Providing Health Care to Diverse Communities in Brazil Recorded Lifestream

Camila Biazus Dalcin, a final year nursing student from the Franciscan University Centre (UNIFRA) who visits Dundee as a scholar in the Brazilian ‘Science Without Borders’ Programme (National Council for Scientific and Technological Development (CNPQ) presented a seminar on the 27th June. In her presentation she focused on nursing education and community development and research work in socially and economically diverse communities. Brazil is undergoing profound changes, economically, politically and socially. In 1988 a new healthcare system ‘Unified Health System’ or SUS was formed on the basis of the Brazilian constitution. The new system aims to provide fair and equitable health care to all citizens and introduces a shift in emphasis from treatment towards prevention. Health and wellbeing are regarded as community, not individual issues. The focus on delivering care in the community requires involving the population in the health promotion and is supported by a diverse group of health professionals.

The presentation was also a trial run of SDHI’s new lifestream (‘SDHI TV’). A sequence of the presentation is available here as a recording provided by UStream. For a better quality recording, please stay tuned, we are working on it.

First day of SDHI conference ‘Making Healthcare Safer: Learning from Social and Organisational Research’ produced stimulating debates

The first day of the two day conference held in St Andrews by SDHI in collaboration with NHS Education for Scotland, the Health Foundation and the Scottish Patient Safety Research Network was attended by around 80 academic researchers, health professionals, and policy makers. The format of the conference combines plenary addresses, breakout sessions, poster displays and informal networking opportunities in a relaxed atmosphere and environment at St Andrews University. In his keynote, Dr Teun Zuiderent-Jerak, Institute of Health Policy and Management, Erasmus University in Rotterdam, Netherlands highlighted the tension between standardisation in guideline development and guideline based practice on the one hand, and the need to tailor care and interventions in a flexible manner. He suggested that it may be time to move away from a simple dichotomy between individual vs universal towards a ‘situated concept of standardisation’. Not one size fits all but a sensitivity towards context factors that may influence the delivery and success of intervention practices. Dr Brian Robson, Executive Clinical Director at Healthcare Improvement Scotland and Quality Improvement Fellow of the Health Foundation highlighted the wide-ranging successes in patient safety and care improvement in Scotland. The adoption and tailored implementation of the Breakthrough Series Quality Improvement Methodology has underpinned these profound developments. The morning concluded with poster displays of presenters from around the UK and Canada. Delegates had ample opportunities to discuss the quality improvement interventions and research findings. One of the breakout sessions in the afternoon focused on how health professionals conceptualise and communicate risk. Another highlighted a Patient Safety initiative in the NHS Grampian health board, while a third session included two presentations on organisational infrastructure and culture and their influences on patient safety.
The last plenary presentation of the day by Professor Brendan McCormack focused on the need for transformational learning as a key facet of organisational change and practice development. A fundamentally different approach to learning is required to create a creative, dynamic and truly person-centred care approach.


Mini Symposium ‘Health and Cultural Context’ in St Andrews

Last week a mini-symposium hosted by Dr Gozde Ozakinci, University of St Andrews and Dr Nick Hopkins, University of Dundee brought together a group of interdisciplinary researchers to reflect on the importance of cultural context for health. You can find more details on the event here.

Listen to and watch our latest Webinar here: Disability and Public Health: Unlikely but Emerging Partner

Professor Don Lollar highlighted current developments at the intersection of public health, social policy and disability research in his Webinar presentation yesterday. If you did not get a chance to listen to the presentation, you can view his slides here.

A recording of the presentation is available to view below

Upcoming SDHI Webinar: Disability and Public Health

Please join us for us for a Webinar on this Thursday, 21 June at 5pm GMT. All you need is access to the internet. To get an access code please sign up with

Fred Comerford (fac1 or Rosanne Bell (r.c.bell

Disability is usually framed as the third of three negative public health outcomes, alongside mortality and morbidity. We will discuss how this initial background still affects the public health enterprise’s approach to disability and people living with disabling conditions. Public health functions will frame the presentation, beginning with case definitions, a crucial element in public health surveillance. We will then discuss policy development, examining how policy interacts with assessment and assurance functions. Finally, the issues of environment and its effect on assurance of public health services will be discussed along with implications for greater sensitivity, awareness, and inclusion of people with disabilities in public health activities. Current examples in US public health will be provided and students will be encouraged to provide examples from Scotland.

Dr Don Lollar assumed the position of Director, OHSU University Center for Excellence in Developmental Disabilities and Associate Director of CDRC for Academic Affairs in January 2010. He also has a faculty appointment in OHSU’s Department of Public Health and Preventive Medicine. He is a internationally recognized expert in the areas of disability and health— particularly in the prevention of secondary conditions and health promotion, and the development and implementation of the International Classification of Functioning, Disability and Health (ICF). He was a practicing psychologist for 25 years in states of Maine, Kentucky, and Georgia before being recruited to the Centers for Disease Control and Prevention in Atlanta, GA.

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Public and professional consultation: Project seeks input into refinement of reference guide for health professionals

A few weeks’ ago we reported in a Webinar by Dr Karen Ritchie and Deepa Jahagirdar (if you missed it, you can find the link to the recording on our blog) about a project between the universities of Glasgow and Dundee and Healthcare Improvement Scotland that examines the usability and accessibility of patient-reported outcome measures or PROMS for people with learning disabilities and low literacy. The research has led to the development of a reference manual or user guide, which is intended for health professionals who are tasked with PROM measurement in clinical practice and who may have to reflect on the practice of using PROMS with people with learning disabilities or low literacy.

Please assist us with comments about our new reference user guide for health professionals. The purpose of the reference guide is to highlight challenges in routine outcome measurement when working with people with low literacy and/or learning disabilities. Tell us, what you think. Will the guide be useful? How can we improve it? What will enhance its usefulness and adoption by health professionals?

  • What are your first impressions?
  • What do think about the format/presentation of the guide?
  • What about the content? Is it relevant?
  • Is the language we use in the guide appropriate?
  • Is the document comprehensive enough or is anything missing?
  • Is the guide accurate and correct?
  • How could you use it in practice?
  • Is there anything else you want to let us know about?

You can also find a pdf version of the PROMS Use Reference Guide Low Literacy and Learning Disability. Please review the reference guide below and send your comments by email to Deepa.Jahagirdar

Webinar: Beliefs about Domestic Abuse and Disclosure To be Rescheduled

SDHI apologises for the technical problems encountered at today’s webinar. We will reschedule the Webinar with the two speakers for a later date. We have been working with the provider of the webinar technology to identify the problem and will ensure that the issue will be resolved.