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Programme budgeting and marginal analysis: an approach to priority setting in need of refinement.

J Posnett1, A Street

  • 1York Health Economics Consortium, University of York, UK.

Journal of Health Services Research & Policy
|June 6, 1996
PubMed
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Programme budgeting with marginal analysis is being revived in the UK's National Health Service for strategic planning. However, current methods for identifying evaluation options are flawed, requiring a more systematic approach for better results.

Area of Science:

  • Health economics
  • Healthcare management
  • Public health policy

Background:

  • Programme budgeting and marginal analysis (PBMA) is gaining traction in the UK's National Health Service (NHS).
  • PBMA aims to map healthcare activities and expenditures to populations.
  • It seeks to improve strategic planning by identifying optimal resource reallocation within healthcare programmes.

Purpose of the Study:

  • To evaluate the effectiveness of current PBMA methods in the NHS.
  • To identify methodological deficiencies in the application of PBMA.
  • To propose a more systematic technique for identifying options for evaluation within PBMA.

Main Methods:

  • Analysis of the coupling of programme budgeting with marginal analysis in the NHS.
  • Critique of the current approach to identifying options for evaluation.

Related Experiment Videos

  • Development of a systematic technique to address methodological flaws.

    • Main Results:

    • PBMA is being revived for strategic planning and resource reallocation in the NHS.
    • Current methods for identifying evaluation options are flawed, particularly the reliance on 'expert' groups.
    • Existing approaches have yielded mixed results due to methodological limitations.

    Conclusions:

    • The current application of PBMA in the NHS requires refinement.
    • A more systematic approach is needed to identify evaluation options, moving beyond reliance on expert groups.
    • Improved methodologies can enhance the effectiveness of PBMA in increasing net benefits through resource reallocation.