Graham P Martins
Biographic Data
| ID | 1556092 |
|---|---|
| NAME | Graham P Martins |
| GIVEN NAMES | Graham P |
| FAMILY NAME | Martins |
| SIGNATURE | MARTINS G P |
| AFFILIATIONS | University of Leicester |
| ORCID | 0000-0003-1979-7577 |
| VERIFIED | Yes |
| TOTAL WORKS | 65 |
| TOTAL CITATIONS | 594 |
| AUTHOR COUNT | 65 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1960 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 15 |
An ethnographic study of diagnosis of physical illness in people with mental health conditions in the emergency department
People living with mental health conditions face reduced life expectancy, largely associated with under-diagnosed and under-treated physical illnesses. Inequalities in the way physical symptoms are diagnosed may be implicated in these outcomes, but, to date, studies have primarily understood these inequalities in terms of 'diagnostic overshadowing': the misattribution of physical symptoms to mental health conditions. In this paper, we use the can…
New forms of expertise and their implications for the system of professions in healthcare: The case of the patient safety specialist role in the English NHS
Contemporary societal shifts are disrupting established professional divisions of labour in healthcare. Some have argued that professionalism itself is being transformed, with professions characterised less by claims to exclusive jurisdiction and more by connectivity and complementarity. This article puts these arguments to the test in a domain traditionally characterised as one of professional conflict: patient safety. Informed by the sociology …
Muscling in and Making Space: Demonstrable Claims' and 'Jurisdictional Clipping' in the Reconfiguration of Professional Jurisdictions in the Surgical Care of Older People
This paper examines the micro-processes of jurisdictional change in the eco-systems of healthcare work. This qualitative study investigated the expansion of geriatrician involvement in the perioperative pathway for older people. This study shows how, in response to opposition from surgeons and anaesthetists, geriatricians developed linked strategies that involved claiming the medical needs of surgical patients, and simultaneously integrating geri…
Constraining co-creation? An ethnographic study of Healthwatch organizations in England
While the potential benefits of co-production and co-creation are widely vaunted, the degree to which they precipitate innovative change in systems varies, and influences on their impact demand greater attention.We present an ethnographic study of organizations intended to foster co-creation in English health and social care.Comparing five cases, we find demonstrable activity and some tangible impacts.At the same time, the positioning of these or…
De bon·ne·s pasteur·e·s ? Le rôle des gestionnaires-médecins « hybrides » au sein d'une gouvernance en pleine évolution
On assiste de plus en plus, dans le secteur de la gouvernance des activités professionnelles, au recrutement délibéré de professionnel·le·s pour pourvoir des postes de direction ou de gestion « hybrides ». Il reste à savoir si, du point de vue de l'organisation du travail des expert·e·s, ces « hybrides » servent les intérêts de leur profession ou bien ceux du gestionnariat. Cet article s'appuie sur le concept de « pouvoir pastoral » de Michel Fou…
The impacts and implications of the community face mask use during the Covid‐19 pandemic: A qualitative narrative interview study
INTRODUCTION: A range of nonpharmaceutical public health interventions has been introduced in many countries following the rapid spread of Covid-19 since 2020, including recommendations or mandates for the use of face masks or coverings in the community. While the effectiveness of face masks in reducing Covid-19 transmission has been extensively discussed, scant attention has been paid to the lived experience of those wearing face masks. METHOD: …
Undertaking risk and relational work to manage vulnerability: Acute medical patients' involvement in patient safety in the NHS
Over the last decade a wealth of studies have explored the way that patients are involved in patient safety internationally. Most begin from the premise that patients can and should take on the role of identifying and reporting safety concerns. Most give little attention, however, to the impact of the patient's health status and vulnerability on their ability to participate in their safety. Drawing on qualitative interviews with 28 acute medical …
Talking about frailty: Health professional perspectives and an ideological dilemma
Frailty is increasingly used in clinical settings to describe a physiological state resulting from a combination of age-related co-morbidities. Frailty also has a strong ‘lay’ meaning that conjures a particular way of being. Recent studies have reported how frail older people perceive the term frailty, showing that frailty is often an unwanted and resisted label. While there are many scores and measures that clinicians can use to determine frailt…
Qualitative study of candidacy and access to secondary mental health services during the Covid-19 pandemic
Candidacy, a construct describing how people's eligibility for care is negotiated between themselves and services, has received limited attention in the context of mental health care. In addition, candidacy research has only rarely studied the views of carers and health professionals. In this article, we use concepts relating to candidacy to enable a theoretically informed examination of experiences of access to secondary mental health services d…
Experiences of face mask use during the Covid-19 pandemic: A qualitative study
