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Sara Shaw

Biographic Data

ID131910
NAMESara Shaw
GIVEN NAMESSara
FAMILY NAMEShaw
SIGNATURESHAW S
AFFILIATIONSUniversity of Oxford
ORCID0000-0002-7014-4793
VERIFIEDYes
TOTAL WORKS43
TOTAL CITATIONS126
AUTHOR COUNT42
EDITOR COUNT1
FIRST PUBLICATION YEAR2004
LATEST PUBLICATION YEAR2026
H-INDEX6
  • Studying interactional organisation in remote group clinics: Qualitative study using linguistic ethnography

    Open Access•Lucas M Seuren, Jackie Van Dael et al.•ARTICLE•SSM - Qualitative Research in…•2026

    Since the COVID-19 pandemic there has been increased emphasis on remote provision of healthcare, including innovative models such as remote group clinics. These video or hybrid clinics combine clinical review, peer discussion and education, with (most) patients joining collectively via videoconferencing rather than in individual consultations. This study uses linguistic ethnography to examine how interaction is organised within remote group clini…

  • Choreographing Triage: Making Patient Requests ‘Flow’ Through Digitally Enabled Systems of Access and Decision‐Making in NHS Primary Care

    Open Access•N F Brenman, Sophie Spitters et al.•ARTICLE•Sociology of Health & Illness•2026

    This paper explores the altered landscape of primary care following the accelerated process of implementing digitally enabled triage across UK general practice in response to COVID‐19. Traditional understandings of triage are based on a static ‘pile sorting’ logic, which suggests that triage outcomes depend upon a single decision in time and space. With the introduction of remote, asynchronous and distributed decision‐making, triage needs a more …

  • Remote Access to Primary Care: Theorising ‘Care Navigation’

    Open Access•Gemma Hughes, Sarah Rybczynska‐bunt et al.•ARTICLE•Sociology of Health & Illness•2026

    The use of digital technology to facilitate remote access to care can increase inequalities, especially for people with complex health and social care needs. Care navigation, human input to support access, is one potential solution. We aimed to understand how care navigation is practised in the context of increasing remote access in primary care in the United Kingdom. We used the concepts of social navigation and infrastructure to analyse empiric…

  • Choosing wisely? A frame analysis of the evolution and adoption of shared decision making in the UK

    Open Access•Gemma Hughes, Sara Shaw et al.•ARTICLE•SSM - Qualitative Research in…•2025

    Shared decision making is an ethical way to engage patients in treatment decisions. • Shared decision making is both means (to a wise choice) and end (choosing wisely). • Shared decision making has been shaped by changing social norms. • The immediate clinical context can impede the process of shared decision making. • Shared decision making can be skewed by health system priorities

  • Experiential caring and the mobilisation of peerhood in group clinics

    Open Access•Jackie Van Dael, Sara Shaw et al.•ARTICLE•Social Science & Medicine•2025•References: 30

    The concept of 'peer support' has generated much interest in mainstream health services. In policy discourse, peer-based initiatives are often described as 'empowering' and seen as contributing to more 'democratic' and 'holistic' forms of care. Focusing on group clinics as one such example, this article challenges the assumption that peer-based initiatives represent a straightforward and unequivocal 'good' when embedded in clinical care. We draw …

  • Clinical context and communication in shared decision-making about major surgery: Findings from a qualitative study with colorectal, orthopaedic and cardiac patients

    Open Access•Gemma Hughes, Timothy J Stephens et al.•ARTICLE•Health An Interdisciplinary…•2025•References: 50

    Increasing numbers of older people undergo major surgery in the United Kingdom (UK), with many at high risk of complications due to age, co-morbidities or frailty. This article reports on a study of such patients and their clinicians engaged in shared decision-making. Shared decision-making is a collaborative approach that seeks to value and centre patients' preferences, potentially addressing asymmetries of knowledge and power between clinicians…

  • Communication in Telehealth: A State-of-the-Art Literature Review of Conversation-Analytic Research

    Open Access•Lucas M Seuren, Sakari Ilomäki et al.•ARTICLE•Research on Language and Social…•2024

    We provide a state-of-the-art review of research on conversation analysis and telehealth. We conducted a systematic review of the literature, focusing on studies that investigate how technology is procedurally consequential for the interaction. We discerned three key topics: the interactional organization, the therapeutic relationship, and the clinical activities of the encounter. The literature on telehealth is highly heterogeneous, with signifi…

