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Table 8 Comparisons of round two and round three responses for statements attracting no or low consensus in round 2

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

 

Strongly disagree

Disagree

Agree

Strongly agree

Do not know

Change in level of consensus

 

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

 

`Costs of implementation of decommissioning’ do actually in practice inform decision to carry out decommissioning

0

0

33.3

32.0

48.7

60.0

14.8

8.0

3.7

0

low→medium

`Duplication of services’ does actually in practice inform decision to carry out decommissioning

7.4

0

33.3

24.0

40.7

68.0

14.8

8.0

3.7

0

no→medium

The `evidence base’ does actually in practice inform decision to carry out decommissioning

3.7

0

37.0

32.0

51.9

52.0

7.4

16.0

0

0

no change (low)

`Maximising population health’ does actually in practice inform decisions to carry out decommissioning

11.1

4.0

48.1

76.0

37.0

20.0

0

0

3.7

0

no→high

`Availability of alternative services/interventions’ does actually in practice inform decisions to carry out decommissioning?

3.7

0

29.6

16.0

44.4

68.0

18.5

12.0

3.7

4.0

low→medium

`Responding to changing demographics/population needs’ does actually in practice inform decisions to carry out decommissioning

7.4

0

37.0

44.0

40.7

48.0

11.1

4.0

3.7

4.0

no change (none)

`New service developments/innovations’ do actually in practice inform decisions to carry out decommissioning?

8.0

0.0

28.0

24.0

44.0

72.0

16.0

4.0

4.0

0

low→high

`Alignment with strategic priorities’ does actually in practice inform decisions to carry out decommissioning

7.4

0

29.6

28.0

37.0

64.0

22.2

8.0

3.7

0

no→medium

`Patient and public views’ do actually in practice inform decisions to carry out decommissioning

11.1

8.0

40.7

72.0

37.0

16.0

7.4

4.0

3.7

0

no→high

`Support from industry and other interest groups’ do actually in practice inform decisions to carry out decommissioning

7.4

0

29.6

32.0

37.0

48.0

14.8

4.0

3.7

16.0

no change (none)

`Prejudice against public sector provision’ does actually in practice inform decisions to carry out decommissioning

3.7

8.0

51.9

60.0

22.2

8.0

7.4

8.0

14.8

16.0

low→medium

`Complexity of implementing decommissioning’ does actually in practice inform decisions to carry out decommissioning

0

0

29.6

8.0

40.7

72.0

18.5

16.0

11.1

4.0

no→high

`Impact on workforce’ does actually in practice inform decisions to carry out decommissioning

3.7

8.0

59.3

48.0

18.5

28.0

14.8

12.0

3.7

4.0

low→no

 

Very little importance

Little importance

High importance

Very high importance

Do not know

Change in level of consensus

 

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

Round 2

Round 3

 

What is the relative importance of the `pace of change’ for shaping the extent to which decommissioning is implemented as planned?

3.7

0

40.7

33.3

51.9

50.0

0.0

4.2

3.7

12.5

no change (none)

What is the relative importance of the `extent of adoption elsewhere of new intervention/service’ for shaping the extent to which decommissioning is implemented as planned?

0

0

33.3

24.0

48.1

60.0

18.5

8.0

0

8.0

low→medium

What is the relative importance of `meets community expectations’ for shaping the extent to which decommissioning is implemented as planned?

0

0

37.0

28.0

51.9

64.0

7.4

4.0

3.7

4.0

low→medium

What is the relative importance of the `reputation of existing providers’ for shaping the extent to which decommissioning is implemented as planned?

0

0

33.3

12.0

55.6

76.0

3.7

4.0

7.4

8.0

low→high