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  1. Book: The NHS at 75

    Exworthy, Mark / Powell, Martin / Mannion, Russell

    The State of UK Health Policy

    2023  

    Author's details Mark Exworthy is Professor of Health Policy and Management at the University of Birmingham. He has research and published widely on the topics of health policy implementation, professional-managerial relations, NHS commissioning, and health inequalities. Together with the editors of this book, he also edited 'Dismantling the NHS?' which evaluated the health reforms of the Coalition government (2010-2015) (Policy Press 2016). Russell Mannion is Professor of Health Systems at the University of Birmingham and is Honorary Professor at the Australian Institute for Health Innovation, Macquarie University, Sydney. He has published widely on the topics of health policy evaluation, patient safety and cultures in healthcare. He has provided policy and research advice to a range of international governments agencies including, WHO, OECD and the European Health Management Association. Martin Powell is Professor of Health and Social Policy at the University of Birmingham. He has published over 1
    Size 294 p.
    Publisher Policy Press
    Document type Book
    Note PDA Manuell_24
    Format 234 x 156 x 20
    ISBN 9781447368601 ; 1447368606
    Database PDA

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  2. Book: Shaping health policy

    Exworthy, Mark

    case study methods and analysis

    2012  

    Author's details ed. by Mark Exworthy
    Language English
    Size XIII, 348 S. : graph. Darst.
    Publisher Policy Press
    Publishing place Bristol
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT016688111
    ISBN 978-1-84742-757-1 ; 978-1-84742-758-8 ; 1-84742-757-X ; 1-84742-758-8
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Wearing the Future-Wearables to Empower Users to Take Greater Responsibility for Their Health and Care: Scoping Review.

    Kang, Harjeevan Singh / Exworthy, Mark

    JMIR mHealth and uHealth

    2022  Volume 10, Issue 7, Page(s) e35684

    Abstract: Background: Wearables refer to devices that are worn by individuals. In the health care field, wearables may assist with individual monitoring and diagnosis. In fact, the potential for wearable technology to assist with health care has received ... ...

    Abstract Background: Wearables refer to devices that are worn by individuals. In the health care field, wearables may assist with individual monitoring and diagnosis. In fact, the potential for wearable technology to assist with health care has received recognition from health systems around the world, including a place in the strategic Long Term Plan shared by the National Health Service in England. However, wearables are not limited to specialist medical devices used by patients. Leading technology companies, including Apple, have been exploring the capabilities of wearable health technology for health-conscious consumers. Despite advancements in wearable health technology, research is yet to be conducted on wearables and empowerment.
    Objective: This study aimed to identify, summarize, and synthesize knowledge on how wearable health technology can empower individuals to take greater responsibility for their health and care.
    Methods: This study was a scoping review with thematic analysis and narrative synthesis. Relevant guidance, such as the Arksey and O'Malley framework, was followed. In addition to searching gray literature, we searched MEDLINE, EMBASE, PsycINFO, HMIC, and Cochrane Library. Studies were included based on the following selection criteria: publication in English, publication in Europe or the United States, focus on wearables, relevance to the research, and the availability of the full text.
    Results: After identifying 1585 unique records and excluding papers based on the selection criteria, 20 studies were included in the review. On analysis of these 20 studies, 3 main themes emerged: the potential barriers to using wearables, the role of providers and the benefits to providers from promoting the use of wearables, and how wearables can drive behavior change.
    Conclusions: Considerable literature findings suggest that wearables can empower individuals by assisting with diagnosis, behavior change, and self-monitoring. However, greater adoption of wearables and engagement with wearable devices depend on various factors, including promotion and support from providers to encourage uptake; increased short-term investment to upskill staff, especially in the area of data analysis; and overcoming the barriers to use, particularly by improving device accuracy. Acting on these suggestions will require investment and constructive input from key stakeholders, namely users, health care professionals, and designers of the technology. As advancements in technology to make wearables viable health care devices have only come about recently, further studies will be important for measuring the effectiveness of wearables in empowering individuals. The investigation of user outcomes through large-scale studies would also be beneficial. Nevertheless, a significant challenge will be in the publication of research to keep pace with rapid developments related to wearable health technology.
    MeSH term(s) Biomedical Technology ; Data Collection ; Forecasting ; Humans ; State Medicine ; Wearable Electronic Devices
    Language English
    Publishing date 2022-07-13
    Publishing country Canada
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2719220-9
    ISSN 2291-5222 ; 2291-5222
    ISSN (online) 2291-5222
    ISSN 2291-5222
    DOI 10.2196/35684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The end of local clinical excellence awards.

    Murphy, Nick / Exworthy, Mark / Gauly, Julia / Parsons, Jo / Green, Katlyn

    BMJ (Clinical research ed.)

    2024  Volume 385, Page(s) q1032

    MeSH term(s) Awards and Prizes ; Humans ; United Kingdom ; State Medicine
    Language English
    Publishing date 2024-05-14
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.q1032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The power of autonomy and resilience in healthcare delivery.

    Mannion, Russell / Exworthy, Mark / Wiig, Siri / Braithwaite, Jeffrey

    BMJ (Clinical research ed.)

    2023  Volume 382, Page(s) e073331

    MeSH term(s) Humans ; Delivery of Health Care ; Patient Acceptance of Health Care ; Personal Autonomy
    Language English
    Publishing date 2023-07-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2022-073331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The policy and politics of healthcare corporatisation: The case of the English NHS.

