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

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  • SHI00014-2018finalsubmitted

    Accepted author manuscript, 74 KB, Word document

    Embargo ends: 17/05/20

    Licence: CC BY-ND Show licence

  • 2019 Exploring the neglected

    Accepted author manuscript, 518 KB, PDF document

    Embargo ends: 16/05/20


  • Lorelei Jones
  • Alec Fraser
    Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine
  • Ellen Stewart
    Centre for Biomedicine, Self and Society, University of Edinburgh
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.


  • healthcare policy, governmentality, Critical Theory, Large-scale change, health services research
Original languageEnglish
JournalSociology of Health and Illness
Early online date17 May 2019
Publication statusE-pub ahead of print - 17 May 2019
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