TY - JOUR

T1 - Exploring the neglected and hidden dimensions of large-scale healthcare change

AU - Jones, Lorelei

AU - Fraser, Alec

AU - Stewart, Ellen

PY - 2019/9

Y1 - 2019/9

N2 - 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.

AB - 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.

KW - healthcare policy

KW - governmentality

KW - Critical Theory

KW - Large-scale change

KW - health services research

U2 - 10.1111/1467-9566.12923

DO - 10.1111/1467-9566.12923

M3 - Article

VL - 41

SP - 1221

EP - 1235

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 7

ER -