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Collaboration-Based Approaches
Collaboration-based approaches to healthcare improvement attract much attention. They involve networks of people coming together to cooperate around a common interest, with shared goals of improving care and mutual learning. Longstanding examples of collaborative approaches have been associated with some success in improving outcomes and reducing harm. The evidence for their effectiveness and cost-effectiveness, however, remains inconsistent and contingent on the circumstances in which they are deployed and how they are used for what purpose. Several models for collaboration have been developed, varying in structure, format, and balance between internal leadership and external control. The authors focus on two approaches: quality improvement collaboratives and communities of practice. They explore evidence of their impact on health outcomes, and evidence about how best to organise and implement collaboration-based approaches. Using examples of more and less successful collaborations, they offer guidance on the key challenges involved in using collaboration-based approaches to improve healthcare. This title is also available as Open Access on Cambridge Core.
Evidence
For nearly ten years, the Health Foundation has been working with the NHS to deliver improvement through service and staff development programmes. In a unique contribution to advancing the field of improvement, the Health Foundation has ensured that each of our improvement programmes is evaluated. We evaluate our programmes to provide sound evidence of their impact, and to better understand how it has been achieved. The researchers organised their analysis within three broad themes: - design and planning - organisational and institutional contexts, professions and leadership - sustainability, spread and unintended consequences. Within these themes, they identified 10 key challenges to improvement that consistently emerged in the programmes evaluated: - convincing people that there is a problem - convincing people that the solution chosen is the right one - getting data collection and monitoring systems right - excess ambitions and projectness - the organisational con ...
Synthesizing Qualitative Research
A considerable number of journal publications using a range of qualitative synthesis approaches has been published. Mary Dixon-Woods and colleagues (Mary Dixon-Woods, Booth, & Sutton, 2007) identified 42 qualitative evidence synthesis papers published in health care literature between 1990 and 2004. An ongoing update by Hannes and Macaitis (2010)identified around 100 additional qualitative or mixed methods syntheses. Yet these generally lack a clear, detailed description of what was done and why (Greenhalgh et al, 2007; McInnes & Wimpenny, 2008). Choices are most commonly influenced by what others have successfully used in the past or by a particular school of thought (Atkins et al, 2008; Br...
Rethinking Experiences Of Childhood Cancer: A Multidisciplinary Approach To Chronic Childhood Illness
Written by a sociologist, psychologist and practising paediatric oncologist, this book offers a fresh theoretical approach to the experience of childhood cancer. The book also discusses the impact on parents and other family members when a child is diagnosed with cancer.
Social Movements and the Transformation of American Health Care
Few contemporary social problems in the U.S. affect more people daily than those within the American health care system. Social Movements and the Transformation of American Health Care is the first collection of essays to examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. Gathering scholars from medicine, health policy, history, sociology, and political science, the book considers health-related social movements from four distinct levels, concentrating on movements seeking changes in the regulation, financing, and distribution of health resources; changes in institutions in public health, bio-ethics, and other fields; interactions between social movements and professions; and the cultural dominance of the medical model, and the difficulties for framing and legitimizing new issues in health care it poses. At a time when American health care is long overdue for major changes, this book takes an essential look at movements, policies, and institutions to identify the common constraints and opportunities for reform within the health care system.
Collaboratives
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Bioethics Around the Globe
This book is a comparative anthropology and sociology of globalizing bioethics, exploring the global dissemination, local adaptations, cultural meanings and social functions of bioethics theories, practices and institutions. Regions considered include: Africa, Asia, Australia, Central and South America, Europe, Middle East, and North America.
Weeping Britannia
There is a persistent myth about the British: that they are a nation of stoics, with stiff upper lips, repressed emotions, and inactive lachrymal glands. Weeping Britannia--the first history of crying in Britain--comprehensively debunks this myth. Far from being a persistent element in the national character, the notion of the British stiff upper lip was in fact the product of a relatively brief and militaristic period of the nation's past, from about 1870 to 1945. In earlier times we were a nation of proficient, sometimes virtuosic moral weepers. To illustrate this perhaps surprising fact, Thomas Dixon charts six centuries of weeping Britons, and theories about them, from the medieval mysti...
Are Workarounds Ethical?
Should you wash your hands? -- Are workarounds ethical? -- Turfing, bending, and gaming -- Dirty hands and the semiclear conscience -- Problems of humanity -- Ethics without heroics : foreseeing moral problems in complex systems
