Evidence map›Paper›PMID 14708936›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2003

Resource allocation in health care: health economics and beyond.

Craig Mitton, Cam Donaldson

Abstract read
PubMed Publisher
In one paragraph

Article in Health care analysis : HCA : journal of health philosophy and policy, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The No-Destination Ship of Priority-Setting in Healthcare: A Call for More Democracy.International journal of health policy and management · 2018
    Article
  2. Article
  3. Setting Healthcare Priorities at the Macro and Meso Levels: A Framework for Evaluation.International journal of health policy and management · 2015
    Review
  4. Article
  5. Clarifying efficiency-equity tradeoffs through explicit criteria, with a focus on developing countries.Health care analysis : HCA : journal of health philosophy and policy · 2005
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Craig MittonCentre for Health and Policy Studies, University of Calgary, Alberta, Canada. crmitton@ucalgary.ca
Cam Donaldson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As resources in health care are scarce, managers and clinicians must make difficult choices about what to fund and what not to fund. At the level of a regional health authority, limited approaches to aid decision makers in shifting resources across major service portfolios exist. A participatory action research project was conducted in the Calgary Health Region. Throughfive phases of action, including observation of senior management meetings, as well as two sets of one-on-one interviews and two focus groups, an approach to priority setting at the macro level within the health region was developed and implemented. The resulting macro level approach builds on the program budgeting and marginal analysis (PBMA)framework. Using a multi-disciplinary expert panel, about dollar 45M (CAN) was released for the 2002/03 fiscal year and made available for re-allocation to service growth areas and the deficit. Important qualitative themes from the managers and clinicians informed both process development and refinement. The approach developed here not only facilitated re-allocation of resources, but also drew in both clinicians and managers to work together on this challenging task. The approach is pragmatic, transparent and evidence based, and should have application elsewhere.

Indexed as

AlbertaDecision Making, OrganizationalHealth Care RationingHealth PrioritiesHealth Services ResearchHumansRegional Health PlanningAnalytical ApproachHealth Care and Public Health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.