  • Perceptions of impure innovation: Health professionals' experiences and management of stigmatization when working as digital innovators

    Open Access•Meredith J Gill, Bernard D Naughton et al.•ARTICLE•Social Science & Medicine•2024•Cited by: 2•References: 54

    The healthcare sector has increasingly adopted digital innovations. Nonetheless, medical professionals have also resisted a variety of digital innovations. While the range of factors driving such resistance to innovation are well documented, less clear is how such resistance is experienced and managed by professionals attempting to innovate. We conducted a qualitative study of English and German 'dual-role' professionals, who worked both as clini…

  • The reflexive imperative in the digital age: Using Archer's 'fractured reflexivity' to theorise widening inequities in UK general practice

    Open Access•Sarah Rybczynska‐bunt, Richard Byng et al.•ARTICLE•Sociology of Health & Illness•2024•Cited by: 1•References: 4

    Reflexivity', as used by Margaret Archer, means creative self-mastery that enables individuals to evaluate their social situation and act purposively within it. People with complex health and social needs may be less able to reflect on their predicament and act to address it. Reflexivity is imperative in complex and changing social situations. The substantial widening of health inequities since the introduction of remote and digital modalities in…

  • When the visible body is no longer the seer: The phenomenology of perception and the clinical gaze in video consultations

    Open Access•Lucy Moore, Gemma Hughes et al.•ARTICLE•Sociology of Health & Illness•2024•Cited by: 3•References: 29

    Video technology enabled professionals and patients to conduct consultations during the COVID-19 pandemic when in-person health care was minimised to reduce the spread of the virus. We present findings of a study of video-consulting through in-depth qualitative remote interviews with 40 health professionals, managers, support staff and 10 patients in health-care services across the UK from 2020 to 2021. Drawing on Foucault's concept of the clinic…

  • Pharmaceutical Company Targets and Strategies to Address Climate Change: Content Analysis of Public Reports from 20 Pharmaceutical Companies

    Open Access•Amy Booth, Alexandra Jager et al.•ARTICLE•International Journal of…•2023

    The pharmaceutical industry produces a large proportion of health system greenhouse gas (GHG) emissions, contributing to climate change. This urgently needs to be addressed. We aimed to examine pharmaceutical company climate change targets, GHG emissions, and strategies to reduce them. We performed content analysis of the 20 largest pharmaceutical companies' publicly available 2020/2021 reports, focusing on extracting information on their reporte…

  • There’s So Much That Young People Need to Learn That Only the Community Can Teach Them”: A Conversation With Dr. Arnetha F. Ball

    Iesha Jackson, Arnetha F Ball et al.•ARTICLE•Multicultural Perspectives•2023•References: 10

    The current moment in schooling and socio-political contexts has prompted many educators to pause and reflect on what it might take to create a “new normal” for educating young people, particularly in underserved, urban communities. This article centers an interview with Dr. Arnetha F. Ball given her expertise in the field of teacher education, specifically with students in urban schools. We draw connections from the dialogue to existing literatu…

  • A contemporary ontology of continuity in general practice: Capturing its multiple essences in a digital age

    Open Access•Emma Ladds, Trisha Greenhalgh et al.•ARTICLE•Social Science & Medicine•2023•Cited by: 4•References: 34

  • Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients

    Open Access•Hassane Alami, P Lehoux et al.•ARTICLE•International Journal of…•2022

    Virtual care spread rapidly at the outbreak of the COVID-19 pandemic. Restricting in-person contact contributed to reducing the spread of infection and saved lives. However, the benefits of virtual care were not evenly distributed within and across social groups, and existing inequalities became exacerbated for those unable to fully access to, or benefit from virtual services. This "perspective" paper discusses the extent to which challenges in v…

  • Using Linguistic Ethnography to Study Video Consultations: A Call to Action and Future Research Agenda

    Open Access•Lucas M Seuren, Sara Shaw et al.•ARTICLE•Qualitative Health Research•2022•Cited by: 2•References: 74

    Video consultations are a rapidly growing service model, particularly in secondary care. Studies, mainly using trials and post-hoc surveys, have routinely documented that they can be a safe and effective means to deliver care at a distance. While video offers new opportunities to provide health services, it also constrains how patients and clinicians can interact, raising questions about feasibility, quality, and safety-questions that cannot be a…

  • Theorising the shift to video consulting in the UK during the Covid-19 pandemic: Analysis of a mixed methods study using practice theory

