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. 2019 Sep;41(7):1221-1235.
doi: 10.1111/1467-9566.12923. Epub 2019 May 16.

Exploring the neglected and hidden dimensions of large-scale healthcare change

Lorelei Jones  1 , Alec Fraser  2 , Ellen Stewart  3
Affiliations
Free article

Exploring the neglected and hidden dimensions of large-scale healthcare change

Lorelei Jones et al. Sociol Health Illn. 2019 Sep.
Free article

Abstract

Forms of large-scale change, such as the regiona l re-distribution of clinical services, are an enduring reform orthodoxy in health systems of high-income countries. The topic is of relevance and importance to medical sociology because of the way that large-scale change significantly disrupts and transforms therapeutic landscapes, relationships and practices. In this paper we review the literature on large-scale change. We find that the literature is dominated by competing forms of knowledge, such as health services research, and show how sociology can contribute new and critical perspectives and insights on what is for many people a troubling issue.

Keywords: critical theory; governmentality; health services research; healthcare policy; large-scale change.

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References

    1. Allen, D., Braithwaite, J., Sandall, J. and Waring, J. (eds) (2016) The Sociology of Healthcare Safety and Quality. Wiley Blackwell: Oxford.
    1. Bal, R. (2017) Evidence-based policy as reflexive practice. What can we learn from evidence-based medicine? Journal of Health Services Research & Policy, 22, 2, 113-9.
    1. Balasubramanian, I., Mohan, H., Whelan, R., McDermott, F., et al. (2016) Restructuring an evolving Irish trauma system: what can we learn from Europe and Australia? The Surgeon, 14, 1, 44-51.
    1. Ball, S.J. (2016) Following policy: networks, network ethnography and education policy mobilities, Journal of Education Policy, 31, 5, 549-66.
    1. Barnett, R. and Barnett, P. (2003) “If you want to sit on your butts you'll get nothing!” Community activism in response to threats of rural hospital closure in southern New Zealand, Health and Place, 9, 2, 59-71.