Lesley Griffiths
Dados Biográficos
| ID | 3604039 |
|---|---|
| NOME | Lesley Griffiths |
| PRENOMES | Lesley |
| SOBRENOME | Griffiths |
| ASSINATURA | GRIFFITHS L |
| AFILIAÇÕES | Swansea University |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAÇÕES | 162 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2004 |
| ÍNDICE H | 7 |
Understanding complex trajectories in health and social care provision
Ensuring collaboration between health and social care providers is a well-established policy concern in most developed countries. Thus far, however, this has proved to be a frustratingly elusive goal. Despite the growing body of empirical work devoted to this issue, social scientific theorising on the management of complex caring trajectories remains under-developed. This paper is an attempt to begin to address this gap in the literature. Drawing…
Accommodating health and social care needs
This paper explores routine resource allocation processes in health and social care. While there has been a small body of work which has drawn on Lipsky's (1980) insights into street level bureaucracy, few have taken seriously the opportunity offered by ethnography to explore in detail the work of front-line staff as a way of observing policy processes in action. Utilising ethnographic data from research into the continuing care of adults who had…
Going public
This paper considers how middle-level managers in British Health Authorities and hospital Trusts orient to media reportage in the process of negotiating and monitoring contracts for clinical services. Although they sometimes produce media representations aimed at influencing the general public, local policy actors on both sides of the purchaser/provider split also use media messages as part of their negotiations with each other. We examine how th…
Making connections
This paper explores the questions: What has work published in Sociology of Health and Illness contributed to our understanding of 'healthcare organisation'? What are the key research issues for the future? The paper reviews past articles with these questions in mind and uses the first issue of the Journal as a starting point for identifying themes and issues which have remained relevant throughout the first 25 years of its history. I argue that, …
Categorising to exclude
This paper examines meetings in which community mental health teams (CMHTs) process referrals from psychiatrists and GPs, to determine whether or not patients should be 'allocated' to caseloads. It focuses on the discursive construction of cases, and the way in which some patients are marked out as inappropriate referrals in a process of implicit categorisation that avoids open reference to pejorative or exclusionary labels. While team members do…
Talking contracts and taking care
Original Article
Access to public documents in a study of the NHS internal market
This paper describes problems of gaining access to public documents in a qualitative study of the NHS internal market in Wales. Official Department of Health (DoH) guidance stresses the importance of 'openness' and requires contracts between NHS purchasers and providers to be made available on request. However, this study suggests that 'openness' policies do not always translate into straightforward research access, and must be seen as a topic of…
Film reviews
Survivors of the Rainforest. Director and Camera, Andy Jillings; Consultant Anthropologist, Jacques Lizot; Sound, David Goodale; Editor, John Mister; Narration, Graham Townsley; Producer, Chris Curling (CSL Films for Channel 4); Distributor (video only): enquiries to Royal Anthropological Institute, 50 Fitzroy St., London W1P 5HS, tel: +44(171) 387–0455, fax: 383–4235, email: [email protected]. 1994, 52 mins, color. Language: original Yanom…
On Penalties and the Patient's Charter
A paradox of the 1991 British NHS reforms is that increased central control over policy and strategy goes hand in hand with greater operational de-centralisation. Some commentators argue that market structures are leading to a dispersal of power, with local purchasers and providers assuming greater responsibility for the governance of their own relationships. Drawing inter alia on the Foucauldian concept of 'governmentality', they contend that 'a…
Purchasing in the British NHS
Early commentators on the British NHS reforms argued that the new requirements for health authorities to carry out formal assessments of the health needs of their local populations and contract for clinical services, would force them to be clear about what they purchased and did not purchase. It was predicted that implicit rationing by doctors would give way to explicit rationing by health authorities. Apart from the rationing question per se, th…
Humour as Resistance to Professional Dominance in Community Mental Health Teams
This paper contributes to the sociological study of humour in health care settings by analysing its use by community mental health team members dealing with referrals made by consultant psychiatrists. It is about humour and hierarchy, and specifically about humour as a strategy used by rank and file team members to resist or attenuate instructions coming from powerful professionals. The paper draws on tape-recorded data from meetings of community…
Modern Medicine. Lay Perspectives and Experiences (Book)
Ruling in" and "ruling out
Accomplishing Team
This paper describes the social organisation of two newly-formed community mental health teams, examining their differing relationship with team psychiatrists and the resulting constitution of team activities. Different ways of accomplishing 'team' had consequences for the ways mental illness was categorised and the target population for services was framed. The attendance or non-attendance of psychiatrists at team meetings, and the framing of me…
‘But if you look at the coronary anatomy …’
Recently there has been wide public debate in Britain about the denial of cardiac surgery to smokers and other patients possessing negative risk factors. While some senior medical practitioners have insisted that such decisions are based on objective clinical grounds linked to prognosis and effective use of resources, other commentators argue that doctors are policing lifestyle and making judgements about deservingness. One way of shedding light …
Innocent Parties" and "Disheartening" Experiences