    Open Access•Gemma Hughes, Lucy Moore et al.•ARTICLE•Social Science & Medicine•2022•Cited by: 4•References: 16

    We studied video consulting in the National Health Service during 2020-2021 through video interviews, an online survey and online discussions with people who had provided and participated in such consultations. Video consulting had previously been used for selected groups in limited settings in the UK. The pandemic created a seismic shift in the context for remote consulting, in which video transformed from a niche technology typically introduced…

  • Why doesn't integrated care work? Using Strong Structuration Theory to explain the limitations of an English case

    Open Access•Gemma Hughes, Sara Shaw et al.•ARTICLE•Sociology of Health & Illness•2022•Cited by: 9•References: 9

    Integrated care is an aim and a method for organising health and care services, particularly for older people and those with chronic conditions. Policy expects that integrated care programmes will provide person-centred coordinated care which will improve patient or client experience, enable population health, prevent hospital admissions and thereby reduce costs. However, empirical evaluations of integrated care interventions have shown disappoin…

  • Interrogating the promise of technology in epilepsy care: Systematic, hermeneutic review

    Open Access•Chrysanthi Papoutsi, Christian D E Collins et al.•ARTICLE•Sociology of Health & Illness•2021

    Technology development is gathering pace in epilepsy with seizure detection devices promising to transform self‐care and service provision. However, such accounts often neglect the uncertainties, displacements and responsibilities that technology‐supported care generates. This review brings together a heterogeneous literature, identified through systematic searches in 8 databases and snowball searching, to interrogate how technology becomes posit…

  • We Need to Talk About Complexity in Health Research: Findings From a Focused Ethnography

    Open Access•Chrysanthi Papoutsi, James Shaw et al.•ARTICLE•Qualitative Health Research•2021•Cited by: 4•References: 35

    There is increasing focus on complexity-informed approaches across health disciplines. This attention takes several forms, but commonly involves framing research topics as "complex" to justify use of particular methods (e.g., qualitative). Little emphasis is placed on how divergent and convergent ways of knowing complexity become negotiated within academic communities. Drawing on findings from a focused ethnography of an international workshop, w…

  • Whose turn is it anyway? Latency and the organization of turn-taking in video-mediated interaction

    Open Access•Lucas M Seuren, Joseph Wherton et al.•ARTICLE•Journal of Pragmatics•2021•Cited by: 19•References: 43

    Latency in video-mediated interaction can frustrate smooth turn-taking: it may cause participants to perceive silence at points where talk should occur, it may cause them to talk in overlap, and it impedes their ability to return to one-speaker-at-a-time. Whilst potentially frustrating for participants, this makes video-mediated interaction a perspicuous setting for the study of social interaction: it is an environment that nurtures the occurrenc…

  • Care organising technologies and the post-phenomenology of care: An ethnographic case study

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2020•Cited by: 5•References: 32

    Care organising technologies are software applications that are intended primarily for informal carers, to help organise, document and coordinate caring work. These may be purchased privately or provided as part of state support. Take-up to date remains low. Based on empirical case studies of three such technologies and drawing on post-phenomenology and political science, we examined people's experience of caring when caring technologies find a w…

  • Liminality in practice: A case study in life sciences research

    Open Access•Megan Clinch, Sara Shaw et al.•ARTICLE•BioSocieties•2019

    Contemporary health challenges (e.g., diabetes, climate change, antimicrobial resistance) are underpinned by complex interrelationships between behavioural, cultural, social, environmental and biological processes. Current experimental systems are only partially relevant to the problems they investigate, but aspirations to embed interdisciplinary working and community engagement into life scientists’ work in response to this partiality have prove…

  • Wandering as a Sociomaterial Practice: Extending the Theorization of GPS Tracking in Cognitive Impairment

    Open Access•Joseph Wherton, Trisha Greenhalgh et al.•ARTICLE•Qualitative Health Research•2019•Cited by: 3•References: 50

    Electronic tracking through global positioning systems (GPSs) is used to monitor people with cognitive impairment who "wander" outside the home. This ethnographic study explored how GPS-monitored wandering was experienced by individuals, lay carers, and professional staff. Seven in-depth case studies revealed that wandering was often an enjoyable and worthwhile activity and helped deal with uncertainty and threats to identity. In what were typica…

  • Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies

    Open Access•Trisha Greenhalgh, Joseph Wherton et al.•ARTICLE•Journal of Medical Internet…•2017

