Purpose – The purpose of this research is to examine the organizational stages of change construct of the transtheoretical model of behavior change. Design/methodology/approach – Data on organizational and individual stages of change for tobacco reduction, physical activity promotion, and...

Purpose – The purpose of this study is to explore gaps between policy and practice in relation to the involvement of voluntary and community sector (VCS) members in local strategic partnerships (LSPs), using the example of inequalities in health. Design/methodology/approach – Documentary...

Purpose – The creation of the Patient Advice and Liaison Service (PALS) was part of a range of measures to make the NHS more patient‐centred. The purpose of this paper is to present a critical analysis of PALS through examining the impact on major stakeholder groups....

Purpose – The purpose of this paper is to identify ways for organizationally complex, community‐based health improvement initiatives to avoid “failures” with regard to client outcomes. Design/methodology/approach – Organizational research on errors, failures and high reliability...

Purpose – The purpose of this paper is to describe an inventory of the strategic responses of institutional providers of mental handicapped care to the strengthening of consumer choice through a personal care budget (PCB) Design/methodology/approach – Semi structured interviews were...

Purpose – In the mid 1990s the NHS “did” competition, in the mid 2000s the NHS is “doing” choice. This paper aims to cut through the rhetoric, highlight the differences and parallels between then and now and identify if these differences will have a different or the same impact on...

Purpose – Sexual health promotion aimed at men who have sex with men (MSM) is not achieving its objective of reducing the incidence of new infections of sexually transmitted diseases, notably HIV/AIDS, in the MSM population. The paper aims to raise awareness of possible unintended consequences...

Purpose – The purpose of this paper is to present a study carried out to investigate the extent of outsourcing, the decision‐making process, the impact of outsourcing, and the future trend of outsourcing in private healthcare organisations in Greece. Design/methodology/approach – A survey...

Purpose – The purpose of this paper is to investigate how organisational frames of reference, which are neither not appropriately communicated nor supported, affect the wellbeing of workers. Design/methodology/approach – A review of the literature is used to develop a new model linking...

Purpose – The purpose of this paper is to examine critically the concept of “leadership transmission”, considering what theoretical and practical value this metaphor brings to the healthcare modernization agenda. Design/methodology/approach – The paper develops understanding of the...