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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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    Cited by:

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    2. Kapiriri, Lydia & Essue, Beverley M. & Velez, Claudia M. & Julia, Abelson & Elysee, Nouvet & Bernardo, Aguilera & Marion, Danis & Susan, Goold & Ieystn, Williams, 2023. "Was priority setting included in the Canadian COVID-19 pandemic planning and preparedness? A comparative analysis of COVID-19 pandemic plans from eight provinces and three territories," Health Policy, Elsevier, vol. 133(C).
    3. 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.
    4. 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).
    5. Min Weng & Tingting Liu & Mengjun Kang, 2017. "Liver cancer mapping based on actual medical treatment choices," Journal of Maps, Taylor & Francis Journals, vol. 13(1), pages 124-129, January.
    6. Williams, Iestyn & Kapiriri, Lydia & Vélez, Claudia-Marcela & Aguilera, Bernardo & Danis, Marion & Essue, Beverley & Goold, Susan & Noorulhuda, Mariam & Nouvet, Elysee & Razavi, Donya & Sandman, Lars, 2024. "How did European countries set health priorities in response to the COVID-19 threat? A comparative document analysis of 24 pandemic preparedness plans across the EURO region," Health Policy, Elsevier, vol. 141(C).
    7. Uddin, Shahzad & Mori, Yuji & Shahadat, Khandakar, 2020. "Private management and governance styles in a Japanese public hospital: A story of west meets east," Social Science & Medicine, Elsevier, vol. 245(C).
    8. 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.

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