    BACKGROUND: Many promising technological innovations in health and social care are characterized by nonadoption or abandonment by individuals or by failed attempts to scale up locally, spread distantly, or sustain the innovation long term at the organization or system level. OBJECTIVE: Our objective was to produce an evidence-based, theory-informed, and pragmatic framework to help predict and evaluate the success of a technology-supported health …

  • Linguistic Ethnography: Interdisciplinary Explorations

    Fiona Copland, Julia Snell et al.•BOOK•Linguistic Ethnography•2016

Next
  • What's in a care pathway? Towards a cultural cartography of the new NHS

    Open Access•Ruth Pinder, Roland Petchey et al.•ARTICLE•Sociology of Health & Illness•2005•Cited by: 27•References: 14

    Maps are increasingly understood as socio-cultural and political constructs, rather than mirrors of nature. Drawing on the insights of cultural cartographers, this paper presents a critical analysis of a specific instance of map-making in health policy, namely the growing use of care pathways in care planning and service delivery. Widely regarded to date as devices for ensuring quality of care, equity of treatment, optimal resource allocation and…

  • Whose turn is it anyway? Latency and the organization of turn-taking in video-mediated interaction

    Open Access•Lucas M Seuren, Joseph Wherton et al.•ARTICLE•Journal of Pragmatics•2021•Cited by: 19•References: 43

    Latency in video-mediated interaction can frustrate smooth turn-taking: it may cause participants to perceive silence at points where talk should occur, it may cause them to talk in overlap, and it impedes their ability to return to one-speaker-at-a-time. Whilst potentially frustrating for participants, this makes video-mediated interaction a perspicuous setting for the study of social interaction: it is an environment that nurtures the occurrenc…

  • Best research - For what? Best health - For whom? A critical exploration of primary care research using discourse analysis

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2008•Cited by: 14•References: 13

  • Why doesn't integrated care work? Using Strong Structuration Theory to explain the limitations of an English case

    Open Access•Gemma Hughes, Sara Shaw et al.•ARTICLE•Sociology of Health & Illness•2022•Cited by: 9•References: 9

    Integrated care is an aim and a method for organising health and care services, particularly for older people and those with chronic conditions. Policy expects that integrated care programmes will provide person-centred coordinated care which will improve patient or client experience, enable population health, prevent hospital admissions and thereby reduce costs. However, empirical evaluations of integrated care interventions have shown disappoin…

  • Reaching the parts that other theories and methods can't reach: How and why a policy-as-discourse approach can inform health-related policy

    Open Access•Sara Shaw, Sara E Shaw•ARTICLE•Health An Interdisciplinary…•2010•Cited by: 7•References: 36

    This article illustrates how conceptualizing policy-as-discourse offers opportunities for those with a vested interest in policy to 'reach the parts that other theories and methods can't reach'. First, it explores the dialogical relationship between theory and method in the context of policy analysis, summarizing contemporary writing on conceptualizing and analysing policy and drawing on the work of Bacchi to describe the theoretical underpinning…

  • The view from nowhere? How think tanks work to shape health policy

    Sara Shaw, Jill Russell et al.•ARTICLE•Critical Policy Studies•2014•Cited by: 6•References: 13

    Think tanks seek to shape the business of government by offering policy expertise in a number of areas, including health care.This expertise tends to be presented as 'the view from nowhere'independent, value-neutral expertise that can inform policy.We challenge this view by examining what 'independence' means and how it is performed.We present an interpretive policy analysis of data collected from four UK-based think tanks that have sought to inf…

  • Comparative analysis of health policy implementation: The use of documentary analysis

    Sara Shaw, Julian Elston et al.•ARTICLE•Policy Studies•2004•Cited by: 6•References: 7

    Documentary analysis has been widely used in the comparative analysis of health care policy implementation in England. However, the value of the method is rarely debated, and the process whereby it is carried out rarely described in detail, or justified. Documentary analysis has obvious appeal. Documents may be the only source of data at an early stage of a policy innovation. They also present none of the problems (practical, ethical, interactive…

  • Care organising technologies and the post-phenomenology of care: An ethnographic case study

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2020•Cited by: 5•References: 32

    Care organising technologies are software applications that are intended primarily for informal carers, to help organise, document and coordinate caring work. These may be purchased privately or provided as part of state support. Take-up to date remains low. Based on empirical case studies of three such technologies and drawing on post-phenomenology and political science, we examined people's experience of caring when caring technologies find a w…

