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Evidence use as sociomaterial practice? A qualitative study of decision-making on introducing service innovations in health care

Author

Listed:
  • Simon Turner
  • Danielle D´Lima
  • Jessica Sheringham
  • Nick Swart
  • Emma Hudson
  • Stephen Morris
  • Naomi J. Fulop

Abstract

A policy aspiration is that evidence should inform decision-making on introducing health service innovations. Internationally, innovation adoption has historically been slow and patchy. Three innovations in the English and Scottish National Health Service were analysed qualitatively: stroke service reconfiguration; revised national guidance on cancer referral; and ‘virtual’ glaucoma outpatient clinics. The authors identify three sociomaterial mechanisms through which evidence and context shape each other in decision-making: connecting, ordering, resisting. Shared preferences for research evidence enabled the medical profession to exert influence on decision-making, while other professions used alternative evidence. Implications for promoting inclusive public management around service innovations are discussed.

Suggested Citation

  • Simon Turner & Danielle D´Lima & Jessica Sheringham & Nick Swart & Emma Hudson & Stephen Morris & Naomi J. Fulop, 2022. "Evidence use as sociomaterial practice? A qualitative study of decision-making on introducing service innovations in health care," Public Management Review, Taylor & Francis Journals, vol. 24(7), pages 1075-1099, July.
    • Handle: RePEc:taf:rpxmxx:v:24:y:2022:i:7:p:1075-1099
    DOI: 10.1080/14719037.2021.1883098
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