Specialist Subjects: Purchaser/provider relationships and health care contracts, public and patient involvement in health care, Thailand’s universal coverage health care reforms, health care rationing, hospital work cultures and division of labour, cross-disciplinary research in law and social science
Professor David Hughes has worked in health policy, medical sociology and socio-legal studies. He is based in the Department of Public Health & Policy Studies at Swansea, and previously held appointments at the Universities of Dundee, Oxford and Nottingham. After a career which has focused mainly on studies in the British NHS, Hughes has developed an interest in international comparative research. He has published on the universal coverage health care reforms of Thailand and Turkey, and was a member of the team that recently undertook the 10 year assessment of the Thai universal coverage scheme.
• Co-editor Sociology of Health & Illness
• Member editorial advisory board Symbolic Interaction
• Corrispondenti Internazionali, Salute e Societa, the Journal of The Italian Society of Health Sociology
• Visiting Professor, Faculty of Public Health, Mahasarakham University, Thailand
The influence of Thailand’s universal coverage health reforms in SE Asia and beyond: networks, actors and institutions. Small grants from Research Committee on South East Asian Studies and Khon Kaen University, 2012-14.
NHS contracting in England and Wales: changing contexts and relationships, NHS Service Delivery and Organisation Division, Studying Health Care Organisations Programme, SDO/127/2006 Lead applicant, with Pauline Allen, Jenny Roberts and Peter Vincent-Jones, £310,000, 2007-2010. Final report available here
A comparative study of the construction and implementation of patient choice policies in the UK, The effect of different patient regimes in the United Kingdom, PC173, NHS Service Delivery and Organisation Division R& D Programme. SDO/147/2007, Co-applicant with Stephen Peckham, Pauline Allen, Nicholas Mays, Huw Davies et al . 2007-2010. Final report available here.
Reflexive Governance in the Public Interest: Services of General Interest Strand, European Union, Framework 6. Co-researcher with Peter-Vincent Jones, Guido Giarelli, Pauline Allen, Colin Scott, et al.2005-2010. Project report now available here
Continuing to write up material from above projects and on Thailand's UC health care reforms.
Silvia Scalabrini (SHI Foundation studentship): Conceptions of PPI in England & Wales
Ben Duxbury: Integrated Working in a Chronic Conditions Management Service
Muhammad Al Albri: Implementing regional health plans in Oman
Applications from potential students interested in policy implementation, purchaser/ provider systems, intra-UK comparative research and Thai health care are particularly welcome.
Eryl Zac Maunder: Emotion work experiences of children’s nurses: a hospice and community perspective
Mizyed Hyassat: Special educational provision in Jordan
Robert Royce - The UK private health care market
Jayne Cutter - Factors affecting uptake of universal precautions and inoculation injury reporting
Michael Coffey – Community adjustment of forensic psychiatry offenders
Antonia Williams – Qualitative study of illness careers of Chronic Obstructive Pulmonary Disease sufferers
Songkramchai Leethongdee – Implementing Thailand’s UCS scheme in 3 NE provinces
David Barton – Professional socialisation of nurse practitioners
Pauline Allen – NHS contracts (external supervisor LSE)
Alistair Hewison - Middle managers in the NHS (external supervisor Coventry University)
Hughes D. Health Administration, in The Wiley-Blackwell Encyclopedia of Health, Illness, Behavior and Society (ed, Cockerham, W.C., Dingwall, R. and Quay, S.) forthcoming 2014.
Hughes D. and Srithamrongsawat, S. Thailand healthcare delivery system, in The Wiley-Blackwell Encyclopedia of Health, Illness, Behavior and Society (eds, Cockerham, W.C., Dingwall, R. and Quay, S.) forthcoming 2014.
Hughes, D. (ed) Sociological Perspectives on Regulation and Governance. Sociology of Health & Illness Virtual Special Issue Series on the Francis Reports, 2013. Available online at: http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566/homepage/sociological_perspectives_on_regulation_and_governance.htm (Includes editor’s introduction to VSI)).
Allen, D, Hughes D., and Dingwall, R. The Francis Reports Virtual Special Issue Series: Care Standards, Regulation and Accountability, Sociology of Health & Illness, 2013. Available at: http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566/homepage/virtual_special_issue_series__the_francis_reports.htm
Sanderson, M., Allen, P., Peckham, S.. Hughes, D., Brown, M., Kelly, G., Baldie, D.,Mays, N., Linyard, A., and Duguid, A. The divergence of NHS choice policy in the UK: what difference has English patient choice policy made to the provision of referral choices to patients? Forthcoming in Journal of Health Services Research & Policy 2013. Available online at: http://hsr.sagepub.com/content/early/2013/07/30/1355819613492716.
