• Centre for Primary Care and Public Health
• Clinical effectiveness group
• Pragmatic clinical trials unit
• Education and training
• Research design service
• Staff
• Research
• News and events
• IT Support
• Site map

Professor Trisha Greenhalgh, OBE MA MD FRCP FRCGP FHEA
Joint Lead Global Health, Policy and Innovation Unit

PA: Sarah Hardy
Tel: +44 020 7882 7325
s.hardy@qmul.ac.uk

Centre for Primary Care and Public Health 
Barts and The London School of Medicine and Dentistry

Postal Address:
58 Turner Street 
White Chapel
London E1 2AB

Trisha joined Barts and the London Medical School in April 2010 to set up the Healthcare Innovation and Policy Unit within the Centre for Primary Care and Public Health. She previously worked for many years at UCL. Trisha is a general practitioner in north London. She gained her first degree in Social and Political Sciences from Cambridge University in 1980 and qualified in Medicine from Oxford University in 1983. Her research interests lie at the interface between sociology and medicine. She uses innovative interdisciplinary approaches, drawing on narrative, ethnographic and participatory methods, to explore complex, policy-related issues in contemporary healthcare. Her current projects include

• developing new theoretical and methodological approaches to the study of ‘big IT’, especially in relation to nationally shared electronic patient record systems;
• studying the non-adoption of, and ‘resistance’ to, technological innovations in healthcare organisations;
• exploring debates, deliberation and decision-making around healthcare rationing at a time when public funding for healthcare is perceived to be falling;
• capturing the patient’s illness experience to inform service [re]design, especially in relation to culturally appropriate services for minority ethnic groups;
• developing and evaluating complex interventions for self-management of long term conditions, especially in low-literacy groups;
• developing and applying new methods for systematic review of complex evidence for policymaking

Trisha is the author of 120 peer-reviewed journal articles and 8 textbooks. Her many awards and prizes include Order of the British Empire for Services to Medicine, National Institute for Health Research Senior Investigator Award, Royal College of General Practitioners Research Paper of the Year Award (twice) and European Health Management Association Baxter Prize for Outstanding Contribution to Research in Healthcare Management (twice).  She is a member of the Medical Research Council Committee on Good Research Practice, World Health Organisation Expert Advisory Panels on Clinical Practice Guidelines and Research Methods and Ethics and RAND/IHI International Working Group on Patient Safety.

Trisha has an active PhD programme and would welcome applications from prospective PhD or MD students in health services research or medical sociology in the above fields.

Link to Trisha’s CV and publication list: http://myprofile.cos.com/P243302GRa

Publications:

PUBLICATIONS IN PEER-REVIEWED ACADEMIC JOURNALS SINCE 2004
(list of 50 papers published before 2004 available on request)
Under review
Sustainability of whole system transformation. Under review for BMJ.
Macfarlane F, Barton-Sweeney C, Woollard F, Greenhalgh T.
Ethnographic study of self-management and non self-management by people with diabetes. Under review for BMJ.
Hinder S, Greenhalgh T.
Geospatial mapping for informing public health commissioning. Under review for BMJ Open.
Noble D, Smith D, Robson J, Mathur R, Greenhalgh T.

