Improving health care through community OR

Two examples of Community OR (COR) applied to public and patient involvement in improving health services in the UK are described—the Hull and East Riding Impact project and Trailblazers. These projects are consumer controlled but professionally facilitated. The team members have or have had mental illnesses but are committed to improving mental health services by applying COR methods. These projects illustrate how COR can contribute to the improvement of health services by enabling service users to take the lead in facilitating multi-stakeholder planning and problem solving. The Impact team produced a tool based around Ulrich's critical heuristics and have used this in several successful consultations in the NHS. The Trailblazer project used an idealized planning approach in a novel way to produce a distance method of consultation aimed at enabling stakeholders to negotiate commitments to action. Longer-term evaluation of these approaches is planned.

[1]  Ann Taket.  Facilitation: some contributions to theorising the practice of operational research , 2002, J. Oper. Res. Soc..

[2]  Michael W. Nicholson,et al.  Rational Analysis for a Problematic World , 1990 .

[3]  Tony Hindle,et al.  Rational Analysis for a Problematic World , 1990 .

[4]  Jonathan Rosenhead,et al.  Custom and Practice , 1986 .

[5]  A Boyd,et al.  Partnership and Participation: Decision-making in the Multiagency Setting , 2002, J. Oper. Res. Soc..

[6]  R. Vidal,et al.  Community works - 26 case studies showing community Operational Research in action: C. Ritchie, A. Taket and J. Bryant (eds.) Pavic Publications, Sheffield Hallam University, UK; distributed by the Operational Research Society, Birmingham, UK , 1996 .

[7]  Debbie Lee.  Commission for health improvement. , 2002, British journal of perioperative nursing : the journal of the National Association of Theatre Nurses.

[8]  Michael Jackson,et al.  Systems methodology for the management sciences , 1992 .

[9]  Leroy White,et al.  Partnership and Participation: Decision-Making in the Multiagency Setting , 2000 .

[10]  Russell L. Ackoff,et al.  A Black Ghetto's Research on a University , 1970, Oper. Res..

[11]  S. Arnstein,et al.  Ladder of Citizen Participation , 2020 .

[12]  Paul N. Finlay.  On evaluating the performance of GSS: Furthering the debate , 1998, Eur. J. Oper. Res..

[13]  Colin Eden,et al.  On evaluating the performance of 'wide-band' GDSS's , 1995 .

[14]  Peter J. Murray,et al.  Capacity-Building for Evaluation: A Report on the HAZE Project to the Manchester, Salford and Trafford Health Action Zone , 2001 .

[15]  T. Beard,et al.  DECLARATION OF ALMA-ATA , 1979, The Lancet.

[16]  J. Emanuel,et al.  Action Research for Health and Social Care: a guide to practice , 1997 .

[17]  Michael Elstob,et al.  Critical Heuristics of Social Planning , 1998 .

[18]  Wolf P. Wolfensberger,et al.  The principle of normalization in human services , 1996 .

[19]  Michael Jackson,et al.  Systems Thinking: Creative Holism for Managers , 2003 .

[20]  G. Midgley.  Systemic Intervention: Philosophy, Methodology, and Practice , 2000 .

[21]  John Mingers,et al.  The Nature of Community OR , 1994 .