Patient choice: a contemporary policy story

Stephen Peckham and Marie Sanderson

in Shaping Health Policy

Published by Policy Press

Published in print October 2011 | ISBN: 9781847427588
Published online May 2012 | e-ISBN: 9781447305576 | DOI:
Patient choice: a contemporary policy story

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This chapter aims to explore the use of a case-study approach to a specific policy. The use of narrative approaches to analysis provides a way of understanding how policy evolves but also a framework for the analysis of policy. It explores how (often ill-defined) policies can be examined within a case-study approach. It draws on our experience of researching patient choice to describe how policy can be defined as a ‘case’ for analytical purposes and the kind of methods that can be used to examine policy cases. The concept of patient choice in England emerged gradually, and over time there was a shift in how patient choice was conceptualised and what it covered. In contrast with the variation between the countries at a policy level, it appeared that choice had been operationalised in a much more uniform way across the countries.

Keywords: patient choice; NHS; policy; policy level

Chapter.  6462 words. 

Subjects: Health, Illness, and Medicine

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