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Taking a 'decentred' approach to the analysis of health policy
means being attentive to the historical contingencies and
circumstances within which reforms are located, the influence of
dominant or elite narratives in the shaping of policy, the local
traditions and customary practices through which policies are
mobilised, and the way local actors contest, negotiate and
co-construct policy. This book offers a unique analysis of the
changing landscape of healthcare reform in Britain, as an example
of decentralized reforms across the developed world. The collection
is framed by the recognition that healthcare reform has resulted in
variegated and decentralized forms of governance. The chapters look
at distinct aspects of reform within the British NHS to bring to
light the influence of local histories, traditions, coalitions, and
values, in the remaking of a national healthcare system. Each
chapter focuses on a different aspects of reform, and in others
developing cross-national and comparative analysis. However, each
offers a unique contribution and analysis of contemporary theories
of healthcare governance. This book will be of key interest to
scholars, students and practitioners in healthcare, health and
social policy, political science, and public management and
governance.
This edited volume of original chapters brings together researchers
from around the world who are exploring the facets of health care
organization and delivery that are sometimes marginal to mainstream
patient safety theories and methodologies but offer important
insights into the socio-cultural and organizational context of
patient safety. By examining these critical insights or
perspectives and drawing upon theories and methodologies often
neglected by mainstream safety researchers, this collection shows
we can learn more about not only the barriers and drivers to
implementing patient safety programmes, but also about the more
fundamental issues that shape notions of safety, alternate
strategies for enhancing safety, and the wider implications of the
safety agenda on the future of health care delivery. In so doing, A
Socio-cultural Perspective on Patient Safety challenges the
taken-for-granted assumptions around fundamental philosophical and
political issues upon which mainstream orthodoxy relies. The book
draws upon a range of theoretical and empirical approaches from
across the social sciences to investigate and question the patient
safety movement. Each chapter takes as its focus and question a
particular aspect of the patient safety reforms, from its policy
context and theoretical foundations to its practical application
and manifestation in clinical practice, whilst also considering the
wider implications for the organization and delivery of health care
services. Accordingly, the chapters each draw upon a distinct
theoretical or methodological approach to critically explore
specific dimensions of the patient safety agenda. Taken as a whole,
the collection advances a strong, coherent argument that is much
needed to counter some of the uncritical assumptions that need to
be described and analyzed if patient safety is indeed to be
achieved.
This edited volume of original chapters brings together researchers
from around the world who are exploring the facets of health care
organization and delivery that are sometimes marginal to mainstream
patient safety theories and methodologies but offer important
insights into the socio-cultural and organizational context of
patient safety. By examining these critical insights or
perspectives and drawing upon theories and methodologies often
neglected by mainstream safety researchers, this collection shows
we can learn more about not only the barriers and drivers to
implementing patient safety programmes, but also about the more
fundamental issues that shape notions of safety, alternate
strategies for enhancing safety, and the wider implications of the
safety agenda on the future of health care delivery. In so doing, A
Socio-cultural Perspective on Patient Safety challenges the
taken-for-granted assumptions around fundamental philosophical and
political issues upon which mainstream orthodoxy relies. The book
draws upon a range of theoretical and empirical approaches from
across the social sciences to investigate and question the patient
safety movement. Each chapter takes as its focus and question a
particular aspect of the patient safety reforms, from its policy
context and theoretical foundations to its practical application
and manifestation in clinical practice, whilst also considering the
wider implications for the organization and delivery of health care
services. Accordingly, the chapters each draw upon a distinct
theoretical or methodological approach to critically explore
specific dimensions of the patient safety agenda. Taken as a whole,
the collection advances a strong, coherent argument that is much
needed to counter some of the uncritical assumptions that need to
be described and analyzed if patient safety is indeed to be
achieved.
The COVID-19 pandemic has led to radical transformations in the
organisation and delivery of health and care services across the
world. In many countries, policy makers have rushed to re-organise
care services to meet the surge demand of COVID-19, from
re-purposing existing services to creating new 'field' hospitals.
Such strategies signal important and sweeping changes in the
organisation of both 'COVID' and 'non-COVID' care, whilst asking
more fundamental questions about the long-term organisation of care
'after COVID'. In some contexts, the pandemic has exposed the
fragilities and vulnerabilities of care systems, whilst in others,
it has shown how services are organised to be more resilient and
adaptive to unanticipated pressures. The COVID-19 pandemic presents
a rare opportunity to examine empirically and to develop new
theoretical frameworks on how and why health systems adapt to such
unusual and intense pressures. International contributors consider
how responses to COVID-19 are transforming the organisation and
governance of health and care services and explore questions around
strategic leadership at local, regional, national and transnational
level. The book offers unique insight and analysis on the dynamics
of policy-making, the organisation and governance of care
organisations, the role of technologies in governing, the changing
role of professionals and the possibilities for more resilient care
systems.
