Gkeredakis, Emmanouil, Swan, Jacky, Clarke, Aileen, 1955-, Powell, John, Nicolini, Davide, Scarbrough, Harry, Roginski, C. and Taylor-Phillips, Sian. (2011) Mind the gap : understanding utilisation of evidence and policy in health care management practice. Journal of Health Organization and Management, Vol.25 (No.3). pp. 298-314. ISSN 1477-7266

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Abstract

Purpose – The paper aims to take a reflective stance on the relationship between policy/evidence and practice, which, the authors argue, is conceptually under-developed. The paper aims to show that current research perspectives fail to frame evidence and policy in relation to practice. Design/methodology/approach – A qualitative study was conducted in the English NHS in four Primary Care Trusts (PCTs). Seventy-five observations of meetings and 52 semi-structured interviews were completed. The approach to data analysis was to explore and reconstruct narratives of PCT managers' real practices. Findings – The exploratory findings are presented through two kinds of narratives. The first narrative vividly illustrates the significance of the active involvement, skills and creativity of health care practitioners for policy implementation. The second narrative elucidates how problems of collaboration among different experts in PCTs might emerge and affect evidence utilisation in practice. Practical implications – The findings exemplify that policies are made workable in practice and, hence, policy makers may also need to be mindful of practical intricacies and conceive policy implementation as an iterative process. Originality/value – The contribution of this paper lies in offering an alternative and important perspective to the debate of utilisation of policy/evidence in health care management and in advancing existing understanding of health care management practice. The paper's rich empirical examples demonstrate some important dimensions of the complexity of practice.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Warwick Evidence Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit Faculty of Social Sciences > Warwick Business School > Industrial Relations & Organisational Behaviour Faculty of Social Sciences > Warwick Business School > Information Systems & Management Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Journal of Health Organization and Management
Publisher:	Emerald Group Publishing Ltd.
ISSN:	1477-7266
Date:	2011
Volume:	Vol.25
Number:	No.3
Number of Pages:	17
Page Range:	pp. 298-314
Identification Number:	10.1108/14777261111143545
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/45217

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