Evaluating ‘Success’ In Programme Budgeting and Marginal Analysis: A Literature Review

Tsourapas, A; Frew, Emma

doi:10.1258/jhsrp.2010.009053

Cited by 41 publications

(44 citation statements)

References 36 publications

(67 reference statements)

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“…As noted by a recent systematic review, the success of PBMA depends in part on how its impact is measured, that is, in improved understanding, implemented recommendations, disinvestment from specific services or technologies, or adoption of the PBMA framework for future use 58. While challenges remain in prioritising between sectors, enacting investment and disinvestment recommendations, and overcoming perceptions that PBMA is ‘data hungry’ (table 1), PBMA offers a useful planning method for shifting resource utilisation and identifying savings which may assist in offsetting the costs of transformation.…”

Section: Resultsmentioning

confidence: 99%

System tools for system change

Willis

Mitton²,

Gordon³

et al. 2011

BMJ Qual Saf

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Section: Resultsmentioning

confidence: 99%

System tools for system change

Willis

Mitton²,

Gordon³

et al. 2011

BMJ Qual Saf

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“…In the United Kingdom, the National Institute for Clinical Excellence has already mandated the preemptive referral to the cardiothoracic team for all ICTT in at least one region (to Wythenshawe Hospital, Manchester, UK). A streamlined procedure plan would be especially advantageous if technical performance was to be scored [52] in order to convince the stakeholders where the local setup is reluctant to change [16]; a marginal analysis [53] would recommend reallocating resources to increase efficiencies.…”

Section: Discussionmentioning

confidence: 99%

Tumour Thrombi in the Suprahepatic Inferior Vena Cava: The Cardiothoracic Surgeons’ View

Protopapas

Ashrafian

Athanasiou

2013

ISRN Vascular Medicine

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Background. Retroperitoneal tumours propagate intrathoracic caval tumour thrombi (ICTT) of which we consider two subgroups: ICTT-III (extracardiac) and ICTT-IV (intracardiac). Methods. Case series review. Results. 29 series with 784 patients, 453 with extracardiac and 331 with intracardiac ICTT. Average age was 59 years. 98% of the tumours were RCC, 1% adrenal and Wilms' tumours, and 1% transitional cell carcinomas. The prevalent incision was rooftop with or without sternotomy. Mortality was 10% (5% for ICTT-III, 15% for ICTT-IV). Morbidity was 56% (36% for ICTT-III, 64% for ICTT-IV) and reoperation for bleeding was the commonest complication (14%). Mean Blood loss was 2.6 litres for ICTT-III and 3.7 litres for ICTT-IV. Mean blood product use was 2.4 litres for ICTT-III and 3.5 litres for ICTT-IV. Operative and anaesthetic times exceeded 5 hours. Hospital stay averaged 13 days. Variations in perioperative care included preoperative embolisation, perioperative transoesophageal echo, surgical incisions, and extracorporeal circulation. Brief Summary. Surgery for ICTT has high transfusion, operating/anaesthetic time, and in-hospital stay requirements, and intracardiac ICTT also attract higher risk. Preoperative tumour embolisation is controversial. The cardiothoracic team offers proactive optimisation of blood loss and preemptive management of intracardiac thrombus impaction: we should always be involved in the management the ICTT.

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“…To date there has been little consistent or coherent attention given to evaluation of priority setting and resource allocation processes [2,28]. Sibbald et al's framework is groundbreaking in this sense [29,30].…”

Section: Overall Assessment Of Resource Allocation Processesmentioning

confidence: 99%

“…There are some priority setting or resource allocation case studies reported in the literature, though as Tsourapas & Frew [2] note, only one macro-level case-that is an organization-wide effort to allocate between different Departments and types of services [3]-has been widely reported [Calgary, 2001[Calgary, -2003. While some of the authors have been involved in other projects at this level in Canada only one has yet been reported in the peer reviewed literature [4,5].…”

Section: Introductionmentioning

confidence: 99%

Design and implementation of a survey of senior Canadian healthcare decision-makers: Organization-wide resource allocation processes

Smith¹,

Mitton²,

Davidson³

et al. 2012

Health

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A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve "high performance" in resource allocation. In pursuit of this objective, a literature search was conducted and two phases of primary data collection are being undertaken: an on-line survey of senior healthcare decision-makers, and in-depth case studies of potential "high performing" organizations. This paper addresses the survey phase; our aim is to provide a practical example of the mechanics of survey design, of benefit to those who want to better understand our forthcoming results, but also as an aid to other researchers grappling with the hard choices and trade-offs involved in the survey development process. Survey content is described in light of the existing literature, with discussion of the choices made by the research team to decide what questions and items would be included and excluded. The target population for the survey was senior managers in Canadian regional health authorities (or the closest equivalent organizations) in each of the 10 provinces and 3 territories. The paper discusses how this sample was obtained, and describes the survey implementation process.

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Evaluating ‘Success’ In Programme Budgeting and Marginal Analysis: A Literature Review

Cited by 41 publications

References 36 publications

System tools for system change

System tools for system change

Tumour Thrombi in the Suprahepatic Inferior Vena Cava: The Cardiothoracic Surgeons’ View

Design and implementation of a survey of senior Canadian healthcare decision-makers: Organization-wide resource allocation processes

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