Show simple item record

dc.contributor.authorCheckland, K
dc.contributor.authorHammond, J
dc.contributor.authorAllen, P
dc.contributor.authorColeman, A
dc.contributor.authorWarwick-Giles, L
dc.contributor.authorHall, A
dc.contributor.authorMays, N
dc.contributor.authorSutton, M
dc.date.accessioned2020-12-14T05:26:49Z
dc.date.available2020-12-14T05:26:49Z
dc.date.issued2020-04-01
dc.identifier.citationCheckland, K., Hammond, J., Allen, P., Coleman, A., Warwick-Giles, L., Hall, A., Mays, N. & Sutton, M. (2020). Road to Nowhere? A Critical Consideration of the Use of the Metaphor 'Care Pathway' in Health Services Planning, Organisation and Delivery. Journal of Social Policy, 49 (2), pp.405-424. https://doi.org/10.1017/S0047279419000400.
dc.identifier.issn0047-2794
dc.identifier.urihttp://hdl.handle.net/11343/253921
dc.description.abstractMetaphors are inescapable in human discourse. Policy researchers have suggested that the use of particular metaphors by those implementing policy changes both influences perceptions of underlying reality and determines what solutions seem possible, and that exploring 'practice languages' is important in understanding how policy is enacted. This paper contributes to the literature exploring the generative nature of metaphors in policy implementation, demonstrating their role in not just describing the world, but also framing it, determining what is seen/unseen, and what solutions seem possible. The metaphor 'care pathway' is ubiquitous and institutionalised in healthcare. We build upon existing work critiquing its use in care delivery, and explore its use in health care commissioning, using evidence from the recent reorganisation of the English NHS. We show that the pathways metaphor is ubiquitous, but not necessarily straightforward. Conceptualising health care planning as 'designing a pathway' may make the task more difficult, suggesting a limited range of approaches and solutions. We offer an alternative metaphor: the service map. We discuss how approaches to care design might be altered by using this different metaphor, and explore what it might offer. We argue not for a barren language devoid of metaphors, but for their more conscious use.
dc.languageEnglish
dc.publisherCambridge University Press (CUP)
dc.titleRoad to Nowhere? A Critical Consideration of the Use of the Metaphor 'Care Pathway' in Health Services Planning, Organisation and Delivery
dc.typeJournal Article
dc.identifier.doi10.1017/S0047279419000400
melbourne.affiliation.departmentMelbourne Institute of Applied Economic and Social Research
melbourne.source.titleJournal of Social Policy
melbourne.source.volume49
melbourne.source.issue2
melbourne.source.pages405-424
melbourne.elementsid1397643
melbourne.openaccess.urlhttps://researchonline.lshtm.ac.uk/id/eprint/4652639/1/checkland_etal_2019_Road%20to%20nowhere.pdf
melbourne.openaccess.statusAccepted version
melbourne.contributor.authorSutton, Matthew
dc.identifier.eissn1469-7823
melbourne.accessrightsAccess this item via the Open Access location


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record