Margaret Mackenzie
Dados Biográficos
| ID | 89305 |
|---|---|
| NOME | Margaret Mackenzie |
| PRENOMES | Margaret |
| SOBRENOME | Mackenzie |
| ASSINATURA | MACKENZIE M |
| AFILIAÇÕES | University of Glasgow |
| ORCID | 0000-0003-3402-322X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAÇÕES | 161 |
| TOTAL COMO AUTOR | 32 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1920 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 6 |
Participatory-deliberative processes in UK policy making related to income insecurity as a determinant of health
Background: Deepening democratic engagement in socio-economic policy domains is of increasing interest to the health inequalities research community. However, there is a recognised gap between theory and the practical application of public participation. Viewing income security as a fundamental determinant of health, this article investigates how, when and where participatory-deliberative processes (PDPs) were applied in policy making connected t…
Fundamental causation and candidacy
This paper aims to better understand how structural determinants of health inequalities shape disengagement from healthcare for vulnerable groups across a range of social conditions. Using a sub-sample (N = 20) from a qualitative interview UK study of those missing from primary-care, it illuminates how structural drivers of health inequalities operate at organisational and practice levels to weaken engagement with primary-care. Finding ways of be…
Health inequalities and contemporary youth
Young people coming of age amidst widespread socioeconomic uncertainty have a unique vantage from which to interpret how social, economic and environmental factors might influence health and the generation of health inequalities. Despite this, only a small number of existing studies of 'lay' understandings of health inequalities have focused on young people. This arts-based qualitative study builds on that body of research, in the context of the …
Young people's perspectives on addressing UK health inequalities
INTRODUCTION: It is increasingly recognised by UK researchers and population health advocates that an important impetus to effective policy action to address health inequalities is activation of public dialogue about the social determinants of health and how inequalities might be addressed. The limited body of existing scholarship reaches varying conclusions on public preferences for responding to health inequalities but with consensus around the…
Policy and Professional Responses to Forced Marriage in Scotland
This article draws from our mixed methods study of forced marriage (FM) in Scotland focusing on policy and practice responses to FM in Scotland using the concepts of candidacy and structural competency. Through an analysis of FM policy in six case-study areas, interviews with Child or Adult Protection Leads and twenty-one interviews with a range of welfare professionals, we discuss the conceptual, emotional and practical challenges of responding …
The state They're in
What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing …
Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of futu…
You certainly don't go back to the doctor once you've been told, “I'll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure
A reticence on the part of women to disclose domestic abuse (DA) to family doctors, allied to front‐line responses that do not always reflect an understanding of the structure and dynamics of DA, hampers the provision of professional support. Using data from 20 qualitative interviews with women who have experienced DA, this paper explores their discourse about interacting with family doctors. It is the first study to explore firsthand accounts of…
How do general practitioners understand health inequalities and do their professional roles offer scope for mitigation? Constructions derived from the deep end of primary care
Scotland is faced with pernicious health inequalities, which stem from inequalities in living conditions and the societal structures that create them. While action is needed to address the wider structural causes of health inequalities, the role of general practitioners (GPs) merits attention due to health care’s potential to mitigate or exacerbate health inequalities. Minimal research, however, has explored how GPs understand the fundamental cau…
Tackling and Mitigating Health Inequalities – Policymakers and Practitioners ‘Talk and Draw’ their Theories
In the context of a long‐standing academic acceptance of the socially structured nature of health inequalities, there has been a growing literature that critically examines policies that aim to reduce them. This has demonstrated inadequate policy assessment of the nature of the problem of health inequalities and correspondingly partial solutions that privilege interventions that focus on individual lifestyle solutions over more structural approac…
Working-class discourses of politics, policy and health
It is known that population health is socially and politically determined. A gap, however, between the evidence and policy (where behavioural approaches dominate) is evident. This study used semi-structured interviews in two deindustrialised areas in Scotland to explore understandings of the causes of (ill)health in local communities. Using Raphael’s Discourses of Social Health Determinants (2011), we found that participants typically had highly …
Social theory and health inequalities
Intersections and Multiple ‘Candidacies’
Domestic abuse policy increasingly uses language which indicates that abuse is patterned according to structural factors. However, practicing according to these structural accounts of abuse is problematic because of the policy and organisational contexts that practitioners work within and, we argue, because the implications of the structured nature of victims’ experiences is not fully understood by all practitioners. We ask whether women's differ…
What (or who) causes health inequalities
Is ‘Candidacy’ a Useful Concept for Understanding Journeys through Public Services? A Critical Interpretive Literature Synthesis
Across the public sector there is concern that service uptake is inequitably distributed by socio‐economic circumstances and that public provision exacerbates the existence of inequalities either because services are not allocated by need or because of differential patterns of uptake between the most and least affluent groups. A concept that offers potential to understand access and utilization is ‘candidacy’ which has been used to explain access…
