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Main Subject - Gaining Commitment Or Compliance From Your Team? Some Guidelines for Team Decision Making
Rob worked as a qualified, but junior physiotherapist in a busy hospital. He along with three of his colleagues were asked by their manager to discuss amongst themselves how they would like their rosters to be organised (i.e. who would do what shifts etc.) and put forward their proposal.
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
Rob and his colleagues were very happy with their final choices as they had considered all of their personal and professional needs and felt that their decision was the best for all. A day before the new rosters were to start, Rob found out by rumour during his lunch break that their r
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
oster recommendations were not to be implemented. Worse still, the rosters decided on by their manager did not suit any of the four. This decision by their manager resulted in a severe lowering of morale within the team and created a culture of mistrust with management. In future, they
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
would be very wary of any suggestion from management.
Ever been a member of a work team where the manager threw a difficult problem over to the team to solve only to see the manager implement a completely different decision to that of the team? If the implemented solution affected the
Ever been a member of a work team where the manager threw a difficult problem over to the team to solve only to see the manager implement a completely different decision to that of the team? If the implemented solution affected the
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
ngoing congruence and cohesiveness of the team, how did this make you feel? Why does this happen and is it a legitimate management strategy for group decision making?
Often this occurs because the manager does not understand the importance and nature of group decision making within team
Often this occurs because the manager does not understand the importance and nature of group decision making within team
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
s. It can also occur because of the manager’s feeling of comfort with one particular style of group decision making irrespective of the circumstances or context of the problem.
Decision making within groups ranges on a continuum from “by the leader with little or no discussion” through
Decision making within groups ranges on a continuum from “by the leader with little or no discussion” through
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
to “complete consensus”. Here are the stages along that continuum:
• By the leader with little or no discussion
• By the leader following group consultation
• By an “expert” (either within the group or advice received by the group)
• Averaging (e.g. using a mathematical process to as
• By the leader with little or no discussion
• By the leader following group consultation
• By an “expert” (either within the group or advice received by the group)
• Averaging (e.g. using a mathematical process to as
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
sess options, then averaging)
• By a minority (can be through personal or positional power)
• By majority vote
• Consensus
Surprisingly, each has its place and can be a very successful method. As a manager, the method of group decision making you decide on, depends on whether you wan
• By a minority (can be through personal or positional power)
• By majority vote
• Consensus
Surprisingly, each has its place and can be a very successful method. As a manager, the method of group decision making you decide on, depends on whether you wan
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
commitment or compliance from your team. Of the seven methods, only “consensus” is most likely to produce commitment to the team decision. Using the other six methods will bring compliance (because you are the manager). Commitment will then depend on:
• How well you are perceived as
• How well you are perceived as
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
a leader
• How effective (for all concerned) is the final decision
Much has been written by managerial experts about the “appropriateness” for managers to use consensus decision making in order to build staff morale. This is also supported by the study of jury decision making where it
• How effective (for all concerned) is the final decision
Much has been written by managerial experts about the “appropriateness” for managers to use consensus decision making in order to build staff morale. This is also supported by the study of jury decision making where it
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
has been found that juries required to make unanimous decisions consider the evidence more carefully and thoroughly and report higher levels of juror confidence in the ultimate decision, than juries operating a majority verdict system (American Judicature Society http://www.ajs.org/jc/jur
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
ies/jc_decision_research.asp)
Managers should also consider that although it generally takes a lot longer, consensus more often comes up with a better result. Again in the legal system, a recent study of the difference between judges’ opinions of the outcome of 48 trials (ranging from a
Managers should also consider that although it generally takes a lot longer, consensus more often comes up with a better result. Again in the legal system, a recent study of the difference between judges’ opinions of the outcome of 48 trials (ranging from a
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
day to five weeks duration) and the ultimate outcome decided by the actual juries using the consensus method, resulted in only three differences. (Law Reform Commission of NSW http://www.ajs.org/jc/juries/jc_decision_research.asp)
However, if you do not need commitment, but merely compli
However, if you do not need commitment, but merely compli
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
ance, then it can be legitimate and effective to choose a method other than consensus. Sometimes this may be necessary because of time, context or other pressures. For example, it would be inappropriate (and quite hazardous) for an army officer to hold a group consensus meeting with the
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
troops on how to hold back the imminent approach of the enemy!
Irrespective of which decision making approach you adopt, the most critical point for managers to remember is:
“Always inform your team beforehand how the decision will be made.”
For example, if you decide that in a partic
Irrespective of which decision making approach you adopt, the most critical point for managers to remember is:
“Always inform your team beforehand how the decision will be made.”
For example, if you decide that in a partic
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
ular case, this is your decision to make but you would like the input of your team in order to make an informed decision (by the leader following group consultation), say so. You will find that if you do this on all occasions, then the team will become more involved (and ultimately commi
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
ted) to both the decision making process and the decisions themselves.
You should also consider what your preferred style of group decision making is and most importantly, how appropriate is it for the current situation. Think for a moment about the last 5 or 6 meetings you have run wit
You should also consider what your preferred style of group decision making is and most importantly, how appropriate is it for the current situation. Think for a moment about the last 5 or 6 meetings you have run wit
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
h your team where there was a critical decision to make. What style of decision making as a leader did you adopt? What style do you feel most comfortable with? My suggestion is to read the list again prior to each team meeting and decide at the outset what method you will adopt for th
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
is decision. This will prevent you from becoming locked into your natural or preferred method.
Above all, having decided on a method for this decision, stick with it. In the case of Rob’s manager (whom I mentioned at the start of this article), we can all probably see that she adopted
Above all, having decided on a method for this decision, stick with it. In the case of Rob’s manager (whom I mentioned at the start of this article), we can all probably see that she adopted
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
consensus as the most appropriate and effective method, but then changed her mind after the event. Initial commitment was certainly lost, grudging compliance was gained and my bet is that staff morale would be very low for some time to come.
Copyright 2006 The National Learning Institut
Copyright 2006 The National Learning Institut
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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