ArticleHealth economics, policy, and law2020
Transforming health care: the policy and politics of service reconfiguration in the UK's four health systems.
Article in Health economics, policy, and law, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Freedom to Trade and Safeguarding the National Health Service (NHS) - Did the UK-Australia Free Trade Agreement Safeguard the NHS?International journal of social determinants of health and health services · 2026Article
- Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.International journal of health economics and management · 2024Article
- Health policy under the microscope: a micro policy design perspective.Frontiers in public health · 2023Article
- The Impact of Health Investment on Industrial Structure: "Spillover" or "Crowding Out"?-Evidence From Emerging Market Countries.Frontiers in public health · 2021Article
- Changing health care with, for, or against the public: an empirical investigation into the place of the public in health service reconfiguration.Journal of health services research & policy · 2021Article
- The 'nuts and bolts' of including service users and carers in the recruitment of health and social work students in an English university-An interdisciplinary critique.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Power and Purchasing: Why Strategic Purchasing Fails.The Milbank quarterly · 2020Article
- Patient and public involvement in priority-setting decisions in England's Transforming NHS: An interview study with Clinical Commissioning Groups in South London sustainability transformation partnerships.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Governing healthcare: the uses and limits of governmentality in the National Health Service in England.Anthropology & medicineArticle
Corrections and comments
- Comment on
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
Public involvement in service change has been identified as a key facilitator of health care transformation (Foley et al., 2017) but little is known about how health policy influences whether and how organisations involve the public in change processes. This qualitative study compares policy and practice for involving the public in major service changes across the UK's four health systems (England, Northern Ireland, Wales and Scotland). We analysed policy documents, and conducted interviews with officials, stakeholders, NHS staff and public campaigners (total number of interviewees = 47). Involving the public in major service change was acknowledged as a policy challenge in all four systems. Despite ostensible similarities, there were some clear differences between the four health systems' processes for involving patients and the public in major changes to health services. The extent of central Government oversight, the prescriptiveness of Government guidance, the role for intermediary bodies and arrangements for independent scrutiny of contentious decisions all vary. We analyse how health policy in the four systems has used 'sticks' and 'sermons' to promote particular approaches, and conclude that both policy and the wider system context within which health care organisations try to effect change are significant, and understudied aspect of contemporary practice.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.