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dc.contributor.authorLourenco, Tania
dc.contributor.authorGrant, Adrian
dc.contributor.authorBurr, Jennifer
dc.contributor.authorVale, Luke
dc.date.accessioned2012-03-06T10:31:06Z
dc.date.available2012-03-06T10:31:06Z
dc.date.issued2010-04
dc.identifier16573592
dc.identifier307a9630-3047-4f79-8116-eaf2b585e0dd
dc.identifier000287562200002
dc.identifier77952315641
dc.identifier.citationLourenco , T , Grant , A , Burr , J & Vale , L 2010 , ' Local decision-makers views' of national guidance on interventional procedures in the UK ' , Journal of Health Services Research and Policy , vol. 15 , no. Suppl 2 , pp. 3-11 . https://doi.org/10.1258/jhsrp.2009.009090en
dc.identifier.issn1355-8196
dc.identifier.otherORCID: /0000-0002-9478-738X/work/60196157
dc.identifier.urihttps://hdl.handle.net/10023/2405
dc.description.abstractObjectives: To identify how decision-makers in the NHS perceive and manage interventional procedures guidance and to determine whether additional information would be useful. Methods: Qualitative study using semi-structured interviews with seven providers, six commissioners and one policy-maker. The framework approach was used to analyse transcribed data, and emergent themes coded. Data were analysed separately for providers and commissioner organizations. Results: Perceptions about how guidance is managed in provider organizations varied. Some decision-makers considered that guidance is handled very well whereas others think it is suboptimal and haphazard. It is unclear whether clinicians follow procedure for cautionary guidance. In commissioner organizations, guidance is not seen as a priority by most and is not considered an area that will soon enter routine clinical practice. Moreover, commissioners felt that guidance lacked relevance as there is no consideration of whether procedures are cost-effective or affordable. Despite this, respondents perceived that the content and quality of guidance is satisfactory. Useful additional information for inclusion in guidance would be: prevalence, incidence, cost, patients' views, consequences of using the new intervention, comparative information, effectiveness and cost-effectiveness. Conclusions: Management of interventional procedures guidance in the NHS can be improved. It is important to understand the ways in which guidance meets and fails to meet decision-makers' needs.
dc.format.extent9
dc.format.extent186326
dc.language.isoeng
dc.relation.ispartofJournal of Health Services Research and Policyen
dc.subjectRA Public aspects of medicineen
dc.subject.lccRAen
dc.titleLocal decision-makers views' of national guidance on interventional procedures in the UKen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1258/jhsrp.2009.009090
dc.description.statusPeer revieweden


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