Performing accountability in health research: A socio-spatial framework
基于英国大型癌症研究网络的实证数据，运用社会空间理论分析专业研究人员、医生和患者如何理解和履行问责，揭示正式要求与日常实践之间的张力，并主张承认患者自身的空间以促进参与式问责。
The article explores how spaces aimed at improving accountability in health systems are socially produced. It addresses the implications of an initiative to promote patient involvement in government-funded research in the context of a large cancer research network in England. We employ a socio-spatial theoretical framework inspired by insights from Henri Lefebvre and Judith Butler to examine how professional researchers, doctors and patients understand and perform accountability in an empirical context. Our data reveal fundamental tensions between formally required and routinely enacted dimensions of accountability as these are experienced by patients. Consequently, our analysis argues for a need to challenge abstract, professionalized discourse about accountability in health services by acknowledging embodied spaces of representation, in which patients themselves can contribute to making participatory accountability a reality. We suggest that such a shift will provide a more rounded appraisal of patient experiences within health research, and health systems more widely.