Deborah Swinglehurst

Deborah Swinglehurst

MBBS MA MSc PhD FHEA FRCGP
Clinical Reader, NIHR Clinician Scientist

Deborah Swinglehurst is a Clinical Reader and NIHR Clinician Scientist in the Complex Intervention and Social Practice in Health Care unit within the Centre for Primary Care and Public Health. She combines her academic work with clinical work as a General Practitioner. She is an experienced qualitative researcher and educator in professional and higher education settings.

Deborah’s research explores interfaces between medicine, social science and linguistics with a focus on the importance of language and social interaction in shaping health care practices, organisational routines and health policy.

Research interests include polypharmacy, multimorbidity and medicines optimisation in primary care; meanings of ‘quality’ in health care; the role of electronic patient records in shaping clinical consultations and organisational routines in primary care; exploring ‘hidden’ work in the delivery of primary care; interdisciplinary working in life sciences.

Recently completed projects include: the role of computer templates in shaping chronic disease management; the role of receptionists in upholding quality and safety of repeat prescribing in general practice; a study of ‘back office’ coding work in general practice and its contribution to quality of care; displays of authority in IT-mediated clinical consultations; professional resistance to nationally mandated IT programmes; rationing of ‘low value’ treatments in the NHS; what ‘timeliness’ means to GPs when engaged in the diagnosis of dementia; case study of a community Trust response to the ‘Any Qualified Provider’ policy.

Bio

Deborah joined Queen Mary University of London in August 2010, part way through a NIHR Doctoral Fellowship. She is a Clinical Reader and combines her academic career with practising as a General Practitioner in Ipswich.

She gained her first degree in Medical Sciences from Cambridge University in 1990, qualified in Medicine from Imperial College London in 1993, and qualified as a GP in 1998. She completed an MSc in Primary Health Care at UCL in 2003 and a PhD at Queen Mary, University of London in February 2012.

Deborah  is currently Principal Investigator on two research projects:

  • Addressing the polypharmacy challenge in older people with multimorbidity: an in-depth

ethnographic case study of experiences and practices to inform medicines optimisation in primary care (NIHR Clinician Scientist Award)

  • The interdisciplinary laboratory: facilitating new forms of ‘knowledge’ in contemporary life sciences (QMUL Life Sciences Grant)

She co-supervises two PhD students: Danniella Samos (QMUL 2014-; ESRC funded); Dr Jessica Potter (QMUL 2015-; MRC Research Fellow)

She became of Fellow of the Higher Education Academy in 2005, and a Fellow of the Royal College of General Practitioners in 2010.

She is in Cohort 10 of the Oxford International Primary Care Research Leadership Programme.

Research

Primary health care, health care interaction, electronic patient records, information technology in health care, ethnography, discourse analysis, narrative.

Deborah is currently Principal Investigator on two research projects:

  1. Addressing the polypharmacy challenge in older people with multimorbidity: an in-depth ethnographic case study of experiences and practices to inform medicines optimisation in primary care (NIHR Clinician Scientist Award)
  2. The interdisciplinary laboratory: facilitating new forms of ‘knowledge’ in contemporary life sciences (QMUL Life Sciences Grant)

 

Publications

Swinglehurst D, Emmerich N, Maybin J, Park S, Quilligan S. Confronting the quality paradox: towards new characterisations of ‘quality’ in contemporary healthcare. BMC Health Services Research 2015: 240.

Swinglehurst D, Greenhalgh T. Caring for the patient, caring for the record: an ethnographic study of ‘back office’ work in upholding quality of care in general practice. BMC Health Services Research 2015: 177.

 Swinglehurst D. Displays of authority in the clinical consultation: A linguistic ethnographic study of the electronic patient record. Social Science & Medicine 118;2014:17-26

Greenhalgh T, Stones R, Swinglehurst D. Choose and Book: A sociological analysis of ‘resistance’ to an expert system. Social Science & Medicine 104;2014: 210-219

Swinglehurst D, Greenhalgh T, Roberts C. Computer templates in chronic disease management: ethnographic case study in general practice. BMJ Open 2012; 2:e001754

Swinglehurst D, Greenhalgh T. Russell J, Myall M. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. BMJ 2011; 343:d6788


View all Deborah Swinglehurst's Research Publications at: http://www.researchpublications.qmul.ac.uk

Teaching

Deborah has extensive teaching experience, including three years as an Honorary Senior Lecturer at the University of East Anglia where she taught undergraduate medical students (2004 - 2007). From 2004 – 2010 she was a tutor on an online MSc in International Primary Health Care at UCL and was joint winner of the HEA/THES ‘e-tutor of the year’ award in 2005.

She currently teaches on the following programmes:

MBBS medical undergraduate teaching (Problem Based Learning; SSC2a supervision)

BSc Global Health (Advanced Reading Writing and Analysis module; research project supervision)

MSc Global Health (dissertation research supervision and assessment)


Further information

Member of Editorial Board, Health Informatics Journal

Associate Editor BMC Health Services Research

Meetings Secretary, Linguistic Ethnography Forum

Ipswich Representative on the East Anglia Faculty Board of the RCGP

Member of the East Anglia RCGP Faculty Fellowship Assessment Committee

Contact

Centre for Primary Care & Public Health
Blizard Institute
Barts and The London School of Medicine and Dentistry
Yvonne Carter Building
58 Turner Street
London
E1 2AB

020 7882 7204
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