Rod Sheaff
Dados Biográficos
| ID | 303646 |
|---|---|
| NOME | Rod Sheaff |
| PRENOMES | Rod |
| SOBRENOME | Sheaff |
| ASSINATURA | SHEAFF R |
| AFILIAÇÕES | University of Plymouth |
| ORCID | 0000-0002-7984-2627 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAÇÕES | 100 |
| TOTAL COMO AUTOR | 32 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1996 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 6 |
Using a Realist Informed Qualitative Approach to Elaborate Programme Theory
Realist approaches to complex health care evaluations are increasingly used and recommended in national evaluation guidelines. However, there remains a paucity of researcher guidance on methods for elaborating and refining programme theories throughout the stages of a realist evaluation project-from prospective theory development to feasibility work, to full evaluation. We present a step by step worked example of a realist approach to elaborating…
The policy and politics of healthcare corporatisation
Engaging Stakeholders in Realist Programme Theory Building
Dementia - Personalised Care Team' (D-PACT) is a five-year NIHR funded programme, using realist methods to develop and evaluate a complex, person-centred intervention for people with dementia and their carers. During the early project stages, we engaged with multiple stakeholders, including people with dementia and their carers, to develop an initial programme theory (IPT) - into an elaborated programme theory (EPT), by helping to uncover interve…
Categories of context in realist evaluation
Realist evaluation has become widespread partly because of its sensitivity to the influence of contexts on policy implementation. In many such evaluations, the range of contexts considered relevant nevertheless remains disparate and under-conceptualised. This article uses findings from a realist evaluation of English Patient Safety Collaboratives during 2015–2018 to develop a realist taxonomy of contexts, differentiating contexts according to how…
EHealth technologies and the know-do gap
Background: eHealth technologies are widely believed to contribute to improving health and patients’ experience of care and reducing health system costs. While many studies explore barriers to and facilitators of eHealth innovation, we lack understanding of how this knowledge can be translated into workable, practicable and properly resourced knowledge mobilisation (KM) strategies. Aims and objectives: This paper describes the aims, methods and o…
Information technology in multispecialty community providers
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Patient Experiences of Care from Multi-Speciality Community Providers
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
System-level mechanisms and contexts for health and social care coordination through Multi-Specialty Community Providers in England
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Bridging the discursive gap between lay and medical discourse in care coordination
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared 66 general practice patients' own narratives of their health problems and care with the cont…
A new causal model of access and continuity for marginalised groups
Background: Problem statement: Care for individuals who are marginalised and have complex needs is poor due to both reduced access and poor continuity. Improved access to treatment requires to improvement to both. Previously access has usually been measured quantitatively while there has been a trend to seeing continuity as an 'experience' encompassing relationship, flexibility and organisation of care. Purpose: To develop a causal model for barr…
Integrating formal and informal care
Reducing emergency bed-days for older people? Network governance lessons from the 'Improving the Future for Older People' programme
Risks, dangers and competing clinical decisions on venous thromboembolism prophylaxis in hospital care
Drawing on wider sociologies of risk, this article examines the complexity of clinical risks and their management, focusing on risk management systems, expert decision-making and safety standards in health care. At the time of this study preventing venous thromboembolism (VTE) among in-patients was one of the top priorities for hospital safety in the English National Health Service (NHS). An analysis of 50 interviews examining hospital profession…
Does integrated governance lead to integrated patient care? Findings from the innovation forum
Good integration of services that aim to reduce avoidable acute hospital bed use by older people requires frontline staff to be aware of service options and access them in a timely manner. In three localities where closer inter-organisational integration was taking place, this research sought patients' perceptions of the care received across and within organisational boundaries. Between February and July 2008, qualitative methods were used to map…
Network resilience in the face of health system reform
Is Evidence‐Based Organizational Innovation in the NHS a Chimaera – Or Just Elusive
Evidence‐based adoption of organizational innovations requires explicit definition of the outcomes the innovations are intended to produce. Implementation theory, however, suggests that organizational innovations are often politicized in the sense that the prospect of implementing them provokes conflicts of interests among the parties affected. Then the intended outcomes of the innovation are liable to be formulated ambiguously, misleadingly or n…
