George Dowswell
Biographic Data
| ID | 264203 |
|---|---|
| NAME | George Dowswell |
| GIVEN NAMES | George |
| FAMILY NAME | Dowswell |
| SIGNATURE | DOWSWELL G |
| AFFILIATIONS | University of Manchester |
| VERIFIED | No |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 58 |
| AUTHOR COUNT | 7 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2017 |
| H-INDEX | 4 |
Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care
The team for both sides?’ A qualitative study of change in heart failure services at three acute NHS Trusts
Heart failure (HF) is an increasingly prevalent long-term condition that affects around 900,000 people in the United Kingdom (National Institute for Health and Clinical Excellence). The study examined how HF services in the English National Health Service (NHS) were changing, focusing particularly on the primary/secondary care interface. The maintenance of continuity in care in the face of increasing demand and financial pressures on health and s…
Performance Regimes in Health Care
The Netherlands and England are near neighbours whose health care systems have much in common and whose health policy communities have also usually been well aware of what is going on in the other country. Nevertheless, for the two decades from 1982, England adopted and repeatedly redeveloped performance indicator (PI) systems in the health care field while the Netherlands virtually shunned them. A broad institutional explanation for this diverge…
Qualitative Evaluations, Combined Methods and Key Challenges
This article has a twofold agenda. First, it examines lessons from qualitative evaluative research on a community intervention in stroke rehabilitation. Second, it focuses on more general, fundamental questions in evaluation, particularly in healthcare. This involves addressing the domination of a relatively narrow range of positivist research approaches in much medical research and how this limits understanding. While in the medical field random…
The early days of primary care groups
English primary care is currently undergoing radical reform. Primary care groups (PCGs), effectively compulsory federations of general practices, came into legal existence in April 1999. This paper contains a review of general practitioners' (GPs') initial perceptions of the impact of these reforms on practice and considers the wider issue of changes in professional autonomy. A random sample of 49 GPs from two adjacent health districts in the Nor…
Partnerships, Power and the “New” Politics of Community Participation in British Health Care
Multi–sectoral approaches to health improvement in its broadest sense have entailed an emphasis by the British government upon partnership working in and around community involvement in planning processes. New service planning and delivery organizations in the health service—primary care groups and primary care trusts—thus have to ensure that public and patient involvement strategies reflect a coordinated, if not integrated, multi–sectoral approa…
Autonomy and bureaucratic accountability in primary care
Clinical autonomy has long been seen as conceptually central to the analysis of the occupational status of the medical profession, though the implications for this of recent developments in health care managerialism have been disputed by theorists. In particular, the question has arisen as to whether 'restratification', that is, the active involvement of physicians in this process, should be construed as medical élites exerting control over the r…
Autonomy and bureaucratic accountability in primary care
Clinical autonomy has long been seen as conceptually central to the analysis of the occupational status of the medical profession, though the implications for this of recent developments in health care managerialism have been disputed by theorists. In particular, the question has arisen as to whether 'restratification', that is, the active involvement of physicians in this process, should be construed as medical élites exerting control over the r…
Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care
Performance Regimes in Health Care
The Netherlands and England are near neighbours whose health care systems have much in common and whose health policy communities have also usually been well aware of what is going on in the other country. Nevertheless, for the two decades from 1982, England adopted and repeatedly redeveloped performance indicator (PI) systems in the health care field while the Netherlands virtually shunned them. A broad institutional explanation for this diverge…
Partnerships, Power and the “New” Politics of Community Participation in British Health Care
Multi–sectoral approaches to health improvement in its broadest sense have entailed an emphasis by the British government upon partnership working in and around community involvement in planning processes. New service planning and delivery organizations in the health service—primary care groups and primary care trusts—thus have to ensure that public and patient involvement strategies reflect a coordinated, if not integrated, multi–sectoral approa…
The early days of primary care groups
English primary care is currently undergoing radical reform. Primary care groups (PCGs), effectively compulsory federations of general practices, came into legal existence in April 1999. This paper contains a review of general practitioners' (GPs') initial perceptions of the impact of these reforms on practice and considers the wider issue of changes in professional autonomy. A random sample of 49 GPs from two adjacent health districts in the Nor…
The early days of primary care groups
English primary care is currently undergoing radical reform. Primary care groups (PCGs), effectively compulsory federations of general practices, came into legal existence in April 1999. This paper contains a review of general practitioners' (GPs') initial perceptions of the impact of these reforms on practice and considers the wider issue of changes in professional autonomy. A random sample of 49 GPs from two adjacent health districts in the Nor…
Partnerships, Power and the “New” Politics of Community Participation in British Health Care
Multi–sectoral approaches to health improvement in its broadest sense have entailed an emphasis by the British government upon partnership working in and around community involvement in planning processes. New service planning and delivery organizations in the health service—primary care groups and primary care trusts—thus have to ensure that public and patient involvement strategies reflect a coordinated, if not integrated, multi–sectoral approa…
Autonomy and bureaucratic accountability in primary care
Clinical autonomy has long been seen as conceptually central to the analysis of the occupational status of the medical profession, though the implications for this of recent developments in health care managerialism have been disputed by theorists. In particular, the question has arisen as to whether 'restratification', that is, the active involvement of physicians in this process, should be construed as medical élites exerting control over the r…
Qualitative Evaluations, Combined Methods and Key Challenges
This article has a twofold agenda. First, it examines lessons from qualitative evaluative research on a community intervention in stroke rehabilitation. Second, it focuses on more general, fundamental questions in evaluation, particularly in healthcare. This involves addressing the domination of a relatively narrow range of positivist research approaches in much medical research and how this limits understanding. While in the medical field random…
Performance Regimes in Health Care
The Netherlands and England are near neighbours whose health care systems have much in common and whose health policy communities have also usually been well aware of what is going on in the other country. Nevertheless, for the two decades from 1982, England adopted and repeatedly redeveloped performance indicator (PI) systems in the health care field while the Netherlands virtually shunned them. A broad institutional explanation for this diverge…
The team for both sides?’ A qualitative study of change in heart failure services at three acute NHS Trusts
Heart failure (HF) is an increasingly prevalent long-term condition that affects around 900,000 people in the United Kingdom (National Institute for Health and Clinical Excellence). The study examined how HF services in the English National Health Service (NHS) were changing, focusing particularly on the primary/secondary care interface. The maintenance of continuity in care in the face of increasing demand and financial pressures on health and s…
Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care
Political science (6 works) · Sociology (6 works) · Primary Care and Health Outcomes (5 works) · Health care (4 works) · Medicine (4 works) · Nursing (4 works) · Politics (4 works) · Public Administration (4 works) · Public relations (4 works) · Business (3 works)