  • A contemporary ontology of continuity in general practice: Capturing its multiple essences in a digital age

    Open Access•Emma Ladds, Trisha Greenhalgh et al.•ARTICLE•Social Science & Medicine•2023•Cited by: 4•References: 34

  • Theorising the shift to video consulting in the UK during the Covid-19 pandemic: Analysis of a mixed methods study using practice theory

    Open Access•Gemma Hughes, Lucy Moore et al.•ARTICLE•Social Science & Medicine•2022•Cited by: 4•References: 16

    We studied video consulting in the National Health Service during 2020-2021 through video interviews, an online survey and online discussions with people who had provided and participated in such consultations. Video consulting had previously been used for selected groups in limited settings in the UK. The pandemic created a seismic shift in the context for remote consulting, in which video transformed from a niche technology typically introduced…

  • We Need to Talk About Complexity in Health Research: Findings From a Focused Ethnography

    Open Access•Chrysanthi Papoutsi, James Shaw et al.•ARTICLE•Qualitative Health Research•2021•Cited by: 4•References: 35

    There is increasing focus on complexity-informed approaches across health disciplines. This attention takes several forms, but commonly involves framing research topics as "complex" to justify use of particular methods (e.g., qualitative). Little emphasis is placed on how divergent and convergent ways of knowing complexity become negotiated within academic communities. Drawing on findings from a focused ethnography of an international workshop, w…

  • When the visible body is no longer the seer: The phenomenology of perception and the clinical gaze in video consultations

    Open Access•Lucy Moore, Gemma Hughes et al.•ARTICLE•Sociology of Health & Illness•2024•Cited by: 3•References: 29

    Video technology enabled professionals and patients to conduct consultations during the COVID-19 pandemic when in-person health care was minimised to reduce the spread of the virus. We present findings of a study of video-consulting through in-depth qualitative remote interviews with 40 health professionals, managers, support staff and 10 patients in health-care services across the UK from 2020 to 2021. Drawing on Foucault's concept of the clinic…

  • Wandering as a Sociomaterial Practice: Extending the Theorization of GPS Tracking in Cognitive Impairment

    Open Access•Joseph Wherton, Trisha Greenhalgh et al.•ARTICLE•Qualitative Health Research•2019•Cited by: 3•References: 50

    Electronic tracking through global positioning systems (GPSs) is used to monitor people with cognitive impairment who "wander" outside the home. This ethnographic study explored how GPS-monitored wandering was experienced by individuals, lay carers, and professional staff. Seven in-depth case studies revealed that wandering was often an enjoyable and worthwhile activity and helped deal with uncertainty and threats to identity. In what were typica…

  • Thinking about think tanks in health care: A Call for a New Research Agenda

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Sociology of Health & Illness•2014•Cited by: 3•References: 35

    Little sociological attention has been given to the role of think tanks in health policy and planning. Existing work in political science and public administration tends to define and categorise think tanks and situate them as a disinterested source of policy expertise. Despite the increasingly visible presence of think tanks in the world of health care, such work has done little to reveal how they operate, by whom and to what ends. Our article s…

  • Driving out Alternative Ways of Seeing: The Significance of Neo-Liberal Policy Mechanisms for UK Primary Care Research

    Open Access•Sara Shaw, Sara E Shaw•ARTICLE•Social Theory & Health•2007•Cited by: 3•References: 10

  • Perceptions of impure innovation: Health professionals' experiences and management of stigmatization when working as digital innovators

    Open Access•Meredith J Gill, Bernard D Naughton et al.•ARTICLE•Social Science & Medicine•2024•Cited by: 2•References: 54

    The healthcare sector has increasingly adopted digital innovations. Nonetheless, medical professionals have also resisted a variety of digital innovations. While the range of factors driving such resistance to innovation are well documented, less clear is how such resistance is experienced and managed by professionals attempting to innovate. We conducted a qualitative study of English and German 'dual-role' professionals, who worked both as clini…

  • Using Linguistic Ethnography to Study Video Consultations: A Call to Action and Future Research Agenda

    Open Access•Lucas M Seuren, Sara Shaw et al.•ARTICLE•Qualitative Health Research•2022•Cited by: 2•References: 74

    Video consultations are a rapidly growing service model, particularly in secondary care. Studies, mainly using trials and post-hoc surveys, have routinely documented that they can be a safe and effective means to deliver care at a distance. While video offers new opportunities to provide health services, it also constrains how patients and clinicians can interact, raising questions about feasibility, quality, and safety-questions that cannot be a…

