Objectives: To undertake an assessment of the association between coproduction and satisfaction with decisions made for local healthcare communities.
Design: A coproduction scale was developed and tested to measure individual National Health Service (NHS) commissioners' satisfaction with commissioning decisions.
Setting: 11 English Primary Care Trusts in 2010-2011.
Objectives: To investigate types of evidence used by healthcare commissioners when making decisions and whether decisions were influenced by commissioners' experience, personal characteristics or role at work.
Design: Cross-sectional survey of 345 National Health Service (NHS) staff members.
Setting: The study was conducted across 11 English Primary Care Trusts between 2010 and 2011.
Purpose: The paper aims to take a reflective stance on the relationship between policy/evidence and practice, which, the authors argue, is conceptually under-developed. The paper aims to show that current research perspectives fail to frame evidence and policy in relation to practice.
Design/methodology/approach: A qualitative study was conducted in the English NHS in four Primary Care Trusts (PCTs).
A core prescription from the knowledge management movement is that the successful management of organizational knowledge will prevent firms from 'reinventing the wheel', in particular through the transfer of 'best practices'. Our findings challenge this logic. They suggest instead that knowledge is emergent and enacted in practice, and that normally those involved in a given practice have only a partial understanding of the overall practice.
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