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Shaping Health PolicyCase Study Methods and Analysis$
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Mark Exworthy, Stephen Peckham, Martin Powell, and Alison Hann

Print publication date: 2011

Print ISBN-13: 9781847427588

Published to Policy Press Scholarship Online: May 2012

DOI: 10.1332/policypress/9781847427588.001.0001

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Patient choice: a contemporary policy story

Patient choice: a contemporary policy story

(p.219) Fourteen Patient choice: a contemporary policy story
Shaping Health Policy

Stephen Peckham

Marie Sanderson

Policy Press

This chapter aims to explore the use of a case-study approach to a specific policy. The use of narrative approaches to analysis provides a way of understanding how policy evolves but also a framework for the analysis of policy. It explores how (often ill-defined) policies can be examined within a case-study approach. It draws on our experience of researching patient choice to describe how policy can be defined as a ‘case’ for analytical purposes and the kind of methods that can be used to examine policy cases. The concept of patient choice in England emerged gradually, and over time there was a shift in how patient choice was conceptualised and what it covered. In contrast with the variation between the countries at a policy level, it appeared that choice had been operationalised in a much more uniform way across the countries.

Keywords:   patient choice, NHS, policy, policy level

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