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An evaluation tool for assessing performance in priority setting and resource allocation: multi-site application to
William Hall1, Neale Smith2, Craig Mitton3
1Centre for Clinical Epidemiology & Evaluation, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada william.hall@ubc.ca will.hall50@gmail.com.
Journal of Health Services Research & Policy
|August 9, 2015
Summary
A new evaluation tool aids priority setting and resource allocation (PSRA) processes in healthcare. Its application identified key areas for improvement, leading to tool refinements for enhanced performance.
Area of Science:
- Health Services Research
- Healthcare Management
- Organizational Evaluation
Background:
- Formal priority setting and resource allocation (PSRA) are critical for maximizing value from limited healthcare resources.
- Effective PSRA processes are essential in Canadian and global healthcare systems.
Purpose of the Study:
- To develop and implement an evaluation tool for formal priority setting and resource allocation (PSRA) processes.
- To assess the tool's utility in identifying strengths and weaknesses within PSRA practices.
Main Methods:
- Development of an evaluation tool based on case studies, balanced scorecard protocols, and use-focused evaluation principles.
- Implementation of the tool in two healthcare organizations in British Columbia, Canada.
- Utilizing an existing framework for high PSRA performance as the foundation for the tool.
Main Results:
- The evaluation tool successfully identified areas of strength, improvement, and weakness in pilot organizations' PSRA processes.
- Key areas identified include communication, staff engagement, and organizational culture.
- Refinements to the evaluation tool were identified and incorporated based on implementation findings.
Conclusions:
- This study represents the first documented multi-site application of this specific PSRA evaluation tool.
- Broader dissemination of the tool is recommended to further refine its basis and improve PSRA practices.
- The tool has the potential to catalyze improved performance in priority setting and resource allocation.
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