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High performance in healthcare priority setting and resource allocation: A literature- and case study-based framework in the Canadian context

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  • Smith, Neale
  • Mitton, Craig
  • Hall, William
  • Bryan, Stirling
  • Donaldson, Cam
  • Peacock, Stuart
  • Gibson, Jennifer L.
  • Urquhart, Bonnie

Abstract

Priority setting and resource allocation, or PSRA, are key functions of executive teams in healthcare organizations. Yet decision-makers often base their choices on historical patterns of resource distribution or political pressures. Our aim was to provide leaders with guidance on how to improve PSRA practice, by creating organizational contexts which enable high performance. We carried out in-depth case studies of six Canadian healthcare organizations to obtain from healthcare leaders their understanding of the concept of high performance in PSRA and the factors which contribute to its achievement. Individual and group interviews were carried out (n = 62) with senior managers, middle managers and Board members. Site observations and document review were used to assist researchers in interpreting the interview data. Qualitative data were analyzed iteratively with the literature on empirical examples of PSRA practice, in order to develop a framework of high performance in PSRA.

Suggested Citation

  • Smith, Neale & Mitton, Craig & Hall, William & Bryan, Stirling & Donaldson, Cam & Peacock, Stuart & Gibson, Jennifer L. & Urquhart, Bonnie, 2016. "High performance in healthcare priority setting and resource allocation: A literature- and case study-based framework in the Canadian context," Social Science & Medicine, Elsevier, vol. 162(C), pages 185-192.
  • Handle: RePEc:eee:socmed:v:162:y:2016:i:c:p:185-192
    DOI: 10.1016/j.socscimed.2016.06.027
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    References listed on IDEAS

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    6. Jinxia Zhu & Qian Xu & Yi Pan & Lefeng Qiu & Yi Peng & Haijun Bao, 2018. "Land-Acquisition and Resettlement (LAR) Conflicts: A Perspective of Spatial Injustice of Urban Public Resources Allocation," Sustainability, MDPI, vol. 10(3), pages 1-15, March.
    7. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    8. 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).

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