Dr Amanda Owen-Smith
M.Sc.(Oxon.), Ph.D.(Bristol)
Current positions
Associate Professor in Medical Sociology and Health Policy
Bristol Medical School (PHS)
Contact
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Research interests
My research takes an inter-disciplinary approach, integrating theoretical perspectives and methodological techniques from Health Economics, Sociology, and Social Policy. My main area of interest relates to priority setting in healthcare, and in particular the qualitative investigation of decision-making at the micro and meso level. My doctoral research comprised a ground-breaking investigation of the dominant consensus in academic and clinical literature that more systematic and explicit rationing was preferable, and exposed that despite a majority preference for explicit rationing, in practice it could be extremely distressing for both clinicians and patients (4 papers, 6 conference presentations). My NIHR postdoctoral fellowship focussed on extending this inquiry through conducting a longitudinal, mixed methods study which constituted the first attempt to observe the operation of consultation-level rationing in practice (6 papers, 8 conference presentations). I have also contribute to research relating to priority setting at the meso level, including the impact of policies relating to de-adoption and health optimisation. My most recent research focusses on the investigation of priority-setting in mental health and how these decision-making structures within the newly formed integrated care bodies use priority setting tools in decision-making.
I work closely with colleagues in the NIHR Applied Research Collaboration (ARC) West and Bristol, North Somerset & South Gloucestershire Clinical Commissioning Group to ensure that there are clear pathways to impact throughout the research process, alongside managing Patient and Public Involvement (PPI) in all the studies I am responsible for.
I am an active graduate supervisor and am interested in research supervision relating to all aspects of priority setting / resource allocation in healthcare.
Projects and supervisions
Research projects
Bristol TAG
Role
Co-Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
01/04/2022 to 31/03/2027
Health Optimisation (Getting Fit for Surgery) Evaluation
Role
Co-Principal Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
01/11/2018 to 30/09/2020
KNOWING ABOUT HEALTHCARE RATIONING
Principal Investigator
Dates
01/11/2008 to 01/11/2009
Thesis supervisions
Publications
Recent publications
18/10/2024Health optimisation for patients with obesity before elective orthopaedic surgery
Perioperative medicine
Access to hip and knee arthroplasty in England
BMC Health Services Research
Access to publicly funded weight management services in England using routine data from primary and secondary care (2007-2020)
PLoS Medicine
Did the evidence-based intervention (EBI) programme reduce inappropriate procedures, lessen unwarranted variation or lead to spill-over effects in the National Health Service?
PLoS ONE
What effect have commissioners’ policies for body mass index had on hip replacement surgery?
BMC Medicine