The use of face masks and coverings has been a central component of efforts to mitigate the impact of the COVID-19 pandemic and has been legally mandated in some countries. Most academic studies to date, however, have focussed primarily on its effectiveness in reducing SARS-CoV-2 transmission, largely neglecting the social dimensions of mask mandates. In this narrative interview-based study, we consider experiences of face masks, with a particula…
Understanding knowledge brokerage and its transformative potential: A Bourdieusian perspective
Background: Knowledge brokering is promoted as a means of enabling exchange between fields and closer collaboration across institutional boundaries. Yet examples of its success in fostering collaboration and reconfiguring boundaries remain few. Aims and objectives: We consider the introduction of a dedicated knowledge-brokering role in a partnership across healthcare research and practice, with a view to examining the interaction between knowledg…
Talking about frailty: The relationship between precarity and the fourth age in older peoples' constructions of frailty
Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service
Employee voice is an important source of organizational intelligence about possible problems in quality and patient safety, but effective systems for encouraging and supporting those who seek to speak up have remained elusive. In the English National Health Service, a novel role known as the ‘Freedom to Speak Up Guardian’ has been introduced to address this problem. We critically examine the role and its realization in practice, drawing on semi-s…
Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualitative study
Healthcare organisations' responses to concerns and complaints often fall short of the expectations of patients and staff who raise them, and substandard responses to concerns and complaints have been implicated in organisational failures. Informed by Habermas's systems theory, we offer new insights into the features of organisations' responses to concerns and complaints that give rise to these problems. We draw on a large qualitative dataset, co…
The role of the informal and formal organisation in voice about concerns in healthcare: A qualitative interview study
Frailty as biographical disruption
Biographical disruption positions the onset of chronic illness as a major life disruption in which changes to body, self and resources occur (Sociology of Health & Illness, 4, 1982, 167-182). The concept has been used widely in medical sociology. It has also been subject to critique and development by numerous scholars. In this paper, we build on recent developments of the concept, particularly those taking a phenomenological approach, to argue t…
Enabling ‘citizen voice’ in the English health and social care system: A national survey of the organizational structures, relationships and impacts of local Healthwatch in England
BACKGROUND: Local Healthwatch have been operating since 2013 as 'consumer champions' in health and social care in England. There is little evidence about how they operate and the daily practices through which they seek to represent citizen views and influence others. OBJECTIVE: To explore (a) the current organizational arrangements, relationships and impact of local Healthwatch in England, and (b) to what extent do these vary across local Healthw…
Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands
The Breakthrough Series Quality Improvement Collaborative (QIC) initiative is a well-developed and widely used approach, but most of what we know about it has come from healthcare settings. In this article, those leading QICs to improve care in care homes provide detailed accounts of six QICs and share their learning of applying the QIC approach in the care home sector. Overall, five care home-specific lessons were learnt: (i) plan for the resour…
Science, society, and policy in the face of uncertainty: Reflections on the debate around face coverings for the public during Covid-19
The COVID-19 pandemic has had enormous effects on health, wellbeing, and economies worldwide. Governments have responded with rapid and sometimes radical public health interventions. As nations grapple with the question of how to regain normality without unnecessarily endangering lives or healthcare systems, some scientists have argued for policies to encourage or compel the use of face coverings in community (non-clinical) settings, despite ackn…
Overruling uncertainty about preventative medications: The Social Organisation of Healthcare Professionals' Knowledge and Practices
In this article, we draw on an institutional ethnographic (IE) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications into consultations with patients. Our aim is to explicate, using IE's theoretical ontology and analytical tools, how troubling patient experiences in this clinical context are coordinated institutionally. We focu…
Conflicting Logics of Public Relations in the English NHS: A Qualitative Study of Communications and Engagement
Since the formation of the National Health Service (NHS), all UK citizens have been entitled to access a universal health service, but radical changes to the NHS are now occurring. Although recent NHS policy claims that 'the NHS belongs to us all' and 'the NHS is a social movement', these collectivist rhetorical claims appear when such communitarian discourse is under threat, as NHS's Five Year Forward View tries to square the circle of efficienc…
Neither magic bullet nor a mere tool: Negotiating Multiple Logics of the Checklist in Healthcare Quality Improvement
