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Table 6 Round two results: to what extent do you agree that the following considerations do actually-in practice-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
Cost/budgetary pressures 3.7 0 22.2 74.1 0
Government intervention (e.g., legislation) 7.4 3.7 37.0 51.9 0
Capital costs/condition (buildings, maintenance) 3.8 15.4 42.3 30.8 7.7
Quality and patient safety 0 7.4 66.7 25.9 0
Complexity of implementation of decommissioning 0 29.6 40.7 18.5 11.1
Support from clinicians 7.4 18.5 37.0 33.3 3.7
Cost-effectiveness/efficient use of resources 3.7 22.2 48.1 25.9 0
Support from industry and other interest groups 7.4 29.6 37.0 14.8 11.1
Clinical effectiveness 3.7 11.1 74.1 11.1 0
Availability of alternative services/interventions 3.7 29.6 44.4 18.5 3.7
Cost of implementation of decommissioning 0 33.3 48.1 14.8 3.7
Alignment with strategic priorities 7.4 29.6 37.0 22.2 3.7
Support from elected politicians 11.1 14.8 51.9 22.2 0
New service developments/innovations 8.0 28.0 44.0 16.0 4.0
Prejudice against public sector provision 3.7 51.9 22.2 7.4 14.8
Duplication of services 7.4 33.3 40.7 14.8 3.7
Responding to changing demographics/population needs 7.4 37.0 40.7 11.1 3.7
Evidence-base 3.7 37.0 51.9 7.4 0
Impact on workforce 3.7 59.3 18.5 14.8 3.7
Patient and public views 11.1 40.7 37.0 7.4 3.7
Maximising population health 11.1 48.1 37.0 0 3.7
Addressing inequalities 11.1 70.4 14.8 3.7 0
Equitable resource allocation 11.1 74.1 11.1 3.7 0
Marginal groups not heard (e.g., homeless) 22.2 66.7 7.4 0 3.7
  1. (% responses) (in descending order of average strength of agreement).