Networks have become a prominent template for public service
governance. Often seen as an alternative to hierarchies and
contracts, networks cross institutionalized organizational or
sectoral boundaries to promote collaboration and the sharing of
resources when addressing complex problems. Nowhere is this more
the case than in the field of health services modernization and
improvement. Comprising unique empirical contributions, drawn
primarily from the experience of the UK National Health Service
(NHS), this edited collection develops a 'decentred' analysis of
health and care networks. Contributors look beyond particular
structures or patterns of governance and focus instead on the
interpretation of the meaningful practices of policy actors as they
encounter and enact policy instruments and structures. The approach
offers a distinct form of analysis that deepens and enriches more
traditional public policy accounts of network governance. It
recognizes the influence of local history, highlights the influence
of dominant economic, technical and corporate narratives, and
acknowledges the continued influence of biomedical knowledge and
professional expertise. Offering practical insight for current and
future service leaders about the challenges of implementing,
managing and working within networks, this book draws out key
messages for practitioners and researchers alike.
This book is concerned with the complexities of achieving quality
in care transitions. The organization and accomplishment of high
quality care transitions relies upon the coordination of multiple
professionals, working within and across multiple care processes,
settings and organizations, each with their own distinct ways of
working, profile of resources, and modes of organizing. In short,
care transitions might easily be regarded as complex activities
that take place within complex systems, which can make
accomplishing high quality care challenging. As a subject of
enquiry, care transitions are approached from many research,
improvement and policy perspectives: from group psychology and
human factors to social and political theory; from applied process
re-engineering projects to exploratory ethnographic studies; from
large-scale policy innovations to local improvements initiatives.
This collection will provide a unique cross-disciplinary and
multi-level analysis, where each chapter presents a particular
depth of insight and analysis, and together offer a holistic and
detail understand of care transitions.
Taking a 'decentred' approach to the analysis of health policy
means being attentive to the historical contingencies and
circumstances within which reforms are located, the influence of
dominant or elite narratives in the shaping of policy, the local
traditions and customary practices through which policies are
mobilised, and the way local actors contest, negotiate and
co-construct policy. This book offers a unique analysis of the
changing landscape of healthcare reform in Britain, as an example
of decentralized reforms across the developed world. The collection
is framed by the recognition that healthcare reform has resulted in
variegated and decentralized forms of governance. The chapters look
at distinct aspects of reform within the British NHS to bring to
light the influence of local histories, traditions, coalitions, and
values, in the remaking of a national healthcare system. Each
chapter focuses on a different aspects of reform, and in others
developing cross-national and comparative analysis. However, each
offers a unique contribution and analysis of contemporary theories
of healthcare governance. This book will be of key interest to
scholars, students and practitioners in healthcare, health and
social policy, political science, and public management and
governance.
The COVID-19 pandemic has led to radical transformations in the
organisation and delivery of health and care services across the
world. In many countries, policy makers have rushed to re-organise
care services to meet the surge demand of COVID-19, from
re-purposing existing services to creating new 'field' hospitals.
Such strategies signal important and sweeping changes in the
organisation of both 'COVID' and 'non-COVID' care, whilst asking
more fundamental questions about the long-term organisation of care
'after COVID'. In some contexts, the pandemic has exposed the
fragilities and vulnerabilities of care systems, whilst in others,
it has shown how services are organised to be more resilient and
adaptive to unanticipated pressures. The COVID-19 pandemic presents
a rare opportunity to examine empirically and to develop new
theoretical frameworks on how and why health systems adapt to such
unusual and intense pressures. International contributors consider
how responses to COVID-19 are transforming the organisation and
governance of health and care services and explore questions around
strategic leadership at local, regional, national and transnational
level. The book offers unique insight and analysis on the dynamics
of policy-making, the organisation and governance of care
organisations, the role of technologies in governing, the changing
role of professionals and the possibilities for more resilient care
systems.
Networks have become a prominent template for public service
governance. Often seen as an alternative to hierarchies and
contracts, networks cross institutionalized organizational or
sectoral boundaries to promote collaboration and the sharing of
resources when addressing complex problems. Nowhere is this more
the case than in the field of health services modernization and
improvement. Comprising unique empirical contributions, drawn
primarily from the experience of the UK National Health Service
(NHS), this edited collection develops a 'decentred' analysis of
health and care networks. Contributors look beyond particular
structures or patterns of governance and focus instead on the
interpretation of the meaningful practices of policy actors as they
encounter and enact policy instruments and structures. The approach
offers a distinct form of analysis that deepens and enriches more
traditional public policy accounts of network governance. It
recognizes the influence of local history, highlights the influence
of dominant economic, technical and corporate narratives, and
acknowledges the continued influence of biomedical knowledge and
professional expertise. Offering practical insight for current and
future service leaders about the challenges of implementing,
managing and working within networks, this book draws out key
messages for practitioners and researchers alike.
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