2011
Is it time to drop the metaphor of ‘knowledge translation’? A critical literature review. Journal of the Royal Society of Medicine, in press.
Greenhalgh T, Wieringa S.
Why national eHealth programs need dead philosophers: Wittgensteinian reflections on the reluctance of policymakers to learn from history. Milbank Quarterly 89: in press.
Greenhalgh T, Russell J, Ashcroft R, Parsons W.
Systematic review of risk scores for type 2 diabetes.  BMJ 343: d7163.
Noble D, Mathur R, Dent T, Meads C, Greenhalgh T.
Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. BMJ 343: d6788.
Swinglehurst D, Greenhalgh T, Russell J, Myall M.
Realist and Meta-narrative Evidence Synthesis: Evolving Standards (study protocol). Biomed Central Research Methodology 11: 115-124.
Greenhalgh T, Wong G, Westhorp G, Pawson R.
The electronic patient record in general practice: potential and possibilities for the discourse researcher. Communication and Medicine 8: 1-12.
Swinglehurst D, Roberts C, Greenhalgh T.
"No decisions about us without us"? Individual healthcare rationing in a fiscal ice age. BMJ 342:d3279.
Russell J, Greenhalgh T, Burnett A, Montgomery J.
Senior NHS managers' narratives of restructuring. Sociology of Health and Illness 33: 914-929.
Macfarlane F, Exworthy M, Wilmott M, Greenhalgh T. Plus ca change, plus c'est la meme chose:
Studying technology use as social practice: the untapped potential of ethnography. BMC Med 9: 45.
Greenhalgh T, Swinglehurst D.
New models of self-management education for minority ethnic groups: pilot randomized trial of a story-sharing intervention. Journal of Health Services Research and Policy 16: 28-36.
Greenhalgh T, Campbell-Richards D, Vijayaraghavan S, Collard A, Malik F, Griffin M et al.
Storylines of self-management: narratives of people with diabetes from a multiethnic inner city population. Journal of Health Services Research and Policy 16:37-43.
Greenhalgh T, Collard A, Campbell-Richards D, Vijayaraghavan S, Malik F, Morris J et al.

A new workforce in the making? A case study of strategic human resource management in a whole-system change effort in healthcare. Journal of Health Organisation and Management 25: 55-72.
Macfarlane F, Greenhalgh T, Humphrey C, Hughes J, Butler C, Pawson R.
Assessing the benefits of participatory research: a rationale for a realist review. Global Health Promotion 18: 45-48.
Macaulay AC, Jagosh J, Seller R, Salsberg J, Henderson J, Cargo M, Greenhalgh T, Wong G, Herbert C, Green LW, Pluye P.
Assessing the outcomes of participatory research: protocol for identifying, selecting, appraising and synthesizing the literature for realist review. Implement Sci 6:24.
Jagosh J, Pluye P, Macaulay AC, Salsberg J, Henderson J, Sirett E et al.

2010
Advancing the Science of Patient Safety. Annals of Internal Medicine 154: 693-696.
Shekelle PG, Pronovost PJ, Wachter RM, Taylor SL, Dy S, Foy R, Hempel S et al.
What is this knowledge that we seek to “exchange”? Milbank Quarterly 88: 492-499.
Greenhalgh T.
Ethnographic study of ICT-supported collaborative work routines in general practice. BMC Health Services Research 10: 348.
Swinglehurst D, Greenhalgh T, Myall M, Russell J.
Why do eHealth evaluations fail?  An alternative set of guiding principles.  PLOS Medicine 7: 11, e1000360.
Greenhalgh T, Russell J.
Adoption, non-adoption and abandonment of an Internet-accessible personal health organiser: Case study of HealthSpace. BMJ 341: c5814.
Greenhalgh T, Hinder S, Stramer K, Bratan T, Russell J.
Adoption and non-adoption of a shared electronic summary record in England. BMJ 340: c3111.
Greenhalgh T, Stramer K, Bratan T, Byrne E, Russell J, Potts HWW.
Measuring quality in the therapeutic relationship Part I: objective approaches.  Quality and Safety in Health Care 19: 475-478.
Greenhalgh T, Heath I.
Heath I. Measuring quality in the therapeutic relationship Part II: subjective approaches. Quality and Safety in Health Care 19: 479-83.
Greenhalgh T,
Response to 'The appropriation of complexity theory in health care'. J Health Serv Res Policy 15: 115-117.
Greenhalgh T, Plsek P, Wilson T, Fraser S, Holt T.
Theorising big IT in health care: strong structuration theory meets actor-network theory.  Social Science and Medicine 70: 1289-1294.
Greenhalgh T, Stones R.
Adopting and assimilating technological innovations into health care practice: a systematic review. Journal of Health Services Research and Policy 009137: 1-8.
Robert G, Greenhalgh T, Macfarlane F, Peacock R.
Internet-based medical education: a realist review of what works, for whom and in what circumstances. BMC Med Educ 10: 12.
Wong G, Greenhalgh T, Pawson R.
“Never heard of it” – explaining the public’s lack of awareness of a new electronic patient record. Health Expectations 00608x.
Bratan T, Stramer K, Greenhalgh T.
Childhood obesity in transition zones: An analysis using structuration theory.  Sociology of Health and Illness 32: 711-729.
Chan C, Deave T, Greenhalgh T.  

