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Shaping health policy
Case study methods and analysis

Mark Exworthy, Stephen Peckham, Martin Powell, Alison Hann
Paperback, 368 pages, 240 x 172 mm
Other formats available
28 Oct 2011


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North America customers can order this book here from the University of Chicago Press.

"This book..will appeal to those who want to understand better health policy change in the NHS since its inception, as well as to a much wider readership ..who are interested in developing the field of health policy analysis by paying greater attention to theories and methods."
Gill Walt, Journal of Social Policy
"A very analytical book that uses case studies effectively to show the working of health policy"
Paul Allen, Birmingham City University
"This impressive collection of case studies documenting many of the key developments in UK health policy over recent decades has been compiled by a distinguished group of analysts. It is to be greatly welcomed for the fascinating insights it provides. "
David Hunter, Professor of Health Policy and Management, Durham University
"This book presents an impressive collection of case studies that shed light on health policy processes and issues. Written by expert contributors from the field, it will be particularly useful to students and lecturers in health policy. "
Rob Baggott, De Montfort University

About This Book

This collection examines the role that case-studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by leading health policy researchers in sociology, social policy, management and organisation studies. The collection explores and promotes the case-study as an under-used method and thereby encourages a more reflective approach to policy learning by practitioners and academics. The book will appeal to under-graduates, post-graduates and academics in social policy, public management and health services research.

Author Biography

Mark Exworthy is Professor of Health Policy and Management, School of Management, Royal Holloway-University of London. Stephen Peckham is a Reader in Health Policy at the London School of Hygiene and Tropical Medicine. Martin Powell is Professor of Health and Social Policy at the Health Services Management Centre, University of Birmingham. Alison Hann is a lecturer in public health and health policy studies at Swansea University


Section 1: Case studies in health policy: an introduction ~ Mark Exworthy and Martin Powell
Case studies of the health policy process: a methodological introduction ~ Mike Marinetto
Section 2: Creation, consolidation, disillusion (1948-1980s): NHS birthing pains ~ Martin Powell
Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? ~ John Mohan
The case study as history: 'Ideology, class and the National Health Service' by Rudolf Klein ~ Ian Greener
Hospitals in Trouble ~ Joan Higgins
Normal Accidents: learning how to learn about safety ~ Justin Keen
Repressed interests: explaining why patients and the public have little influence on health care policy: Alford's concepts of dominant, challenging and repressed interests ~ Stephen Peckham and Micky Willmott
Section 3: Safe in our hands - conflicts and challenges (1980 and 1990s): The 1983 Griffiths Inquiry ~ Fraser Macfarlane, Mark Exworthy and Micky Willmott
'AIDS in the UK: The making of policy, 1981 - 1994' (Berridge, 1996): a case study in British health policy ~ David Evans
What the doctor ordered: the Audit Commission's case study of general practice fundholders ~ David Wainwright and Michael Calnan
'Coping with uncertainty: Policy and politics in the National Health Service' (Hunter, 1980) ~ David Hughes
'Shaping strategic change': changing the way organisational change was researched in the NHS ~ Louise Locock and Sue Dopson
Section 4: New Labour, new NHS? The NHS since the 1990s: Patient choice: a contemporary policy story ~ Stephen Peckham and Marie Sanderson
The individualisation of health: health surveillance, lifestyle control and public health ~ Alison Hann
NHS confidential: Implementation, or …
How great expectations in Whitehall are dashed in Stoke-on-Trent ~ Calum Paton
Implementing clinical guidelines: a case study of research in context ~ George Dowswell and Stephen Harrison
Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s ~ Pauline Allen
Evidence and health inequalities: the Black, Acheson and Marmot reports ~ Mark Exworthy and Adam Oliver
Section 5: Policy learning from case studies in health policy: taking forward the debate ~ Mark Exworthy and Stephen Peckham
Case studies in health policy: concluding remarks ~ Mark Exworthy and Martin Powell.


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