Roman Kislov, Kath Checkland, Paul M Wilson, Susan J Howard
{"title":"'Real-world' priority setting for service improvement in English primary care: a decentred approach.","authors":"Roman Kislov, Kath Checkland, Paul M Wilson, Susan J Howard","doi":"10.1080/14719037.2021.1942534","DOIUrl":"https://doi.org/10.1080/14719037.2021.1942534","url":null,"abstract":"<p><p>This article develops an analysis of population-level priority setting informed by Bevir's decentred theory of governance and drawing on a qualitative study of priority setting for service improvement conducted in the complex multi-layered governance context of English primary care. We show how powerful actors, operating at the meso-level, utilize pluralistic and contradictory elements of complex governance networks to discursively construct, legitimize and enact service improvement priorities. Our analysis highlights the role of situated agency in integrating top-down, bottom-up and horizontal influences on priority setting, which leads to variation in local priorities despite the continuous presence of strong hierarchical influences.</p>","PeriodicalId":20785,"journal":{"name":"Public Management Review","volume":"25 1","pages":"150-174"},"PeriodicalIF":4.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14719037.2021.1942534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}