Obesity in Hong Kong Chinese preschool children:  where are all the nurses?  J Pediatric Nursing 25: 267-273.
Chan C, Deave T, Greenhalgh T.  

2009
Tensions and paradoxes in electronic patient record research: A systematic literature review using the meta-narrative method. Milbank Quarterly 87: 729-788.
Greenhalgh T, Potts H, Wong G, Bark P, Swinglehurst D.
How do you modernize a health service? A realist evaluation of wholescale transformation in London, UK, Milbank Quarterly 87: 391-416.
Greenhalgh T, Humphrey C, Hughes J, Macfarlane F, Butler C, Pawson R.
Perspectives in Biology and Medicine 52: 304-18.
Greenhalgh T, Russell J. Evidence-based policy: a critique.
Getting a better grip on research: the fate of those who ignore history. Innovait 2: 619-25.
Maskrey N, Greenhalgh T.
Complexity theory and family medicine: A new symbiosis. Swiss Journal of Family Medicine 331:1.
Greenhalgh T.
Patient and public involvement in chronic illness: beyond the expert patient. BMJ 338:b49.
Greenhalgh T.
Community based yoga classes for type 2 diabetes: An exploratory randomised controlled trial. BMC Health Serv Res 9: 33.
Skoro-Kondza L, See TS, Gadelrab R, Drincevic D, Greenhalgh T.
Understanding barriers to healthy lifestyles in Bangladeshis with diabetes. J Diabetes Nursing 13: 58-63.
Grace C, Greenhalgh T.

2008
Prevention of Type 2 diabetes in British Bangladeshis: Qualitative study of community, religious and professional perspectives.  BMJ 337: a1931.
Grace C, Begum R, Subhani S, Kopelman P, Greenhalgh T.
Introduction of shared electronic records: multi-site case study using diffusion of innovation theory. BMJ 337: a1976.
Greenhalgh T, Stramer K, Bratan T, Byrne E, Mohammad Y, Russell J.
Patients’ attitudes to the Summary Care Record and HealthSpace: qualitative study. BMJ 336: 1290-5.
Greenhalgh T, Wood G, Bratan T, Stramer K, Hinder S.
Role of routines in collaborative work in healthcare organisations. BMJ 337: a2448.
Greenhalgh T.
Observation of Teaching in the Online Environment: an action research approach. Journal of Computer Assisted Learning 24: 383-393.
Swinglehurst D, Russell J, Greenhalgh T. Peer
Ethnic stereotypes and the underachievement of UK medical students from ethnic minorities: qualitative study. BMJ 337:a1220.
Woolf K, Cave J, Greenhalgh T, Dacre J.
Best health - For whom? A critical exploration of primary care research using discourse analysis. Social Science and Medicine 66: 2506-19.
Shaw SE, Greenhalgh T. Best research - For what?
Effect on smoking quit rate of telling patients their lung age: The Step2quit randomised controlled trial. BMJ 336: 598-600.
Parkes G, Greenhalgh T, Griffin M, Dent R.
Recognizing rhetoric in health care policy analysis. J Health Serv Res Policy 13: 40-46.
Russell J, Greenhalgh T, Byrne E, McDonnell J.
Collecting stories: is it research? Is it good research? Preliminary guidance based on a Delphi study. Medical Education 42: 242-247.
Greenhalgh T, Wengraf T.

