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Managing informed purchasing. A survey of decision makers
1School of Health Sciences, University of Newcastle upon Tyne, UK.
Journal of Management in Medicine
|December 8, 1996
Summary
Health authorities generally support programme budgeting (PB) and marginal analysis (MA) for resource allocation. While basic applications are favored, higher functions show less consensus, though PB is seen as key for service review.
Area of Science:
- Health economics
- Healthcare management
- Decision analysis
Background:
- Programme budgeting (PB) categorizes resource use by program.
- Marginal analysis (MA) evaluates resource allocation changes.
- PBMA integrates these for decision-making in purchasing organizations.
Purpose of the Study:
- To survey health authorities' needs for a PBMA decision-making tool.
- To evaluate the utility of PBMA in healthcare purchasing.
Main Methods:
- A survey was conducted among health authorities.
- The survey assessed requirements for a PBMA decision-making tool.
Main Results:
- General support for PBMA techniques was found.
- Support decreased for higher-level PBMA functions.
- Consensus exists on knowing basic spending proportions (e.g., coronary heart disease).
- A majority believe PB aids in identifying service review margins.
Conclusions:
- PBMA is a valuable framework for healthcare resource allocation.
- Further development may be needed to enhance adoption of advanced PBMA functions.
- Understanding resource allocation is crucial for health authorities.