Bücher von Colin Palfrey

Does health promotion have a lasting and positive effect on people? With mounting pressure to reduce costs to the NHS and increasing scepticism of the so-called nanny state, health promotion initiatives are increasingly being criticised as costly and ineffective, with many arguing that health inequalities can only be reduced through radical political and economic change. This book examines the methods used to evaluate the value of health promotion projects and determines whether attempts to change people's lifestyles have proved successful. Taking into account the practical and ethical issues involved in deciding the appropriate approach to take in efforts to reduce health inequalities, the book assesses what might be the best path forward for health promotion.

Evaluation research findings should be a key element of the policy-making process, yet in reality they are often disregarded. This valuable book examines the development of evaluation and its impact on public policy by analysing evaluation frameworks and criteria which are available when evaluating public policies and services. It further examines the nature of evidence and its use and non-use by decision-makers and assesses the work of influential academics in the USA and UK in the context of evaluation and policy making. The book emphasises the 'real world' of decision-makers in the public sector and recognises how political demands and economic pressures can affect the decisions of those who commission evaluation research while providing recommendations for policymakers on adopting a different approach to evaluation. This is essential reading for under-graduate and post-graduate students of policy analysis and public sector management, and those who are involved in the planning and evaluation of public policies and services.

In this study the social construction of dementia is examined closely for the first time. Nancy Harding and Colin Palfrey show how Western society sees dementia as a disease, rather than a natural part of the ageing process. They take issue with the constructed view of the body as a machine, whose parts 'break down' and need replacement.