ABSTRACT

Drawing on the knowledge and experiences of world-renowned scientists and healthcare professionals, this important book brings together academic, medical and health systems accounts of the impact of applying qualitative research methods to transform healthcare behaviours, systems and services. It demonstrates the translation of tried-and-tested and new interventions into high-quality care delivery, improved patient pathways, and enhanced systems management. It melds social theory, health systems analysis and research methods to address real-life healthcare issues in a rich and realistic fashion.

The systems and services examined include those affecting patient care and patient and professional wellbeing, and the roles and responsibilities of people providing and receiving care. Some chapters delve deeply into the human psyche, examining the very private face of health and illness. Others concentrate on public health and how people’s needs can be met through health promotion and new investments. From real-time case studies to narratives on illness to theories of change, there is something here for everybody. Transforming health systems needs ingenuity – and the drive of individuals, the staying power of systems and above all the involvement of patients.

Full of novel ideas and innovative solutions from around the world, all underpinned by qualitative methods and methodologies, this book is a key contribution for advanced students, practitioners and academics interested in health services research, research methods and the sociology of health and illness.

part 1|49 pages

Ideas

chapter 1|3 pages

Introduction

Why this book?

chapter 3|8 pages

The life-project of personal wellbeing

Modern healthcare and the individuality of health

chapter 6|9 pages

The Fourth Research Paradigm

Activating researchers for real world need

part 2|74 pages

Systems

chapter 7|7 pages

Slack resources in healthcare systems

Waste or resilience?

chapter 10|16 pages

Narrativizing cancer patients’ longitudinal experiences of care

Qualitative inquiry into lived and online melanoma stories

chapter 11|16 pages

Look the other way

Patient-centred care begins with care for our physicians. A dialogic narrative analysis of three personal essays

chapter 12|10 pages

Resilient healthcare in refractory epilepsy

Illuminating successful people-centred patient care

part 3|95 pages

Solutions

chapter 13|12 pages

Sensemaking as a strategy for managing uncertainty

Change and surprise in hospital settings

chapter 16|10 pages

“What on earth is going on and what should I do now?”

Sensemaking as a qualitative process

chapter 18|11 pages

Much more than old wine in new bottles

Soft Systems Methodology (SSM) for healthcare improvement

chapter 19|30 pages

Conclusion

On progress, directions and signposts to a transformed healthcare system