  • A double-edged sword? Health research and research governance in UK primary care

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2009•Cited by: 2•References: 24

  • The reflexive imperative in the digital age: Using Archer's 'fractured reflexivity' to theorise widening inequities in UK general practice

    Open Access•Sarah Rybczynska‐bunt, Richard Byng et al.•ARTICLE•Sociology of Health & Illness•2024•Cited by: 1•References: 4

    Reflexivity', as used by Margaret Archer, means creative self-mastery that enables individuals to evaluate their social situation and act purposively within it. People with complex health and social needs may be less able to reflect on their predicament and act to address it. Reflexivity is imperative in complex and changing social situations. The substantial widening of health inequities since the introduction of remote and digital modalities in…

  • Organisational Innovation in Health Services

    Open Access•Sara Shaw•ARTICLE•Sociology of Health & Illness•2012•Cited by: 1

    Gabbay, J., Le May, A., Pope, C., Robert, G., with Bate, P. and Elston, M. Organisational Innovation in Health Services . Bristol : Policy Press , 2011 viii + 173 pp . ISBN: 978-1-84742-478-5 . On the face of it this is a book about NHS Treatment Centres in England. Dig a little deeper and it is also a book about the way in which policy is - or perhaps isn’t - put into practice. There is, the authors say, a tendency for policymakers at the centre…

  • Flattening the National Health Service Hierarchy: The Case of Public Health

    Stephen Abbott, Jenifer Chapman et al.•ARTICLE•Policy Studies•2005•Cited by: 1•References: 9

    Recent re-structurings of the National Health Service (NHS) in England have illustrated the British government's commitment to a policy of devolving resources and responsibilities to local levels. As a result, public health teams are now located in 303 primary care trusts, and are more numerous, and much smaller, than previously. These changes have coincided with a number of other changes within public health (the introduction of an accreditation…

  • Public health capacity in the new primary care organizations: Defining a workforce that is fit for the purpose

    Open Access•Jenifer Chapman, Jenifer L Chapman et al.•ARTICLE•Critical Public Health•2004

    Recent UK government policy calls for a strong public health function within health and local authority services. The recent restructuring of the National Health Service has drastically changed the organizational structure of Public Health, and has resulted in concerns over the capacity and capabilities of the specialist public health workforce. This paper presents findings from the first phase of a study assessing the capacity and development ne…

  • Comparative analysis of health policy implementation: The use of documentary analysis

    Sara Shaw, Julian Elston et al.•ARTICLE•Policy Studies•2004•Cited by: 6•References: 7

    Documentary analysis has been widely used in the comparative analysis of health care policy implementation in England. However, the value of the method is rarely debated, and the process whereby it is carried out rarely described in detail, or justified. Documentary analysis has obvious appeal. Documents may be the only source of data at an early stage of a policy innovation. They also present none of the problems (practical, ethical, interactive…

  • Flattening the National Health Service Hierarchy: The Case of Public Health

    Stephen Abbott, Jenifer Chapman et al.•ARTICLE•Policy Studies•2005•Cited by: 1•References: 9

    Recent re-structurings of the National Health Service (NHS) in England have illustrated the British government's commitment to a policy of devolving resources and responsibilities to local levels. As a result, public health teams are now located in 303 primary care trusts, and are more numerous, and much smaller, than previously. These changes have coincided with a number of other changes within public health (the introduction of an accreditation…

  • What's in a care pathway? Towards a cultural cartography of the new NHS

    Open Access•Ruth Pinder, Roland Petchey et al.•ARTICLE•Sociology of Health & Illness•2005•Cited by: 27•References: 14

    Maps are increasingly understood as socio-cultural and political constructs, rather than mirrors of nature. Drawing on the insights of cultural cartographers, this paper presents a critical analysis of a specific instance of map-making in health policy, namely the growing use of care pathways in care planning and service delivery. Widely regarded to date as devices for ensuring quality of care, equity of treatment, optimal resource allocation and…

  • Barriers and opportunities for developing sustainable relationships for health improvement: The case of public health and primary care in the UK

    Open Access•Sara Shaw, John S Ashcroft et al.•ARTICLE•Critical Public Health•2006

    The British National Health Service has enjoined public health and primary care via a series of policy initiatives. Inter-organizational relationships provide the foundation for managing the system changes required to deliver policy, but are often taken for granted. This article reports on a study that sought to answer three key questions. First, which relationships are important for improving health? Second, what are the key areas in these relat…