What Are Child-Care Social Workers Doing in Relation to Infant Mental Health? An Exploration of Professional Ideologies and Practice Preferences within an Inter-Agency Context
Infancy is a crucial time for interventions to reduce later developmental difficulties. In England, recent policy has required children's service delivery to be redesigned to attend to infant mental health across all four tiers of NHS provision through inter-agency networks of child-care professionals. The policy identifies child-care social workers as primary care professionals, able to recognize early infant mental health problems, promote ment…
Medicine and Management in English Primary Care
The English NHS has been repeatedly restructured since 1991. Drawing on multiple case studies in English primary health care from 1998 to 2005 and on (other) published studies, this article uses Therborn's theory of power to make a framework analysis of how these reforms redistributed power between medicine and management in NHS primary care. Legal changes ended the GP monopoly of primary medical care provision and, with greater managerial discre…
Patient and carer perceptions of case management for long-term conditions
Nurse-led case management programmes have become increasingly popular over the last 15 years. Countries such as the USA, Canada, Sweden and the Netherlands have long running case management programmes in place for frail elderly people. The Department of Health in England has recently introduced a 'community matron' role to provide case management to patients with highly complex long-term conditions; a group that is predominantly comprised of elde…
The Role of Action Research in the Investigation and Diffusion of Innovations in Health Care
In this article, the authors discuss the role of action research in relation to the investigation and practical implementation of innovations in health care. The diffusion of innovations is an essential component of the modernization of health services worldwide. However, the literature shows that it is not an easy process to research. A paradox is noted that although action research has much to offer, it has had only a limited impact in the inno…
Development of an information source for patients and the public about general practice services
Objective The publication of information about the performance of health‐care providers is regarded as central to promoting greater accountability and empowering patients to exercise choice. The evidence suggests that the public is not very interested in accessing or using current sources of information. This study aimed to explore the information needs of patients in the context of UK primary care and to develop an information source about gener…
Exit, voice, governance and user-responsiveness
A survey and audit of the first ‘Guides to Local Health Services’ produced by Primary Care Trusts in England
Background Providing more information for the public about the range and quality of health services is an important part of improving accountability, quality and public responsiveness. Most sources of information to date have failed to address the information needs of people about their local services. The launch in England in 2002 of a new publication, Guides to Local Health Services , was designed to address this deficiency. We conducted an aud…
Governance in gridlock in the Russian health system; the case of Sverdlovsk oblast
Strategic preparation for crisis management in hospitals
This study examines Egyptian managers' perceptions of their hospitals' preparation for crisis management. A total of 259 participants completed a 24‐item Strategic Preparation for Crisis Management (SPCM) instrument. The instrument was found to be valid and reliable in a non‐Western context. The study detected a positive relationship between long‐term strategy and crisis readiness. A significant statistical relationship was also found between ext…
A subtle governance
In many countries governments are recruiting the medical profession into a more active, transparent regulation of clinical practice. Consequently the medical profession adapts the ways it regulates itself and its relationship to health system managers changes. This paper uses empirical research in English Primary Care Groups (PCGs) and Primary Care Trusts (PCTs) to assess the value of Courpasson's concept of soft bureaucracy as a conceptualisatio…
Does integrated governance lead to integrated patient care? Findings from the innovation forum
Good integration of services that aim to reduce avoidable acute hospital bed use by older people requires frontline staff to be aware of service options and access them in a timely manner. In three localities where closer inter-organisational integration was taking place, this research sought patients' perceptions of the care received across and within organisational boundaries. Between February and July 2008, qualitative methods were used to map…
Exit, voice, governance and user-responsiveness
Governmentality by Network in English Primary Healthcare
In England, the quality of clinical work is being regulated in new ways following recent developments in “clinical governance” policy and apparent failures in the previous system of medical self‐regulation. Using multiple case studies, this paper examines how these changes are affecting professional governmentality and discipline in general practice. Formal organizational structures play little role in clinical governance there. Clinical quality …
Patient and carer perceptions of case management for long-term conditions