Over two decades, the checklist has risen to prominence in healthcare improvement. This paper contributes to the debate between its proponents and critics, making the case for an Science and Technology Studies-informed understanding of the checklist that demonstrates the limitations of both the 'checklist-as-panacea' and 'checklist-as-socially-determined' positions. Attending to the checklist as a socio-material object endowed with affordances th…
Engagement of patients and the public in NHS sustainability and transformation: An ethnographic study
Internationally, debates are taking place about sustainable healthcare. In England, guidance on patient and public involvement (PPI) advocates ‘engagement’ and references Arnstein’s ladder of participation, but recent proposals provoked controversy around service closures and the perceived exclusion of patients and the public. This article reports an ethnography of engagement, prior to formal public consultation on plans for major service change.…
Realising governmentality: Pastoral power, governmental discourse and the (re)constitution of subjectivities
Michel Foucault's concept of governmentality has been hugely influential in sociology and other disciplinary fields. However, its application has been criticised by those who suggest it neglects agency, and gives overwhelming power to governmental discourses in constituting subjectivities, determining behaviour and reproducing social reality. Drawing on posthumously translated lecture transcripts, in this article the authors suggest that Foucault…
Optimising the community-based approach to healthcare improvement: Comparative case studies of the clinical community model in practice
Community-based approaches to healthcare improvement are receiving increasing attention. Such approaches could offer an infrastructure for efficient knowledge-sharing and a potent means of influencing behaviours, but their potential is yet to be optimised. After briefly reviewing challenges to community-based approaches, we describe in detail the clinical community model. Through exploring clinical communities in practice, we seek to identify pra…
Ordinary people only: Knowledge, Representativeness, and the Publics of Public Participation in Healthcare
Public involvement in healthcare is a prominent policy in countries across the economically developed world. A growing body of academic literature has focused on public participation, often presenting dichotomies between good and bad practice: between initiatives that offer empowerment and those constrained by consumerism, or between those which rely for recruitment on self-selecting members of the public, and those including a more broad-based, …
Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce
Representativeness, legitimacy and power in public involvement in health-service management
Place, policy and practitioners: On rehabilitation, independence and the therapeutic landscape in the changing geography of care provision to older people in the UK
Realising governmentality: Pastoral power, governmental discourse and the (re)constitution of subjectivities
Michel Foucault's concept of governmentality has been hugely influential in sociology and other disciplinary fields. However, its application has been criticised by those who suggest it neglects agency, and gives overwhelming power to governmental discourses in constituting subjectivities, determining behaviour and reproducing social reality. Drawing on posthumously translated lecture transcripts, in this article the authors suggest that Foucault…
Professional competition and modernizing the clinical workforce in the NHS
Located within a debate about changing organizational forms and new workforce roles this article provides an analysis of policy attempts to modernize the healthcare workforce. Theoretically, the article draws upon sociology of professions literature to focus upon competition within and between professions that impacts upon new roles in the NHS for doctors, designed to combine specialist and generalist knowledge and cross organizational and profes…
A critical account of the rise and spread of 'leadership: The case of UK healthcare
This paper considers the rise of 'leadership' in discourses relating to the British health service, and the application of the term to increasingly heterogeneous actors. Analysing interviews with NHS chief executives from the late 1990s, and key policy documents published since, we highlight how leadership has become a term of choice among policymakers, with positive cultural valences which previously predominant terms such as 'management' now la…
Patients as team members: Opportunities, Challenges and Paradoxes of Including Patients in Multi-Professional Healthcare Teams
Current healthcare policy emphasises the need for more collaborative, team-based approaches to providing care, and for a greater voice for service users in the management and delivery of care. Increasingly, policy encourages 'partnerships' between users and professionals so that users, too, effectively become team members. In examining this phenomenon, this paper draws on insights from the organisational-sociological literature on team work, whic…
The Third Sector, User Involvement and Public Service Reform: A Case Study in the Co‐governance of Health Service Provision
The ‘modernization’ of British public services seeks to broaden public sector governance networks, bringing the views of third sector organizations, the public and service users (among others) to the design, management and delivery of welfare. Building on previous analyses of the contradictions generated by these roles, this paper draws on longitudinal qualitative research to enunciate the challenges faced by one third-sector organization in faci…
The role of institutional entrepreneurs in reforming healthcare
Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS
