Varieties of improvement expertise
Knowledge and contestation in health-care improvement
Bibliographic Data
| ID | 2250209 |
|---|---|
| Authors | Alan Cribb (0000-0002-7908-5195, Centre for Public Policy Research King’s College London London UK, corresponding author), Vikki Entwistle (0000-0002-0856-4025, Health Services Research Unit and School of Divinity, History and Philosophy University of Aberdeen Aberdeen UK), Polly Mitchell (0000-0001-7680-0264, Centre for Public Policy Research King’s College London London UK) |
| Year | 2023 |
| Volume | 45 |
| Issue | 4 |
| Pages | 734-753 |
| Publication date | 2023-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13616 |
| PMID | 36707128 |
| OpenAlex | W4318274224 |
| Language | EN |
| Citations received | 3 |
| References cited | 41 |
The 'improvement' of health care is now established and growing as a field of research and practice. This article, based on qualitative data from interviews with 21 senior leaders in this field, analyses the growth of improvement expertise as not simply an expansion but also a multiplication of 'ways of knowing'. It illustrates how health-care improvement is an area where contests about relevant kinds of knowledge, approaches and purposes proliferate and intersect. One dimension of this story relates to the increasing relevance of sociological expertise-both as a disciplinary contributor to this arena of research and practice and as a spur to reflexive critique. The analysis highlights the threat of persistent hierarchies within improvement expertise reproducing and amplifying restricted conceptions of both improvement and 'better' health care
Dimension (graph theory · Discipline · Engineering ethics · Field (mathematics · Health care · Political science · Public relations · Qualitative research · Reflexivity · Relevance (law · Social science · Sociology · Engineering · Health Policy Implementation Science · Interprofessional Education and Collaboration · Mental Health and Patient Involvement · Psychology
Medicine as Culture
Experience-based Co-design and Healthcare Improvement
Democratising expertise and socially robust knowledge
Qualitative research in health care
The Cultural Politics of ‘Implementation Science’
Healthcare quality and safety
Culture in global knowledge societies
Knowledge hierarchy and mechanisms of power in environmental impact assessment
Professional Dominance
Equality, efficiency and effectiveness
Discipline and Punish
Boundary-Work and the Demarcation of Science from Non-Science
Sociological refigurations of patient safety; ontologies of improvement and 'acting with' quality collaboratives in healthcare
Embodied Action, Enacted Bodies
Sociological perspectives on the politics of knowledge in health care
Introduction
Medical Nemesis
The Constant Comparative Method of Qualitative Analysis
Varieties of improvement expertise
Keeping It Real
Knowledge and expertise in care practices
Who does this patient belong to?' boundary work and the re/making of (NSTEMI) heart attack patients
For a Sociology of Expertise
| Citations per year | 1 |
|---|---|
| Citation span | 2023 - 2025 (3) |
| Highly cited | No |