Involving citizens in disinvestment decisions: what do health professionals think? Findings from a multi-method study in the English NHS

Health Economics, Policy, and Law
Tom DanielsSuzanne Robinson

Abstract

Public involvement in disinvestment decision making in health care is widely advocated, and in some cases legally mandated. However, attempts to involve the public in other areas of health policy have been accused of tokenism and manipulation. This paper presents research into the views of local health care leaders in the English National Health Service (NHS) with regards to the involvement of citizens and local communities in disinvestment decision making. The research includes a Q study and follow-up interviews with a sample of health care clinicians and managers in senior roles in the English NHS. It finds that whilst initial responses suggest high levels of support for public involvement, further probing of attitudes and experiences shows higher levels of ambivalence and risk aversion and a far more cautious overall stance. This study has implications for the future of disinvestment activities and public involvement in health care systems faced with increased resource constraint. Recommendations are made for future research and practice.

References

Jan 1, 1993·Journal of Health Politics, Policy and Law·C Charles, S DeMaio
Jun 14, 2000·BMJ : British Medical Journal·W Anderson, D Florin
Jan 10, 2001·Environmental Management·T WeblerR Krueger
Mar 5, 2003·Social Science & Medicine·Lucy Gilson
Jan 17, 2004·BMJ : British Medical Journal·Dominique Florin, Jennifer Dixon
Sep 24, 2004·Health Education Research·R M Cross
Dec 28, 2005·Journal of Health Services Research & Policy·Rachel BakerRussell Mannion
Apr 29, 2006·Social Science & Medicine·Louise D BryantJenny Hewison
Jul 2, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Rebecca A BruniUNKNOWN University of Toronto Priority Setting in Health Care Research Group
Jul 19, 2008·Health Economics, Policy, and Law·Suzanne Wait, Ellen Nolte
Jul 19, 2008·Health Economics, Policy, and Law·Maria GoddardPeter C Smith
Jun 30, 2010·Nursing Research·Katie Gallagher, Davina Porock
Jan 5, 2012·JAMA : the Journal of the American Medical Association·Vinay PrasadJohn P A Ioannidis
Jan 16, 2014·Journal of Health Organization and Management·Tom DanielsKatie Spence
Mar 4, 2014·Social Science & Medicine·Scott L GreerPeter D Donnelly
Dec 24, 2015·International Journal of Technology Assessment in Health Care·Julia Mayer, Anna Nachtnebel
Mar 17, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·René AmalbertiJeffrey Braithwaite
Jul 30, 2016·Journal of Health Organization and Management·David James HunterIestyn Williams
Nov 12, 2016·Journal of Health Organization and Management·Rebecca Trowman DaySuzanne Robinson
Oct 28, 2017·The European Respiratory Journal·Ganesh Raghu

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Citations

Apr 13, 2019·Health Economics, Policy, and Law·Ellen StewartPeter D Donnelly
Aug 15, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Clare CoultasPeter Littlejohns
Aug 24, 2019·International Journal of Health Policy and Management·Deb MitchellTerry Haines
Mar 5, 2020·Journal of Bioethical Inquiry·Jessica PaceWendy Lipworth
Mar 13, 2019·Journal of Health Organization and Management·Peter LittlejohnsPaul Scuffham
Apr 9, 2020·Implementation Science : IS·Emma E SypesDaniel J Niven
Jan 31, 2021·Social Science & Medicine·A H RotteveelN J A van Exel
Dec 1, 2021·JDR Clinical and Translational Research·C R VernazzaC Donaldson

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