Nurse-led case management programmes have become increasingly popular over the last 15 years. Countries such as the USA, Canada, Sweden and the Netherlands have long running case management programmes in place for frail elderly people. The Department of Health in England has recently introduced a 'community matron' role to provide case management to patients with highly complex long-term conditions; a group that is predominantly comprised of elde…
The Role of Action Research in the Investigation and Diffusion of Innovations in Health Care
In this article, the authors discuss the role of action research in relation to the investigation and practical implementation of innovations in health care. The diffusion of innovations is an essential component of the modernization of health services worldwide. However, the literature shows that it is not an easy process to research. A paradox is noted that although action research has much to offer, it has had only a limited impact in the inno…
Bridging the discursive gap between lay and medical discourse in care coordination
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared 66 general practice patients' own narratives of their health problems and care with the cont…
Network resilience in the face of health system reform
Marketization, Managers and Moral Strain
Survival of the public service ethos in Britain has been called into question following introduction of the ‘new public management’ and marketizing reforms in much of the public sector. This article examines how these developments have occurred in the NHS, using survey data to analyse NHS board members’ substantive ethical values. Unexpectedly the results suggest that NHS board members with a predominantly NHS background appear less ethically con…
Engaging Stakeholders in Realist Programme Theory Building
Dementia - Personalised Care Team' (D-PACT) is a five-year NIHR funded programme, using realist methods to develop and evaluate a complex, person-centred intervention for people with dementia and their carers. During the early project stages, we engaged with multiple stakeholders, including people with dementia and their carers, to develop an initial programme theory (IPT) - into an elaborated programme theory (EPT), by helping to uncover interve…
Is GP Restratification Beginning in England
English National Health Service general practice is being restructured through the introduction of primary care groups (PCGs) and trusts (PCTs), and the personal medical services (PMS) schemes. Theories of GPs’ professional organization have to be modernized accordingly. Past theories have tended to concentrate on the occupational level rather than consider the effects of different forms of market and quasi–market on practitioners’ income and the…
Public service responsiveness to users’ demands and needs
Analyses and policy statements about publicly funded services frequently distinguish ‘demands’ from ‘needs’. The distinction has been challenged, calling into question the coherence of formulating welfare policy and evaluating public services in terms of needs. This paper explicates the conceptual distinction between demands and needs in terms of derived demand and information asymmetry. ‘Needs’ can be defined as ‘rational demands’, where ‘ration…
Reducing emergency bed-days for older people? Network governance lessons from the 'Improving the Future for Older People' programme
What Are Child-Care Social Workers Doing in Relation to Infant Mental Health? An Exploration of Professional Ideologies and Practice Preferences within an Inter-Agency Context
Infancy is a crucial time for interventions to reduce later developmental difficulties. In England, recent policy has required children's service delivery to be redesigned to attend to infant mental health across all four tiers of NHS provision through inter-agency networks of child-care professionals. The policy identifies child-care social workers as primary care professionals, able to recognize early infant mental health problems, promote ment…
Governance in gridlock in the Russian health system; the case of Sverdlovsk oblast
Using a Realist Informed Qualitative Approach to Elaborate Programme Theory
Realist approaches to complex health care evaluations are increasingly used and recommended in national evaluation guidelines. However, there remains a paucity of researcher guidance on methods for elaborating and refining programme theories throughout the stages of a realist evaluation project-from prospective theory development to feasibility work, to full evaluation. We present a step by step worked example of a realist approach to elaborating…
Categories of context in realist evaluation
Realist evaluation has become widespread partly because of its sensitivity to the influence of contexts on policy implementation. In many such evaluations, the range of contexts considered relevant nevertheless remains disparate and under-conceptualised. This article uses findings from a realist evaluation of English Patient Safety Collaboratives during 2015–2018 to develop a realist taxonomy of contexts, differentiating contexts according to how…
EHealth technologies and the know-do gap
Background: eHealth technologies are widely believed to contribute to improving health and patients’ experience of care and reducing health system costs. While many studies explore barriers to and facilitators of eHealth innovation, we lack understanding of how this knowledge can be translated into workable, practicable and properly resourced knowledge mobilisation (KM) strategies. Aims and objectives: This paper describes the aims, methods and o…
