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How effective is joint commissioning? A study of five English localities.
- Source :
- Journal of Integrated Care; 2013, Vol. 21 Issue 4, p221-232, 12p
- Publication Year :
- 2013
-
Abstract
- Purpose This paper reports research undertaken into the practices, processes and outcomes of joint commissioning at five English localities. This paper reflects on the implications of this study for the practice of joint commissioning. Design/methodology/approach A case study approach to the research was adopted where the assumptions about what joint commissioning should deliver in five "best practice" sites. These hypothesised relationships about organisational processes, services and outcomes were then tested through the collection of primary and secondary data. Methods of data collection included an online tool based on Q methodology, documentary analysis, interviews and focus groups. Findings - Very little of what we found seemed to relate directly to issues of joint commissioning. Respondents often spoke of joint commissioning conflating it with issues of commissioning or joint working more generally. We found a variety of different definitions and meanings of joint commissioning in practice suggesting that this is not a coherent model but varies across localities. Little evidence of improved outcomes was found, due to practical and technical difficulties. Research limitations/implications -Joint commissioning is not a coherent model and is applied in different ways across different contexts. As such we may need to ask very different questions of joint commissioning to those typically asked. Practical implications - It is important that local sites are clear about what they are trying to deliver through joint commissioning or else risk that it becomes an end in itself. Some of the current reforms taking place in health and social care risk pulling apart existing relationships that have taken significant time and resource to develop. Originality/value - This is one of the first large-scale studies of joint commissioning conducted in England. [ABSTRACT FROM AUTHOR]
- Subjects :
- DOCUMENTATION
SURVEYS
ANALYSIS of variance
COGNITION disorders
CONCEPTS
CONTRACTING out
FOCUS groups
HEALTH care reform
INTEGRATED health care delivery
INTERVIEWING
LOCAL government
RESEARCH methodology
CASE studies
EVALUATION of medical care
MEDICAL cooperation
NATIONAL health services
ORGANIZATIONAL change
HEALTH outcome assessment
QUESTIONNAIRES
RESEARCH
RESEARCH funding
GOVERNMENT aid
ORGANIZATIONAL structure
ORGANIZATIONAL goals
Subjects
Details
- Language :
- English
- ISSN :
- 14769018
- Volume :
- 21
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Integrated Care
- Publication Type :
- Academic Journal
- Accession number :
- 90624642
- Full Text :
- https://doi.org/10.1108/JICA-04-2013-0012