Wicked comparisons: reflections on cross-national research about health inequalities in the UK

T Blackman, David Hunter, L Marks, B Harrington, E Elliott, G Williams, A Greene, L McKee

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

This article discusses a comparative study of how local actors tackle health inequalities in England, Scotland and Wales. The main method used in this study was a thematic analysis of 200 interview transcripts. Its focus was on how health inequalities are framed for intervention by performance assessment systems and the challenge for these systems that their nature as a ‘wicked issue’ presents. The three different national contexts are described, including organizational structures and the use of targets, and the difficulty of making evaluative comparisons is considered. Reflecting on results from the study, it is concluded that both divergence and convergence in themes across the three countries reveal narrative patterns that draw on discourses rather than evidence. The nature of national performance audit regimes appears to play an important part in shaping these discourses, which are themselves evolving, partly in interaction with local feedback.

Original languageEnglish
Pages (from-to)43-57
Number of pages15
JournalEvaluation
Volume16
Issue number1
DOIs
Publication statusPublished - Jan 2010

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discourse
performance assessment
health
organizational structure
audit
divergence
comparative study
regime
narrative
interaction
interview
performance
evidence
comparison
analysis
method

Keywords

  • discourses
  • health inequalities
  • national comparisons
  • performance assessment
  • UK

Cite this

Blackman, T., Hunter, D., Marks, L., Harrington, B., Elliott, E., Williams, G., ... McKee, L. (2010). Wicked comparisons: reflections on cross-national research about health inequalities in the UK. Evaluation, 16(1), 43-57. https://doi.org/10.1177/1356389009350016

Wicked comparisons : reflections on cross-national research about health inequalities in the UK. / Blackman, T; Hunter, David; Marks, L; Harrington, B; Elliott, E; Williams, G; Greene, A; McKee, L.

In: Evaluation, Vol. 16, No. 1, 01.2010, p. 43-57.

Research output: Contribution to journalArticle

Blackman, T, Hunter, D, Marks, L, Harrington, B, Elliott, E, Williams, G, Greene, A & McKee, L 2010, 'Wicked comparisons: reflections on cross-national research about health inequalities in the UK', Evaluation, vol. 16, no. 1, pp. 43-57. https://doi.org/10.1177/1356389009350016
Blackman T, Hunter D, Marks L, Harrington B, Elliott E, Williams G et al. Wicked comparisons: reflections on cross-national research about health inequalities in the UK. Evaluation. 2010 Jan;16(1):43-57. https://doi.org/10.1177/1356389009350016
Blackman, T ; Hunter, David ; Marks, L ; Harrington, B ; Elliott, E ; Williams, G ; Greene, A ; McKee, L. / Wicked comparisons : reflections on cross-national research about health inequalities in the UK. In: Evaluation. 2010 ; Vol. 16, No. 1. pp. 43-57.
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