2007
Interpreted consultations as business as usual: A study of organisational routines in primary care. Sociology of Health and Illness 29: 931-954.
Greenhalgh T, Voisey C, Robb N.
"Looking for a better future": Identity construction in 16-year-olds from deprived areas of London who are considering a career in medicine. Social Science and Medicine 65: 738-754.
Robb N, Dunkley L, Boynton P, Greenhalgh T.
Realist review to understand the efficacy of school feeding programmes. BMJ 335: 858-861.
Greenhalgh T, Kristjansson E, Robinson V.
School feeding for improving the physical and psychosocial health of disadvantaged elementary school children. Cochrane Database Syst Rev 1: CD004676.
Kristjansson E, Robinson V, Petticrew M, Macdonald B, Krasevec J, Janzen L, Greenhalgh T et al.
Can health research policy be shaped? Lessons from the UK experience. Harvard Health Policy Review 8: 114-125.
Shaw SE, Carter YH, Greenhalgh T, Macfarlane F.

2006
A mixed method study of the impact of social and cultural transition on sex education needs in Thai teenagers. Lancet 368: 2068-80.
Vuttanont U, Greenhalgh T, Griffin M, Boynton P. "Smart boys" and "sweet girls":
You have to cover up the words of the doctor’: The mediation of trust in interpreted consultations in primary health care. Journal of Health Organisation and Management 20: 434-455.
Robb N, Greenhalgh T.  ‘
Communicative and strategic action in interpreted consultations in primary health care: A Habermasian perspective. Social Science and Medicine 63: 1170-1187.
Greenhalgh T, Robb N, Scambler G.
Development and validation of questionnaires to measure well-being and cultural adherence in British Bangladeshis with diabetes. Psychology, Health and Medicine 11: 431-448.
Greenhalgh T, Chowdhury AM, Wood G. Story-based scales:
"We were treated like adults": Development and evaluation of a widening access summer school for 16-year-olds from deprived socio-economic backgrounds. BMJ 332; 762-7.
Greenhalgh T, Russell J, Dunkley L, Boynton P, Lefford F, Chopra N.
Promoting the skills of knowledge translation in an online MSc course in Primary Health Care. Journal of Continuing Education in the Health Professions 26:100-108.
Greenhalgh T, Russell J.
Using the online environment in assessment for learning: a case-study of a web-based course in primary care.  Assessment and Evaluation in Higher Education. 31:465-478.
Russell J, Elton L, Swinglehurst D, Greenhalgh T.

2005
'Big is beautiful'? A survey of body image perception and its relation to health in British Bangladeshis with diabetes. Psychology, Health and Medicine 10: 126-138.
Greenhalgh T, Chowdhury AM, Wood G.
Sharing stories: complex intervention for diabetes education in minority ethnic groups who do not speak English. BMJ 330: 628-34.
Greenhalgh T, Collard A, Begum N.
Narrative based medicine: An action research project to develop group education in diabetes for health advocates and 'hard to reach' service users. Practical Diabetes International 22: 125-129.
Greenhalgh T, Collard A, Begum N.
General practices as emergent research organizations: a qualitative study into organizational development. Family Practice 22: 298-304.
Macfarlane F, Shaw S, Greenhalgh T, Carter YH.
Effectiveness and efficiency of search methods in systematic reviews of complex evidence.  An audit of 495 primary sources. BMJ 1064-65.
Greenhalgh T, Peacock R.
Storylines of research in diffusion of innovation: a meta-narrative perspective on systematic review. Social Science and Medicine 61: 417-30.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R.
Reframing evidence synthesis as rhetorical action in the policy making drama. Healthcare Policy 2:34-39.
Greenhalgh T, Russell J.
Narrative methods in quality improvement research. Quality and Safety in Health Care 14: 443-449.
Greenhalgh T, Russell J, Swinglehurst D.
Realist review – a new method of systematic review designed for complex policy interventions. Journal of Health Services Research and Policy 10 Suppl 1: 21-34.
Pawson R, Greenhalgh T, Harvey G, Walshe K.
Barriers to concordance with antidiabetic drugs: Cultural differences or human nature?  BMJ 2005; 330: 1250.
Greenhalgh T.  
Can 'anecdote' ever be research? Family Practice 2005; 22:1.
Greenhalgh T.

