title: Coproduction in commissioning decisions: is there an association with decision satisfaction for commissioners working in the NHS? A cross-sectional survey 2010/2011.
abstract: OBJECTIVE
  To undertake an assessment of the association between coproduction and satisfaction with decisions made for local healthcare communities.
  
  
  METHODS
  A coproduction scale was developed and tested to measure individual National Health Service (NHS) commissioners' satisfaction with commissioning decisions.
  
  
  METHODS
  11 English Primary Care Trusts in 2010-2011.
  
  
  METHODS
  Staff employed at NHS band 7 or above involved in commissioning decisions in the NHS. 345/440 (78%) of participants completed part of all of the survey.
  
  
  METHODS
  Reliability and validity of a coproduction scale were assessed using a correlation-based principal component analysis model with direct oblimin rotation. Multilevel modelling was used to predict decision satisfaction.
  
  
  RESULTS
  The analysis revealed that coproduction consisted of three principal components: productive discussion, information and dealing with uncertainty. Higher decision satisfaction was associated with smaller decisions, more productive discussion, decisions where information was readily available to use and those where decision-making tools were more often used.
  
  
  CONCLUSIONS
  The research indicated that coproduction may be an important factor for satisfaction with decision-making in the commissioning of healthcare services.
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Sian
authors.initials: S
authors.lastname: Taylor-Phillips
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Aileen
authors.initials: A
authors.lastname: Clarke
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Amy
authors.initials: A
authors.lastname: Grove
authors.affiliation: Warwick Business School, University of Warwick, Coventry, UK.
authors.forename: Jacky
authors.initials: J
authors.lastname: Swan
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Helen
authors.initials: H
authors.lastname: Parsons
authors.affiliation: Warwick Business School, University of Warwick, Coventry, UK.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Gkeredakis
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Penny
authors.initials: P
authors.lastname: Mills
authors.affiliation: Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: John
authors.initials: J
authors.lastname: Powell
authors.affiliation: Warwick Business School, University of Warwick, Coventry, UK.
authors.forename: Davide
authors.initials: D
authors.lastname: Nicolini
authors.affiliation: South Warwickshire Clinical Commissioning Group, Warwick, Coventry, UK.
authors.forename: Claudia
authors.initials: C
authors.lastname: Roginski
authors.affiliation: Warwick Business School, University of Warwick, Coventry, UK.
authors.forename: Harry
authors.initials: H
authors.lastname: Scarbrough
mesh_terms: D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013222:State Medicine / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D006113:United Kingdom
keywords: Health Policy; Health Services Administration & Management; Health Services Commissioning; Health Services Management; Healthcare Decision Making