Priority Setting Meets Multiple Streams: A Match to Be Further Examined?; Comment on “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

卷:5

Jacqueline Margaret Cumming¹ 

[1] Health Services Research Centre, Victoria University of Wellington, Wellington, New Zealand;

关键词: Priority Setting;    Resource Allocation;    Programme Budgeting and Marginal Analysis (PBMA);    Canada;   

DOI  :  10.15171/ijhpm.2016.58

来源: DOAJ

【 摘 要 】

With demand for health services continuing to grow as populations age and new technologies emerge to meethealth needs, healthcare policy-makers are under constant pressure to set priorities, ie, to make choices aboutthe health services that can and cannot be funded within available resources. In a recent paper, Smith et al applyan influential policy studies framework – Kingdon’s multiple streams approach (MSA) – to explore the factorsthat explain why one health service delivery organization adopted a formal priority setting framework (in theform of programme budgeting and marginal analysis [PBMA]) to assist it in making priority setting decisions.MSA is a theory of agenda-setting, ie, how it is that different issues do or do not reach a decision-making point.In this paper, I reflect on the use of the MSA framework to explore priority setting processes and how theframework might be applied to similar cases in future.

【 授权许可】

Unknown