  • Driving out Alternative Ways of Seeing: The Significance of Neo-Liberal Policy Mechanisms for UK Primary Care Research

    Open Access•Sara Shaw, Sara E Shaw•ARTICLE•Social Theory & Health•2007•Cited by: 3•References: 10

  • Best research - For what? Best health - For whom? A critical exploration of primary care research using discourse analysis

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2008•Cited by: 14•References: 13

  • What are the ‘success factors’ for effective integration? Lessons from international case studies

    Open Access•Rebecca Rosen, Sara Shaw•ARTICLE•International Journal of…•2009

    Purpose: To describe key success factors, derived from literature review and international case studies that enable effective integration between clinicians, teams and organizations Theory: Effective integration is dependent on consideration of diverse factors operating at macro, meso and micro levels of health care

  • A double-edged sword? Health research and research governance in UK primary care

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2009•Cited by: 2•References: 24

  • Shaping the future of integrated care: What can we learn from history

    Open Access•Bruce Rumbold, Sara Shaw•ARTICLE•International Journal of…•2010

    The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)

  • Reaching the parts that other theories and methods can't reach: How and why a policy-as-discourse approach can inform health-related policy

    Open Access•Sara Shaw, Sara E Shaw•ARTICLE•Health An Interdisciplinary…•2010•Cited by: 7•References: 36

    This article illustrates how conceptualizing policy-as-discourse offers opportunities for those with a vested interest in policy to 'reach the parts that other theories and methods can't reach'. First, it explores the dialogical relationship between theory and method in the context of policy analysis, summarizing contemporary writing on conceptualizing and analysing policy and drawing on the work of Bacchi to describe the theoretical underpinning…

  • PS17 Commissioning Care for People with Long Term Conditions

    AM Porter, Porter Am et al.•ARTICLE•Journal of Epidemiology and…•2012

    Background The landscape of health care commissioning is being reshaped in England, as clinical commissioning groups prepare to take on the role now held by Primary Care Trusts (PCTs). Long term conditions are likely to remain a priority area, with concerns about increasing prevalence driving a shift towards care delivered in the community and early intervention to avoid hospitalisation. We report on a NIHR-funded study which used action research…

  • Organisational Innovation in Health Services

    Open Access•Sara Shaw•ARTICLE•Sociology of Health & Illness•2012•Cited by: 1

    Gabbay, J., Le May, A., Pope, C., Robert, G., with Bate, P. and Elston, M. Organisational Innovation in Health Services . Bristol : Policy Press , 2011 viii + 173 pp . ISBN: 978-1-84742-478-5 . On the face of it this is a book about NHS Treatment Centres in England. Dig a little deeper and it is also a book about the way in which policy is - or perhaps isn’t - put into practice. There is, the authors say, a tendency for policymakers at the centre…

  • The view from nowhere? How think tanks work to shape health policy

    Sara Shaw, Jill Russell et al.•ARTICLE•Critical Policy Studies•2014•Cited by: 6•References: 13

    Think tanks seek to shape the business of government by offering policy expertise in a number of areas, including health care.This expertise tends to be presented as 'the view from nowhere'independent, value-neutral expertise that can inform policy.We challenge this view by examining what 'independence' means and how it is performed.We present an interpretive policy analysis of data collected from four UK-based think tanks that have sought to inf…

  • Thinking about think tanks in health care: A Call for a New Research Agenda

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Sociology of Health & Illness•2014•Cited by: 3•References: 35

    Little sociological attention has been given to the role of think tanks in health policy and planning. Existing work in political science and public administration tends to define and categorise think tanks and situate them as a disinterested source of policy expertise. Despite the increasingly visible presence of think tanks in the world of health care, such work has done little to reveal how they operate, by whom and to what ends. Our article s…

  • Linguistic Ethnography

    Open Access•Julia Snell, Sara Shaw et al.•BOOK•Linguistic Ethnography•2015

    The collection demonstrates the ways in which established traditions and scholars have come together under the umbrella of linguistic ethnography to explore important questions about how language and

  • Linguistic Ethnography: Collecting, Analysing and Presenting Data

    Fiona Copland, Angela Creese et al.•BOOK•Linguistic Ethnography•2015

    This is an engaging interdisciplinary guide to the unique role of language within ethnography The book provides a philosophical overview of the field alongside practical support for designing and developing your own ethnographic research. It demonstrates how to build and develop arguments and engages with practical issues such as ethics, transcription and impact. There are chapter long case studies based on real research that will explain key the…

