1 / 37

Bridging Aging and Disability Networks: "Strategies for Translating Knowledge into Practice"

Bridging Aging and Disability Networks: "Strategies for Translating Knowledge into Practice". Luis Salvador- Carulla MD, PhD. A number of questions. What is the context? What is the challenge? What is the alternatives? What are the main components? What are the examples?.

misha
Download Presentation

Bridging Aging and Disability Networks: "Strategies for Translating Knowledge into Practice"

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Bridging Aging and Disability Networks: "Strategies for Translating Knowledge into Practice" Luis Salvador-CarullaMD, PhD

  2. A number of questions • What is the context? • What is the challenge? • What is the alternatives? • What are the main components? • What are the examples?

  3. Advances in the XXI Century Ageing as anopportunity • New models of ageing Active ageing, Promotion, Mental capital • New services and caresystems • Supports and HTsforageing Disability as anadvantage • New models of disability (ICF) • Social Inclusion, Personcentredcare • Empowerement and Recovery • Accesibility and Employment • Supports and HTsfordisabilities Add case of thepainterwithdownsyndrome & Parada

  4. C&S in the era of complexity • Healthpromotion • Integrative / holisticcare • Life-spanapproach • Person-centredcare • Recovery • Universality • Mental capital

  5. Integrativecaremodel: 10 priorityareas • Pre-disease pathways - Life-span • Positive psychology - Health promotion • Genetics - Behavioural phenotypes • Personal links - Risks and outcomes • Healthy communities • Inequities - Context / environment • People’s health • Effective interventions - Routine practice • New methods - Analysis of complexity • Infrastructure - Costs and health policy

  6. MENTAL CAPITAL THROUGH THE LIFE COURSE: Flourishing through life / Early detect. & tx. / Chronic conditions

  7. What is the challenge? • We need to know more about the link D&A • Persons with disabilities who grow old • Older persons who become disabled • AGEING as a field has a lot to contribute to the field of DISABILITY and viceversa • AGEING AND DISABILITY share common values, models, needs and priorities • Common policy agenda (implicit – hidden)

  8. Can weunderstanddisabilitywithoutageing?Can weunderstandageingwithoutdisability’

  9. In the D&A fields, their agents and principals do not talk to each other and, when they talk they do not communicate “If the word ‘X’ is used I will leave this table...” “Your model is not acceptable for us...”

  10. D&A Gap: Unwanted consequences • Functional Dependency EU Recommendation and related Dependency laws were based exclusively on Ageing and failed to provide effective coverage for SMI, ID and other Disabilities in Europe • UN Convention for Persons with Disabilities is seen as ‘alien’ by the ageing sector • Missing opportunities of knowlegde, innovation and policy change

  11. Ejemplos Similar programswithoutany transfer…

  12. Paradigmshift in health/social policy 1. Lavis et al, Health Research Policy and Systems 2009 (SUPPORT MODEL ) 2. Gibert et al, Health Research Policy and Systems 2010 (EbCA MODEL)

  13. A number of questions • What is the context? • What is the challenge? • What is the alternative? • What are the main components? • What are the examples?

  14. Health vs Social care Multidisciplinarity Translational research Disabilities vs Ageing

  15. www.bridgingknowledge.net

  16. Barcelona 5 – 7 March 2009

  17. BARCELONA DECLARATION www.ijic.org Bridging knowledge in Long Term Care and Support • Political stand to make bridging and knowledge transfer key components of any program in the fields of disability and ageing. • Need for action involving policy makers and stakeholders, including those from the health, education, social and justice sectors, social partners, as well as civil society organisations. • Improve the knowledge base • Previous declarations and principles of “Nothing about us without us” and the “World and society of all ages”.

  18. Where next?

  19. A&D: Knowledge transfer - WHAT KNOWLEDGE? - HOW SHOULD IT BE TRANSFERRED? - WHO TRANSFERS IT?

  20. BRIDGING & KNOWLEDGE TRANSFER • B/KT is a construct with two main domains • Bridging cannot be made without KT • KT cannot be made without bridging • Tension between perspectives • Broad perspective without content • High content without generalisability • B/KT has both general aspects and specific aspects in D&A fields

  21. What is B/KT? • B/KT is a meta-discipline, a social net & space, a tool for innovation • Translational • Multidisciplinary • Complex • Dynamic • The value of a B/KT scientific road map is very limited but also necessary

  22. B/KT scientific road map • Framework model and conceptual map • Knowledge base • Usability & implementation • Monitoring and evaluation • Methods of design and analysis • Procedures and best practice sets • Dissemination strategies • Training • Support and care policy & priority setting

  23. What knowledge & disciplines? • Practical vs semanticalknowledge • Economics, Ethics, Legal, Technological, Business... • HealthOntologyExplicit formal specification of : • Representation of health related objects, concepts and other entities which it is assumed that exist in a given field of interest • Properties characterising these entities • Relationship between different entities

  24. Mental Retardation to Intellectual Disab.: Disabilities or Disorders? Salvador-Carulla & Bertelli, 2008

  25. Intellectual Developmental Disorder (IDD) A GROUP OF DEVELOPMENTAL CONDITIONS CHARACTERIZED BY A EXTENSIVE IMPAIRMENT OF COGNITIVE FUNCTIONS, WHICH ARE ASSOCIATED WITH LIMITATIONS OF LEARNING, ADAPTIVE BEHAVIOR AND SKILLS. SYNSET: IDD / ID / MR / LD

  26. Polynomious-polysemic approach Health / Statistics / Research / Policy / Social Inclusion / Rights ID IDD Salvador-Carullaet al, World Psychiatry, 2011

  27. What is a Hospital?

  28. HOSPITAL – RESIDENTIAL CARE Large variability in availability of ‘hospital non-acute care’ with lowest level in Andalucia and highest in Catalonia

  29. HOW TO TRANSFER KNOWLEDGE? - - New organisation-relational strategies - New research strategies Impact analysis Knowledge Discovery from Data Expert-based Cooperative Analysis - New implementation strategies - New dissemination strategies

  30. WHO TRANSFERS THE KNOWLEDGE? - - Health knowledge brokers - Champions - Interpreneurs - Intra-Interpreneurs

  31. Harvard School of Engineering and Applied Science • Cuisine and Science • FerranAdria

  32. The new model of societydemandsusto share ourknowledgewithothers. Ifyou are a millionaireyoushould share yourmoney, ifyou are ‘creative’ share your ideas. In the global societythosewhorefuseto share thereknowledge are sociallydead FerranAdria

More Related