Is Evidence‐Based Organizational Innovation in the NHS a Chimaera – Or Just Elusive
Evidence‐based adoption of organizational innovations requires explicit definition of the outcomes the innovations are intended to produce. Implementation theory, however, suggests that organizational innovations are often politicized in the sense that the prospect of implementing them provokes conflicts of interests among the parties affected. Then the intended outcomes of the innovation are liable to be formulated ambiguously, misleadingly or n…
Medicine and Management in English Primary Care
The English NHS has been repeatedly restructured since 1991. Drawing on multiple case studies in English primary health care from 1998 to 2005 and on (other) published studies, this article uses Therborn's theory of power to make a framework analysis of how these reforms redistributed power between medicine and management in NHS primary care. Legal changes ended the GP monopoly of primary medical care provision and, with greater managerial discre…
The need for healthcare
Marketization, Managers and Moral Strain
Survival of the public service ethos in Britain has been called into question following introduction of the ‘new public management’ and marketizing reforms in much of the public sector. This article examines how these developments have occurred in the NHS, using survey data to analyse NHS board members’ substantive ethical values. Unexpectedly the results suggest that NHS board members with a predominantly NHS background appear less ethically con…
User involvement in clinical governance
Objectives To investigate the involvement of users in clinical governance activities within Primary Care Groups (PCGs) and Trusts (PCTs). Drawing on policy and guidance published since 1997, the paper sets out a framework for how users are involved in this agenda, evaluates practice against this standard and suggests why current practice for user involvement in clinical governance is flawed and why this reflects a flaw in the policy design as muc…
Is GP Restratification Beginning in England
English National Health Service general practice is being restructured through the introduction of primary care groups (PCGs) and trusts (PCTs), and the personal medical services (PMS) schemes. Theories of GPs’ professional organization have to be modernized accordingly. Past theories have tended to concentrate on the occupational level rather than consider the effects of different forms of market and quasi–market on practitioners’ income and the…
Public service responsiveness to users’ demands and needs
Analyses and policy statements about publicly funded services frequently distinguish ‘demands’ from ‘needs’. The distinction has been challenged, calling into question the coherence of formulating welfare policy and evaluating public services in terms of needs. This paper explicates the conceptual distinction between demands and needs in terms of derived demand and information asymmetry. ‘Needs’ can be defined as ‘rational demands’, where ‘ration…
A subtle governance
In many countries governments are recruiting the medical profession into a more active, transparent regulation of clinical practice. Consequently the medical profession adapts the ways it regulates itself and its relationship to health system managers changes. This paper uses empirical research in English Primary Care Groups (PCGs) and Primary Care Trusts (PCTs) to assess the value of Courpasson's concept of soft bureaucracy as a conceptualisatio…
Strategic preparation for crisis management in hospitals
This study examines Egyptian managers' perceptions of their hospitals' preparation for crisis management. A total of 259 participants completed a 24‐item Strategic Preparation for Crisis Management (SPCM) instrument. The instrument was found to be valid and reliable in a non‐Western context. The study detected a positive relationship between long‐term strategy and crisis readiness. A significant statistical relationship was also found between ext…
Governmentality by Network in English Primary Healthcare
In England, the quality of clinical work is being regulated in new ways following recent developments in “clinical governance” policy and apparent failures in the previous system of medical self‐regulation. Using multiple case studies, this paper examines how these changes are affecting professional governmentality and discipline in general practice. Formal organizational structures play little role in clinical governance there. Clinical quality …
A survey and audit of the first ‘Guides to Local Health Services’ produced by Primary Care Trusts in England
Background Providing more information for the public about the range and quality of health services is an important part of improving accountability, quality and public responsiveness. Most sources of information to date have failed to address the information needs of people about their local services. The launch in England in 2002 of a new publication, Guides to Local Health Services , was designed to address this deficiency. We conducted an aud…
Governance in gridlock in the Russian health system; the case of Sverdlovsk oblast
Development of an information source for patients and the public about general practice services
