Institutional trust and healthcare reform

DOI

The project consists of discursive, semi-structures interviews with 48 members of the public drawn from a range of population groups, to investigate (1)the basis of trust in the NHS as a public service, (2) the role of various rational and non-rational factors in contributing to it, (3)perceptions of current reforms and of their impact on services, and (4)the relation between understanding of the current reform agenda and trust in the NHS. Interviews address issues related to healthcare such as: values, satisfaction, understanding of reform, exploring general bases of trust, exploring affective factors. This research aims to contribute to theoretical understanding of institutional trust and to practical issues of welfare state reform.It is particularly timely when theoretical arguments suggest an increasing need for public trust, to enable the co-ordination of complex enterprises under conditions of uncertainty, and when rising demand and intensifying pressures for spending constraint provide a continuing impetus for reform. The current government is devoting considerable resources to welfare state reform and (arguably) achieving real improvements in services such as the NHS and education. Despite this, the reforms remain highly controversial and there is considerable concern about lack of public trust in and satisfaction with the new policies. Declining trust may undermine the public acceptability of the reforms and threaten the ability of government to gain electoral support for them.

The data collection consists of: 31 audio files + 47 interview summaries (Windows audio files and Microsoft Word documents) as part of a (one-time) cross-sectional study. The selection of the cases for the dataset consisted of non-random sampling, more precisely quota sample. Data allows analysis by 3 areas in terms of spatial units:metropolitan, country town, village in SE UK.

Identifier
DOI https://doi.org/10.5255/UKDA-SN-851675
Metadata Access https://datacatalogue.cessda.eu/oai-pmh/v0/oai?verb=GetRecord&metadataPrefix=oai_ddi25&identifier=098f781b10dca63cb7378b66ef433abde9f11f9b8728eef41a2d6c3a06698973
Provenance
Creator Taylor-Gooby, P, University of Kent
Publisher UK Data Service
Publication Year 2015
Funding Reference ESRC
Rights Peter Taylor-Gooby, University of Kent; The Data Collection is available for download to users registered with the UK Data Service.
OpenAccess true
Representation
Language English
Resource Type Audio; Text
Discipline Social Sciences
Spatial Coverage Social entrepreneurship UK:London, Sussex, Kent; United Kingdom