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

Jones, Lorelei and Fraser, Alec and Stewart, Ellen (2019) Exploring the neglected and hidden dimensions of large-scale healthcare change. Sociology of Health and Illness, 41 (7). pp. 1221-1235. ISSN 0141-9889 (https://doi.org/10.1111/1467-9566.12923)

[thumbnail of Jones-etal-SHI-2019-Exploring-the-neglected-and-hidden-dimensions-of-large-scale-healthcare-change]
Text. Filename: Jones_etal_SHI_2019_Exploring_the_neglected_and_hidden_dimensions_of_large_scale_healthcare_change.pdf
Accepted Author Manuscript
License: Creative Commons Attribution-NoDerivatives 4.0 logo

Download (395kB)| Preview


Forms of large-scale change, such as the regional 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.


Jones, Lorelei, Fraser, Alec and Stewart, Ellen ORCID logoORCID: https://orcid.org/0000-0003-3013-1477;