Changes in body weight and food choice in those attempting smoking cessation
The intervention was not successful at minimising weight gain in comparison to control but was successful in facilitating some sustained improvements in the dietary habits of intervention participants. Improved quit rates in the intervention group suggest that continued contact with advisors may have reduced anxieties regarding weight gain and encouraged cessation despite weight gain. Research should continue in this area as evidence suggests tha…
Eating the elephant whole or in slices
ISRCTN94961361
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
Smoking cessation during pregnancy
This research compared pregnant quitters' and non-quitters' accounts of how partners, family and friends influenced their smoking cessation attempts. Qualitative secondary data analysis was carried out on a purposive sample of motivational interview transcripts undertaken by research midwives with pregnant women as part of SmokeChange, a smoking cessation intervention. Interviews with all quitters in the intervention group (n = 12) were analysed …
Doing' public health and 'making' public health practitioners
Measuring the tail of the dog that doesn't bark in the night
This paper discusses how challenges, such as those above, were made manifest within this programme. After a brief summary of the overarching approach taken to evaluating the first phase of Choose Life, this paper then offers a set of recommendations for policymakers and evaluators on how learning from a second phase might be augmented. These recommendations are likely to have general resonance across a range of policy evaluations as they move fro…
Theories of Change and Realistic Evaluation
Two proponents of theory-based approaches to evaluation that have found favour in the UK in recent years are Theories of Change and Realistic Evaluation. In this article we share our evolving views on the points of connection and digression between the approaches based on our reading of the theory-based evaluation literature and our practice experience. We provide a background to the two approaches that emphasizes the importance of programme cont…
Using and generating evidence
English This article discusses the gap between rhetoric and reality in evidence-based policy making using data derived from external evaluations of two of Scotland’s national Health Demonstration Projects. More specifically, it reports on the extent to which policy makers used evidence to commission the projects, and on the type of evidence that they expected to flow from them to feed into future government strategy.
Benefit or burden
With increased public-sector funding to expand and improve frontline services, pre-existing skill shortages within key professional workforces have become more acute. One response to this has been to encourage the development of skill-mix approaches which allow tasks previously undertaken by professional staff groupings to be assumed by new paraprofessional employees. Within the UK National Health Service, one group of professionals who are being…
The Practice and the Theory
Theory-based evaluation approaches are becoming increasingly popular in the evaluation of comprehensive community initiatives. Such an approach, Theory of Change (ToC), has been used in the external evaluations of two of four Scottish Health Demonstration projects. This article provides an empirically based analysis of the issues raised in the process of articulating a project’s ToC. It then considers the value of the approach in relation to shar…
Theories of Change and Realistic Evaluation
Two proponents of theory-based approaches to evaluation that have found favour in the UK in recent years are Theories of Change and Realistic Evaluation. In this article we share our evolving views on the points of connection and digression between the approaches based on our reading of the theory-based evaluation literature and our practice experience. We provide a background to the two approaches that emphasizes the importance of programme cont…
The Practice and the Theory
Theory-based evaluation approaches are becoming increasingly popular in the evaluation of comprehensive community initiatives. Such an approach, Theory of Change (ToC), has been used in the external evaluations of two of four Scottish Health Demonstration projects. This article provides an empirically based analysis of the issues raised in the process of articulating a project’s ToC. It then considers the value of the approach in relation to shar…
The state They're in
Working-class discourses of politics, policy and health
It is known that population health is socially and politically determined. A gap, however, between the evidence and policy (where behavioural approaches dominate) is evident. This study used semi-structured interviews in two deindustrialised areas in Scotland to explore understandings of the causes of (ill)health in local communities. Using Raphael’s Discourses of Social Health Determinants (2011), we found that participants typically had highly …
Is ‘Candidacy’ a Useful Concept for Understanding Journeys through Public Services? A Critical Interpretive Literature Synthesis
Across the public sector there is concern that service uptake is inequitably distributed by socio‐economic circumstances and that public provision exacerbates the existence of inequalities either because services are not allocated by need or because of differential patterns of uptake between the most and least affluent groups. A concept that offers potential to understand access and utilization is ‘candidacy’ which has been used to explain access…
Promoting Social Change
When New Labour came to power in the UK in 1997 it brought with it a strong commitment to reducing inequality and social exclusion. One strand of its strategy involved a focus on area-based initiatives to reduce the effects of persistent disadvantage. Health Action Zones (HAZs) were the first example of this type of intervention, and their focus on community-based initiatives to tackle the wider social determinants of health inequalities excited …
Task design as an influence on dialogue and learning
Previous studies suggest that group work would yield conceptual gains in physics if tasks specifically promoted dialogue about the factors which determine observed outcomes. This might be done by constraining task items to present critical tests of the effects of individual factors; and, additionally, by requiring participants to generate or select explicit rules about those effects. In order to test this hypothesis, groups of primary school chil…
