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Changing priority setting practice: the role of implementation in practice change.

Evelyn Cornelissen1, Craig Mitton2, Alan Davidson3

  • 1Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.

Health Policy (Amsterdam, Netherlands)
|May 13, 2014
PubMed
Summary
This summary is machine-generated.

Implementing Programme Budgeting and Marginal Analysis (PBMA) requires clear roles and adaptable stages. This study highlights lessons learned for effective healthcare priority setting and resource allocation.

Keywords:
Decision makingHealth care rationingHealth plan implementationHealth planningHealth services researchResource allocation

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Area of Science:

  • Health economics
  • Health services research
  • Decision analysis

Background:

  • Programme Budgeting and Marginal Analysis (PBMA) is a priority-setting tool for resource allocation.
  • This paper examines PBMA implementation in a Canadian regional health authority.

Purpose of the Study:

  • To describe and evaluate the process of implementing PBMA.
  • To identify key lessons learned from the implementation experience.

Main Methods:

  • Qualitative data collection via semi-structured interviews (n=21) and document review.
  • Analysis of interview transcripts using constant comparison technique.
  • Evaluation of PBMA implementation using collected data.

Main Results:

  • Overarching themes included a desire for greater clarity on roles and PBMA application.
  • Participants advocated for adaptable PBMA stages to enhance utility.
  • Requests were made for organizational readiness and capacity assessments to support PBMA.

Conclusions:

  • Suggests tactics to align PBMA with practical priority-setting scenarios.
  • Contributes to the literature on PBMA in diverse healthcare settings.
  • Highlights implementation challenges and potential solutions for decision-makers.