Beware Zombies and Unicorns: Toward Critical Patient and Public Involvement in Health Research in a Neoliberal Context

摘要: Patient and Public Involvement (PPI) in UK National Health Service (NHS) research has become an imperative policy practice. However, lack of clarity on what PPI is (or might be) given rise to a poorly monitored, complex field activity, variously framed by the expectations makers, funders, host organisations, researchers, health professionals, individual recruits, volunteers, activists third sector organisations. The normative shift towards taken place within neoliberal context, implications which needs be explicitly considered, particularly after Brexit referendum left makers researchers wondering how better appeal distrustful public subjected ‘post-truth’ ‘dog whistle’ politics. This commentary examines prospects for more critical approach addresses evidence-informed mindful persistent inequalities outcomes, at time when models NHS tend conceptually vague, derived from limited clinical managerial settings, centred construction abstract, rational, compliant self-managing patient or lay-person.