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Exploring the neglected and hidden dimensions of large-scale healthcare change

Research output: Contribution to journalArticle

Lorelei Jones, Alec Fraser, Ellen Stewart

Original languageEnglish
Pages (from-to)1221-1235
Number of pages15
JournalSociology of Health and Illness
Issue number7
Early online date16 May 2019
Publication statusPublished - 1 Sep 2019


King's Authors


Forms of large-scale change, such as the regiona l re-distribution of clinical services, are an enduring reform orthodoxy in health systems of high-income countries. The topic is of relevance and importance to medical sociology because of the way that large-scale change significantly disrupts and transforms therapeutic landscapes, relationships and practices. In this paper we review the literature on large-scale change. We find that the literature is dominated by competing forms of knowledge, such as health services research, and show how sociology can contribute new and critical perspectives and insights on what is for many people a troubling issue.

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