Prudence or speed: Health and social care innovation in rural Wales

Best, Stephanie; Myers, Jan

doi:10.1016/j.jrurstud.2017.12.004

Cited by 11 publications

(14 citation statements)

References 34 publications

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“…Within these studies, the definition put forward by the national government of the country in which the research is situated is the most frequently used, especially within the studies based in the UK (e.g. Best and Myers, 2019; Jacuniak-Suda and Mose, 2014; Munoz et al., 2015; Steinerowski and Steinerowska-Streb, 2012). Nine studies refer to different forms of social or community cooperatives (e.g.…”

Section: Resultsmentioning

confidence: 99%

Rural social enterprises in Europe: A systematic literature review

Twuijver

Olmedo²,

O’Shaughnessy³

2020

Local Economy: The Journal of the Local Economy Policy Unit

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There is a growing perception that social enterprises represent a significant solution to the range of contemporary challenges facing rural areas across Europe. However, while much of the existing studies of European rural social enterprises provide a rich insight into specific case studies, as of yet, there is no comprehensive review of the breadth of research currently published on rural social enterprises in Europe. We respond to this gap by providing a systematic literature review incorporating 66 studies of rural social enterprise in Europe. We highlight the range of research in this field and demonstrate how the organisations act as key actors in fulfilling needs of rural areas that are not met otherwise. This systematic literature review confirms that rural social enterprises are characterised by strong local involvement with an ability to combine different goals and resources. Based on this review, we suggest that the rural and local contexts, often combined with tailored external support, are important factors in enabling rural social enterprises. This review also indicates that the academic field is relatively young and rapidly growing, leaving room for new lines of potential research to improve our understanding of these enterprises and their contribution to the development of rural places.

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Section: Resultsmentioning

confidence: 99%

Rural social enterprises in Europe: A systematic literature review

Twuijver

Olmedo²,

O’Shaughnessy³

2020

Local Economy: The Journal of the Local Economy Policy Unit

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“…In “normal times,” these changes tend to occur over long periods of time, favoring “prudence” over “speed” ( 42 ). With the pandemic, however, rapid change was required, meaning that service managers had to quickly draw on their absorptive capacity.…”

Section: Discussionmentioning

confidence: 99%

“…A question for this project was not just "what sort of responses might local services implement?, " but "what sort of responses would be visible to communities/service users?". The innovation literature in rural health (40,41), such as it is, identifies three main types of local action - In "normal times, " these changes tend to occur over long periods of time, favoring "prudence" over "speed" (42).…”

Section: The What Frameworkmentioning

confidence: 99%

What a Pandemic Has Taught Us About the Potential for Innovation in Rural Health: Commencing an Ethnography in Canada, the United States, Sweden, and Australia

Petrie

Carson

Peters

et al. 2021

Front. Public Health

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The COVID-19 pandemic coincided with a multi-national federally funded research project examining the potential for health and care services in small rural areas to identify and implement innovations in service delivery. The project has a strong focus on electronic health (eHealth) but covers other areas of innovation as well. The project has been designed as an ethnography to prelude a realist evaluation, asking the question under what conditions can local health and care services take responsibility for designing and implementing new service models that meet local needs? The project had already engaged with several health care practitioners and research students based in Canada, Sweden, Australia, and the United States. Our attention is particularly on rural communities with fewer than 5,000 residents and which are relatively isolated from larger service centres. Between March and September 2020, the project team undertook ethnographic and auto-ethnographic research in their own communities to investigate what the service model responses to the pandemic were, and the extent to which local service managers were able to customize their responses to suit the needs of their communities. An initial program theory drawn from the extant literature suggested that “successful” response to the pandemic would depend on a level of local autonomy, “absorptive capacity,*” strong service-community connections, an “anti-fragile†” approach to implementing change, and a realistic recognition of the historical barriers to implementing eHealth and other innovations in these types of rural communities. The field research in 2020 has refined the theory by focusing even more attention on absorptive capacity and community connections, and by suggesting that some level of ignorance of the barriers to innovation may be beneficial. The research also emphasized the role and power of external actors to the community which had not been well-explored in the literature. This paper will summarize both what the field research revealed about the capacity to respond well to the COVID-19 challenge and highlight the gaps in innovative strategies at a managerial level required for rapid response to system stress.*Absorptive Capacity is defined as the ability of an organization (community, clinic, hospital) to adapt to change. Organizations with flexible capacity can incorporate change in a productive fashion, while those with rigid capacity take longer to adapt, and may do so inappropriately.†Antifragility is defined as an entities' ability to gain stability through stress. Biological examples include building muscle through consistent use, and bones becoming stronger through subtle stress. Antifragility has been used as a guiding principle in programme implementation in the past.

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“…Research interest in rural health enterprises (RHEs), as rural-based providers or/and producers of goods or/and services related to the health of rural population, has increased of late (Kelly et al , 2019; Best and Myers, 2019; Macaulay et al , 2018; Calo et al , 2018; Millar et al , 2016; Addicott, 2011; Solar and Irwin, 2010); this arises from the fact that the spatial and territorial dimensions are considered to be key elements of entrepreneurial activities (Welter, 2011). At the same time, the changes generated by the external environment, may demand new organizational approaches (Ramadani et al , 2020) and ways of exploiting social capital (Dana et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Another consideration was that in EU rural areas seniors make up more of the population than they do in urban areas and research has demonstrated that seniors are more likely to get involved in social enterprises to support their communities (Loarne-Lemaire et al , 2017). There is an increasing volume of research which has been produced with regard to social health enterprises in non-metropolitan areas of Europe (Best and Myers, 2019; Calo et al , 2019; Henderson et al , 2019; Kelly et al , 2019; Macaulay et al , 2018; Hall et al , 2016). The vast majority of those studies have come from the UK (Kelly et al , 2019; Henderson et al , 2019; Best and Myers, 2019; Calo et al , 2019; Macaulay et al , 2018; Steinerowski and Steinerowska-Streb, 2012).…”

Section: Introductionmentioning

confidence: 99%

Rural health enterprises in the EU context: a systematic literature review and research agenda

Αποστολόπουλος

Ratten

Stavroyiannis

et al. 2020

JEC

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Purpose The COVID-19 crisis has brought to the forefront the importance of rural health enterprises (RHEs), the peculiarity, in these terms, of rural areas, and the impact of rurality on health entrepreneurial activities. This paper aims to undertake a literature review regarding RHEs in the EU, identify research gaps and set future research directions. Design/methodology/approach A systematic literature review was conducted and the key aspects coded across four thematic areas – after examining 68 papers. Findings The findings reveal that more intense research should be conducted across four area which emerged; rural health providers vs urban health providers; RHEs and rural development; RHEs and quality of life; and social RHEs. Research limitations/implications Future research avenues were identified and suggestions for further research on RHEs were provided. Practical implications The paper provides insights into how rural areas can attract health enterprises and how health enterprises can operate in rural areas. Originality/value This research expands on the limited existing knowledge of RHEs and sets the foundations for further research.

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Prudence or speed: Health and social care innovation in rural Wales

Cited by 11 publications

References 34 publications

Rural social enterprises in Europe: A systematic literature review

Rural social enterprises in Europe: A systematic literature review

What a Pandemic Has Taught Us About the Potential for Innovation in Rural Health: Commencing an Ethnography in Canada, the United States, Sweden, and Australia

Rural health enterprises in the EU context: a systematic literature review and research agenda

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