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A realist approach to understanding alliancing within Local Government public health and social care service provision’

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A realist approach to understanding alliancing within Local Government public health and social care service provision’. / Redgate, Samantha; Spencer, Liam; Adams, Emma et al.
In: European Journal of Public Health, Vol. 33, No. 1, 01.02.2023, p. 49-55.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Redgate, S, Spencer, L, Adams, E, Arnott, B, Brown, H, Hardy, C, Mawson, C, McGovern, W, Philips, P, Rankin, J, Kaner, E & McGovern, R 2023, 'A realist approach to understanding alliancing within Local Government public health and social care service provision’', European Journal of Public Health, vol. 33, no. 1, pp. 49-55. https://doi.org/10.1093/eurpub/ckac172

APA

Redgate, S., Spencer, L., Adams, E., Arnott, B., Brown, H., Hardy, C., Mawson, C., McGovern, W., Philips, P., Rankin, J., Kaner, E., & McGovern, R. (2023). A realist approach to understanding alliancing within Local Government public health and social care service provision’. European Journal of Public Health, 33(1), 49-55. https://doi.org/10.1093/eurpub/ckac172

Vancouver

Redgate S, Spencer L, Adams E, Arnott B, Brown H, Hardy C et al. A realist approach to understanding alliancing within Local Government public health and social care service provision’. European Journal of Public Health. 2023 Feb 1;33(1):49-55. Epub 2022 Dec 1. doi: 10.1093/eurpub/ckac172

Author

Redgate, Samantha ; Spencer, Liam ; Adams, Emma et al. / A realist approach to understanding alliancing within Local Government public health and social care service provision’. In: European Journal of Public Health. 2023 ; Vol. 33, No. 1. pp. 49-55.

Bibtex

@article{2772e9de71dc4d8f8e57cae3c1ce191f,
title = "A realist approach to understanding alliancing within Local Government public health and social care service provision{\textquoteright}",
abstract = "Background: Within the current context of continued austerity and post pandemic recovery, it remains important that Local Government services address the increasing needs of residents as cost-effectively as possible. Alliancing, whereby services work collaboratively focusing on the {\textquoteleft}whole-system{\textquoteright}, has gained popularity as a tool with the potential to support collaborative whole systems approaches. This synthesis aims to identify how alliancing can be successfully operationalised in the commissioning of public health, wider NHS, and social care related services.Methods: A realist literature synthesis was undertaken in order to identify underlying generative mechanisms associated with alliancing, the contextual conditions surrounding the implementation and operationalisation of the alliancing approach mechanisms, and the outcomes produced as a result. An iterative approach was taken, using a recent systematic review of the effectiveness of Alliancing, online database searches, and grey literature searches.Results: Three mechanistic components were identified within the data as being core to the successful implementation of alliances in public health and social care related services within Local Government: (1) Achieving a system level approach; (2) placing local populations at the heart of the system; and (3) creating a cultural shift. Programme theories were postulated within these components. Conclusions: The alliancing approach offers an opportunity to achieve system-level change with the potential to benefit local populations. The realist synthesis approach taken within this study has provided insights into the necessary contextual and mechanistic factors of the Alliancing approach, above and beyond effectiveness outcomes typically collected through more conventional evaluation methodologies. ",
keywords = "Economics, Economics of health, Health, education and welfare, Health, illness and medicine, Medicine and health, Public health and epidemiology, Social sciences, Sociology, Books, Journals",
author = "Samantha Redgate and Liam Spencer and Emma Adams and Bronia Arnott and Heather Brown and Christina Hardy and Claire Mawson and William McGovern and Paula Philips and Judith Rankin and Eileen Kaner and Ruth McGovern",
year = "2023",
month = feb,
day = "1",
doi = "10.1093/eurpub/ckac172",
language = "English",
volume = "33",
pages = "49--55",
journal = "European Journal of Public Health",
issn = "1101-1262",
publisher = "OXFORD UNIV PRESS",
number = "1",

}

RIS

TY - JOUR

T1 - A realist approach to understanding alliancing within Local Government public health and social care service provision’

AU - Redgate, Samantha

AU - Spencer, Liam

AU - Adams, Emma

AU - Arnott, Bronia

AU - Brown, Heather

AU - Hardy, Christina

AU - Mawson, Claire

AU - McGovern, William

AU - Philips, Paula

AU - Rankin, Judith

AU - Kaner, Eileen

AU - McGovern, Ruth

PY - 2023/2/1

Y1 - 2023/2/1

N2 - Background: Within the current context of continued austerity and post pandemic recovery, it remains important that Local Government services address the increasing needs of residents as cost-effectively as possible. Alliancing, whereby services work collaboratively focusing on the ‘whole-system’, has gained popularity as a tool with the potential to support collaborative whole systems approaches. This synthesis aims to identify how alliancing can be successfully operationalised in the commissioning of public health, wider NHS, and social care related services.Methods: A realist literature synthesis was undertaken in order to identify underlying generative mechanisms associated with alliancing, the contextual conditions surrounding the implementation and operationalisation of the alliancing approach mechanisms, and the outcomes produced as a result. An iterative approach was taken, using a recent systematic review of the effectiveness of Alliancing, online database searches, and grey literature searches.Results: Three mechanistic components were identified within the data as being core to the successful implementation of alliances in public health and social care related services within Local Government: (1) Achieving a system level approach; (2) placing local populations at the heart of the system; and (3) creating a cultural shift. Programme theories were postulated within these components. Conclusions: The alliancing approach offers an opportunity to achieve system-level change with the potential to benefit local populations. The realist synthesis approach taken within this study has provided insights into the necessary contextual and mechanistic factors of the Alliancing approach, above and beyond effectiveness outcomes typically collected through more conventional evaluation methodologies.

AB - Background: Within the current context of continued austerity and post pandemic recovery, it remains important that Local Government services address the increasing needs of residents as cost-effectively as possible. Alliancing, whereby services work collaboratively focusing on the ‘whole-system’, has gained popularity as a tool with the potential to support collaborative whole systems approaches. This synthesis aims to identify how alliancing can be successfully operationalised in the commissioning of public health, wider NHS, and social care related services.Methods: A realist literature synthesis was undertaken in order to identify underlying generative mechanisms associated with alliancing, the contextual conditions surrounding the implementation and operationalisation of the alliancing approach mechanisms, and the outcomes produced as a result. An iterative approach was taken, using a recent systematic review of the effectiveness of Alliancing, online database searches, and grey literature searches.Results: Three mechanistic components were identified within the data as being core to the successful implementation of alliances in public health and social care related services within Local Government: (1) Achieving a system level approach; (2) placing local populations at the heart of the system; and (3) creating a cultural shift. Programme theories were postulated within these components. Conclusions: The alliancing approach offers an opportunity to achieve system-level change with the potential to benefit local populations. The realist synthesis approach taken within this study has provided insights into the necessary contextual and mechanistic factors of the Alliancing approach, above and beyond effectiveness outcomes typically collected through more conventional evaluation methodologies.

KW - Economics

KW - Economics of health

KW - Health, education and welfare

KW - Health, illness and medicine

KW - Medicine and health

KW - Public health and epidemiology

KW - Social sciences

KW - Sociology

KW - Books

KW - Journals

U2 - 10.1093/eurpub/ckac172

DO - 10.1093/eurpub/ckac172

M3 - Journal article

VL - 33

SP - 49

EP - 55

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 1

ER -