  • Linguistic Ethnography: Interdisciplinary Explorations

    Fiona Copland, Julia Snell et al.•BOOK•Linguistic Ethnography•2016

  • Achieving Research Impact Through Co‐creation in Community‐Based Health Services: Literature Review and Case Study

    Open Access•Trisha Greenhalgh, Claire Jackson et al.•ARTICLE•Milbank Quarterly•2016

    POLICY POINTS: Co-creation-collaborative knowledge generation by academics working alongside other stakeholders-is an increasingly popular approach to aligning research and service development. It has potential for "moving beyond the ivory towers" to deliver significant societal impact via dynamic, locally adaptive community-academic partnerships. Principles of successful co-creation include a systems perspective, a creative approach to research …

  • Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies

    Open Access•Trisha Greenhalgh, Joseph Wherton et al.•ARTICLE•Journal of Medical Internet…•2017

    BACKGROUND: Many promising technological innovations in health and social care are characterized by nonadoption or abandonment by individuals or by failed attempts to scale up locally, spread distantly, or sustain the innovation long term at the organization or system level. OBJECTIVE: Our objective was to produce an evidence-based, theory-informed, and pragmatic framework to help predict and evaluate the success of a technology-supported health …

  • Liminality in practice: A case study in life sciences research

    Open Access•Megan Clinch, Sara Shaw et al.•ARTICLE•BioSocieties•2019

    Contemporary health challenges (e.g., diabetes, climate change, antimicrobial resistance) are underpinned by complex interrelationships between behavioural, cultural, social, environmental and biological processes. Current experimental systems are only partially relevant to the problems they investigate, but aspirations to embed interdisciplinary working and community engagement into life scientists’ work in response to this partiality have prove…

  • Wandering as a Sociomaterial Practice: Extending the Theorization of GPS Tracking in Cognitive Impairment

    Open Access•Joseph Wherton, Trisha Greenhalgh et al.•ARTICLE•Qualitative Health Research•2019•Cited by: 3•References: 50

    Electronic tracking through global positioning systems (GPSs) is used to monitor people with cognitive impairment who "wander" outside the home. This ethnographic study explored how GPS-monitored wandering was experienced by individuals, lay carers, and professional staff. Seven in-depth case studies revealed that wandering was often an enjoyable and worthwhile activity and helped deal with uncertainty and threats to identity. In what were typica…

  • Care organising technologies and the post-phenomenology of care: An ethnographic case study

    Open Access•Sara Shaw, Sara E Shaw et al.•ARTICLE•Social Science & Medicine•2020•Cited by: 5•References: 32

    Care organising technologies are software applications that are intended primarily for informal carers, to help organise, document and coordinate caring work. These may be purchased privately or provided as part of state support. Take-up to date remains low. Based on empirical case studies of three such technologies and drawing on post-phenomenology and political science, we examined people's experience of caring when caring technologies find a w…

  • Interrogating the promise of technology in epilepsy care: Systematic, hermeneutic review

    Open Access•Chrysanthi Papoutsi, Christian D E Collins et al.•ARTICLE•Sociology of Health & Illness•2021

    Technology development is gathering pace in epilepsy with seizure detection devices promising to transform self‐care and service provision. However, such accounts often neglect the uncertainties, displacements and responsibilities that technology‐supported care generates. This review brings together a heterogeneous literature, identified through systematic searches in 8 databases and snowball searching, to interrogate how technology becomes posit…

  • We Need to Talk About Complexity in Health Research: Findings From a Focused Ethnography

    Open Access•Chrysanthi Papoutsi, James Shaw et al.•ARTICLE•Qualitative Health Research•2021•Cited by: 4•References: 35

    There is increasing focus on complexity-informed approaches across health disciplines. This attention takes several forms, but commonly involves framing research topics as "complex" to justify use of particular methods (e.g., qualitative). Little emphasis is placed on how divergent and convergent ways of knowing complexity become negotiated within academic communities. Drawing on findings from a focused ethnography of an international workshop, w…

Sociology (27 works) · Political science (26 works) · Health care (23 works) · Computer Science (20 works) · Public relations (20 works) · Psychology (17 works) · Medicine (15 works) · Business (13 works) · Nursing (10 works) · Law (9 works)

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