Abstract：
BACKGROUND:Decision makers within the Calgary Health Region adopted and applied programme budgeting and marginal analysis (PBMA) for priority-setting activity across major service portfolios within the Region. METHODS:Seventeen in-depth qualitative interviews were conducted with senior managers and clinicians to gain a user perspective and identify specific areas for process refinement. Data were thematically coded and categorised into relevant themes. RESULTS:Key strengths included a culture shift in thinking about the need to reallocate resources within a fixed funding envelope, whereas a key challenge identified was in putting forth genuine disinvestment options. Areas suggested for improvement included evoking an incentive system for stakeholder engagement and having a mechanism for tracking the effect of resource reallocations. CONCLUSIONS:Both an evidence-based approach to priority setting, as well as a way of thinking around managing resource scarcity, can be integrated into organisational processes. Findings reported in this article will influence further application in Calgary and should provide insight for those attempting such activity elsewhere.
journal_name
Appl Health Econ Health Policyjournal_title
Applied health economics and health policyauthors
Mitton C,Patten S,Donaldson Cdoi
10.2165/00148365-200403030-00005subject
Has Abstractpub_date
2004-01-01 00:00:00pages
143-51issue
3eissn
1175-5652issn
1179-1896pii
335journal_volume
3pub_type
杂志文章abstract：BACKGROUND:The Patient Protection and Affordable Care Act instituted pay-for-performance programs, including Hospital Value-Based Purchasing (HVBP), designed to encourage hospital quality and efficiency. OBJECTIVE AND METHOD:While these programs have been evaluated with respect to their implications for care quality a...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-017-0357-3
更新日期：2018-02-01 00:00:00
abstract：:There is wide consensus that the ways in which providers are reimbursed by third parties will affect their behaviour and, hence, the efficient use of limited resources and the performance of health systems. However, there seems to be little evidence on how payment to hospital-based doctors affects hospital performance...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:This paper critically evaluates the estimates of the cost of Medicare for All (M4A) in the USA. Six studies that estimate the 1-year total cost of M4A in the USA are reviewed. These studies find that M4A would increase national health spending by as much as 16.9% or decrease it by 20.0%, representing a range of estima...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-021-00636-6
更新日期：2021-01-25 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-016-0277-7
更新日期：2017-04-01 00:00:00
abstract：:Memokath-051 is a thermo-expandable, nickel-titanium alloy spiral stent used to treat ureteric obstruction resulting from malignant or benign strictures. The National Institute for Health and Care Excellence (NICE) selected Memokath-051 for evaluation. The company, PNN Medical, claimed Memokath-051 has clinical superi...
journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-018-0389-3
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVES:The aim of this review is to assess the current state of empirical research regarding the effectiveness of national pricing regulations of the patent-protected market for prescription pharmaceuticals. Effectiveness is understood to be the capacity of policies to have a desired impact on outcomes, such as hea...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-018-0437-z
更新日期：2019-04-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-013-0072-7
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:It is estimated that annually 300 000 cases of rotavirus-induced gastroenteritis (RVGE) occur in children aged up to 5 years in France. A two-dose vaccine against rotavirus infection (RIX4414; Rotarix, GlaxoSmithKline), has been shown to be highly effective against severe RVGE. OBJECTIVE:This study evaluate...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/BF03256134
更新日期：2008-01-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-014-0135-4
更新日期：2015-02-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-014-0117-6
更新日期：2014-10-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-017-0308-z
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Opinions on the use of research abstracts in policy decision making are conflicting. We sought to evaluate the influence of research abstracts in guiding decisions of the Joint Oncology Drug Review of Canada (JODR), which conducts clinical and economic reviews of new cancer treatment drugs for ...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.2165/11530510-000000000-00000
更新日期：2010-01-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-016-0291-9
更新日期：2017-04-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-018-0387-5
更新日期：2018-06-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-019-00499-y
更新日期：2020-12-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-013-0050-0
更新日期：2013-10-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-018-0407-5
更新日期：2018-10-01 00:00:00
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journal_title：Applied health economics and health policy
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更新日期：2020-10-01 00:00:00
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journal_title：Applied health economics and health policy
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journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-014-0145-2
更新日期：2015-08-01 00:00:00
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更新日期：2009-01-01 00:00:00
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doi：10.2165/11313890-000000000-00000
更新日期：2010-01-01 00:00:00
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doi：10.1007/s40258-019-00511-5
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Community-based health insurance (CBHI) schemes have been introduced in low- and middle-income countries to increase health service utilization and provide financial protection from high healthcare expenditures. OBJECTIVE:We assess the impact of household size on decisions to enroll in CBHI and demonstrate ...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-016-0222-9
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:As tuberculosis screening trends to targeting high-risk populations, knowing the cost effectiveness of such screening is vital to decision makers. OBJECTIVES:The purpose of this review was to compile cost-utility analyses evaluating latent tuberculosis infection (LTBI) screening in high-risk populations tha...
journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-015-0183-4
更新日期：2015-08-01 00:00:00
abstract：:The first objective of this paper is to expound the particular challenge posed by the occurrence of inconsistency in the expression of preferences by mental health patients to both economists and policy makers. Since this difficulty cannot be resolved, the second aim of the paper is to identify agents who may be count...
journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.1007/s40258-019-00479-2
更新日期：2020-04-01 00:00:00
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journal_title：Applied health economics and health policy
pub_type： 杂志文章
doi：10.2165/00148365-200504020-00005
更新日期：2005-01-01 00:00:00
abstract：:Central venous catheters are commonly used to deliver therapies and to monitor patients, and require securing at the point of percutaneous entry to avoid dislodgement. SecurAcath is a catheter securement device designed for central venous catheters. The National Institute for Health and Care Excellence, as a part of i...
journal_title：Applied health economics and health policy
pub_type： 杂志文章,评审
doi：10.1007/s40258-018-0427-1
更新日期：2018-12-01 00:00:00
