Faculty of Education, Social Sciences and Law

Sociology and Social Policy

Contact Details

Dr Joanne Greenhalgh

Principal Research Fellow

I am part of the Health Hub of the Building Sustainable Societies Transformation Fund Project.  I’m interested in applying realist evaluation and realist synthesis to the evaluation of healthcare policy and practice.  I have an eclectic academic background, with a first degree in psychology, a Masters in public health and a PhD in health services research.  I am also Deputy Director of the Centre for Health, Technologies and Social Practice.  I am a member of one of NICE’s quality standards advisory groups (QSAC) to develop quality standards for health and social care.

Research Interests

My current research is focused on applying realist methods to the evaluation of health and social care policies and programmes.  Current projects include

Previously, my research has focused on applying a range of social research methods to the design and evaluation of patient reported outcome measures (PROMs) and explored their application and use within routine clinical practice.  This has included an ESRC funded observational study how multidisciplinary neurorehabilitation teams make sense of and use standardised outcome measures.  I am also interested in broader aspects of patient choice in the NHS and clinician-patient communication.


I have previously taught a range of research methods at undergraduate and postgraduate level.

PhD Supervision

I have supervised 2 PhD students and one DClin student to completion. I am currently supervising one NIHR funded pre-doctoral fellow using realist methods to evaluate the use of radiographers in mammography image interpretation for symptomatic breast cancer.   I would be interested in supervising students in the following areas:

  • Evaluation of the use of PROMs by clinicians and clinical commissioning groups
  • Implementation of PROMs in clinical practice
  • Patient’s views on the use and impact of PROMs in routine clinical practice
  • Patient choice in the NHS
  • Evaluations of other health and social care policies involving the use of realist evaluation or realist synthesis

Key Publications

Reeve BR, Wyrwich KW, Wu AW, Velikova G, Terwee CB, Snyder CF, Schwartz C, Revicki DA, Moinpour CM, McLeod LD, Lyons JC, Lenderking WR, Hinds PS, Hays RD, Greenhalgh J, Gershon R, Feeny D, Fayers PM, Cella, D, Brundage M, Ahmed S, Aaronson NK, Butt Z on behalf of the International Society for Quality of Life Research (ISOQOL) ISOQOL Recommends Minimum Standards for Patient-Reported Outcome Measures Used in Patient-Centered Outcomes Research, Quality of Life Research, in press. DOI 10.1007/s11136-012-0344-y

Greenhalgh J, Abhyankar P, McCluskey S, Takeuchi E and Velikova G (2012) How do doctors refer to Patient Reported Outcome Measures (PROMS) in oncology consultations? Quality of Life Research, DOI 10.1007/s11136-012-0218-3

Snyder CF, Aaronson NK, Chouchair AK, Elliot TE, Greenhalgh J, Halyard MY, Hess, R, Miller DM, Reeve BB and Santana (2012) Implementing patient reported outcomes assessment in clinical practice: a review of options and considerations, Quality of Life Research, 21 (8): 1305-1314.

Greenhalgh J, Long AF, Flynn R, Tyson S (2008) “It’s hard to tell” The challenges of scoring patients on standardised outcome measures by multidisciplinary teams: a case study of neurorehabilitation, BMC Health Services Research 8: 217.

Greenhalgh J, Flynn R, Long AF and Tyson S (2008) Tacit and encoded knowledge in the use of standardised outcome measures in multidisciplinary team decision making: a case study of inpatient neurorehabilitation.  Social Science and Medicine 67: 183-194

Greenhalgh J, Long, AF and Flynn, R. (2005) The use of patient reported outcome measures in clinical practice: lacking an impact or lacking a theory?  Social Science and Medicine, 60: 833-843.

Greenhalgh J and Meadows KA. (1999) The effectiveness of the use of patient based measures of health in routine practice in improving the process and outcomes of patient care: a literature review, Journal of Evaluation in Clinical Practice, 5(4): 401-416.

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