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, S., Clarke, A., Grove, A., Swan, J., Parsons, H., Gkeredakis, E., Mills, P., Powell, J., Nicolini, D., Roginski, C. & Scarbrough, H. (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, 4(6), e004810 - ?. doi: 10.1136/bmjopen-2014-004810

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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: Article
Uncontrolled Keywords: Health Policy, Health Services Administration & Management, Health Services Commissioning, Health Services Management, Healthcare Decision Making
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions: Cass Business School > Faculty of Management
Related URLs:
URI: http://openaccess.city.ac.uk/id/eprint/4322

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