INTRODUCING NEW PRIORITY SETTING AND RESOURCE ALLOCATION PROCESSES IN A CANADIAN HEALTHCARE ORGANIZATION: A CASE STUDY ANALYSIS INFORMED BY MULTIPLE STREAMS THEORY

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SMITH NEALE; MITTON CRAIG; DOWLING LAURA; HILTZ MARY ANN; CAMPBELL MATTHEW; GUJAR SHASHI ASHOK

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Journal: International Journal of Health Policy and Management Year:2016 | Volume:5 | Issue:1 Page(s): 23-31

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Title

INTRODUCING NEW PRIORITY SETTING AND RESOURCE ALLOCATION PROCESSES IN A CANADIAN HEALTHCARE ORGANIZATION: A CASE STUDY ANALYSIS INFORMED BY MULTIPLE STREAMS THEORY

Author(s)

Keywords

PRIORITY SETTING

RESOURCE ALLOCATION

MULTIPLE STREAMS THEORY

TERTIARY CARE HEALTH CENTRE

CANADA

Abstract

Background: In this article, we analyze one case instance of how proposals for change to the PRIORITY SETTING and RESOURCE ALLOCATION (PSRA) processes at a Canadian healthcare institution reached the decision agenda of the organization’s senior leadership. We adopt key concepts from an established policy studies framework -Kingdon’s MULTIPLE STREAMS THEORY- to inform our analysis.Methods: Twenty-six individual interviews were conducted at the IWK Health Centre in Halifax, NS, CANADA. Participants were asked to reflect upon the reasons leading up to the implementation of a formal PRIORITY SETTING process- Program Budgeting and Marginal Analysis (PBMA)- in the 2012/2013 fiscal year. Responses were analyzed qualitatively using Kingdon’s model as a template.Results: The introduction of PBMA can be understood as the opening of a policy window. A problem stream- defined as lack of broad engagement and information sharing across service lines in past practice -converged with a known policy solution, PBMA, which addressed the identified problems and was perceived as easy to use and with an evidence-base from past applications across CANADA and elsewhere. Conditions in the political realm allowed for this intervention to proceed, but also constrained its potential outcomes.Conclusion: Understanding in a theoretically-informed way how change occurs in healthcare management practices can provide useful lessons to researchers and decision-makers whose aim is to help health systems achieve the most effective use of available financial resources.

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APA: Copy

SMITH, NEALE, MITTON, CRAIG, DOWLING, LAURA, HILTZ, MARY ANN, CAMPBELL, MATTHEW, & GUJAR, SHASHI ASHOK. (2016). INTRODUCING NEW PRIORITY SETTING AND RESOURCE ALLOCATION PROCESSES IN A CANADIAN HEALTHCARE ORGANIZATION: A CASE STUDY ANALYSIS INFORMED BY MULTIPLE STREAMS THEORY. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 5(1), 23-31. SID. https://sid.ir/paper/338228/en

Vancouver: Copy

SMITH NEALE, MITTON CRAIG, DOWLING LAURA, HILTZ MARY ANN, CAMPBELL MATTHEW, GUJAR SHASHI ASHOK. INTRODUCING NEW PRIORITY SETTING AND RESOURCE ALLOCATION PROCESSES IN A CANADIAN HEALTHCARE ORGANIZATION: A CASE STUDY ANALYSIS INFORMED BY MULTIPLE STREAMS THEORY. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2016;5(1):23-31. Available from: https://sid.ir/paper/338228/en

IEEE: Copy

NEALE SMITH, CRAIG MITTON, LAURA DOWLING, MARY ANN HILTZ, MATTHEW CAMPBELL, and SHASHI ASHOK GUJAR, “INTRODUCING NEW PRIORITY SETTING AND RESOURCE ALLOCATION PROCESSES IN A CANADIAN HEALTHCARE ORGANIZATION: A CASE STUDY ANALYSIS INFORMED BY MULTIPLE STREAMS THEORY,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 5, no. 1, pp. 23–31, 2016, [Online]. Available: https://sid.ir/paper/338228/en

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