Table 1 Summary of data collection methods and sources
Research Question | Method | Source |
|---|---|---|
What are the concepts, definitions and perspectives that underpin disinvestment? [33] What models or methods of disinvestment have been implemented in hospitals or health services? Where are the opportunities for systematic decisions about disinvestment in a health service? [9] | Literature review | Health databases, Internet |
Survey of external experts | Researchers and health librarians interested in disinvestment (15 respondents) | |
Semi-structured interviews | Executive of the Technology/Clinical Practice Committee representing Executive Directors, Senior Managers, Clinical Directors (4 members) | |
Structured interviews | Key informants purposefully selected to represent Medicine, Surgery, Nursing, Allied Health, Diagnostic Services, Consumers (6 informants) | |
Structured workshops | SHARE Steering Committee: Executive Directors, Senior Managers, Clinical Program Directors, Consumers (20 members) | |
How are decisions about resource allocation currently made at MH? What factors influence decision-making for resource allocation? [1, 29] What knowledge or experience of disinvestment exists within Monash Health? [29] | Structured interviews | Representatives of committees with mandate to make organisation-wide decisions (13 committees); Managers of Approved Purchasing Units (5 managers); Program Directors, Medical Department Heads, Nurse Unit Managers and a Quality Manager in a clinical program with high use of TCPs (9 managers) |
Structured interviews | Representatives of current or completed projects that involved disinvestment-related activities (10 projects) | |
Structured workshops | SHARE Steering Committee: Executive Directors, Senior Managers, Clinical Program Directors, Consumers (20 members) | |
Structured workshop | Decision-makers from a large multi-campus diagnostic service (18 participants) | |
Document analysis | Victorian Department of Human Services and Monash Health documents | |
How can consumer values and preferences be integrated into organisation-wide decision-making processes? [30] | Literature review | Health databases, Internet |
Semi-structured workshops | Consumer Working Group (3 experienced health service consumer representatives and project team members) | |
Structured interviews | Staff responsible for consumer-related activities (2 managers) | |
Structured interviews | Representatives of committees with mandate to make organisation-wide decisions (13 committees); Managers of Approved Purchasing Units (5 managers); Program Directors, Medical Department Heads, Nurse Unit Managers and a Quality Manager in a clinical program with high use of TCPs (9 managers) | |
What do MH decision-makers need to enable access and utilisation of evidence in decision-making? [31] | Literature review | Health databases, Internet |
Structured interviews | Program Directors, Medical Department Heads, Nurse Unit Managers and a Quality Manager in a clinical program with high use of TCPs (9 managers) | |
Electronic survey | Clinicians and senior managers representing all sites, clinical programs and professional groups (141 respondents, 103 surveys fully completed) |