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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Lourenco, Tania Grant, Adrian M. Burr, Jennifer M. Vale, Luke |
| Description | Country affiliation: United kingdom Author Affiliation: Lourenco T ( Health Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, UK. tania.lourenco@abdn.ac.uk) |
| Abstract | OBJECTIVES: To investigate how interventional procedures (IPs) are introduced into the British National Health Services and identify areas for improvement in the current process. METHODS: Qualitative study using one to one semi-structured interviews. Using the framework approach, the data generated from 14 participants were analysed with coding of emergent themes. Data were analysed separately for providers and commissioner organisations. RESULTS: Variations were observed in how IPs are introduced from both the provider and commissioner perspectives. Patterns of approaches allowed the development of models reflecting practice at each type of organisation: very structured in some places to, unstructured or almost non-existent in others. Factors affecting the decision to introduce a procedure include: immediate costs and benefits, numbers of people affected, training requirements, NICE guidance, nature of procedure, support from colleagues, incentives, public or policy-maker pressure, and aims of the institution. Monitoring was seen as a key area for improvement by many. CONCLUSIONS: These variations indicate that the process of introducing new IPs in the NHS can be improved. Factors affecting decision-making and problems have been identified. The results of our study could inform and help shape future processes of managing and the introduction of new procedures into the NHS. |
| File Format | HTM / HTML |
| ISSN | 01688510 |
| Issue Number | 1 |
| Volume Number | 100 |
| e-ISSN | 18726054 |
| Journal | Health Policy |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2011-04-01 |
| Publisher Place | Ireland |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Health Care Discipline Health Policy Discipline Health Services Discipline Public Health Decision Making, Organizational Diffusion Of Innovation Health Policy Technology Assessment, Biomedical Humans Interviews As Topic Organizational Innovation Qualitative Research State Medicine Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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