This research investigates how neuro-rehabilitation staff attend to the issue of patient deservingnesss" in admissions conference talk. Examined are the instances in which staff move from a reporting mode dealing with clinical information to a storytelling mode that conveys personal and moral information for example, that the patient is an "innocent party" in an accident, that the patient has family commitments, or that relatives have struggled b…
Typification in a Neuro-Rehabilitation Centre
This paper presents data on the admissions process in a Regional neuro-rehabilitation centre, using the framework proposed in Thomas Scheff's classic paper on typification in the diagnostic process as a starting point for analysis. We argue that typification is a more complex and diffuse process than Scheff's 'diagnostic stereotype' concept suggests, and that this may be linked to the particular work imperatives and relevancies that are important…
Understanding complex trajectories in health and social care provision
Ensuring collaboration between health and social care providers is a well-established policy concern in most developed countries. Thus far, however, this has proved to be a frustratingly elusive goal. Despite the growing body of empirical work devoted to this issue, social scientific theorising on the management of complex caring trajectories remains under-developed. This paper is an attempt to begin to address this gap in the literature. Drawing…
Making connections
This paper explores the questions: What has work published in Sociology of Health and Illness contributed to our understanding of 'healthcare organisation'? What are the key research issues for the future? The paper reviews past articles with these questions in mind and uses the first issue of the Journal as a starting point for identifying themes and issues which have remained relevant throughout the first 25 years of its history. I argue that, …
Humour as Resistance to Professional Dominance in Community Mental Health Teams
This paper contributes to the sociological study of humour in health care settings by analysing its use by community mental health team members dealing with referrals made by consultant psychiatrists. It is about humour and hierarchy, and specifically about humour as a strategy used by rank and file team members to resist or attenuate instructions coming from powerful professionals. The paper draws on tape-recorded data from meetings of community…
Ruling in" and "ruling out
Categorising to exclude
This paper examines meetings in which community mental health teams (CMHTs) process referrals from psychiatrists and GPs, to determine whether or not patients should be 'allocated' to caseloads. It focuses on the discursive construction of cases, and the way in which some patients are marked out as inappropriate referrals in a process of implicit categorisation that avoids open reference to pejorative or exclusionary labels. While team members do…
On Penalties and the Patient's Charter
A paradox of the 1991 British NHS reforms is that increased central control over policy and strategy goes hand in hand with greater operational de-centralisation. Some commentators argue that market structures are leading to a dispersal of power, with local purchasers and providers assuming greater responsibility for the governance of their own relationships. Drawing inter alia on the Foucauldian concept of 'governmentality', they contend that 'a…
Talking contracts and taking care
Accommodating health and social care needs
This paper explores routine resource allocation processes in health and social care. While there has been a small body of work which has drawn on Lipsky's (1980) insights into street level bureaucracy, few have taken seriously the opportunity offered by ethnography to explore in detail the work of front-line staff as a way of observing policy processes in action. Utilising ethnographic data from research into the continuing care of adults who had…
Accomplishing Team
This paper describes the social organisation of two newly-formed community mental health teams, examining their differing relationship with team psychiatrists and the resulting constitution of team activities. Different ways of accomplishing 'team' had consequences for the ways mental illness was categorised and the target population for services was framed. The attendance or non-attendance of psychiatrists at team meetings, and the framing of me…
Typification in a Neuro-Rehabilitation Centre
This paper presents data on the admissions process in a Regional neuro-rehabilitation centre, using the framework proposed in Thomas Scheff's classic paper on typification in the diagnostic process as a starting point for analysis. We argue that typification is a more complex and diffuse process than Scheff's 'diagnostic stereotype' concept suggests, and that this may be linked to the particular work imperatives and relevancies that are important…
Access to public documents in a study of the NHS internal market
This paper describes problems of gaining access to public documents in a qualitative study of the NHS internal market in Wales. Official Department of Health (DoH) guidance stresses the importance of 'openness' and requires contracts between NHS purchasers and providers to be made available on request. However, this study suggests that 'openness' policies do not always translate into straightforward research access, and must be seen as a topic of…
Purchasing in the British NHS
Early commentators on the British NHS reforms argued that the new requirements for health authorities to carry out formal assessments of the health needs of their local populations and contract for clinical services, would force them to be clear about what they purchased and did not purchase. It was predicted that implicit rationing by doctors would give way to explicit rationing by health authorities. Apart from the rationing question per se, th…
Typification in a Neuro-Rehabilitation Centre
This paper presents data on the admissions process in a Regional neuro-rehabilitation centre, using the framework proposed in Thomas Scheff's classic paper on typification in the diagnostic process as a starting point for analysis. We argue that typification is a more complex and diffuse process than Scheff's 'diagnostic stereotype' concept suggests, and that this may be linked to the particular work imperatives and relevancies that are important…
Innocent Parties" and "Disheartening" Experiences
