Organizational values in general practice and public involvement: case studies in an urban district

This chapter analyses how Hollywood focused on recognizable and venerable architectural representations of federal institutions to symbolise the new relationship that had developed between the citizenry and the national government under the aegis of the New Deal. Through case studies of three films respectively featuring the executive, legislative and judicial edifices of the national state – Gabriel over the White House (1933), Mr Smith Goes to Washington (1939), and The Talk of the Town (1942) – become sites of masculine transformations, as the three male protagonists each experience private revelations that help them take on new roles as president, senator and Supreme Court Justice respectively. Though each contains a romantic sub-plot, none of the movies ends with the expected scene of romantic coupling whose trajectory was established in the early scenes. Accordingly the male leads become defined less by private heterosexuality than by public involvement in the Roosveltian state.

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Patient and public involvement in general practice research

British Journal of General Practice ◽

10.3399/bjgp20x709457 ◽

2020 ◽

Vol 70 (694) ◽

pp. 220-221

Author(s):

Ben Bowers ◽

Roberta Lovick ◽

Kristian Pollock ◽

Stephen Barclay

Keyword(s):

General Practice ◽

Public Involvement ◽

Patient And Public Involvement ◽

Practice Research

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General practitioners and emergency departments (GPED)—efficient models of care: a mixed-methods study protocol

BMJ Open ◽

10.1136/bmjopen-2018-024012 ◽

2018 ◽

Vol 8 (10) ◽

pp. e024012

Author(s):

Katherine Morton ◽

Sarah Voss ◽

Joy Adamson ◽

Helen Baxter ◽

Karen Bloor ◽

...

Keyword(s):

Emergency Department ◽

Case Studies ◽

General Practitioners ◽

Emergency Departments ◽

Quantitative Methods ◽

Public Involvement ◽

Clinical Care ◽

Urgent Care ◽

The Uk ◽

The Impact

IntroductionPressure continues to grow on emergency departments in the UK and throughout the world, with declining performance and adverse effects on patient outcome, safety and experience. One proposed solution is to locate general practitioners to work in or alongside the emergency department (GPED). Several GPED models have been introduced, however, evidence of effectiveness is weak. This study aims to evaluate the impact of GPED on patient care, the primary care and acute hospital team and the wider urgent care system.Methods and analysisThe study will be divided into three work packages (WPs). WP-A; Mapping and Taxonomy: mapping, description and classification of current models of GPED in all emergency departments in England and interviews with key informants to examine the hypotheses that underpin GPED. WP-B; Quantitative Analysis of National Data: measurement of the effectiveness, costs and consequences of the GPED models identified in WP-A, compared with a no-GPED model, using retrospective analysis of Hospital Episode Statistics Data. WP-C; Case Studies: detailed case studies of different GPED models using a mixture of qualitative and quantitative methods including: non-participant observation of clinical care, semistructured interviews with staff, patients and carers; workforce surveys with emergency department staff and analysis of available local routinely collected hospital data. Prospective case study sites will be identified by completing telephone interviews with sites awarded capital funding by the UK government to implement GPED initiatives. The study has a strong patient and public involvement group that has contributed to study design and materials, and which will be closely involved in data interpretation and dissemination.Ethics and disseminationThe study has been approved by the National Health Service East Midlands—Leicester South Research Ethics Committee: 17/EM/0312. The results of the study will be disseminated through peer-reviewed journals, conferences and a planned programme of knowledge mobilisation.Trial registration numberISRCTN51780222.

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Engaging general practitioners in pay-for-performance scheme design

Journal of Health Organization and Management ◽

10.1108/jhom-05-2020-0203 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Verna Smith

Keyword(s):

General Practice ◽

Performance Management ◽

Case Studies ◽

General Practitioners ◽

Pay For Performance ◽

National Level ◽

Professional Values ◽

Structured Interviews ◽

Content Type ◽

Scheme Design

PurposePolicymakers implementing pay-for-performance schemes within general practice should seek to design schemes which work with rather than against the professional values and goals of general practitioners. In this way, schemes are more likely to enhance the practitioners' engagement. The purpose of this paper is to show how this was done in two case studies of pay-for-performance design and present the lessons from this study for policymakers.Design/methodology/approachA Most Similar Systems collective case study of the design of two pay-for-performance schemes for general practitioners, the United Kingdom's Quality and Outcomes Framework (QOF) and the New Zealand’s Performance Management Programme (PMP) was undertaken, involving 26 semi-structured interviews with policymakers, documentary and literature analysis.FindingsInnovation in processes was found in both case studies which facilitated engagement by general practitioners in the formulation and implementation of these schemes. These were careful selection of highly skilled design teams, use of principle-based negotiation techniques and academic mediation of indicator selection. In addition, in England the majority of members in the combined QOF design team were general practitioners. The evidence from these two case studies reinforces approaches to scheme design which seek to harness rather than challenge medical professional values and which maximise the participation of general practitioners in the design process. Achieving funder/practitioner collaboration should be a key goal in the policymaking process.Practical implicationsPay-for-performance scheme designers can improve their ability to engage general practitioners in scheme design and scheme uptake by adopting approaches which actively engage general practitioners as designers and users of such schemes.Originality/valueThis study compares two contemporaneous processes of pay-for-performance scheme design and implementation in similar systems of general practice funding and delivery at the national level, offering a rare quasi-experimental opportunity for learning lessons from comparative analysis.

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Authentic leadership

Strategic Direction ◽

10.1108/sd-08-2021-0089 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Keyword(s):

Case Studies ◽

Authentic Leadership ◽

Reading Time ◽

Organizational Values ◽

Cutting Edge ◽

Content Type ◽

External Stakeholders ◽

Pertinent Information ◽

Practical Implications

Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings Managerial value reports are a method of transparently setting out organizational values, and demonstrating a commitment to them, through actions which can be judged by internal and external stakeholders. Originality The briefing saves busy executives, strategists and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

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