Turner, S;
D'Lima, D;
Sheringham, J;
Swart, N;
Emma, H;
Steve, M;
Fulop, N;
(2021)
Evidence use as sociomaterial practice? A qualitative study of decision-making on introducing service innovations in health care.
Public Management Review
10.1080/14719037.2021.1883098.
(In press).
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Abstract
A policy aspiration is that evidence should inform decision-making on introducing health service innovations. Internationally, innovation adoption has historically been slow and patchy. Three innovations in the English and Scottish National Health Service were analysed qualitatively: stroke service reconfiguration; revised national guidance on cancer referral; and ‘virtual’ glaucoma outpatient clinics. The authors identify three sociomaterial mechanisms through which evidence and context shape each other in decision-making: connecting, ordering, resisting. Shared preferences for research evidence enabled the medical profession to exert influence on decision-making, while other professions used alternative evidence. Implications for promoting inclusive public management around service innovations are discussed.
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