Patient and public involvement (PPI) is now firmly embedded in the policies of the Department of Health in England. This article commences with a review of the changing structures of PPI in English health and social care, largely in terms of their own explicit rationales, using that as a spring board for the development of a general theoretical framework. Arguing that all democratic states face major dilemmas in seeking to meet conflicting demands and expectations for involvement, we identify the diverse and sometimes conflicting cultural and political features embedded in current models of involvement in England, in a context of rapid delegitimation of the wider political system. We identify some of the major inherent weaknesses of a monolithic, single-track model of patient and public involvement in the management and running of health and social care systems. Although the mechanisms and methods for delivering this may vary we suggest the model remains fundamentally the same. We also suggest why the current structures are unlikely to provide an effective response either to the pluralism of values, ideologies and social groups engaged in the sector or to the valuing of lay knowledge which could potentially sustain the social networks essential for effective participation and service improvement. The article proposes a four dimensional framework for analysing the nature of PPI. These dimensions, it is argued, provide the co-ordinates along which new 'knowledge spaces' for PPI could be constructed. These knowledge spaces could facilitate and support the emergence of social networks of knowledgeable actors capable of engaging with professionals on equal terms and influencing service provision.

Full Text] [PDF] 40. Enrique Bigné, Inés Küster, Francisco Torán. 2003. Market orientation and industrial salesforce: diverse measure instruments. Abstract] [Full Text] [PDF] 41. Sanjeev Agarwal, M. Krishna Erramilli, Chekitan S. Dev. 2003. Market orientation and performance in service firms: role of innovation. Journal of Services Marketing 17:1, 68-82. [Abstract] [Full Text] [PDF] 42. Spiros P. Gounaris, Karin Venetis. 2002. Trust in industrial service relationships: behavioral consequences, antecedents and the moderating effect of the duration of the relationship. Journal of Services Marketing 16:7, 636-655. [Abstract] [Full Text] [PDF] 43. Abstract] [Full Text] [PDF] 54. Angela Cottam, John Ensor, Christine Band. 2001. A benchmark study of strategic commitment to innovation. European Journal of Innovation Management 4:2, 88-94. [Abstract] [Full Text] [PDF] 55. Lloyd C. Harris, Huw Jenkins. 2001. Planning the future of rugby union: a study of the planning activities of UK rugby clubs. Marketing Intelligence & Planning 19:2, 112-124. [Abstract] [Full Text] [PDF] 56. Barbara A. Lafferty, G. Tomas M. Hult. 2001. A synthesis of contemporary market orientation perspectives. European Journal of Marketing 35:1/2, 92-109. [Abstract] [Full Text] [PDF] 57. Kwaku Appiah-Adu, Alan Fyall, Satyendra Singh. 2001. Marketing effectiveness and business performance in the financial services industry. Journal of Services Marketing 15:1, 18-34. [Abstract] [Full Text] [PDF] 58. Abstract] [Full Text] [PDF] 61. C. Brooke Dobni, George Luffman. 2000. Market orientation and market strategy profiling: an empirical test of environmentbehaviour-action coalignment and its performance implications. Management Decision 38:8, 503-522. [Abstract] [Full Text] [PDF] 62. Brendan Abstract] [Full Text] [PDF] 66. George J. Avlonitis, Spiros P. Gounaris. 1999. Marketing orientation and its determinants: an empirical analysis. European Journal of Marketing 33:11/12, 1003-1037. [Abstract] [Full Text] [PDF] 67. Shengliang Deng, Jack Dart. 1999. The market orientation of Chinese enterprises during a time of transition. European Journal of Marketing 33:5/6, 631-654. [Abstract] [Full Text] [PDF] 68. Abstract] [Full Text] [PDF] 72. Lloyd C. Harris. 1998. Cultural domination: the key to market-oriented culture?. European Journal of Marketing 32:3/4, 354-373. [Abstract] [Full Text] [PDF] 73. Jimmy Chan Hung Ngai, Paul Ellis. 1998. Market orientation and business performance: some evidence from Hong Kong. International Marketing Review 15:2, 119-139. [Abstract] [Full Text] [PDF] 74. Nora Lado, Albert Maydeu-Olivares, Jaime Rivera. 1998. Measuring market orientation in several populations. European Journal of Marketing 32:1/2, 23-39. [Abstract] [Full Text] [PDF]

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