Iestyn Williams
Dados Biográficos
| ID | 3582372 |
|---|---|
| NOME | Iestyn Williams |
| PRENOMES | Iestyn |
| SOBRENOME | Williams |
| ASSINATURA | WILLIAMS I |
| AFILIAÇÕES | University of Birmingham |
| ORCID | 0000-0002-9462-9488 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 107 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 6 |
Environmentally sustainable surgical systems
Surgeons, anaesthetists, wider surgical teams and hospital managers are a large global group that has the capacity and power to play a leadership role to contribute to change. Hospitals are a good target for improvement since they are centres of communities, linking together surrounding healthcare facilities and influencing wider determinants of the environment. District and rural hospitals are good sites to start since they serve large populatio…
Priority setting in times of crises
BACKGROUND: While priority setting is recognized as critical for promoting accountability and transparency in health system planning, its role in supporting rational, equitable and fair pandemic planning and responses is less well understood. This study aims to describe how priority setting was used to support planning in the initial stage of the pandemic response in a subset of countries in the Western Pacific Region (WPR). METHODS: We purposive…
How did European countries set health priorities in response to the Covid-19 threat? A comparative document analysis of 24 pandemic preparedness plans across the Euro region
The COVID-19 pandemic has forced governments across the world to consider how to prioritise the allocation of scarce resources. There are many tools and frameworks that have been designed to assist with the challenges of priority setting in health care. The purpose of this study was to examine the extent to which formal priority setting was evident in the pandemic plans produced by countries in the World Health Organisation's EURO region, during …
A matter of (good) faith? Understanding the interplay of power and the moral agency of managers in healthcare service reconfiguration
Previous studies of service reconfiguration in healthcare have explored the influence of power on processes and outcomes. However, in these accounts the moral agency of managers is often underemphasised. This paper draws on the theoretical tools provided by the sociology of morality to help deepen understanding of the interaction between power and moral agency in service reconfiguration in healthcare. It presents results from a qualitative study …
‘Localism and intimacy, and… other rather imponderable reasons of that sort’
Debates over the value and contribution of community hospitals are hampered by a lack of empirical assessment of the experience of patients using these services. This paper presents findings from a study which included a focus on patient and family-carer experiences of community hospitals in England. We adopted a qualitative design involving nine case study hospitals. Data collection included interviews with patients (n = 60), carers (n = 28) and…
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
Women's Experience of Depressive Symptoms While Working From Home During the Covid-19 Pandemic
The COVID-19 pandemic led to significant changes in workplace practices as social distancing requirements meant that people were asked to work from home where possible to avoid unnecessary contact. Concerns have been raised about the effects of the pandemic on mental health and, in particular, the effects of social distancing on employed women's mental health. In this study, we explore the experiences of working women during the initial stages of…
Priority setting during the Covid-19 pandemic
Development of vaccines is a major breakthrough in the fight against the SARS-CoV-2 virus. Much attention has been paid to how to prioritise between patient groups for vaccination and how to ensure equity, especially in low-income countries, but there are other important decisions that need to be made. These decisions include: (a) choosing between the various vaccines that will become available, (b) continuing to invest in other aspects of the CO…
Is spurious penicillin allergy a major public health concern only in high-income countries
Inaccurate penicillin allergy labels (PALs) are a major public health problem in high-income countries and has been linked to antimicrobial resistance (AMR) and huge healthcare costs. Data regarding epidemiology of PALs and its potential association with AMR is sparse in low-income countries (LICs), low-middle-income countries (LMICs) and upper-middle-income countries (UMICs). There are no established drug allergy labelling and delabelling pathwa…
Is the end in sight? A study of how and why services are decommissioned in the English National Health Service
The decommissioning of a health-care service is invariably a highly complex and contentious process which faces many implementation challenges. There has been little specific theorisation of this phenomena, although insights can be transferred from wider literatures on policy implementation and change processes. In this paper, we present findings from empirical case studies of three decommissioning processes initiated in the English National Heal…
Use of Economic Evidence When Prioritising Public Health Interventions in Schools
Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from school…
Reports of rationing from the neglected realm of capital investment
Health systems around the world face financial pressures that can affect sustainability and patient outcomes, and there is a vast literature devoted to the allocation of scarce health care resources. Capital spending - for example on estates, equipment and information technology - is an important but often neglected area of this literature. This study explores the constraints on the allocation of capital budgets in health care, before addressing …
Doing More with Less in Health Care
