board and government departments, launched in June 2011) which is a programme aiming to supporting better health, wellbeing and active lifestyles in Scotland and is exploring new services and modes of cooperation.
Governments are searching for ways to meet health and care needs at lower cost while maintaining quality of care. The full participation of informal carers in the co-production of health and care has the potential to play a significant role in the sustainability of health and care delivery. In the UK there are around 6.5 million informal, voluntary and unpaid carers (around 10% of UK population). A pressing issue is how to coordinate this massive resource with the formal health and care system to enable true coproduction of health and care. Increasingly e-health, is seen as the tool to re-shape healthcare systems. In particular, social media (SM) are seen as critical enablers for coproduction.
Our study investigates the current and possible future for SM as an enabler of coproduction in health and care. To achieve these aims two main sets of questions are asked: what are the current uses of SM in health and social care? How can SM be reshaped to enable health and care coproduction?
We consider a typology of opportunities and limitations of SM for health and care:
------------------------------------------------------------
| Existing SM tools|Emerging SM tools|
------------------------------------------------------------
Existing Health and Care Service bundles| a) | b) |
------------------------------------------------------------
Existing Health and Care Service bundles| c) | d) |
------------------------------------------------------------
In this research in progress so far we have: a) Characterised current use of SM and have identified benefits (and risks) of SM for health and care by reviewing the literature; b) Identified coordination tools and social sensemaking as key emerging trends in the use of SM; c) Identified health and care integration as a key driver for service redesign and for the adoption of coproduction and have begun to characterise the needs SM can meet in this context. d) And begun preparing to collect data through collaboration with the Living it Up Project (a sub-project of DALLAS study - Delivering Assisted Living Lifestyles at Scale, a £23 million partnership between the Technology Strategy Board and government departments, launched in June 2011) which is a programme aiming to supporting better health, wellbeing and active lifestyles in Scotland and is exploring new services and modes of cooperation.
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