The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care
<strong>Background</strong> Increasingly, collaborative participatory methods requiring open and honest interaction between a range of stakeholders are being used to improve health service delivery. To be successful these methodologies must incorporate perspectives from a range of patien...
| 主要な著者: | , , , , , |
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| フォーマット: | Journal article |
| 言語: | English |
| 出版事項: |
BioMed Central
2018
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| _version_ | 1826286799144615936 |
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| author | Litchfield, I Bentham, L Hill, A McManus, R Lilford, R Greenfield, S |
| author_facet | Litchfield, I Bentham, L Hill, A McManus, R Lilford, R Greenfield, S |
| author_sort | Litchfield, I |
| collection | OXFORD |
| description | <strong>Background</strong> Increasingly, collaborative participatory methods requiring open and honest interaction between a range of stakeholders are being used to improve health service delivery. To be successful these methodologies must incorporate perspectives from a range of patients and staff. Yet, if unaccounted for, the complex relationships amongst staff groups and between patients and providers can affect the veracity and applicability of co-designed solutions. <strong>Methods</strong> Two focus groups convened to discuss suggestions for the improvement of blood testing and result communication in primary care. The groups were mixed of patients and staff in various combinations drawn from the four participating study practices. Here we present a secondary mixed-method analysis of the interaction between participants in both groups using sociogrammatic and thematic analysis. <strong>Results</strong> Despite a similar mix of practice staff and patients the two groups produced contrasting discussions, seemingly influenced by status and social context. The sociograms provided a useful insight into the flow of conversation and highlighted the dominance of the senior staff member in the first focus group. Within the three key themes of social context, the alliances formed between participants and the fluidity of the roles assumed manifested differently between groups apparently dictated by the different profile of the participants of each. <strong>Conclusions</strong> For primary care service improvement attention must be paid to the background of participants when convening collaborative service improvement groups as status and imported hierarchies can have significant connotations for the data produced. |
| first_indexed | 2024-03-07T01:49:05Z |
| format | Journal article |
| id | oxford-uuid:99736646-1c1e-412f-9cf7-caf4e0f3701a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:49:05Z |
| publishDate | 2018 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:99736646-1c1e-412f-9cf7-caf4e0f3701a2022-03-27T00:14:22ZThe impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary careJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:99736646-1c1e-412f-9cf7-caf4e0f3701aEnglishSymplectic Elements at OxfordBioMed Central2018Litchfield, IBentham, LHill, AMcManus, RLilford, RGreenfield, S<strong>Background</strong> Increasingly, collaborative participatory methods requiring open and honest interaction between a range of stakeholders are being used to improve health service delivery. To be successful these methodologies must incorporate perspectives from a range of patients and staff. Yet, if unaccounted for, the complex relationships amongst staff groups and between patients and providers can affect the veracity and applicability of co-designed solutions. <strong>Methods</strong> Two focus groups convened to discuss suggestions for the improvement of blood testing and result communication in primary care. The groups were mixed of patients and staff in various combinations drawn from the four participating study practices. Here we present a secondary mixed-method analysis of the interaction between participants in both groups using sociogrammatic and thematic analysis. <strong>Results</strong> Despite a similar mix of practice staff and patients the two groups produced contrasting discussions, seemingly influenced by status and social context. The sociograms provided a useful insight into the flow of conversation and highlighted the dominance of the senior staff member in the first focus group. Within the three key themes of social context, the alliances formed between participants and the fluidity of the roles assumed manifested differently between groups apparently dictated by the different profile of the participants of each. <strong>Conclusions</strong> For primary care service improvement attention must be paid to the background of participants when convening collaborative service improvement groups as status and imported hierarchies can have significant connotations for the data produced. |
| spellingShingle | Litchfield, I Bentham, L Hill, A McManus, R Lilford, R Greenfield, S The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title | The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title_full | The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title_fullStr | The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title_full_unstemmed | The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title_short | The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care |
| title_sort | impact of status and social context on health service co design an example from a collaborative improvement initiative in uk primary care |
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