This research investigates how neuro-rehabilitation staff attend to the issue of patient deservingnesss" in admissions conference talk. Examined are the instances in which staff move from a reporting mode dealing with clinical information to a storytelling mode that conveys personal and moral information for example, that the patient is an "innocent party" in an accident, that the patient has family commitments, or that relatives have struggled b…
‘But if you look at the coronary anatomy …’
Recently there has been wide public debate in Britain about the denial of cardiac surgery to smokers and other patients possessing negative risk factors. While some senior medical practitioners have insisted that such decisions are based on objective clinical grounds linked to prognosis and effective use of resources, other commentators argue that doctors are policing lifestyle and making judgements about deservingness. One way of shedding light …
Modern Medicine. Lay Perspectives and Experiences (Book)
Ruling in" and "ruling out
Accomplishing Team
This paper describes the social organisation of two newly-formed community mental health teams, examining their differing relationship with team psychiatrists and the resulting constitution of team activities. Different ways of accomplishing 'team' had consequences for the ways mental illness was categorised and the target population for services was framed. The attendance or non-attendance of psychiatrists at team meetings, and the framing of me…
Purchasing in the British NHS
Early commentators on the British NHS reforms argued that the new requirements for health authorities to carry out formal assessments of the health needs of their local populations and contract for clinical services, would force them to be clear about what they purchased and did not purchase. It was predicted that implicit rationing by doctors would give way to explicit rationing by health authorities. Apart from the rationing question per se, th…
Humour as Resistance to Professional Dominance in Community Mental Health Teams
This paper contributes to the sociological study of humour in health care settings by analysing its use by community mental health team members dealing with referrals made by consultant psychiatrists. It is about humour and hierarchy, and specifically about humour as a strategy used by rank and file team members to resist or attenuate instructions coming from powerful professionals. The paper draws on tape-recorded data from meetings of community…
Original Article
Access to public documents in a study of the NHS internal market
This paper describes problems of gaining access to public documents in a qualitative study of the NHS internal market in Wales. Official Department of Health (DoH) guidance stresses the importance of 'openness' and requires contracts between NHS purchasers and providers to be made available on request. However, this study suggests that 'openness' policies do not always translate into straightforward research access, and must be seen as a topic of…
Film reviews
Survivors of the Rainforest. Director and Camera, Andy Jillings; Consultant Anthropologist, Jacques Lizot; Sound, David Goodale; Editor, John Mister; Narration, Graham Townsley; Producer, Chris Curling (CSL Films for Channel 4); Distributor (video only): enquiries to Royal Anthropological Institute, 50 Fitzroy St., London W1P 5HS, tel: +44(171) 387–0455, fax: 383–4235, email: [email protected]. 1994, 52 mins, color. Language: original Yanom…
On Penalties and the Patient's Charter
A paradox of the 1991 British NHS reforms is that increased central control over policy and strategy goes hand in hand with greater operational de-centralisation. Some commentators argue that market structures are leading to a dispersal of power, with local purchasers and providers assuming greater responsibility for the governance of their own relationships. Drawing inter alia on the Foucauldian concept of 'governmentality', they contend that 'a…
Talking contracts and taking care
Categorising to exclude
This paper examines meetings in which community mental health teams (CMHTs) process referrals from psychiatrists and GPs, to determine whether or not patients should be 'allocated' to caseloads. It focuses on the discursive construction of cases, and the way in which some patients are marked out as inappropriate referrals in a process of implicit categorisation that avoids open reference to pejorative or exclusionary labels. While team members do…
Going public
This paper considers how middle-level managers in British Health Authorities and hospital Trusts orient to media reportage in the process of negotiating and monitoring contracts for clinical services. Although they sometimes produce media representations aimed at influencing the general public, local policy actors on both sides of the purchaser/provider split also use media messages as part of their negotiations with each other. We examine how th…
Making connections
This paper explores the questions: What has work published in Sociology of Health and Illness contributed to our understanding of 'healthcare organisation'? What are the key research issues for the future? The paper reviews past articles with these questions in mind and uses the first issue of the Journal as a starting point for identifying themes and issues which have remained relevant throughout the first 25 years of its history. I argue that, …
Understanding complex trajectories in health and social care provision
Ensuring collaboration between health and social care providers is a well-established policy concern in most developed countries. Thus far, however, this has proved to be a frustratingly elusive goal. Despite the growing body of empirical work devoted to this issue, social scientific theorising on the management of complex caring trajectories remains under-developed. This paper is an attempt to begin to address this gap in the literature. Drawing…
Accommodating health and social care needs
This paper explores routine resource allocation processes in health and social care. While there has been a small body of work which has drawn on Lipsky's (1980) insights into street level bureaucracy, few have taken seriously the opportunity offered by ethnography to explore in detail the work of front-line staff as a way of observing policy processes in action. Utilising ethnographic data from research into the continuing care of adults who had…
Political science (14 obras) · Sociology (12 obras) · Psychology (11 obras) · Law (10 obras) · Health care (9 obras) · Public relations (9 obras) · Medicine (8 obras) · Business (7 obras) · Law (7 obras) · Computer Science (6 obras)