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Transforming health care : the policy and politics of service reconfiguration in the UK's four health systems
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dc.contributor.author | Stewart, Ellen | |
dc.contributor.author | Greer, Scott L | |
dc.contributor.author | Ercia, Angelo | |
dc.contributor.author | Donnelly, Peter D | |
dc.date.accessioned | 2021-04-06T16:30:08Z | |
dc.date.available | 2021-04-06T16:30:08Z | |
dc.date.issued | 2020-07 | |
dc.identifier.citation | Stewart , E , Greer , S L , Ercia , A & Donnelly , P D 2020 , ' Transforming health care : the policy and politics of service reconfiguration in the UK's four health systems ' , Health Economics, Policy, and Law , vol. 15 , no. 3 , pp. 289-307 . https://doi.org/10.1017/S1744133119000148 | en |
dc.identifier.issn | 1744-1331 | |
dc.identifier.other | PURE: 273496236 | |
dc.identifier.other | PURE UUID: 3fe66cfa-99c4-4963-9971-042eafb18a55 | |
dc.identifier.other | PubMed: 30975243 | |
dc.identifier.other | PubMedCentral: PMC7525102 | |
dc.identifier.other | Scopus: 85065301748 | |
dc.identifier.other | WOS: 000544392100001 | |
dc.identifier.other | PubMed: 30975243 | |
dc.identifier.uri | https://hdl.handle.net/10023/21780 | |
dc.description.abstract | Public involvement in service change has been identified as a key facilitator of health care transformation (Foley et al., 2017) but little is known about how health policy influences whether and how organisations involve the public in change processes. This qualitative study compares policy and practice for involving the public in major service changes across the UK's four health systems (England, Northern Ireland, Wales and Scotland). We analysed policy documents, and conducted interviews with officials, stakeholders, NHS staff and public campaigners (total number of interviewees = 47). Involving the public in major service change was acknowledged as a policy challenge in all four systems. Despite ostensible similarities, there were some clear differences between the four health systems' processes for involving patients and the public in major changes to health services. The extent of central Government oversight, the prescriptiveness of Government guidance, the role for intermediary bodies and arrangements for independent scrutiny of contentious decisions all vary. We analyse how health policy in the four systems has used 'sticks' and 'sermons' to promote particular approaches, and conclude that both policy and the wider system context within which health care organisations try to effect change are significant, and understudied aspect of contemporary practice. | |
dc.format.extent | 19 | |
dc.language.iso | eng | |
dc.relation.ispartof | Health Economics, Policy, and Law | en |
dc.rights | Copyright © Cambridge University Press 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. | en |
dc.subject | Emergency medical services | en |
dc.subject | England | en |
dc.subject | Health policy | en |
dc.subject | Humans | en |
dc.subject | Politics | en |
dc.subject | Scotland | en |
dc.subject | State medicine | en |
dc.subject | United Kingdom | en |
dc.subject | Wales | en |
dc.subject | RA Public aspects of medicine | en |
dc.subject | 3rd-DAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | RA | en |
dc.title | Transforming health care : the policy and politics of service reconfiguration in the UK's four health systems | en |
dc.type | Journal article | en |
dc.description.version | Publisher PDF | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policy | en |
dc.identifier.doi | https://doi.org/10.1017/S1744133119000148 | |
dc.description.status | Peer reviewed | en |
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