In attempting to reform public services, governments worldwide have sought to effect change through policies aimed at both transforming structures of public-service provision and facilitating the agency of public servants working within these. Various obstacles have been found, however, to impede the effectiveness of such efforts. In this article, the authors examine the role of organizational networks and distributed leadership—two prominent pol…
Inclusive public participation in health: Policy, practice and theoretical contributions to promote the involvement of marginalised groups in healthcare
Beyond metrics? Utilizing 'soft intelligence' for healthcare quality and safety
Challenges, benefits and weaknesses of intermediate care: Results from five UK case study sites
The authors explore the views of practitioners and managers on the implementation of intermediate care for elderly people across England, including their perceptions of the challenges involved in its implementation, and their assessment of the main benefits and weaknesses of provision. Qualitative data were collected in five case study sites (English primary care trusts) via semistructured interviews (n = 61) and focus group discussions (n = 21) …
Professionalism Redundant, Reshaped, or Reinvigorated? Realizing the 'Third Logic' in Contemporary Health Care
Recent decades have seen the influence of the professions decline. Lately, commentators have suggested a revived role for a 'new' professionalism in ensuring and enhancing high-quality health care in systems dominated by market and managerial logics. The form this new professionalism might take, however, remains obscure. This article uses data from an ethnographic study of three English health care improvement projects to analyze the place, poten…
Between surveillance and subjectification: Professionals and the governance of quality and patient safety in English hospitals
Accounting for the `dark side' of new organizational forms: The case of healthcare professionals
Our study responds to a call for research to integrate institutional, organizational and individual levels of analysis in examining the implications for work and employment relations of new organizational forms. We empirically examine the implementation of network forms of genetics healthcare delivery that cross organizational and professional boundaries. We highlight that less powerful professional groups may find difficulty in enacting boundary…
Qualitative study of candidacy and access to secondary mental health services during the Covid-19 pandemic
Candidacy, a construct describing how people's eligibility for care is negotiated between themselves and services, has received limited attention in the context of mental health care. In addition, candidacy research has only rarely studied the views of carers and health professionals. In this article, we use concepts relating to candidacy to enable a theoretically informed examination of experiences of access to secondary mental health services d…
Frailty as biographical disruption
Biographical disruption positions the onset of chronic illness as a major life disruption in which changes to body, self and resources occur (Sociology of Health & Illness, 4, 1982, 167-182). The concept has been used widely in medical sociology. It has also been subject to critique and development by numerous scholars. In this paper, we build on recent developments of the concept, particularly those taking a phenomenological approach, to argue t…
Public deliberation in action: Emotion, inclusion and exclusion in participatory decision making
Participatory forums, in which lay citizens or users of public services contribute to the governance of public services, have proliferated in recent years. In debates about the quality and influence of such processes, there has been increasing recognition of the importance of emotional as well as rational deliberation, and criticism of the way in which the structures imposed on such forums can exclude certain participants and discourses. This pap…
Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy
Care pathways are a prominent feature of efforts to improve healthcare quality, outcomes and accountability, but sociological studies of pathways often find professional resistance to standardisation. This qualitative study examined the adoption and adaptation of a novel pathway as part of a randomised controlled trial in an unusually complex, non-linear field - emergency general surgery - by teams of surgeons and physicians in six theoretically …
Realising the transformative potential of healthcare partnerships: Insights from divergent literatures and contrasting cases in high- and low-income country contexts
Partnership is a prominent approach to delivering healthcare globally, with advocates arguing that partnership has distinctive advantages over alternatives such as hierarchies or markets. There is much debate as to whether partnerships represent a distinctive mode of coordination in practice, however. Furthermore, despite evidence from diverse settings of the challenges of putting partnerships into practice, there has been little cross-pollinatio…
Overruling uncertainty about preventative medications: The Social Organisation of Healthcare Professionals' Knowledge and Practices
In this article, we draw on an institutional ethnographic (IE) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications into consultations with patients. Our aim is to explicate, using IE's theoretical ontology and analytical tools, how troubling patient experiences in this clinical context are coordinated institutionally. We focu…
Costs and health outcomes of intermediate care: Results from five UK case study sites