In the context of an austere financial climate, local health care budget holders are increasingly expected to make and enact decisions to decommission (reduce or stop providing) services. However, little is currently known about the experiences of those seeking to decommission. This paper presents the first national study of decommissioning in the English National Health Service drawing on multiple methods, including: an interview-based review of…
Going It Alone or Playing to the Crowd? A Critique of Individual Budgets and the Personalisation of Health Care in the English National Health Service
The introduction of individual budgets into English health care is a recent example of the pervasive drive towards personalisation in welfare sector organisation and delivery. As a heavily centralised and highly bureaucratic institution, the National Health Service (NHS) is an obvious target for personalisation. On the other hand, as a symbol of solidarity and nationhood it retains a powerful place within the collective psyche, such that radical …
A politics of priority setting
Across a range of health care systems there is a responsibility placed on meso-level budget holders to set priorities and allocate resources within constrained budgets. The literature suggests that these organizations have typically defaulted to historical and/or political processes for decision making. Whilst the literature on resource allocation in health care attests to the political nature of decision making, this has remained largely under-t…
Institutions, cost-effectiveness analysis and healthcare rationing
Agencies designed to inform the distribution of public resources between competing healthcare programmes are now commonplace across the developed world. While costeffectiveness analysis (CEA) has become integral to prescriptions for such decisions, its influence in practice remains modest especially at local decision-making levels. Explanations focus on evidence and interests and therefore overlook the role played by institutions in determining t…
Priority-setting and rationing in healthcare
Social Care Management, Strategy and Business Planning
Professional Discretion in Welfare Services
Appraising Public Value
Despite the increasing popularity of the concept of ‘public value’ within both academic and practice settings, there has to date been no formal review of the literature on its provenance, empirical basis, and application. This paper seeks to fill this gap. It provides a critical introduction to public value and its conceptual development before presenting the main elements of the published literature. Following this, a series of key areas of disa…
Can knowledge management enhance technology adoption in healthcare? A review of the literature
The rate of adoption of new technologies into healthcare systems is considered to be slower than in other settings. A range of knowledge-based facilitators of adoption exist, including: technology specification and assessment; dissemination tools (including electronic decision support tools); networks and facilitated interaction; and skills and leadership development. A review of the evidence relating to each of these is reported in this paper. T…
Making ‘what works’ work
Decision-makers in UK health and social care are routinely asked to draw on evidence of ‘what works’ when designing services and changing practice. However, this paper argues that too much focus to date has been placed on a narrow definition of what constitutes valid ‘evidence’ (and one that privileges particular approaches and voices over others) and a simplistic conception of the decision-making function. As a result, policy and practice have t…
What is Social Policy? Understanding the Welfare State
Offender health and social care
The involvement of health and social care agencies in crime reduction partnerships remains key to government strategy despite a growing awareness of the equivocal outcomes of inter-agency working in other settings. This paper reports findings from a literature review designed to assess the extent to which existing crime reduction partnerships have been able to overcome the barriers to joint working. The review focuses in particular on Drug (and A…
Social Policy
Appraising Public Value
Despite the increasing popularity of the concept of ‘public value’ within both academic and practice settings, there has to date been no formal review of the literature on its provenance, empirical basis, and application. This paper seeks to fill this gap. It provides a critical introduction to public value and its conceptual development before presenting the main elements of the published literature. Following this, a series of key areas of disa…
Priority-setting and rationing in healthcare
Going It Alone or Playing to the Crowd? A Critique of Individual Budgets and the Personalisation of Health Care in the English National Health Service
The introduction of individual budgets into English health care is a recent example of the pervasive drive towards personalisation in welfare sector organisation and delivery. As a heavily centralised and highly bureaucratic institution, the National Health Service (NHS) is an obvious target for personalisation. On the other hand, as a symbol of solidarity and nationhood it retains a powerful place within the collective psyche, such that radical …
Social Policy
Making ‘what works’ work
Decision-makers in UK health and social care are routinely asked to draw on evidence of ‘what works’ when designing services and changing practice. However, this paper argues that too much focus to date has been placed on a narrow definition of what constitutes valid ‘evidence’ (and one that privileges particular approaches and voices over others) and a simplistic conception of the decision-making function. As a result, policy and practice have t…
Cost-effectiveness analysis and formulary decision making in England
A politics of priority setting
