LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Clarke, Aileen; Taylor-Phillips, Sian; Swan, Jacky; Gkeredakis, Emmanouil; Mills, Penny; Nicolini, Davide; Powell, John; Roginski, Claudia; Scarbrough, Harry; Grove, Amy L. (2013)
Publisher: BMJ
Journal: BMJ Open
Languages: English
Types: Article
Subjects: Health Services Research, 1694, Health Services Administration & Management, HD, 1506, 1704, Research, 1703, Public Health, 1724, RA, R1
Objectives To investigate types of evidence used by healthcare commissioners when making decisions and whether decisions were influenced by commissioners’ experience, personal characteristics or role at work. Design Cross-sectional survey of 345 National Health Service (NHS) staff members. Setting The study was conducted across 11 English Primary Care Trusts between 2010 and 2011. Participants A total of 440 staff involved in commissioning decisions and employed at NHS band 7 or above were invited to participate in the study. Of those, 345 (78%) completed all or a part of the survey. Main outcome measures Participants were asked to rate how important different sources of evidence (empirical or practical) were in a recent decision that had been made. Backwards stepwise logistic regression analyses were undertaken to assess the contributions of age, gender and professional background, as well as the years of experience in NHS commissioning, pay grade and work role. Results The extent to which empirical evidence was used for commissioning decisions in the NHS varied according to the professional background. Only 50% of respondents stated that clinical guidelines and cost-effectiveness evidence were important for healthcare decisions. Respondents were more likely to report use of empirical evidence if they worked in Public Health in comparison to other departments (p<0.0005, commissioning and contracts OR   0.32, 95%CI   0.18 to 0.57, finance OR  0.19, 95%CI 0.05 to 0.78, other departments OR 0.35, 95%CI 0.17 to 0.71) or if they were female (OR 1.8 95% CI 1.01 to 3.1) rather than male. Respondents were more likely to report use of practical evidence if they were more senior within the organisation (pay grade 8b or higher OR 2.7, 95%CI 1.4 to 5.3, p=0.004 in comparison to lower pay grades). Conclusions Those trained in Public Health appeared more likely to use external empirical evidence while those at higher pay scales were more likely to use practical evidence when making commissioning decisions. Clearly, National Institute for Clinical Excellence (NICE) guidance and government publications (eg, National Service Frameworks) are important for decision-making, but practical sources of evidence such as local intelligence, benchmarking data and expert advice are also influential. New Clinical Commissioning Groups will need a variety of different evidence sources and expert involvement to ensure that effective decisions are made for their populations.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Department of Health. Equity and excellence: liberating the NHS. Department of Health, 2010.
    • 2. Smith J, Dixon J, Maya N, et al. Practice based commissioning: applying the research evidence. BMJ 2005;331:1397-9.
    • 3. Weiss CH. Many meanings of research utilization. Public Adm Rev 1979;39:426-31.
    • 4. Davies H, Nutley S, Walter I. Why 'knowledge transfer' is misconceivedfor applied social research. J Health Serv Res Policy 2008;13:188-90.
    • 5. Walshe K, Rundall TG. Evidence-based Management: from theory to practice in health care. Milbank Q 2001;79:429-57.
    • 6. Gabbay J, Le May A. Practice-based evidence for healthcare: clinical mindlines. Routledge, 2010.
    • 7. Gkeredakis E, Swan J, Powell J, et al. Mind the gap: understanding utilisation of evidence and policy in health care management practice. J Health Organ Manag 2011;25:298-314.
    • 8. Tsoukas H, Vladimirou E. What is organizational knowledge? J Manag Stud [proceedings paper] 2001;38:973-93.
    • 9. Swan J, Clarke A, Nicolini D, et al. Evidence in Management Decisions (EMD)-Advancing Knowledge Utilization in Healthcare Management. NIHR Health Services and Delivery Programme; 2012, Final Report.
    • 10. The NHS Information Centre. NHS hospital and community health services non medical workforce census. London: The Health and Social Care Information Centre, 2010.
    • 11. Weatherly H, Drummond M, Smith D. Using evidence in the development of local health policies. Int J Technol Assess Healthcare. 2002;18:771-81.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article