The objectives of this study were to explore the costs and outcomes associated with different types of intermediate care (IC) services, and also to examine the characteristics of patients receiving such services. Five UK case studies of 'whole systems' of IC were used, with data collected on a sample of consecutive IC episodes between January 2003 and January 2004. Statistical differences in costs and outcomes associated with different IC service…
Narratives Great and Small: Neighbourhood Change, Place and Identity in Notting Hill
The area of Notting Hill in west London has been subject to much media coverage in recent years, which, along with substantial gentrification, has given rise to an image of the area as the epitome of fashionable London. This study investigates the views of those marginal to gentrification and mediated representation on their feelings about the local area, its image and their changing neighbourhoods. Many participants in the research resented some…
Stand: War Poets
writing in NLR 5, Raymond Williams proposed a solution to an old problem, “the plight of the Little Magazines”. He suggests that positive intervention (to replace jaded liberal passive lamentation) into the publishing and distribution of books and magazines is the only effective way to counter “the
Fable for Our Times
From Symbolism to Structuralism: Levi-Strauss in a Literary Tradition
A decade of educational progress in Liechtenstein: 1972?1982
Assessing the utility of an interactive electronic book for learning the Pascal programming language
Hypermedia is a broadly accepted technique to develop educational systems since its hypertext structure reflects a model of learning based on the students' semantic memory model and the use of multimedia provides interactive mechanisms that allow managing, manipulating and organizing the lessons. A hypermedia electronic book called CIPP (Curse Interactive de Programacion en Pascal) is introduced to help students learn the Pascal programming langu…
Diversity in intermediate care
This paper discusses the evolution of intermediate care (IC) and presents interim observations from a survey of providers in England being conducted as part of a national evaluation. Telephone interviews covering various issues concerning the level of provision and style of delivery have been conducted with 70 services to date. Data from these are used to discuss the progress, range and nature of IC in relation to clinician viewpoints and academi…
Human Motivation and Professional Practice: Of Knights, Knaves and Social Workers
Efforts to improve the efficiency and responsiveness of public services by harnessing the self‐interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy‐makers have sought to effect such changes has been through the “new community care” of the 1990 NHS and Community Care Act. Key to this is the concept of care management…
Narratives Great and Small: Neighbourhood Change, Place and Identity in Notting Hill
The area of Notting Hill in west London has been subject to much media coverage in recent years, which, along with substantial gentrification, has given rise to an image of the area as the epitome of fashionable London. This study investigates the views of those marginal to gentrification and mediated representation on their feelings about the local area, its image and their changing neighbourhoods. Many participants in the research resented some…
Place, policy and practitioners: On rehabilitation, independence and the therapeutic landscape in the changing geography of care provision to older people in the UK
The organisation, form and function of intermediate care services and systems in England: Results from a national survey
This paper reports the results of a postal survey of intermediate care coordinators (ICCs) on the organisation and delivery of intermediate care services for older people in England, conducted between November 2003 and May 2004. Questionnaires, which covered a range of issues with a variety of quantitative, tick-box and open-ended questions, were returned by 106 respondents, representing just over 35% of primary care trusts (PCTs). The authors di…
Religion and Spirituality Along the Suicidal Path
The inner experience of spiritual and religious feelings is an integral part of the everyday lives of many individuals. For over 100 years the role of religion as a deterrent to suicidal behavior has been studied in various disciplines. We attempt to systematize the existing literature investigating the relationship between religion/spirituality and suicide in this paper. After an overview of the attitudes of the dominant religions (e.g., Catholi…
Costs and health outcomes of intermediate care: Results from five UK case study sites
The objectives of this study were to explore the costs and outcomes associated with different types of intermediate care (IC) services, and also to examine the characteristics of patients receiving such services. Five UK case studies of 'whole systems' of IC were used, with data collected on a sample of consecutive IC episodes between January 2003 and January 2004. Statistical differences in costs and outcomes associated with different IC service…
Challenges, benefits and weaknesses of intermediate care: Results from five UK case study sites
The authors explore the views of practitioners and managers on the implementation of intermediate care for elderly people across England, including their perceptions of the challenges involved in its implementation, and their assessment of the main benefits and weaknesses of provision. Qualitative data were collected in five case study sites (English primary care trusts) via semistructured interviews (n = 61) and focus group discussions (n = 21) …
Accounting for the `dark side' of new organizational forms: The case of healthcare professionals
