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Decisions of Value: Going Backstage; Comment on “Contextual Factors Influencing Cost and Quality Decisions in Health and Care: A Structured Evidence Review and Narrative Synthesis”

Calnan, Michael .W., Tonkin, Emma, Wilson, Annabelle M., Coveney, John, Henderson, Julie, Meyer, Samantha B., McCarthy, Mary Brigid, O’Reilly, Seamus, McGloin,, Aileen, Kelly,, Edel, and others. (2018) Decisions of Value: Going Backstage; Comment on “Contextual Factors Influencing Cost and Quality Decisions in Health and Care: A Structured Evidence Review and Narrative Synthesis”. Review of: Comment on “Contextual Factors Influencing Cost and Quality Decisions in Health and Care: A Structured Evidence Review and Narrative Synthesis” by UNSPECIFIED. International Journal of Health Policy Management, 7 (11). pp. 1067-1069. E-ISSN 2322-5939. (doi:10.15171/ijhpm.2018.81)

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http://dx.doi.org/10.15171/ijhpm.2018.81

Abstract

This commentary expands on two of the key themes briefly raised in the paper involving analysis of the evidence about key contextual influences on decisions of value. The first theme focuses on the need to explore in more detail what is called backstage decision-making looking at how actual decisions are made drawing on evidence from ethnographies about decision making. These studies point to less of an emphasis on instrumental and calculative forms of decision-making with more of an emphasis on more pragmatic rationality. The second related theme picks up on the issue of sources of information as a contextual influence particularly highlighting the salience of uncertainty or information deficits. It is argued that there are a range of different types of uncertainties, not only associated with information deficits, which are found particularly in allocative types of decisions of value. This means that the decision18 making process although attempting to be linear and rational, tends to be characterised by a form of navigation where the decision-makers navigate their way through the uncertainties inherent and overtly manifested in the decision-making process.

Item Type: Article
DOI/Identification number: 10.15171/ijhpm.2018.81
Uncontrolled keywords: Context, Uncertainty, Allocative decisions
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Michael Calnan
Date Deposited: 20 Aug 2018 09:06 UTC
Last Modified: 29 May 2019 21:01 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/68712 (The current URI for this page, for reference purposes)
Calnan, Michael .W.: https://orcid.org/0000-0002-7239-6898
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