    Sheaff, Rod / Allen, Pauline / Exworthy, Mark / Mannion, Russell

    Social science & medicine (1982)

    2023  Volume 342, Page(s) 116505

    Abstract: Rationale: Few accounts of healthcare corporatisation examine the effects of the 2008 financial crisis. New Politics of the Welfare State (NPWS) theories recognise the relevance of crises but give more attention to programmatic than systemic (structural) ...

    Abstract Rationale: Few accounts of healthcare corporatisation examine the effects of the 2008 financial crisis. New Politics of the Welfare State (NPWS) theories recognise the relevance of crises but give more attention to programmatic than systemic (structural) retrenchment, and little to healthcare corporatisation.
    Objective: To examine what changes the 2008 financial crisis produced in the pattern of healthcare corporatisation, and the implications for NPWS theories.
    Methods: Using administrative data from the English NHS during 1995-2019 we formulated a multi-dimensional index of corporatisation, tested its validity, and used it to analyse longitudinally how the financial crisis affected the balance between the responsibilization of management and re-commodification (introduction of market-like practices) in provider corporatisation.
    Results: The financial crisis influenced NHS corporatisation through the fiscal austerity with which governments responded. The re-commodification of NHS providers stalled but not the responsibilization of NHS managers.
    Conclusions: The corporatisation of NHS providers faltered after the financial crisis. These findings corroborate parts of NPWS theory but also reveal scope for further elaborating its accounts of systemic retrenchment in health systems.
    MeSH term(s) Humans ; State Medicine ; Economic Recession ; Delivery of Health Care ; Policy ; Politics
    Language English
    Publishing date 2023-12-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2023.116505
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The enduring legacy of Alma Ata: 30 years on.

    Exworthy, Mark

    London journal of primary care

    2015  Volume 1, Issue 2, Page(s) 81–84

    Abstract: The 1978 Alma Ata conference and declaration was a landmark in defining and providing a direction for primary healthcare. Despite the initial enthusiasm for Alma Ata, its impact appeared to have declined in the 1990s. However, in recent years, there has ... ...

    Abstract The 1978 Alma Ata conference and declaration was a landmark in defining and providing a direction for primary healthcare. Despite the initial enthusiasm for Alma Ata, its impact appeared to have declined in the 1990s. However, in recent years, there has been a revitalisation of primary healthcare. This article reviews the Alma Ata conference and declaration, assesses its waxing and waning, and examines its recent revival. The paper draws conclusions about the relevance of Alma Ata, 30 years on.
    Language English
    Publishing date 2015-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2542827-5
    ISSN 1757-1480 ; 1757-1472
    ISSN (online) 1757-1480
    ISSN 1757-1472
    DOI 10.1080/17571472.2008.11493214
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The paradox of health policy: revealing the true colours of this 'chameleon concept' Comment on "The politics and analytics of health policy".

    Exworthy, Mark

    International journal of health policy and management

    2014  Volume 3, Issue 1, Page(s) 41–43

    Abstract: Health policy has been termed a 'chameleon concept', referring to its ability to take on different forms of disciplinarity as well as different roles and functions. This paper extends Paton's analysis by exploring the paradox of health policy as a field ... ...

    Abstract Health policy has been termed a 'chameleon concept', referring to its ability to take on different forms of disciplinarity as well as different roles and functions. This paper extends Paton's analysis by exploring the paradox of health policy as a field of academic inquiry-sitting across many of the boundaries of social science but also marginalised by them. It situates contemporary approaches within disciplinary traditions, explaining its inter- and multi-disciplinary character. It also presents a 'way of seeing' health policy in terms of three axes: central/local, profession/management, and health/healthcare. The paper concludes with a call for a new research agenda which recognises health policy's pedigree but also one which carves a distinctive future of relevance and rigour.
    Language English
    Publishing date 2014-05-15
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2724317-5
    ISSN 2322-5939
    ISSN 2322-5939
    DOI 10.15171/ijhpm.2014.49
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book: Tackling health inequalities since the Acheson inquiry

    Exworthy, Mark / Stuart, Marian / Blane, David / Marmot, Michael

    2003  

    Author's details Mark Exworthy, Marian Stuart, David Blane, Michael Marmot
    Keywords Health Policy ; Health Services Accessibility ; Health status indicators ; Medical policy ; Poor/Health and hygiene ; Public health ; Social status/Health aspects ; Socioeconomic Factors
    Language English
    Size VI, 68 Seiten, Diagramme
    Edition 1. publ.
    Publisher The Policy Press
    Publishing place Bristol
    Publishing country Germany
    Document type Book
    HBZ-ID HT019631964
    ISBN 1-86134-504-6 ; 978-1-86134-504-2
    Database Catalogue ZB MED Medicine, Health

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  10. Article ; Online: The National Clinical Impact Awards: cosmetic change or fundamental reform?

    Essex, Ryan / Rao, Mala / Mir, Fraz / Surash, Surash / Exworthy, Mark

    Journal of the Royal Society of Medicine

    2022  Volume 115, Issue 9, Page(s) 333–336

    MeSH term(s) Humans ; Awards and Prizes
    Language English
    Publishing date 2022-07-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 6731-3
    ISSN 1758-1095 ; 0141-0768 ; 0035-9157
    ISSN (online) 1758-1095
    ISSN 0141-0768 ; 0035-9157
    DOI 10.1177/01410768221108499
    Database MEDical Literature Analysis and Retrieval System OnLINE

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