Our study responds to a call for research to integrate institutional, organizational and individual levels of analysis in examining the implications for work and employment relations of new organizational forms. We empirically examine the implementation of network forms of genetics healthcare delivery that cross organizational and professional boundaries. We highlight that less powerful professional groups may find difficulty in enacting boundary…
Representativeness, legitimacy and power in public involvement in health-service management
Ordinary people only: Knowledge, Representativeness, and the Publics of Public Participation in Healthcare
Public involvement in healthcare is a prominent policy in countries across the economically developed world. A growing body of academic literature has focused on public participation, often presenting dichotomies between good and bad practice: between initiatives that offer empowerment and those constrained by consumerism, or between those which rely for recruitment on self-selecting members of the public, and those including a more broad-based, …
Ordinary and effective: The Catch‐22 in managing the public voice in health care
Introduction Joseph Heller’s Catch‐22 is regularly invoked to critique the irrationality inherent in supposedly rational bureaucracy. We explore a Catch‐22 for policy concerning public involvement in English health care: you have to be ordinary to represent the community effectively, but, if you are ordinary, you cannot effectively represent your community. The nature of public participation groups Starting with community health councils, we trac…
Whose health, whose care, whose say? Some comments on public involvement in new NHS commissioning arrangements
Recent health policy in England has demanded greater involvement of patients and the public in the commissioning of health and social care services. Public involvement is seen as a means of driving up service quality, reducing health inequalities and achieving value in commissioning decisions. This paper presents a summary and analysis of the forms that public involvement in commissioning are to take, along with empirical analysis from a qualitat…
Public and User Participation in Public Service Delivery: Tensions in Policy and Practice
Social‐scientific analysis of public‐participation initiatives has proliferated in recent years. This review article discusses some key aspects of recent work. First, it analyses some of the justifications put forward for public participation, drawing attention to differences and overlaps between rationales premised on democratic representation/representativeness and those based on more technocratic ideas about the knowledge that the public can o…
Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS
In attempting to reform public services, governments worldwide have sought to effect change through policies aimed at both transforming structures of public-service provision and facilitating the agency of public servants working within these. Various obstacles have been found, however, to impede the effectiveness of such efforts. In this article, the authors examine the role of organizational networks and distributed leadership—two prominent pol…
Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce
Professional competition and modernizing the clinical workforce in the NHS
Located within a debate about changing organizational forms and new workforce roles this article provides an analysis of policy attempts to modernize the healthcare workforce. Theoretically, the article draws upon sociology of professions literature to focus upon competition within and between professions that impacts upon new roles in the NHS for doctors, designed to combine specialist and generalist knowledge and cross organizational and profes…
The challenges of evaluating large-scale, multi-partner programmes: The case of Nihr CLAHRCs
The limited extent to which research evidence is utilised in healthcare and other public services is widely acknowledged. The United Kingdom government has attempted to address this gap by funding nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). CLAHRCs aim to carry out health research, implement research findings in local healthcare organisations and build capacity across organisations for generating and using ev…
The Third Sector, User Involvement and Public Service Reform: A Case Study in the Co‐governance of Health Service Provision
The ‘modernization’ of British public services seeks to broaden public sector governance networks, bringing the views of third sector organizations, the public and service users (among others) to the design, management and delivery of welfare. Building on previous analyses of the contradictions generated by these roles, this paper draws on longitudinal qualitative research to enunciate the challenges faced by one third-sector organization in faci…
Patients as team members: Opportunities, Challenges and Paradoxes of Including Patients in Multi-Professional Healthcare Teams
Current healthcare policy emphasises the need for more collaborative, team-based approaches to providing care, and for a greater voice for service users in the management and delivery of care. Increasingly, policy encourages 'partnerships' between users and professionals so that users, too, effectively become team members. In examining this phenomenon, this paper draws on insights from the organisational-sociological literature on team work, whic…
Political science (53 works) · Public relations (42 works) · Sociology (39 works) · Health care (35 works) · Medicine (34 works) · Business (28 works) · Nursing (26 works) · Law (25 works) · Psychology (25 works) · Mental Health and Patient Involvement (20 works)