Organizing Health Inequalities? Employee-Driven Innovation and the Transformation of Care

Dados Bibliográficos

ID2391985
AutoresHalford (0000-0001-5102-1790, University of Southampton, autor correspondente), Alison Fuller (0000-0002-1190-8407, University College London, UK), Kate Lyle (0000-0001-9265-7648, University of Southampton), Rebecca Taylor (0000-0002-8677-0246, University of Southampton)
Ano2019
Volume24
Fascículo1
Páginas3-20
Data de publicação2019-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociological Research Online (JOURNAL)
Identificadores do periódicoISSN: 1360-7804 • E-ISSN: 1360-7804
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1360780418790272
OpenAlexW2889228159
IdiomaEN
Citações recebidas1
Referências citadas20

This article responds to calls for new approaches to understanding and intervening in health inequalities and, in particular, for attention to the processes and relations that mediate structural inequality and everyday outcomes. Our contribution focuses on the part that healthcare organizations play in this. We draw on organizational sociology, which theorizes that while organizational structures, cultures, and practices may appear neutral - and rely for their legitimacy on this - they may, in fact, operate in the interests of some social groups and less in the interests of others. This proposition is worked through new empirical research on employee-driven innovation in the UK National Health Service. In both our case studies, front-line staff working with some of the most vulnerable citizens had identified the organization of care as both part of the problem and - potentially - part of the solution. In tracing their efforts to change the organization of care, we learn more about what it might take to mobilize resources in support of those whose lives are most affected by health inequalities

Epistemology · Health care · Inequality · Legitimacy · Political science · Politics · Proposition · Public relations · Social inequality · Sociology · Employment and Welfare Studies · Management and Organizational Studies · Mental Health and Patient Involvement