Manifestations and implications of uncertainty for improving healthcare systems

"Our analyses have implications for efforts to improve healthcare system performance and patient outcomes. Understanding differences in the ways that uncertainty is manifest in different clinical scenarios will lead to an improved understanding of the types of improvement efforts that will be most likely to be effective."

Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science
LK Leykum et al.
Implementation Science 2014, 9:165  doi:10.1186/s13012-014-0165-1

Read more here.

Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice

"Given the need for coordination between specialist and generalist care for the task of insulin initiation, this study's results suggest the need to build relationships and communication between specialist and generalist health professional groups and the potential for DNE?s to play a boundary spanner role in this process."

Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice: an exploratory survey
J Manski-Nankervis, I Blackberry, D Young, D O’Neal, E Patterson, J Furler
BMC Health Services Research 2014, 14:515  doi:10.1186/s12913-014-0515-3

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Closing the gap through changing relationships

"The evaluation drew on the principles of the ‘realistic evaluation’ approach, focusing on clarifying the ‘context – mechanism – outcome’ dynamics underpinning the various interventions. The linkages between interventions, changing relationships and quality improvement are complex and multi-directional." 

Closing the gap through changing relationships: an independent evaluation of the programme
C Hoong Sin, H Heathfield, K Fitzpatrick, L Benson
The Health Foundation
June 2014

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The puzzle of changing relationships

"We hope that both the framework and the evidence in this report will, with further research and development, be valuable in informing: 

• better policy
• better service commissioning and planning
• a professional identity built around relationships as well as around tasks
• a research agenda that focuses far more attention on providing the evidence of how changing roles and relationships can raise quality."

The puzzle of changing relationships
JS Pedersen, L Brereton, J Newbould, E Nolte
The Health Foundation
March 2013

Read more here.

Improved NHS services through new perspectives

"This toolkit offers a way of improving productive working between doctors and managers in your Trust."

Improved NHS services through new perspectives
Centre for Innovation in Health Management
University of Leeds
July 2012

Access the toolkit here. (Free registration is required)

Personal experiences, public value: changing relationships in the NHS

"Intended to stimulate discussion, this paper is the first in a series looking at interactions between the NHS, individuals and communities. A further four papers in the run up to the 2012 NHS Confederation annual conference and exhibition will explore:

• putting people first through shared decision-making
• information and the power paradigm
• micro-enterprises and building community assets
• building social value within the system and society."

An uneasy consensus: patients, citizens and the NHS: Paper 1: Personal experiences, public value: changing relationships in the NHS
NHS Confederation
February 2012
Read more here.