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A grant rationing model for a health care system
Socio-Economic Planning Sciences
|December 11, 1986
Summary
This study introduces a goal programming model to allocate grants for healthcare subunits. It balances subunit performance with resource and political constraints for effective public health resource allocation.
Area of Science:
- Public Health Administration
- Operations Research
- Health Economics
Background:
- Public health program funding involves political processes, influencing resource allocation decisions.
- Health administrators must balance subunit performance with political considerations.
Purpose of the Study:
- To present a goal programming model for rationing grants to competing healthcare subunits.
- To incorporate performance, resource, and political constraints into resource allocation.
Main Methods:
- Developed a goal programming model for grant allocation.
- Defined performance based on output, quality of care, and administrative efficiency.
- Utilized a Delphi process to establish quality and efficiency criteria.
Main Results:
- The model allows for performance-based rationing of grants.
- It accommodates resource limitations and political influences.
- Performance is measured by output adjusted for quality and efficiency non-compliance.
Conclusions:
- The proposed model offers a flexible tool for resource allocation in public health.
- It is adaptable to varying financial and political conditions.
- Viable for public service agencies where political factors impact resource distribution.