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Developing a prioritisation framework: experiences from a Scottish Health Authority.

S N Scott1, A Lees

  • 1Argyll and Clyde Health Board, Ross House, Hawkhead Road, Paisley PA2 7BN, UK.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|April 5, 2001
PubMed
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The Prioritisation Scoring Index (PSI) provides a framework for health authorities to prioritize funding for service developments. This method aids in making explicit decisions for investments and disinvestments across various specialties and interventions.

Area of Science:

  • Health economics
  • Health services research
  • Decision science

Background:

  • The Prioritisation Scoring Index (PSI) was developed to address the need for a systematic approach to prioritizing healthcare investments and disinvestments.
  • It accommodates diverse funding types (non-recurring, recurring) and various healthcare elements (specialties, care groups, interventions).

Purpose of the Study:

  • To detail the development and application of the Prioritisation Scoring Index (PSI) within a prioritization framework.
  • To illustrate its utility in allocating funds among competing bids from different specialties and guiding decisions on service development funding.
  • To share lessons learned for other health authorities developing similar prioritization methodologies.

Main Methods:

  • The PSI incorporates a 'basket' of utility criteria, considering the number of individuals benefiting and the marginal cost per person.

Related Experiment Videos

  • A multidisciplinary panel evaluated and ranked bids based on utility scores and cost-effectiveness.
  • Overall PSI rankings were derived by averaging the utility-based and cost-based rankings.

    • Main Results:

    • The PSI was utilized to rank nearly 200 bids, totaling approximately £50 million.
    • This enabled the prioritization of developments valued at around £17.5 million for phased implementation through the Health Improvement Programme.

    Conclusions:

    • The PSI facilitates explicit prioritization of development bids for both non-recurring and recurring funding.
    • The study outlines key considerations for health authorities establishing their own prioritization frameworks.