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Priority setting in practice: Participants opinions on vertical and horizontal priority setting for reallocation

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  • Waldau, Susanne
  • Lindholm, Lars
  • Wiechel, Anna Helena

Abstract

In the Västerbotten County Council in Sweden a priority setting process was undertaken to reallocate existing resources for funding of new methods and activities. Resources were created by limiting low priority services. A procedure for priority setting was constructed and fully tested by engaging the entire organisation. The procedure included priority setting within and between departments and political decision making. Participants' views and experiences were collected as a basis for future improvement of the process. Results indicate that participants appreciated the overall approach and methodology and wished to engage in their improvement. Among the improvement proposals is prolongation of the process in order to improve the knowledge base quality. The procedure for identification of new items for funding also needs to be revised. The priority setting process was considered an overall success because it fulfilled its political goals. Factors considered crucial for success are a wish among managers for an economic strategy that addresses existing internal resource allocation; process management characterized by goal orientation and clear leadership; an elaborate communications strategy integrated early in the process and its management; political unity in support of the procedure, and a strong political commitment throughout the process. Generalizability has already been demonstrated by several health care organisations that performed processes founded on this working model.

Suggested Citation

  • Waldau, Susanne & Lindholm, Lars & Wiechel, Anna Helena, 2010. "Priority setting in practice: Participants opinions on vertical and horizontal priority setting for reallocation," Health Policy, Elsevier, vol. 96(3), pages 245-254, August.
  • Handle: RePEc:eee:hepoli:v:96:y:2010:i:3:p:245-254
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    References listed on IDEAS

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    1. Waldau, Susanne, 2007. "Local prioritisation work in health care--Assessment of an implementation process," Health Policy, Elsevier, vol. 81(2-3), pages 133-145, May.
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    Cited by:

    1. Waldau, Susanne, 2015. "Bottom-up priority setting revised. A second evaluation of an institutional intervention in a Swedish health care organisation," Health Policy, Elsevier, vol. 119(9), pages 1226-1236.
    2. Ahumada-Canale, Antonio & Jeet, Varinder & Bilgrami, Anam & Seil, Elizabeth & Gu, Yuanyuan & Cutler, Henry, 2023. "Barriers and facilitators to implementing priority setting and resource allocation tools in hospital decisions: A systematic review," Social Science & Medicine, Elsevier, vol. 322(C).
    3. Jang, Sung-In & Nam, Jung-Mo & Choi, Jongwon & Park, Eun-Cheol, 2014. "Disease management index of potential years of life lost as a tool for setting priorities in national disease control using OECD health data," Health Policy, Elsevier, vol. 115(1), pages 92-99.
    4. Hipgrave, David B. & Alderman, Katarzyna Bolsewicz & Anderson, Ian & Soto, Eliana Jimenez, 2014. "Health sector priority setting at meso-level in lower and middle income countries: Lessons learned, available options and suggested steps," Social Science & Medicine, Elsevier, vol. 102(C), pages 190-200.

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