TY - JOUR
T1 - Involving citizens in disinvestment decisions
T2 - what do health professionals think? Findings from a multi-method study in the English NHS
AU - Daniels, Tom
AU - Williams, Iestyn
AU - Bryan, Stirling
AU - Mitton, Craig
AU - Robinson, Suzanne
PY - 2018/4
Y1 - 2018/4
N2 - 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.
AB - 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.
U2 - 10.1017/S1744133117000330
DO - 10.1017/S1744133117000330
M3 - Article
SN - 1744-1331
VL - 13
SP - 162
EP - 188
JO - Health economics, policy, and law
JF - Health economics, policy, and law
IS - 2
ER -