Daniels, Tom, Iestyn Williams, Stirling Bryan, Craig Mitton, & Suzanne Robinson (2018, April). 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, 13(2), 162-188. (doi: 10.1017/S1744133117000330) (Link: https://doi.org/10.1017/S1744133117000330)

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.

Tom Daniels <tomdaniels1984@yahoo.co.uk> is in the Health Services Management Centre, University of Birmingham, Birmingham, UK.

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.