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
Intersections and Multiple ‘Candidacies’
Domestic abuse policy increasingly uses language which indicates that abuse is patterned according to structural factors. However, practicing according to these structural accounts of abuse is problematic because of the policy and organisational contexts that practitioners work within and, we argue, because the implications of the structured nature of victims’ experiences is not fully understood by all practitioners. We ask whether women's differ…
You certainly don't go back to the doctor once you've been told, “I'll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure
A reticence on the part of women to disclose domestic abuse (DA) to family doctors, allied to front‐line responses that do not always reflect an understanding of the structure and dynamics of DA, hampers the provision of professional support. Using data from 20 qualitative interviews with women who have experienced DA, this paper explores their discourse about interacting with family doctors. It is the first study to explore firsthand accounts of…
Social theory and health inequalities
Smoking cessation during pregnancy
This research compared pregnant quitters' and non-quitters' accounts of how partners, family and friends influenced their smoking cessation attempts. Qualitative secondary data analysis was carried out on a purposive sample of motivational interview transcripts undertaken by research midwives with pregnant women as part of SmokeChange, a smoking cessation intervention. Interviews with all quitters in the intervention group (n = 12) were analysed …
What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing …
Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of futu…
Using and generating evidence
English This article discusses the gap between rhetoric and reality in evidence-based policy making using data derived from external evaluations of two of Scotland’s national Health Demonstration Projects. More specifically, it reports on the extent to which policy makers used evidence to commission the projects, and on the type of evidence that they expected to flow from them to feed into future government strategy.
Benefit or burden
With increased public-sector funding to expand and improve frontline services, pre-existing skill shortages within key professional workforces have become more acute. One response to this has been to encourage the development of skill-mix approaches which allow tasks previously undertaken by professional staff groupings to be assumed by new paraprofessional employees. Within the UK National Health Service, one group of professionals who are being…
Health inequalities and contemporary youth
Young people coming of age amidst widespread socioeconomic uncertainty have a unique vantage from which to interpret how social, economic and environmental factors might influence health and the generation of health inequalities. Despite this, only a small number of existing studies of 'lay' understandings of health inequalities have focused on young people. This arts-based qualitative study builds on that body of research, in the context of the …
Tackling and Mitigating Health Inequalities – Policymakers and Practitioners ‘Talk and Draw’ their Theories
In the context of a long‐standing academic acceptance of the socially structured nature of health inequalities, there has been a growing literature that critically examines policies that aim to reduce them. This has demonstrated inadequate policy assessment of the nature of the problem of health inequalities and correspondingly partial solutions that privilege interventions that focus on individual lifestyle solutions over more structural approac…
Heaven
I w " Tell me that I may raise my eyes above Earth's disappointment.Is there human love, And human mirth in that Eternal day?May fiiend meet friend in friendship ?Lovers kiss And know themselves as one ?Or do we change Like seeds to flowers, beautiful, but strange
The House That Sheila Built
Fettered Christina Rossetti
The Church and the Modern Theatre
The days have passed when, on the Continent anyhow, to be on the stage was to be outside the Church. This was brought home by the Master-General of the Dominican Order, at a meeting of the English Catholic Stage Guild last summer, when he, who had been its Director, spoke of the activities and spiritual life of the Stage Guild of France.The theatre is the prodigal daughter of the Church; she was born of the Church and her first playgrounds were i…
Discussion on ray H. Elling's paper
Task design as an influence on dialogue and learning
Previous studies suggest that group work would yield conceptual gains in physics if tasks specifically promoted dialogue about the factors which determine observed outcomes. This might be done by constraining task items to present critical tests of the effects of individual factors; and, additionally, by requiring participants to generate or select explicit rules about those effects. In order to test this hypothesis, groups of primary school chil…
The Practice and the Theory
Theory-based evaluation approaches are becoming increasingly popular in the evaluation of comprehensive community initiatives. Such an approach, Theory of Change (ToC), has been used in the external evaluations of two of four Scottish Health Demonstration projects. This article provides an empirically based analysis of the issues raised in the process of articulating a project’s ToC. It then considers the value of the approach in relation to shar…
Promoting Social Change
When New Labour came to power in the UK in 1997 it brought with it a strong commitment to reducing inequality and social exclusion. One strand of its strategy involved a focus on area-based initiatives to reduce the effects of persistent disadvantage. Health Action Zones (HAZs) were the first example of this type of intervention, and their focus on community-based initiatives to tackle the wider social determinants of health inequalities excited …
Using and generating evidence
English This article discusses the gap between rhetoric and reality in evidence-based policy making using data derived from external evaluations of two of Scotland’s national Health Demonstration Projects. More specifically, it reports on the extent to which policy makers used evidence to commission the projects, and on the type of evidence that they expected to flow from them to feed into future government strategy.
