Hughes, David - Swansea University - College of Human and Health Sciences

个人简介

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. David is currently one of the editors of the Wiley journal Sociology of Health & Illness http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566 Areas of Expertise health policy purchaser/provider reforms NHS contracts universal coverage healthcare medical sociology PPI. engagement

研究领域

It is my research on Thailand’s universal healthcare coverage reforms, rather than my UK studies, which has had the most impact in recent years. The Thai universal coverage scheme (UCS) brought low-cost healthcare to 47 million Thai people. My fieldwork-based study of the implementation of the reforms in the relatively-poor north-eastern region was one of the few empirical studies in English-language journals, and helped demonstrate the feasibility of UHC reforms in a lower-middle income country to an international readership. My work was cited in the WHO World Health Report 2008, Global Healthwatch 3 (Alternative World Health Report) 2011, the India Health Report 2010, and featured as one of two case studies in the launch document for Bill and Belinda Gates’ Ministerial Leadership Initiative for Global Health Reform. It is available on the Joint Learning Network’s ‘resources’ webpages, and has been used for UHC workshops in India. The research had highlighted a problem of ‘equity of distribution in local healthcare systems whereby money intended for prevention and promotion work was being diverted to curative hospital projects. This finding led the Health Insurance System Research Office (HISRO) to commission further research on the issue and to a policy of ring-fenced budgets for primary care units. Subsequently I was asked to assist in background research for the implementation strand of the Thai government's 10 year assessment of the UCS scheme. I co-authored the implementation (TOR 3) report and helped in the preparation for the overall 10 year assessment report, which later fed into the 2013-15 Health Sector Plan. The 10-year assessment report attracted considerable international interest, and led WHO and Rockefeller Foundation to commend the Thai UCS reforms as a model that should be considered by other Asian nations.

近期论文

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Allen, P., Hughes, D., Vincent-Jones, P., Petsoulas, C., Doheny, S. & Roberts, J. (2016). Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales. Public Management Review 18(1), 20-39. https://cronfa.swan.ac.uk/Record/cronfa18523 doi:10.1080/14719037.2014.957341 Allen, D. Hughes, D. & Dingwall, R. (2013). The Francis Reports: Care Standards, Regulation and Accountability. Sociology of Health & Illness, Introduction to Virtual Special Issue Series https://cronfa.swan.ac.uk/Record/cronfa15129 http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566/homepage/virtual_special_issue_series__the_francis_reports.htm Hughes, D. Allen, P. Doheny, S. Petsoulas, C. Vincent-JonesDavid, P. Allen, P. Doheny, S. Petsoulas, C. & Vincent-Jones, P. (2013). Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales. BMC Health Services Research 13(Suppl 1), S7 https://cronfa.swan.ac.uk/Record/cronfa14396 doi:10.1186/1472-6963-13-S1-S7 Sanderson, M., Allen, P., Peckham, S., Hughes, D., Brown, M., Kelly, G., et. al. (2013). Divergence of NHS choice policy in the UK: what difference has patient choice policy in England made?. Journal of Health Services Research & Policy 18(4), 202-208. https://cronfa.swan.ac.uk/Record/cronfa18524 doi:10.1177/1355819613492716 PRIOR, L. HUGHES, D. & PECKHAM, S. (2012). The Discursive Turn in Policy Analysis and the Validation of Policy Stories. Journal of Social Policy 41(02), 271-289. https://cronfa.swan.ac.uk/Record/cronfa6770 doi:10.1017/S0047279411000821 Peckham, S. Mays, N. Hughes, D. Sanderson, M. Allen, P. Prior, L. Entwistle, V. Thompson, A. & Davies, H. (2012). Devolution and Patient Choice: Policy Rhetoric versus Experience in Practice. Social Policy & Administration 46(2), 199 https://cronfa.swan.ac.uk/Record/cronfa10679 doi:10.1111/j.1467-9515.2011.00831.x Promasatayaprot, V. Pongpanich, S. Hughes, D. & Srithamrongsawat, S. (2012). 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. https://cronfa.swan.ac.uk/Record/cronfa10682 http://interesjournals.org/JMMS/Pdf/2012/January/Promasatayaprot%20et%20al.pdf Intaranongpai, S. Hughes, D. & Leethongdee, S. (2012). The provincial health office as performance manager: change in the local healthcare system after Thailand's universal coverage reforms. The International Journal of Health Planning and Management 27(4), n/a-326. https://cronfa.swan.ac.uk/Record/cronfa11274 doi:10.1002/hpm.2113 Hughes, D. (2012). Medical Sociology in the UK: building a research tradition in the shadow of a public National Health Service,. Salute e Societa 11(2)-38. https://cronfa.swan.ac.uk/Record/cronfa14400 doi:10.3280/SES2012-002003 Hughes, D. & Doheny, S. (2011). 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(10), 1460-1468. https://cronfa.swan.ac.uk/Record/cronfa6731 doi:10.1016/j.socscimed.2011.08.023 Mullen, C. Hughes, D. & Vincent-Jones, P. (2011). The democratic potential of public participation: healthcare governance in England. Social and Legal Studies 20(1), 1-18. https://cronfa.swan.ac.uk/Record/cronfa6772 doi:10.1177/0964663910391349