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Understanding and supporting change in health systems using the strategic action fields framework: the availability and origin of sources of authority

Mikelyte, Rasa, Coleman, Anna, Billings, Jenny R., MacInnes, Julie, Croke, Sarah, Allen, Pauline, Checkland, Kath (2024) Understanding and supporting change in health systems using the strategic action fields framework: the availability and origin of sources of authority. Public Management Review, 26 (12). pp. 3601-3621. ISSN 1471-9037. E-ISSN 1471-9045. (doi:10.1080/14719037.2024.2347350) (KAR id:106012)

Abstract

Policy-driven change in public service systems is difficult to implement. We focus upon ‘sources of authority’, which figure within the Strategic Action Fields Framework (SAFF) as resources mobilized by socially skilled actors to catalyse and sustain change. Drawing on qualitative case studies evaluating a large-scale policy-driven change in the English NHS, the Vanguard New Care Models programme, we (1) expand the definitions of ‘sources of authority’ and (2) argue that ‘sources of authority’ vary across two intersecting dimensions. This expands the utility of the SAFF beyond understanding and evaluating policy impact, and offers practical opportunities for achieving change.

Item Type: Article
DOI/Identification number: 10.1080/14719037.2024.2347350
Additional information: For the purpose of open access, the author has applied a CC BY public copyright licence to any Author Accepted Manuscript version arising from this submission.
Uncontrolled keywords: Strategic action fields framework; policy implementation; interviews; sources of authority; public policy
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Funders: National Institute for Health Research (https://ror.org/0187kwz08)
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 30 May 2024 11:29 UTC
Last Modified: 02 Dec 2024 12:16 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/106012 (The current URI for this page, for reference purposes)

University of Kent Author Information

Mikelyte, Rasa.

Creator's ORCID: https://orcid.org/0000-0002-2772-8240
CReDIT Contributor Roles:

Billings, Jenny R..

Creator's ORCID: https://orcid.org/0000-0002-5660-9478
CReDIT Contributor Roles:

MacInnes, Julie.

Creator's ORCID: https://orcid.org/0000-0002-9220-1007
CReDIT Contributor Roles:

Allen, Pauline.

Creator's ORCID:
CReDIT Contributor Roles:
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