Objective The publication of information about the performance of health‐care providers is regarded as central to promoting greater accountability and empowering patients to exercise choice. The evidence suggests that the public is not very interested in accessing or using current sources of information. This study aimed to explore the information needs of patients in the context of UK primary care and to develop an information source about gener…
Exit, voice, governance and user-responsiveness
Patient and carer perceptions of case management for long-term conditions
Nurse-led case management programmes have become increasingly popular over the last 15 years. Countries such as the USA, Canada, Sweden and the Netherlands have long running case management programmes in place for frail elderly people. The Department of Health in England has recently introduced a 'community matron' role to provide case management to patients with highly complex long-term conditions; a group that is predominantly comprised of elde…
The Role of Action Research in the Investigation and Diffusion of Innovations in Health Care
In this article, the authors discuss the role of action research in relation to the investigation and practical implementation of innovations in health care. The diffusion of innovations is an essential component of the modernization of health services worldwide. However, the literature shows that it is not an easy process to research. A paradox is noted that although action research has much to offer, it has had only a limited impact in the inno…
Is Evidence‐Based Organizational Innovation in the NHS a Chimaera – Or Just Elusive
Evidence‐based adoption of organizational innovations requires explicit definition of the outcomes the innovations are intended to produce. Implementation theory, however, suggests that organizational innovations are often politicized in the sense that the prospect of implementing them provokes conflicts of interests among the parties affected. Then the intended outcomes of the innovation are liable to be formulated ambiguously, misleadingly or n…
What Are Child-Care Social Workers Doing in Relation to Infant Mental Health? An Exploration of Professional Ideologies and Practice Preferences within an Inter-Agency Context
Infancy is a crucial time for interventions to reduce later developmental difficulties. In England, recent policy has required children's service delivery to be redesigned to attend to infant mental health across all four tiers of NHS provision through inter-agency networks of child-care professionals. The policy identifies child-care social workers as primary care professionals, able to recognize early infant mental health problems, promote ment…
Medicine and Management in English Primary Care
The English NHS has been repeatedly restructured since 1991. Drawing on multiple case studies in English primary health care from 1998 to 2005 and on (other) published studies, this article uses Therborn's theory of power to make a framework analysis of how these reforms redistributed power between medicine and management in NHS primary care. Legal changes ended the GP monopoly of primary medical care provision and, with greater managerial discre…
Network resilience in the face of health system reform
Does integrated governance lead to integrated patient care? Findings from the innovation forum
Good integration of services that aim to reduce avoidable acute hospital bed use by older people requires frontline staff to be aware of service options and access them in a timely manner. In three localities where closer inter-organisational integration was taking place, this research sought patients' perceptions of the care received across and within organisational boundaries. Between February and July 2008, qualitative methods were used to map…
A new causal model of access and continuity for marginalised groups
Background: Problem statement: Care for individuals who are marginalised and have complex needs is poor due to both reduced access and poor continuity. Improved access to treatment requires to improvement to both. Previously access has usually been measured quantitatively while there has been a trend to seeing continuity as an 'experience' encompassing relationship, flexibility and organisation of care. Purpose: To develop a causal model for barr…
Integrating formal and informal care
Reducing emergency bed-days for older people? Network governance lessons from the 'Improving the Future for Older People' programme
Risks, dangers and competing clinical decisions on venous thromboembolism prophylaxis in hospital care
Drawing on wider sociologies of risk, this article examines the complexity of clinical risks and their management, focusing on risk management systems, expert decision-making and safety standards in health care. At the time of this study preventing venous thromboembolism (VTE) among in-patients was one of the top priorities for hospital safety in the English National Health Service (NHS). An analysis of 50 interviews examining hospital profession…
System-level mechanisms and contexts for health and social care coordination through Multi-Specialty Community Providers in England
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Bridging the discursive gap between lay and medical discourse in care coordination
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared 66 general practice patients' own narratives of their health problems and care with the cont…
Political science (27 obras) · Business (17 obras) · Medicine (17 obras) · Public relations (17 obras) · Health care (15 obras) · Economics (13 obras) · Psychology (13 obras) · Sociology (12 obras) · Computer Science (11 obras) · Healthcare Quality and Management (9 obras)