Across a range of health care systems there is a responsibility placed on meso-level budget holders to set priorities and allocate resources within constrained budgets. The literature suggests that these organizations have typically defaulted to historical and/or political processes for decision making. Whilst the literature on resource allocation in health care attests to the political nature of decision making, this has remained largely under-t…
Professional Discretion in Welfare Services
Institutions, cost-effectiveness analysis and healthcare rationing
Agencies designed to inform the distribution of public resources between competing healthcare programmes are now commonplace across the developed world. While costeffectiveness analysis (CEA) has become integral to prescriptions for such decisions, its influence in practice remains modest especially at local decision-making levels. Explanations focus on evidence and interests and therefore overlook the role played by institutions in determining t…
What is Social Policy? Understanding the Welfare State
Doing More with Less in Health Care
In the context of an austere financial climate, local health care budget holders are increasingly expected to make and enact decisions to decommission (reduce or stop providing) services. However, little is currently known about the experiences of those seeking to decommission. This paper presents the first national study of decommissioning in the English National Health Service drawing on multiple methods, including: an interview-based review of…
Women's Experience of Depressive Symptoms While Working From Home During the Covid-19 Pandemic
The COVID-19 pandemic led to significant changes in workplace practices as social distancing requirements meant that people were asked to work from home where possible to avoid unnecessary contact. Concerns have been raised about the effects of the pandemic on mental health and, in particular, the effects of social distancing on employed women's mental health. In this study, we explore the experiences of working women during the initial stages of…
Is the end in sight? A study of how and why services are decommissioned in the English National Health Service
The decommissioning of a health-care service is invariably a highly complex and contentious process which faces many implementation challenges. There has been little specific theorisation of this phenomena, although insights can be transferred from wider literatures on policy implementation and change processes. In this paper, we present findings from empirical case studies of three decommissioning processes initiated in the English National Heal…
Reports of rationing from the neglected realm of capital investment
Health systems around the world face financial pressures that can affect sustainability and patient outcomes, and there is a vast literature devoted to the allocation of scarce health care resources. Capital spending - for example on estates, equipment and information technology - is an important but often neglected area of this literature. This study explores the constraints on the allocation of capital budgets in health care, before addressing …
The role of general competition policy standards in utility settings
Cost-effectiveness analysis and formulary decision making in England
Offender health and social care
The involvement of health and social care agencies in crime reduction partnerships remains key to government strategy despite a growing awareness of the equivocal outcomes of inter-agency working in other settings. This paper reports findings from a literature review designed to assess the extent to which existing crime reduction partnerships have been able to overcome the barriers to joint working. The review focuses in particular on Drug (and A…
Social Policy
Can knowledge management enhance technology adoption in healthcare? A review of the literature
The rate of adoption of new technologies into healthcare systems is considered to be slower than in other settings. A range of knowledge-based facilitators of adoption exist, including: technology specification and assessment; dissemination tools (including electronic decision support tools); networks and facilitated interaction; and skills and leadership development. A review of the evidence relating to each of these is reported in this paper. T…
Making ‘what works’ work
Decision-makers in UK health and social care are routinely asked to draw on evidence of ‘what works’ when designing services and changing practice. However, this paper argues that too much focus to date has been placed on a narrow definition of what constitutes valid ‘evidence’ (and one that privileges particular approaches and voices over others) and a simplistic conception of the decision-making function. As a result, policy and practice have t…
What is Social Policy? Understanding the Welfare State
Social Care Management, Strategy and Business Planning
Professional Discretion in Welfare Services
Appraising Public Value
Despite the increasing popularity of the concept of ‘public value’ within both academic and practice settings, there has to date been no formal review of the literature on its provenance, empirical basis, and application. This paper seeks to fill this gap. It provides a critical introduction to public value and its conceptual development before presenting the main elements of the published literature. Following this, a series of key areas of disa…
Priority-setting and rationing in healthcare
Institutions, cost-effectiveness analysis and healthcare rationing
Agencies designed to inform the distribution of public resources between competing healthcare programmes are now commonplace across the developed world. While costeffectiveness analysis (CEA) has become integral to prescriptions for such decisions, its influence in practice remains modest especially at local decision-making levels. Explanations focus on evidence and interests and therefore overlook the role played by institutions in determining t…
A politics of priority setting
