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Health Policy. 2011 Apr;100(1):35-42. doi: 10.1016/j.healthpol.2010.08.012. Epub 2010 Sep 21.

The introduction of new interventional procedures in the British National Health Service--a qualitative study.

Author information

  • 1Health Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, UK. tania.lourenco@abdn.ac.uk

Abstract

OBJECTIVES:

To investigate how interventional procedures (IPs) are introduced into the British National Health Services and identify areas for improvement in the current process.

METHODS:

Qualitative study using one to one semi-structured interviews. Using the framework approach, the data generated from 14 participants were analysed with coding of emergent themes. Data were analysed separately for providers and commissioner organisations.

RESULTS:

Variations were observed in how IPs are introduced from both the provider and commissioner perspectives. Patterns of approaches allowed the development of models reflecting practice at each type of organisation: very structured in some places to, unstructured or almost non-existent in others. Factors affecting the decision to introduce a procedure include: immediate costs and benefits, numbers of people affected, training requirements, NICE guidance, nature of procedure, support from colleagues, incentives, public or policy-maker pressure, and aims of the institution. Monitoring was seen as a key area for improvement by many.

CONCLUSIONS:

These variations indicate that the process of introducing new IPs in the NHS can be improved. Factors affecting decision-making and problems have been identified. The results of our study could inform and help shape future processes of managing and the introduction of new procedures into the NHS.

Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PMID:
20863587
[PubMed - indexed for MEDLINE]
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