2004
The RCGP quality team development programme: an illuminative evaluation. Quality and Safety in Health Care 13: 356-362.
Macfarlane F, Greenhalgh T, Scofield T, Desombre T.
The standardised admission ratio for measuring widening participation in medical schools: analysis of UK medical school admissions by ethnicity, socioeconomic status, and sex.  BMJ 328: 1545-6.
Seyan K, Greenhalgh T, Dorling D.
"Not a university type": a focus group study of social class, ethnic and gender differences in perceptions and aspirations about medical school. BMJ 328: 1541-4.
Greenhalgh T, Seyan K, Boynton P.
Diffusion of innovations in service organisations: systematic review and recommendations. Milbank Quarterly 82: 581-629.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R.
Realist review. ESRC Working Paper Series 1, 2004.
Pawson R, Harvey G, Walshe K, Greenhalgh T.
Soft networks for bridging the gap between research and practice: illuminative evaluation of C.H.A.I.N. BMJ 328: 1174-8.
Russell J, Greenhalgh T, Boynton P, Rigby M.
A hands-on guide to questionnaire research part 1: Selecting, designing and developing your questionnaire. BMJ 328: 1312-15.
Boynton P, Greenhalgh T.
A hands-on guide to questionnaire research part 3: Reaching beyond the white middle classes. BMJ 328: 1433-6.
Boynton P, Greenhalgh T, Wood G.
Public perceptions of the benefit-harm balance in health care. BMJ 329: 47-50.
Greenhalgh T, Kostopoulou O, Harries C.
Health for me': a sociocultural analysis of healthism in the middle classes. British Medical Bulletin 69:197-213.
Greenhalgh T, Wessely S. '

BOOKS AND MONOGRAPHS SINCE 2007
2012
What to do if you want to be a doctor: A guide for school students in Year 9 to Year 13.  Oxford, Radcliffe.
Greenhalgh T, Georgieva Z, Damali Amiri N.
2010
The quality of the therapeutic relationship.  Monograph commissioned by Kings Fund for series ‘Measuring Quality in General Practice’.  London: Kings Fund.
Greenhalgh T, Heath I.
User involvement in healthcare.  Oxford: Wiley.
Greenhalgh T, Humphrey C, Woodard F (eds).
How to read a paper (4th edition).  Oxford: Wiley. Translated into French, German, Italian, Spanish, Japanese, Czech, Norwegian, Russian, Swedish and Chinese.
Greenhalgh T.
2007
Primary health care: Theory and practice. Oxford: Blackwells.
Greenhalgh T.
“What seems to be the trouble?”: Stories in illness and health care.  Oxford: Radcliffe.
Greenhalgh T.
How to read a paper (3rd edition).  Oxford: Wiley.
Greenhalgh T.

BOOK CHAPTERS SINCE 2007
2012
Uncertainty and clinical method. In Somers L, Launer J. Managing Uncertainty in Primary Care. New York, Springer.
Greenhalgh T.
2011
Macfarlane F. Studying the diffusion, spread and sustainability of innovation in healthcare. In Osborne S, Brown L. Handbook of Innovation in Public Services. London: Edward Elgar Publications.
Greenhalgh T,
2009
Towards a narrative mode of practice.  In Higgs J, Fish D, Goulter I, Loftus S, Reid J (eds). Education for future practice. Sense Publishers, 2009.
Loftus S, Greenhalgh T.

Further publications are listed in Trish's CV http://myprofile.cos.com/P243302GRa