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Table 5 Round two results: to what extent do you agree that the following considerations should ideally inform decisions to carry out decommissioning?

From: Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services

Consideration Strongly disagree Disagree Agree Strongly agree Do not know
Quality and patient safety 0 0 7.4 92.6 0
Clinical effectiveness 0 0 11.1 88.9 0
Cost-effectiveness/efficient use of resources 0 0 18.5 81.5 0
Duplication of services 0 0 33.3 66.7 0
Evidence-base 0 3.7 29.6 63.0 3.7
Responding to changing demographics/population needs 0 0 48.1 48.1 3.7
Addressing inequalities 0 7.7 30.8 61.5 0
Maximising population health 0 7.4 37.0 55.6 0
Alignment with strategic priorities 0 11.1 40.7 48.1 0
New service developments/innovations 0 0 66.7 29.6 3.7
Equitable resource allocation 3.7 7.4 48.1 40.7 0
Patient and public views 0 18.5 40.7 40.7 0
Cost/budgetary pressures 0 18.5 48.1 33.3 0
Availability of alternative services/interventions 0 14.8 63.0 22.2 0
Cost of implementation of decommissioning 14.8 11.1 44.4 25.9 3.7
  1. (% responses) (in descending order of average strength of agreement).