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Related Experiment Videos

Implementation and evaluation of local-level priority setting for stroke.

D Chappel1, J Bailey, R Stacy

  • 1Department of Epidemiology and Public Health, School of Health Sciences, The Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne, UK. D.B.Chappel@Newcastle.ac.uk

Public Health
|June 13, 2001
PubMed
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Developing a health priority-setting process for stroke care improved stakeholder engagement and secured funding. However, clarity and timely user consultation are crucial for successful implementation and local ownership.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Management

Background:

  • Effective priority setting is essential for health programs.
  • Integrating evidence-based data with stakeholder input is challenging.
  • Previous Health Improvement Programmes (HImP) lacked robust prioritization frameworks.

Purpose of the Study:

  • To develop and evaluate a stakeholder-involved prioritization process for a stroke program within a Health Improvement Programme (HImP).
  • To assess the feasibility and acceptance of combining evidence with local input for health service development.

Main Methods:

  • Formation of a District Stroke Group (DSG) involving diverse stakeholders.
  • Systematic evidence review, surveys of DSG members and professionals, and consensus-building.

Related Experiment Videos

  • Evaluation through semi-structured interviews and documentary analysis of the prioritization process.

    • Main Results:

    • The prioritization process was largely accepted, leading to a £100,000 allocation for stroke development.
    • Challenges included perceived lack of local ownership, unclear procedures, and late user consultation.
    • Secondary care professionals expressed concerns about potential limitations on other service development funding.

    Conclusions:

    • A stakeholder-driven prioritization model can successfully balance evidence with local needs and secure funding.
    • Key success factors include stakeholder participation, procedural clarity, local ownership, and political awareness.
    • The developed model offers a valuable framework for priority setting in other health program contexts.