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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Restorative Care01:19

Restorative Care

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Specialized Care Centers and Settings-I01:30

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Related Experiment Video

Updated: Jul 6, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Introducing priority setting and resource allocation in home and community care programs.

Bonnie Urquhart1, Craig Mitton, Stuart Peacock

  • 1Strategic Initiatives and Project Support, Northern Health Authority, 299 Victoria Street, Prince George, British Columbia, Canada. bonnie.urquhart@northernhealth.ca

Journal of Health Services Research & Policy
|April 23, 2008
PubMed
Summary
This summary is machine-generated.

Program budgeting and marginal analysis (PBMA) improved resource allocation by integrating economic principles with ethical practices. This approach led to successful budget implementation and is being considered for wider adoption in healthcare services.

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Area of Science:

  • Health economics
  • Healthcare management
  • Public health policy

Background:

  • Healthcare resource allocation requires balancing economic efficiency with ethical considerations.
  • Traditional budgeting methods may not adequately address opportunity costs or ensure fairness in decision-making.
  • The Accountability for Reasonableness (A4R) framework provides ethical guidelines for priority setting.

Purpose of the Study:

  • To implement and evaluate priority setting and resource allocation using Program Budgeting and Marginal Analysis (PBMA) integrated with ethical practices.
  • To apply economic principles and the Accountability for Reasonableness (A4R) framework to the Home and Community Care operating budget.

Main Methods:

  • Program Budgeting and Marginal Analysis (PBMA) was employed, focusing on opportunity cost and marginal benefit.
  • The Accountability for Reasonableness (A4R) framework, including publicity, relevance, appeals, enforcement, and empowerment, guided the decision-making process.
  • PBMA and A4R were applied to develop the 2007-08 operating budget for Home and Community Care.

Main Results:

  • Recommendations from PBMA were approved and implemented for the 2007-08 fiscal year operating budget.
  • Two additional projects were approved, totaling approximately $200,000.
  • The integrated approach demonstrated improvements over previous practices.

Conclusions:

  • PBMA, combined with A4R, offers an improved method for healthcare resource allocation and priority setting.
  • Home and Community Care managers are committed to continuing PBMA for future budgets and expanding its application.
  • Other public health services are considering the adoption of PBMA for their resource allocation processes.