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dc.contributor.authorGreer, Scott L.
dc.contributor.authorStewart, Ellen
dc.contributor.authorErcia, Angelo
dc.contributor.authorDonnelly, Peter
dc.date.accessioned2021-11-30T16:30:02Z
dc.date.available2021-11-30T16:30:02Z
dc.date.issued2021-01-01
dc.identifier276445941
dc.identifiere8c238cd-d2d7-4a63-910c-34415893cedd
dc.identifier85088269600
dc.identifier32686515
dc.identifier000550732700001
dc.identifier.citationGreer , S L , Stewart , E , Ercia , A & Donnelly , P 2021 , ' Changing health care with, for, or against the public : an empirical investigation into the place of the public in health service reconfiguration ' , Journal of Health Services Research and Policy , vol. 26 , no. 1 , pp. 12-19 . https://doi.org/10.1177/1355819620935148en
dc.identifier.issn1355-8196
dc.identifier.urihttps://hdl.handle.net/10023/24442
dc.descriptionFunding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the Health Foundation.en
dc.description.abstractObjectives: This study sought to understand the different approaches taken to involving the public in service reconfiguration in the four United Kingdom health systems. Methods: This was a multi-method study involving policy document analysis and qualitative semi-structured interviews in England, Northern Ireland, Scotland and Wales. Results: Despite the diversity of local situations, interview participants tended to use three frames within which they understood the politics of service reconfigurations: an adversarial approach which assumed conflict over scarce resources (change against the public); a communications approach which defined the problem as educating the public on the desirability of change (change for the public); and a collaborative approach which attempted to integrate the public early into discussions about the shape and nature of desirable services (change with the public). These three framings involved different levels of managerial time, energy, and resources and called on different skill sets, most notably marketing and communications for the communications approach and community engagement for the collaborative approach. Conclusions: We argue that these framings of public involvement co-exist within organisations. Health system leaders, in framing service reconfiguration as adversarial, communicative or collaborative, are deciding between conceptions of the relationship between health care organisations and their publics in ways that shape the nature of the debates that follow. Understanding the reasons why organisations adopt these frames would be a fruitful way to advance both theory and practice.
dc.format.extent8
dc.format.extent350592
dc.language.isoeng
dc.relation.ispartofJournal of Health Services Research and Policyen
dc.subjectPublic participationen
dc.subjectService reconfigurationen
dc.subjectUnited Kingdomen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectHealth Policyen
dc.subjectPublic Health, Environmental and Occupational Healthen
dc.subjectE-NDASen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subjectMCCen
dc.subject.lccRA0421en
dc.titleChanging health care with, for, or against the public : an empirical investigation into the place of the public in health service reconfigurationen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.identifier.doi10.1177/1355819620935148
dc.description.statusPeer revieweden


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