Across a range of health care systems there is a responsibility placed on meso-level budget holders to set priorities and allocate resources within constrained budgets. The literature suggests that these organizations have typically defaulted to historical and/or political processes for decision making. Whilst the literature on resource allocation in health care attests to the political nature of decision making, this has remained largely under-t…
Going It Alone or Playing to the Crowd? A Critique of Individual Budgets and the Personalisation of Health Care in the English National Health Service
The introduction of individual budgets into English health care is a recent example of the pervasive drive towards personalisation in welfare sector organisation and delivery. As a heavily centralised and highly bureaucratic institution, the National Health Service (NHS) is an obvious target for personalisation. On the other hand, as a symbol of solidarity and nationhood it retains a powerful place within the collective psyche, such that radical …
Doing More with Less in Health Care
In the context of an austere financial climate, local health care budget holders are increasingly expected to make and enact decisions to decommission (reduce or stop providing) services. However, little is currently known about the experiences of those seeking to decommission. This paper presents the first national study of decommissioning in the English National Health Service drawing on multiple methods, including: an interview-based review of…
Reports of rationing from the neglected realm of capital investment
Health systems around the world face financial pressures that can affect sustainability and patient outcomes, and there is a vast literature devoted to the allocation of scarce health care resources. Capital spending - for example on estates, equipment and information technology - is an important but often neglected area of this literature. This study explores the constraints on the allocation of capital budgets in health care, before addressing …
Use of Economic Evidence When Prioritising Public Health Interventions in Schools
Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from school…
Priority setting during the Covid-19 pandemic
Development of vaccines is a major breakthrough in the fight against the SARS-CoV-2 virus. Much attention has been paid to how to prioritise between patient groups for vaccination and how to ensure equity, especially in low-income countries, but there are other important decisions that need to be made. These decisions include: (a) choosing between the various vaccines that will become available, (b) continuing to invest in other aspects of the CO…
Is spurious penicillin allergy a major public health concern only in high-income countries
Inaccurate penicillin allergy labels (PALs) are a major public health problem in high-income countries and has been linked to antimicrobial resistance (AMR) and huge healthcare costs. Data regarding epidemiology of PALs and its potential association with AMR is sparse in low-income countries (LICs), low-middle-income countries (LMICs) and upper-middle-income countries (UMICs). There are no established drug allergy labelling and delabelling pathwa…
Is the end in sight? A study of how and why services are decommissioned in the English National Health Service
The decommissioning of a health-care service is invariably a highly complex and contentious process which faces many implementation challenges. There has been little specific theorisation of this phenomena, although insights can be transferred from wider literatures on policy implementation and change processes. In this paper, we present findings from empirical case studies of three decommissioning processes initiated in the English National Heal…
‘Localism and intimacy, and… other rather imponderable reasons of that sort’
Debates over the value and contribution of community hospitals are hampered by a lack of empirical assessment of the experience of patients using these services. This paper presents findings from a study which included a focus on patient and family-carer experiences of community hospitals in England. We adopted a qualitative design involving nine case study hospitals. Data collection included interviews with patients (n = 60), carers (n = 28) and…
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
Women's Experience of Depressive Symptoms While Working From Home During the Covid-19 Pandemic
The COVID-19 pandemic led to significant changes in workplace practices as social distancing requirements meant that people were asked to work from home where possible to avoid unnecessary contact. Concerns have been raised about the effects of the pandemic on mental health and, in particular, the effects of social distancing on employed women's mental health. In this study, we explore the experiences of working women during the initial stages of…
Environmentally sustainable surgical systems
Surgeons, anaesthetists, wider surgical teams and hospital managers are a large global group that has the capacity and power to play a leadership role to contribute to change. Hospitals are a good target for improvement since they are centres of communities, linking together surrounding healthcare facilities and influencing wider determinants of the environment. District and rural hospitals are good sites to start since they serve large populatio…
Priority setting in times of crises
BACKGROUND: While priority setting is recognized as critical for promoting accountability and transparency in health system planning, its role in supporting rational, equitable and fair pandemic planning and responses is less well understood. This study aims to describe how priority setting was used to support planning in the initial stage of the pandemic response in a subset of countries in the Western Pacific Region (WPR). METHODS: We purposive…
Political science (19 obras) · Health care (15 obras) · Medicine (14 obras) · Public relations (14 obras) · Business (13 obras) · Sociology (13 obras) · Economics (12 obras) · Nursing (10 obras) · Computer Science (9 obras) · Health Systems, Economic Evaluations, Quality of Life (9 obras)