Novel mode of knowledge production? Producers and consumers in health services research

  • Ferlie E
  • Wood M
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OBJECTIVES: To investigate (1) what type of knowledge production characterizes health services research - academically based (mode 1) or socially distributed (mode 2); (2) how leaders in health services research link to users of the research; (3) how this research is influenced by its funding base; and (4) the development and dissemination strategies of investigators. METHODS: Four purposively selected case studies of contrasting health services research groups generated early propositions (70 interviews). These led to a postal survey of key stakeholder groups in one English National Health Service region (199 responses, 53% response rate). RESULTS: Health services research in the UK is characterized by: a mix of mode 1 and mode 2 output indicators; strong external relationship building by group leaders; a powerful driver from external finance; and extensive dissemination and development activity. CONCLUSIONS: Health services researchers may have to operate in both modes. Mode 1 retains considerable defensive power, so there are limits to the extent to which mode 2 research may develop.

Author-supplied keywords

  • Cardiovascular Diseases
  • Cooperative Behavior
  • Great Britain
  • Health Services Research/methods/ organization & a
  • Humans
  • Information Dissemination
  • Interinstitutional Relations
  • Interprofessional Relations
  • Investments
  • Knowledge
  • Medical Informatics
  • Organizational Case Studies
  • Policy Making
  • Primary Health Care
  • Research Personnel
  • Research Support as Topic/organization & administr
  • State Medicine
  • Universities

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  • E Ferlie

  • M Wood

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