Personal Histories in Health Research ~ Edited by Adam Oliver ISBN: 1 905030 11 8 Personal Histories in Health collection © The Nuffield Trust 2005 ‘Ploughing a furrow in ethics’ © Raanan Gillon and The Nuffield Trust 2005 Published by The Nuffield Trust 59 New Cavendish Street London WC1 7LP telephone 020 7631 8450 fax 020 7613 8451 email:
[email protected] website: www.nuffieldtrust.org.uk charity number 209201 designed and printed by Q3 Digital Litho telephone 01509 213 456 website: www.Q3group.co.uk Contents 1 Healthy Lives: reflecting on the reflections Adam Oliver 3 2 Health inequalities: from science to policy David Blane 15 3 In sickness and in health: working in medical sociology Mike Bury 29 4 Random assignments: my route into health policy: a post-hoc rationalisation Anna Coote 47 5 Last Season’s fruit John Grimley Evans 65 6 Ploughing a furrow in ethics Raanan Gillon 85 7 The Jungle: an explorer’s experiences of health services research Walter W Holland 101 8 Confessions of a graduate nurse Alison Kitson 121 9 Confessions of an accidental policy analyst, or why I am not a health service researcher Rudolf Klein 139 10 Seeking somewhere to stop Jennie Popay 155 11 Political ideals and personal encounters Albert Weale 173 12 Discovering the QALY, or how Rachel Rosser changed my life Alan Williams 191 13 Health policy, management and gardening Robert Maxwell 207 About the authors About the authors vii David Blane is Professor of Medical Sociology at Imperial College London. He trained in medicine and sociology, and enjoys teaching medical sociology as an applied subject to large classes of trainee doctors, and as an academic discipline to smaller numbers of interested medical students.