Taylor-Phillips, Sian, Clarke, Aileen, Grove, Amy L., Swan, Jacky, Parsons, Helen, Gkeredakis, Emmanouil, Mills, Penny, Powell, John, Nicolini, Davide, Roginski, Claudia and Scarbrough, Harry (2014) Coproduction in commissioning decisions : is there an association with decision satisfaction for commissioners working in the NHS? A cross-sectional survey 2010/2011. BMJ Open, Volume 4 (Number 6). Article number e004810. doi:10.1136/bmjopen-2014-004810 ISSN 2044-6055.
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Abstract
Objectives:
To undertake an assessment of the association between coproduction and satisfaction with decisions made for local healthcare communities.
Design:
A coproduction scale was developed and tested to measure individual National Health Service (NHS) commissioners’ satisfaction with commissioning decisions.
Setting:
11 English Primary Care Trusts in 2010–2011.
Participants: Staff employed at NHS band 7 or above involved in commissioning decisions in the NHS. 345/440 (78%) of participants completed part of all of the survey.
Main outcome measure:
Reliability and validity of a coproduction scale were assessed using a correlation-based principal component analysis model with direct oblimin rotation. Multilevel modelling was used to predict decision satisfaction.
Results:
The analysis revealed that coproduction consisted of three principal components: productive discussion, information and dealing with uncertainty. Higher decision satisfaction was associated with smaller decisions, more productive discussion, decisions where information was readily available to use and those where decision-making tools were more often used.
Conclusions:
The research indicated that coproduction may be an important factor for satisfaction with decision-making in the commissioning of healthcare services.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Social Sciences > Warwick Business School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Great Britain. National Health Service, Medical care -- Great Britain |
| Journal or Publication Title: | BMJ Open |
| Publisher: | BMJ |
| ISSN: | 2044-6055 |
| Official Date: | 5 June 2014 |
| Dates: | Date Event 5 June 2014 Published 21 May 2014 Accepted 7 January 2014 Submitted |
| Volume: | Volume 4 |
| Number: | Number 6 |
| Article Number: | Article number e004810 |
| DOI: | 10.1136/bmjopen-2014-004810 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 27 December 2015 |
| Date of first compliant Open Access: | 27 December 2015 |
| Funder: | National Institute for Health Research (Great Britain) (NIHR), University Hospitals Birmingham NHS Foundation Trust |
| Grant number: | 08/1808/244 (NIHR), DRF-2013-06-064 (NIHR) |
| URI: | https://wrap.warwick.ac.uk/61759/ |
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