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Coproduction in commissioning decisions: is there an association with decision satisfaction for commissioners working in the NHS? A cross-sectional survey 2010/2011.


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.

SUBMITTER: Taylor-Phillips S 

PROVIDER: S-EPMC4054620 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

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Publications

Coproduction in commissioning decisions: is there an association with decision satisfaction for commissioners working in the NHS? A cross-sectional survey 2010/2011.

Taylor-Phillips Sian S   Clarke Aileen A   Grove Amy A   Swan Jacky J   Parsons Helen H   Gkeredakis Emmanouil E   Mills Penny P   Powell John J   Nicolini Davide D   Roginski Claudia C   Scarbrough Harry H  

BMJ open 20140605 6


<h4>Objectives</h4>To undertake an assessment of the association between coproduction and satisfaction with decisions made for local healthcare communities.<h4>Design</h4>A coproduction scale was developed and tested to measure individual National Health Service (NHS) commissioners' satisfaction with commissioning decisions.<h4>Setting</h4>11 English Primary Care Trusts in 2010-2011.<h4>Participants</h4>Staff employed at NHS band 7 or above involved in commissioning decisions in the NHS. 345/440  ...[more]

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