Faculty of Education, Social Sciences and Law

Sociology and Social Policy

Contact Details

Dr Joanne Greenhalgh

Associate Professor

I’m interested in applying realist evaluation and realist synthesis to the evaluation of healthcare policy and practice.  I have 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

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 a realist synthesis of the feedback of patient reported outcome measures (PROMs) funded by NIHR and a realist process evaluation of robotic surgery, funded by NIHR.  

We have also recently completed a realist synthesis of demand management for planned care, funded by NIHR

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.  I am currently module leader for the Level 3 dissertation module and co-lead (with Ana Manzano) the Evaluation Research module as Masters 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:

  • Application of realist evaluation or synthesis to evaluate complex interventions
  • 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

Key Publications

Boyce, M, Browne, JP and Greenhalgh J (2014) Surgeon’s experiences of receiving peer benchmarked feedback using patient-reported outcome measures: a qualitative study, Implementation Science 9: 84 doi:10.1186/1748-5908-9-84

Greenhalgh J, Pawson R, Wright J, Black N, Valderas JM, Meads D, Gibbons E, Wood L, Wood C, Mills C, Dalkin S (2014) Functionality and feedback: a protocol for a realist synthesis of the collation, interpretation and utilisation of PROMs data to improve patient care. BMJ Open 2014;4:e005601.doi:10.1136/bmjopen-2014-005601.

Pawson R, Greenhalgh J, Brennan C and Glidewell E Do reviews of healthcare interventions teach us how to improve healthcare systems? (2014) Social Science and Medicine, 114: 129-137.

Randell R, Greenhalgh J, Hindmarsh  J, Dowding  D, Jayne  D, Pearman  A, Gardner  P, Croft  J, Kotze  A (2014) Integration of robotic surgery into routine practice and impacts on communication, collaboration, and decision making: a realist process evaluation protocol, Implementation Science, 9:52  doi:10.1186/1748-5908-9-52

Boyce M Browne JP and Greenhalgh J (2014) The experiences of professionals with using information from patient reported outcome measures to improve the quality of healthcare: a systematic review of qualitative research, BMJ Quality and Safety DOI 10.1136/bmjqs-2013-002524.

Subirana M, Long, AF, Greenhalgh J and Firth, J (2013) A realist logic model of the links between nursing staffing and the outcomes of nursing, Journal of Research in Nursing DOI: 10.1177/1744987113481782

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. 

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