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Implementing changes to hospital services: Factors influencing the process and ‘results’ of reconfiguration

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  • Fulop, Naomi
  • Walters, Rhiannon
  • 6, Perri
  • Spurgeon, Peter

Abstract

Acute hospital reconfiguration is often presented as a problem to be solved by calculations of optimal design, a rational process amenable to influence by open and responsive consultation. We aimed to analyse factors in the process and ‘results’ of hospital reconfiguration in three case study sites in the English NHS.

Suggested Citation

  • Fulop, Naomi & Walters, Rhiannon & 6, Perri & Spurgeon, Peter, 2012. "Implementing changes to hospital services: Factors influencing the process and ‘results’ of reconfiguration," Health Policy, Elsevier, vol. 104(2), pages 128-135.
    • Handle: RePEc:eee:hepoli:v:104:y:2012:i:2:p:128-135
    DOI: 10.1016/j.healthpol.2011.05.015
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    References listed on IDEAS

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    1. Fulop, Naomi & Protopsaltis, Gerasimos & King, Annette & Allen, Pauline & Hutchings, Andrew & Normand, Charles, 2005. "Changing organisations: a study of the context and processes of mergers of health care providers in England," Social Science & Medicine, Elsevier, vol. 60(1), pages 119-130, January.
    2. Street, Andrew & Maynard, Alan, 2007. "Activity based financing in England: the need for continual refinement of payment by results," Health Economics, Policy and Law, Cambridge University Press, vol. 2(4), pages 419-427, October.
    3. Martin Kitchener & Linda Gask, 2003. "NPM merger mania Lessons from an early case," Public Management Review, Taylor & Francis Journals, vol. 5(1), pages 19-44, March.
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    Cited by:

    1. Fraser, Alec & Baeza, Juan & Boaz, Annette & Ferlie, Ewan, 2019. "Biopolitics, space and hospital reconfiguration," Social Science & Medicine, Elsevier, vol. 230(C), pages 111-121.
    2. Kvåle, Gro & Torjesen, Dag Olaf, 2021. "Social movements and the contested institutional identity of the hospital," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Vanessa Cirulli & Giorgia Marini, 2023. "Do mergers really increase output? Evidence from English hospitals," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 94(1), pages 159-189, March.
    4. Jones, Lorelei & Exworthy, Mark & Frosini, Francesca, 2013. "Implementing market-based reforms in the English NHS: Bureaucratic coping strategies and social embeddedness," Health Policy, Elsevier, vol. 111(1), pages 52-59.
    5. McHugh, Sheena & Droog, E. & Foley, Conor & Boyce, M. & Healy, O. & Browne, J.P., 2019. "Understanding the impetus for major systems change: A multiple case study of decisions and non-decisions to reconfigure emergency and urgent care services," Health Policy, Elsevier, vol. 123(8), pages 728-736.
    6. Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
    7. Barratt, Helen & Harrison, David A. & Raine, Rosalind & Fulop, Naomi J., 2015. "Factors that influence the way local communities respond to consultation processes about major service change: A qualitative study," Health Policy, Elsevier, vol. 119(9), pages 1210-1217.
    8. Mascia, Daniele & Morandi, Federica & Cicchetti, Americo, 2014. "Hospital restructuring and physician job satisfaction: An empirical study," Health Policy, Elsevier, vol. 114(2), pages 118-127.

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