A sociology of public responses to hospital change and closure
Autor: | Ellen Stewart |
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Rok vydání: | 2019 |
Předmět: |
Health (social science)
National Health Service Opposition (politics) State Medicine Health Facility Closure qualitative interviews Empirical research Sociology RA0421 Health care Humans Everyday life Qualitative Research Health policy Dialogic major service change patient and public engagement business.industry Health Policy Community Participation Public Health Environmental and Occupational Health Original Articles Public relations Publics National health service Organizational Innovation government/state Scotland Original Article sense organs business Delivery of Health Care |
Zdroj: | Sociology of Health & Illness Stewart, E 2019, ' A sociology of public responses to hospital change and closure ', Sociology of Health & Illness, vol. 41, no. 7, pp. 1251-1269 . https://doi.org/10.1111/1467-9566.12896 |
ISSN: | 1467-9566 0141-9889 |
Popis: | The “problem” of public resistance to hospital closure is a recurring trope in health policy debates around the world. Recent papers have argued that when it comes to major change to hospitals, “the public” cannot be persuaded by clinical evidence, and that mechanisms of public involvement are ill‐equipped to reconcile opposition with management desire for radical change. This paper presents data from in‐depth qualitative case studies of three hospital change processes in Scotland's National Health Service, including interviews with 44 members of the public. Informed by sociological accounts of both hospitals and publics as heterogeneous, shifting entities, I explore how hospitals play meaningful roles within their communities. I identify community responses to change proposals which go beyond simple opposition, including evading, engaging with and acquiescing to changes. Explicating both hospitals and the publics they serve as complex social phenomena strengthens the case for policy and practice to prioritise dialogic processes of engagement. It also demonstrates the continuing value of careful, empirical research into public perspectives on contentious healthcare issues in the context of everyday life. |
Databáze: | OpenAIRE |
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