Hughes, D., Allen, P., Doheny, S., Petsoulas, C. and Vincent-Jones, P. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales. BMC Health Services Research 13 (Suppl 1):S7 doi:10.1186/1472-6963-13-S1-S7, 2013.
Intaranongpai, S., Hughes, D. and Leethongdee, S. ‘The Provincial Health Office as performance manager: the shifting balance of power in the local health system after the Thai UC reforms’, International Journal of Health Planning and Management, 27: 308–326, 2012.
Hughes, D. 'Participant Observation and Health Research', in Saks, M. and Allsop, J. (eds) Researching Health: Qualitative, Quantitative and Mixed Methods, 2nd Edition. London: Sage 2012.
Hughes, D. Medical Sociology in the UK: building a research tradition in the shadow of a public National Health Service, Salute e Societa, 11(2): 21-38, 2012. Abstract available at: http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=45792&Tipo=Articolo%20PDF&lingua=it&idRivista=107
Srithamrongsawat, S., Hughes, D., Thammatach-Aree, J., Putthasri, W. and Leethongdee, S. A Decade of Thai UCS Implementation: Universal Coverage Scheme Assessment of the First 10 Years: UCS Implementation. Nonthaburi: Health Systems Research Institute, 2012. http://www.hsri.or.th/sites/default/files/browse/tor3.pdf
Peckham, S. Mays, N., Hughes, D., Sanderson, M., Allen, P., Prior, L., Entwistle, V., Thompson, A. and Davies H. Devolution and patient choice: policy rhetoric versus experience in practice, Social Policy & Administration, 46(2): 199-218, 2012.
Prior, L. Hughes, D. and Peckham, S. The discursive turn in policy analysis and the validation of policy stories. Journal of Social Policy 41(2), 271-89, 2012.
Promasatayaprot, V., Pongpanich, S., Hughes, D. and Srithamrongsawat, S. Universal coverage health care reforms of Thailand: researching the role of the local fund health security in local government purchasers in the north-eastern region of Thailand, Journal of Medicine and Medical Sciences. 3(1): 49-59, 2012.
Intaranongpai, S., Pothinam, S., Hughes, D., Leethongdee, S., and Tongkrajai, P. The changing local health system in northeastern Thailand after the universal coverage reforms: case studies from three health districts. British Journal of Humanities and Social Sciences 1(2):151-59. 2011.
Hughes, D. and Doheny, S. Deliberating Tarceva; a case study of how British NHS managers decide whether to purchase a high-cost drug in the shadow of NICE guidance. Social Science & Medicine, 73:1460-68, 2011.
Hughes, D. Petsoulas, C. Allen, P. Doheny, S. and Vincent-Jones, P. Contracting in the English NHS: markets and social embeddedness. Health Sociology Review 20(3): 321-37, 2011.
Hughes, D. ‘Coping with Uncertainty: Policy and Politics in the National Health Service (Hunter, 1980)’, pp 185-199 in Mark Exworthy, Stephen Peckham, Martin Powell & Alison Hann (eds.) Shaping Health Policy: Case-Study Methods and Analysis. Bristol: Policy Press, 2011.
Petsoulas, C., Allen, P., Hughes, D., Vincent-Jones, P. and Roberts, J. The use of standard contracts in the English National Health Service: a case study analysis. Social Science & Medicine, 73: 185-192, 2011.
Mullen, C. Hughes, D. and Vincent-Jones, P. The democratic potential of public participation: healthcare governance in England, Social and Legal Studies 20 (1): 21-38, 2011.
Yildirim, H.H., Hughes, D. & Yildirim, T. Markets, modernisation and national interest: three faces of patient choice policy in Turkey. Health & Social Care in the Community, 19 (2): 168-77, 2011.
Hughes, D., Leethongdee, S and Osiri, S. Using economic levers to change behaviour: the case of Thailand's universal coverage health care reforms. Social Science & Medicine, 70: 447-54, 2010.
Hughes, D., Mullen, C. and Vincent-Jones, P. Choice versus voice? PPI policies and the re-positioning of the state in England and Wales. Health Expectations 12(3): 237–250, 2009.
Vincent-Jones, P., Hughes, D. and Mullen, C. New Labour’s PPI reforms: patient and public involvement in healthcare governance? Modern Law Review 72(2): 247-71, 2009.
Hughes, D. Are they still watching? The NHS in international perspective, Bevan Foundation Review (special issue on 60th anniversary of NHS), 11: 22-24, 2008.
Hughes, D. and Vincent-Jones, P. Schisms in the church: NHS systems and institutional divergence in England and Wales, Journal of Health & Social Behavior 49: 400-416, 2008.
Hughes, D. and Leethongdee, S. Universal coverage in the land of smiles: lessons from Thailand's 30 baht health reforms, Health Affairs 26 (4): 999-1008, 2007.
B.A. Hons., M.A. Ph.D
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