Benefit or burden
With increased public-sector funding to expand and improve frontline services, pre-existing skill shortages within key professional workforces have become more acute. One response to this has been to encourage the development of skill-mix approaches which allow tasks previously undertaken by professional staff groupings to be assumed by new paraprofessional employees. Within the UK National Health Service, one group of professionals who are being…
Measuring the tail of the dog that doesn't bark in the night
This paper discusses how challenges, such as those above, were made manifest within this programme. After a brief summary of the overarching approach taken to evaluating the first phase of Choose Life, this paper then offers a set of recommendations for policymakers and evaluators on how learning from a second phase might be augmented. These recommendations are likely to have general resonance across a range of policy evaluations as they move fro…
Theories of Change and Realistic Evaluation
Two proponents of theory-based approaches to evaluation that have found favour in the UK in recent years are Theories of Change and Realistic Evaluation. In this article we share our evolving views on the points of connection and digression between the approaches based on our reading of the theory-based evaluation literature and our practice experience. We provide a background to the two approaches that emphasizes the importance of programme cont…
Doing' public health and 'making' public health practitioners
Smoking cessation during pregnancy
This research compared pregnant quitters' and non-quitters' accounts of how partners, family and friends influenced their smoking cessation attempts. Qualitative secondary data analysis was carried out on a purposive sample of motivational interview transcripts undertaken by research midwives with pregnant women as part of SmokeChange, a smoking cessation intervention. Interviews with all quitters in the intervention group (n = 12) were analysed …
Changes in body weight and food choice in those attempting smoking cessation
The intervention was not successful at minimising weight gain in comparison to control but was successful in facilitating some sustained improvements in the dietary habits of intervention participants. Improved quit rates in the intervention group suggest that continued contact with advisors may have reduced anxieties regarding weight gain and encouraged cessation despite weight gain. Research should continue in this area as evidence suggests tha…
Eating the elephant whole or in slices
ISRCTN94961361
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
What (or who) causes health inequalities
Is ‘Candidacy’ a Useful Concept for Understanding Journeys through Public Services? A Critical Interpretive Literature Synthesis
Across the public sector there is concern that service uptake is inequitably distributed by socio‐economic circumstances and that public provision exacerbates the existence of inequalities either because services are not allocated by need or because of differential patterns of uptake between the most and least affluent groups. A concept that offers potential to understand access and utilization is ‘candidacy’ which has been used to explain access…
Intersections and Multiple ‘Candidacies’
Domestic abuse policy increasingly uses language which indicates that abuse is patterned according to structural factors. However, practicing according to these structural accounts of abuse is problematic because of the policy and organisational contexts that practitioners work within and, we argue, because the implications of the structured nature of victims’ experiences is not fully understood by all practitioners. We ask whether women's differ…
Social theory and health inequalities
How do general practitioners understand health inequalities and do their professional roles offer scope for mitigation? Constructions derived from the deep end of primary care
Scotland is faced with pernicious health inequalities, which stem from inequalities in living conditions and the societal structures that create them. While action is needed to address the wider structural causes of health inequalities, the role of general practitioners (GPs) merits attention due to health care’s potential to mitigate or exacerbate health inequalities. Minimal research, however, has explored how GPs understand the fundamental cau…
Tackling and Mitigating Health Inequalities – Policymakers and Practitioners ‘Talk and Draw’ their Theories
In the context of a long‐standing academic acceptance of the socially structured nature of health inequalities, there has been a growing literature that critically examines policies that aim to reduce them. This has demonstrated inadequate policy assessment of the nature of the problem of health inequalities and correspondingly partial solutions that privilege interventions that focus on individual lifestyle solutions over more structural approac…
Working-class discourses of politics, policy and health
It is known that population health is socially and politically determined. A gap, however, between the evidence and policy (where behavioural approaches dominate) is evident. This study used semi-structured interviews in two deindustrialised areas in Scotland to explore understandings of the causes of (ill)health in local communities. Using Raphael’s Discourses of Social Health Determinants (2011), we found that participants typically had highly …
What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing …
Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of futu…
Political science (20 obras) · Sociology (19 obras) · Medicine (18 obras) · Public relations (13 obras) · Law (11 obras) · Computer Science (10 obras) · Inequality (10 obras) · Nursing (10 obras) · Health care (9 obras) · Health disparities and outcomes (9 obras)