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

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 tr...

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Bibliographic Details
Published in:Sociology of health & illness 2019-09, Vol.41 (7), p.1221-1235
Main Authors: Jones, Lorelei, Fraser, Alec, Stewart, Ellen
Format: Article
Language:English
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Summary: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.
ISSN:0141-9889
1467-9566
DOI:10.1111/1467-9566.12923