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Communication in Health & Public Participation Louise Miller Frost University of SA October 2006
NGOs politicians Consumer Groups SA Dept Health  Emergency Services Federal  DoHA Accreditat’n  Boards Private  Hosps GPs Unions media Drug Companies Professional Colleges Divs of  GPs SA  Ministers Fed  Ministers Private  providers Non-clinical  staff specialists community Clinical staff Health
Policy Environment COAG Federal  Parliament  & Ministers Dept of Health  & Ageing SA Parliament  & Ministers Dept of Health  Social Inclusion  Unit Mental Health  Unit Health Regions
Dept Health Strategic Directions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Communication Aims ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Levels of criteria for evaluating public relations objectives.  Figure 4.1, p51, Quarles and Rowlings, Practising Public Relations a Case study approach, Longman, 1993, Australia
NSW Centre for Public Health Nutrition. Report of the Consumption of Vegetables and Fruit in NSW 2003.  Adapted from Hawe et al 1990. Health Promotion Planning Framework
Examples of Communication Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implementing Change ,[object Object],[object Object],[object Object]
Change Management Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Change Management Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
So why is change so hard? ,[object Object],[object Object],[object Object],Never Often  Frequency of action required (John Moss, University of Adelaide, Personal Communication) ,[object Object],[object Object],[object Object]
 
Why don’t the interventions work? ,[object Object],[object Object],[object Object],[object Object],[object Object],Hochbaum, Rosenstock and Kegels, quoted in www.tcw.utwente.nl/theorieenoverzicht/Theory%20clusters/Health%20communication
Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. American Journal of Preventive Medicine 1998;15(4):379-397.
Organisational culture –  a change barrier Carroll, J S et al. Qual Saf Health Care 2004;13:ii16-21ii Copyright ©2004 BMJ Publishing Group Ltd.
Public Participation ,[object Object],[object Object]
Stigma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Communication Theory revision ,[object Object],[object Object],[object Object],[object Object],[object Object],Quarles J, Rowlings B, Practising Public Relations, A case study approach.  1993, Longman, Australia, p8, figure 1.2 Source Receiver Medium Feedback
More sophisticated ,[object Object],[object Object]
Inform: Bird Flu Pandemic ,[object Object],[object Object],[object Object]
Bird Flu ,[object Object],[object Object],[object Object],[object Object],[object Object]
Consult : CALD population ,[object Object],[object Object],[object Object],[object Object]
Involve : Mental Health planning ,[object Object],[object Object],[object Object],[object Object]
Collaborate: Shared Care ,[object Object],[object Object],[object Object],[object Object]
Empower: Citizen Juries ,[object Object],[object Object],[object Object],[object Object]
Multi-methods : Immunisation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Task : Type II Diabetes prevention ,[object Object],[object Object],[object Object]

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Communication in health and Public Participation

  • 1. Communication in Health & Public Participation Louise Miller Frost University of SA October 2006
  • 2. NGOs politicians Consumer Groups SA Dept Health Emergency Services Federal DoHA Accreditat’n Boards Private Hosps GPs Unions media Drug Companies Professional Colleges Divs of GPs SA Ministers Fed Ministers Private providers Non-clinical staff specialists community Clinical staff Health
  • 3. Policy Environment COAG Federal Parliament & Ministers Dept of Health & Ageing SA Parliament & Ministers Dept of Health Social Inclusion Unit Mental Health Unit Health Regions
  • 4.
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  • 6. Levels of criteria for evaluating public relations objectives. Figure 4.1, p51, Quarles and Rowlings, Practising Public Relations a Case study approach, Longman, 1993, Australia
  • 7. NSW Centre for Public Health Nutrition. Report of the Consumption of Vegetables and Fruit in NSW 2003. Adapted from Hawe et al 1990. Health Promotion Planning Framework
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  • 15. Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. American Journal of Preventive Medicine 1998;15(4):379-397.
  • 16. Organisational culture – a change barrier Carroll, J S et al. Qual Saf Health Care 2004;13:ii16-21ii Copyright ©2004 BMJ Publishing Group Ltd.
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Notes de l'éditeur

  1. Health is a very complex environment with many players. Each of these organisations or sectors is made up of many parts, for instance community includes Aboriginal and Torres Strait Islander people, CALD communities, rural and urban, churches, schools, etc. Then if we are looking at specific issues, other sectors come in: Workforce – includes education and higher education sectors Planning for a new facility brings in relevant departments such as planning, finance etc as well as local government, and the community as potential neighbours of the facility. IT related includes National E-Health Transition Authority, software and hardware vendors, Privacy Watchdog Probably most of you could draw a similarly complex playing field for your industries as well, but I think it is important to keep this level of complexity in mind when considering communications in the health sector. Everyone has an opinion on health, it affects all of us, it is very emotive and often involves drama so the media are also very interested.
  2. Health promotion includes trying to change people’s behaviours, increasing public awareness and covers areas such as social marketing which includes advertising and promotional campaigns you may see for cervix screening, breastscreen, five veg and two fruit etc
  3. Project or activity evaluation v. outcome evaluation NB. Project evaluation is often cheaper and easier to measure Outcome evaluation is difficult, time consuming and costly and given how difficult it is to implement change, may not be a powerful argument is (for instance) funding is riding on the results. Usually opt for a mix of both.
  4. Also we tend to use a carrot and/or stick approach to change people’s behaviours, when in actual fact people and their life circumstances are too complicated for simplistic change management
  5. I would also add, only if they feel the negative aspects of the disease or ocndition are relevant to them
  6. And internally, people’s attitudes and resistance to change also hinders
  7. IAP2 handout