New approaches to resource allocation are providing healthcare managers with ways to meet budget pressures while maximizing benefit to patients and populations. But putting these approaches in place often involves significant organizational change to which some degree of resistance must be expected. The authors have seen seven common objections raised time and again. Here, we offer our best advice on how healthcare leaders can anticipate and respond proactively to these challenges.
Get full access to this article
View all access options for this article.
References
1.
PeacockSRutaDMittonCDonaldsonCBateAMurtaghM. Using economics to set pragmatic and ethical priorities. BMJ. 2006;332(7539):482–485.
2.
MittonCDonaldsonC. The Priority Setting Toolkit: A Guide to the Use of Economics in Health Care Decision Making. London: BMJ Books; 2004.
3.
SmithNMittonCBryanS. Decision maker perceptions of resource allocation processes in Canadian healthcare organizations: a national survey. BMC Health Serv Res. 2013;13:247.
4.
MartinDKGiacominiMSingerPA. Fairness, accountability for reasonableness, and the views of priority setting decision-makers. Health Policy. 2002;61(3):279–290.
5.
BaltussenRNiessenL. Priority setting of health interventions: the need for multi-criteria decision analysis. Cost Eff Resour Alloc. 2006;4:14. doi:10.1186/1478-7547-4-14.
6.
DonaldsonCBateAMittonC. Priority setting in the public sector: turning economics into a management process. In: HartleyJDonaldsonCSkeltcherJWallaceW, eds. Managing to Improve Public Services. Cambridge: Cambridge University Press; 2008:88–112.
7.
TsourapasAFrewE. Evaluating ‘success’ in programme budgeting and marginal analysis: a literature review. J Health Serv Res Policy. 2011;16(3):177–183.
8.
MittonCPattenSWaldnerHDonaldsonC. Priority setting in health authorities: a novel apporach to a historical activity. Soc Sci Med. 2003;57(9):263–269.
9.
RutaDMittonCBateADonaldsonC. Programme budgeting and marginal analysis: bridging the divide between doctors and managers. BMJ. 2005;330(7506):1501–1503. doi:10.1136/bmj.330.7506.1501.