One: Introduction

The introduction begins with an outline of the relationship and dialogue between politicians, policy-makers and academics engaged in research, and argues that evidence-based policy often loses out to the views of policy-makers. It then sets out the purpose of the book, which is to use research on health service reorganisation in the UK over the last 30 years to explain what has worked best and how it might be incorporated into present and future health service reform. The introduction then sets out the authors’ method for reviewing research on healthcare reform and health reorganisation, and explains the ‘realist review’ approach employed throughout the text.

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