Sarah Rybczynska‐bunt
Biographic Data
| ID | 257832 |
|---|---|
| NAME | Sarah Rybczynska‐bunt |
| GIVEN NAMES | Sarah |
| FAMILY NAME | Rybczynska‐bunt |
| SIGNATURE | BUNT S R |
| AFFILIATIONS | University of Plymouth |
| ORCID | 0000-0002-4284-1081 |
| VERIFIED | Yes |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 8 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2021 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Remote Access to Primary Care
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…
Access and triage in contemporary general practice
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of acces…
Reflecting on Reflexivity in Realist Evaluation
Realist evaluation is increasingly utilised across disciplines due to the value of identifying which mechanisms may explain how, and why, particular outcomes are generated in specific contexts. In theory, realist evaluation provides a tangible way to analyse the inherent complexity in many pressing societal challenges. Realist evaluation encourages a mixed methods approach and choosing a suite of methods that are most relevant within a specific p…
The reflexive imperative in the digital age
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…
A contemporary ontology of continuity in general practice
Conducting Randomized Controlled Trials of Complex Interventions in Prisons
Randomized Controlled Trials (RCT) are the "gold standard" for measuring the effectiveness of an intervention. However, they have their limitations and are especially complex in prison settings. Several systematic reviews have highlighted some of the issues, including, institutional constraints e.g., "lock-downs," follow-ups, contamination of allocation conditions and a reliance on self-report measures. In this article, we reflect on our experien…
Virtual Care and the Inverse Care Law
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…
Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention
Judgemental rationality is infrequently referenced within discussions of Realist Evaluations. Judgemental rationality refers to researchers’ capacity to assess which, potential, meanings provide the most credible explanations. In evaluation work, rationale for analysis is provided, though rarely do we see how an evaluator made judgements between competing theories, and which theories were discarded and why. We provide a worked example of the appl…
A contemporary ontology of continuity in general practice
Reflecting on Reflexivity in Realist Evaluation
Realist evaluation is increasingly utilised across disciplines due to the value of identifying which mechanisms may explain how, and why, particular outcomes are generated in specific contexts. In theory, realist evaluation provides a tangible way to analyse the inherent complexity in many pressing societal challenges. Realist evaluation encourages a mixed methods approach and choosing a suite of methods that are most relevant within a specific p…
Access and triage in contemporary general practice
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of acces…
The reflexive imperative in the digital age
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…
Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention
Judgemental rationality is infrequently referenced within discussions of Realist Evaluations. Judgemental rationality refers to researchers’ capacity to assess which, potential, meanings provide the most credible explanations. In evaluation work, rationale for analysis is provided, though rarely do we see how an evaluator made judgements between competing theories, and which theories were discarded and why. We provide a worked example of the appl…
Conducting Randomized Controlled Trials of Complex Interventions in Prisons
Randomized Controlled Trials (RCT) are the "gold standard" for measuring the effectiveness of an intervention. However, they have their limitations and are especially complex in prison settings. Several systematic reviews have highlighted some of the issues, including, institutional constraints e.g., "lock-downs," follow-ups, contamination of allocation conditions and a reliance on self-report measures. In this article, we reflect on our experien…
Virtual Care and the Inverse Care Law
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…
A contemporary ontology of continuity in general practice
Access and triage in contemporary general practice
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of acces…
Reflecting on Reflexivity in Realist Evaluation
Realist evaluation is increasingly utilised across disciplines due to the value of identifying which mechanisms may explain how, and why, particular outcomes are generated in specific contexts. In theory, realist evaluation provides a tangible way to analyse the inherent complexity in many pressing societal challenges. Realist evaluation encourages a mixed methods approach and choosing a suite of methods that are most relevant within a specific p…
The reflexive imperative in the digital age
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…
Remote Access to Primary Care
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…
Sociology (5 works) · Health care (4 works) · Political science (4 works) · Psychology (4 works) · Disadvantaged (3 works) · Epistemology (3 works) · Law (3 works) · Law (3 works) · Medicine (3 works) · Mobile Health and mHealth Applications (3 works)