Sharmila,
Here is a little from the report that Manchester University produced (The Hadfield Medical Centre Samina Munir , Salford Health Informatics Research Environment (Shire), University of Salford & Dr. Ruth Boaden Manchester School of Management, University of Manchester Institute of Science and Technology (UMIST))
"The practice worked with a group of registered patients in a small practice (2500 patients) to build a patient centred medical centre from 1993 to 2006." "Staff and patient volunteers at the HMC worked hard to promote and to maintain the momentum of patient participation for over seven years."
"The focus of change has been emergent change – an open-ended and continuous process of adaptation to changing conditions and circumstances. The main aspects of emergent change are discussed;"
"Organisational culture; defined as “the particular set of values, beliefs, customs and systems that are unique to that organisation”[1]. Culture is shown through the basic assumptions that people work in a team, and each person’s skill and knowledge is valued.; people are considered to be very important and valued whatever they can contribute.
[1] Burnes. B. (2000), Managing Change – A Strategic Approach to Organisational Dynamics (3rd edition), Pearson Education Limited:
Possible implications. Need for spirit of mutual respect between student and student, and appreciation of each other as people and colleagues; need for student to diagnose her own needs; joint planning of objectives to be obtained and of learning experiences to attain these; learning process also a collaborative enterprise; evaluation of learning by student.
Immediacy of application. Adults generally learn not in preparation for some distant future but in order to meet present needs. They tend therefore to learn not according to the discipline of subjects but rather according to their problem-solving needs.
Possible implications. The educator’s chance to influence the adult learner is by offering information of the kind that the learner needs to solve his or her problems. The information needed may be of many diverse kinds, will vary according to the distinctive learner. And will at best be assimilated to established ways of thinking, or modifying these, rather than replacing them.
HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data Email address: richardpeterfitton7 AT gmail.com
