Philosophical Explorations in Geography: Notes from the Field

Jeff Malpas

Despite Immanuel Kant’s role as the pioneer of modern academic geography, the engagement by contemporary philosophers with the intellectual landscape of geography is slight. Contemporary geographers, on the other hand, seem to make frequent forays into philosophical territory, often remapping geography itself in ways that owes much to philosophical ideas and approaches. As a result, many different pathways have opened up in geography in recent years, pathways that emerge, converge, and diverge, and that have also give rise to a complex and heavily inscribed landscape. As a philosopher who often finds himself in that landscape, trying to find a way into and across the territory, I have been involved in trying to come to grips with geographer’s own mappings as well as to work out my own. Having set up my own small base camp in the geographical foothills, these brief notes from the field aim to identify some of the landmarks that seem to me to make geography so important a landscape for contemporary thinking, but also to show why many of geography’s own mappings of that landscape, especially when they draw on the previous working of philosophers, seem often to go awry. 

Indigenous Knowledge in Climate Adaptation: Examining the Resettlement of Coastal Communities on the Periphery

Associate Professor Janelle Knox-Hayes

 

Examining processes of sensemaking in communities coping with land loss, changes in local natural resources, and increased intensity of storm events uncovers the complexities of climate adaptation in coastal communities. Vulnerabilities to climate change are often interwoven into long standing vulnerabilities for communities in relation to economic globalization. This project examines the experience of the Isle de Jean Charles band of the Biloxi-Chitimacha-Choctaw tribe in Southern Louisiana. The project works across scales, first examining the emergence and divergence of core-periphery relationships that have shaped the economy of Southern Louisiana through extractive industries. The project then assesses the converging threat of climate change and the way in which asymmetries of power have created inequalities and injustices for communities such as Isle de Jean Charles. Finally, the study evaluates asymmetries of access to processes of planning and development and suggests ways these inequities are institutionalized through regulatory practice. The study comments on the significance of cultural history and context in planning and the essentiality of value transfer in successful adaptation and resettlement.

Moving Forward with Virtual Health Care

Health care systems around the world are evolving and virtual health care is an important means for achieving this transformation.   Dr. Williams will compare the health care systems between Canada and Australia and review the health care transformation currently occurring in Ontario, Canada.   The Ontario Telemedicine Network is evolving to support the new paradigms.   New models of care are central to the transformation and their successful implementations can only be achieved with the seamless integration of traditional care and virtual care.

Telehealth – Bringing it home

Dr Ewen McPhee 1

President, Rural Doctors Association of Australia

Telehealth is seen as a solution to the delivery of care to rural and remote Australians. The implementation of a myriad of systems, processes and actions to deliver on a set of diverse outcomes has seen a rapid growth in innovation and ideas as to the scope of Telehealth enabled care. But does this enthusiasm for Telehealth translate to better outcomes? How does Telehealth and Telecare align with Patient Centred care? Can we build a virtual medical home that connects clinicians and empowers patients? The presentation reports on recent primary care policy measures in eHealth and Primary care and asks some key questions of the audience.

Making Telehealth work in a Diabetes Clinic

Dr Sheila Cook 1

1 Director of Diabetes and Endocrinology at Toowoomba Hospital

 

People living in rural areas suffer poorer health and poorer access to health care. This is particularly challenging for people with diabetes, where lifestyle changes and complex medication regimens require input and support from both the patient’s GP and specialist services. Telehealth presents ideal opportunities for specialist services in metropolitan centres to support these patients and their GP clinics to manage their diabetes with confidence. This presentation will discuss strategies that sustain a successful Telehealth service for diabetes.

Hireup, an online platform revolutionising the Australian disability sector

Poppy Malone 1

1 Community Engagement Manager, Hireup

 

There is no doubt that the world is becoming increasingly technologically dependant, with the disability sector being no exception. In this presentation you will hear about how Hireup is harnessing the power of technology to revolutionise the way Australians with disability find, hire and manage their own support workers. Hireup is proud to have built a platform that is secure and easy to use, transparent and flexible. A system that matches people with disability and support workers not just on qualification but on shared interests. Hireup believes that bringing people with disability and support workers together over their own common ground, whatever it may be, will encourage meaningful connections, enduring relationships and (ultimately) healthy communities.

For people with disability and their families, Hireup allows users to manage their own employment relationships with support workers. Unlike other online care marketplaces, Hireup takes care of administrative back end functions like tax and super payments, insurance, payroll and workplace health and safety. For support workers, Hireup is an easy way to find flexible, meaningful work.

This presentation will explore some of the life changing stories that have been brought about by Hireup and impact Hireup plans to continue to make in the sector.

https://hireup.com.au

Times, they are a-changin

Anne Cahill Lambert AM 1

1 Chair, ACT Remuneration Tribunal

 

Bob Dylan released this song in 1964 and Anne Cahill Lambert sometimes wonders if the health system is still stuck in 1964.  While the technology has leapt ahead, especially in telehealth matters, nevertheless it is still difficult for rural, regional and remote consumers to get the care they need within their own setting.  Is this because of the governance of the health system, particularly through the fee for service model, or are there other problems that make things difficult for consumers?

Tele-stress testing to help our rural colleagues

Dr Adam Scott 1

1 Director of Cardiac Sciences, Cardiac Investigations Unit, Royal Brisbane and Women’s Hospital

 

In rural hospitals there exists a significant time and cost constraint on the physicians ability to directly supervise Exercise Stress Tests (ESTs). This has resulted in significant delays in access. Low volumes of tests performed has resulted in de-skilling of staff which has caused premature cessation of the EST.

Supervision and education for these staff can be provided via telehealth during ‘live’ ESTs at the rural hospital.

The RBWH and Longreach Hospital utilised trolley-based videoconference units that can pan, tilt and 12x zoom a camera, which is remotely controlled by the RBWH clinicians to get the best angle of the patient on the treadmill or bed; it can also be used to zoom in on the operator console to provide remote assistance in the operation of the stress test. Another important feature is the ability to directly connect into the stress test unit to send a direct live image of the ECG, allowing the clinicians at the RBWH to have two screens setup; one with a live image of the patient and the other with a live image of the ECG. 2-way audio is provided via high quality microphones at both ends and allows the clinicians to provide instructions in real-time.

Tele-stress testing is an effective method of supporting rural staff to ensure patients receive a diagnostic test result, thereby avoiding patient travel to a metropolitan hospital to have the same procedure performed thus reducing travel costs, reducing waiting times and days delayed for further treatment for positive test results

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