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Opening the black box: A study of the process of nice guideline implementation

Spyridonidis, Dimitrios, Calnan, Michael .W. (2011) Opening the black box: A study of the process of nice guideline implementation. Health Policy, 102 (2-3). pp. 117-125. ISSN 0168-8510. (doi:10.1016/j.healthpol.2011.06.011) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:15214)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1016/j.healthpol.2011.06.011

Abstract

Objectives:

The implementation process was tracked retrospectively and prospectively using a comparative case-study and longitudinal design. 74 unstructured interviews were carried out with 48 key informants (managers and clinicians) between 2007 and 2009.

Results:

While national priorities determine the context for implementation the shape of the process is influenced by the interactions between doctors and managers, which influence the way they respond to external policy initiatives such as NICE guidelines. NICE and other national health policy-makers need to recognise that the introduction of planned change ‘initiatives’ in clinical practice are subject to social and political influences at the micro level as well as the macro level.

Item Type: Article
DOI/Identification number: 10.1016/j.healthpol.2011.06.011
Additional information: Meeting abstract 078 Supplement 1
Uncontrolled keywords: Implementation; NICE guidelines; Organisational context
Subjects: R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Louise Dorman
Date Deposited: 03 Sep 2009 15:13 UTC
Last Modified: 14 Feb 2020 04:02 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/15214 (The current URI for this page, for reference purposes)
Calnan, Michael .W.: https://orcid.org/0000-0002-7239-6898
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