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Performing accountability in health research: A socio-spatial framework

Komporozos-Athanasiou, A; Thompson, M; Fotaki, M; (2018) Performing accountability in health research: A socio-spatial framework. Human Relations , 71 (9) pp. 1264-1287. 10.1177/0018726717740410. Green open access

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Abstract

The article explores how spaces aimed at improving accountability in health systems are socially produced. It addresses the implications of an initiative to promote patient involvement in government-funded research in the context of a large cancer research network in England. We employ a socio-spatial theoretical framework inspired by insights from Henri Lefebvre and Judith Butler to examine how professional researchers, doctors and patients understand and perform accountability in an empirical context. Our data reveal fundamental tensions between formally required and routinely enacted dimensions of accountability as these are experienced by patients. Consequently, our analysis argues for a need to challenge abstract, professionalized discourse about accountability in health services by acknowledging embodied spaces of representation, in which patients themselves can contribute to making participatory accountability a reality. We suggest that such a shift will provide a more rounded appraisal of patient experiences within health research, and health systems more widely.

Type: Article
Title: Performing accountability in health research: A socio-spatial framework
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0018726717740410
Publisher version: https://doi.org/10.1177/0018726717740410
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: accountability spaces, citizen participation, ethnography, health research, Henri Lefebvre, Judith Butler, patient experience, performativity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/1574677
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