Changing priority setting practice: The role of implementation in practice change

Cornelissen, Evelyn; Mitton, Craig; Davidson, Alan; Reid, Robert; Hole, Rachelle; Visockas, Anne-Marie; Smith, Neale

doi:10.1016/j.healthpol.2014.04.010

Cited by 22 publications

(17 citation statements)

References 30 publications

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“…Making this distinction thus influences what efforts are taken to enhance identified capacities. We have found in previous priority setting work that assessing organizational capacity for evidence-informed decision-making would be a prudent initial strategy before embarking on specific capacity building efforts (13). Other studies also support this premise (14).…”

supporting

confidence: 52%

Reflecting on backward design for knowledge translation Comment on "A call for a backward design to knowledge translation"

Smith

Cornelissen

Mitton

2015

Int J Health Policy Manag

Self Cite

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In a recent Editorial for this journal, El-Jardali and Fadlallah proposed a new framework for Knowledge Translation (KT) in healthcare. Many such frameworks already exist; thus, new entrants to the field must be scrutinized in regard to their unique contributions to advancing understanding and practice. The El-Jardali and Fadlallah framework focuses on policy-level discussions, a relatively under-studied issue to date. Their framework usefully incorporates both priority setting questions at the front-end (which KT efforts get undertaken and which do not) as well as evaluation questions at the back-end (how do we show that more evidence-informed decisions are actually better ones?). Their framework also emphasizes capacity building among both decision-makers and researchers. This is an area worthy of additional attention, particularly because it is likely to be far more challenging than El-Jardali and Fadlallah allow. Keywords: Knowledge Translation (KT), Priority Setting, Evaluation, Capacity Building Copyright: © 2015 by Kerman University of Medical Sciences Citation: Smith N, Cornelissen E, Mitton C. Reflecting on backward design for knowledge translation: Comment on "A call for a backward design to knowledge translation".

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supporting

confidence: 52%

Reflecting on backward design for knowledge translation Comment on "A call for a backward design to knowledge translation"

Smith

Cornelissen

Mitton

2015

Int J Health Policy Manag

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“…However, it was also evident that the reduced financial autonomy in county A made it harder for them to implement decisions. Other studies done in LMICs and HICs have also demonstrated the influence of contextual factors on priority setting processes . For instance, in Plymouth Primary Care Trusts in England, it was difficult to implement priority setting decisions that represented major cultural shifts and those that had major financial implications …”

Section: Discussionmentioning

confidence: 99%

Describing and evaluating healthcare priority setting practices at the county level in Kenya

Waithaka

Tsofa

Kabia

et al. 2018

Health Planning & Management

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SummaryBackgroundHealthcare priority setting research has focused at the macro (national) and micro (patient level), while there is a dearth of literature on meso‐level (subnational/regional) priority setting practices. In this study, we aimed to describe and evaluate healthcare priority setting practices at the county level in Kenya.MethodsWe used a qualitative case study approach to examine the planning and budgeting processes in 2 counties in Kenya. We collected the data through in‐depth interviews of senior managers, middle‐level managers, frontline managers, and health partners (n = 23) and document reviews. We analyzed the data using a framework approach.FindingsThe planning and budgeting processes in both counties were characterized by misalignment and the dominance of informal considerations in decision making. When evaluated against consequential conditions, efficiency and equity considerations were not incorporated in the planning and budgeting processes. Stakeholders were more satisfied and understood the planning process compared with the budgeting process. There was a lack of shifting of priorities and unsatisfactory implementation of decisions. Against procedural conditions, the planning process was more inclusive and transparent and stakeholders were more empowered compared with the budgeting process. There was ineffective use of data, lack of provisions for appeal and revisions, and limited mechanisms for incorporating community values in the planning and budgeting.ConclusionCounty governments can improve the planning and budgeting processes by aligning them, implementing a systematic priority setting process with explicit resource allocation criteria, and adhering to both consequential and procedural aspects of an ideal priority setting process.

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“…Fifth, key to the success in changing the priority setting approach to PBMA was the extensive work that has been done by the research team and others in Canada in promoting, trialling, researching, and writing up, various PBMA exercises. [15][16][17][18][19][20] This shows how important it is to have available evidence to hand when the problem and politics stream converge to demand a policy response. Building such an evidence base takes considerable time and resource.…”

Section: Using Multiple Streams Approach To Explore Priority Settingmentioning

confidence: 99%

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

Cumming

2016

Int J Health Policy Manag

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With demand for health services continuing to grow as populations age and new technologies emerge to meet health needs, healthcare policy-makers are under constant pressure to set priorities, ie, to make choices about the health services that can and cannot be funded within available resources. In a recent paper, Smith et al apply an influential policy studies framework -Kingdon's multiple streams approach (MSA) -to explore the factors that explain why one health service delivery organization adopted a formal priority setting framework (in the form 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 the framework might be applied to similar cases in future. Keywords: Priority Setting, Resource Allocation, Programme Budgeting and Marginal Analysis (PBMA), Canada Copyright: © 2016 by Kerman University of Medical Sciences Citation: Cumming JM. 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.

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Changing priority setting practice: The role of implementation in practice change

Cited by 22 publications

References 30 publications

Reflecting on backward design for knowledge translation Comment on "A call for a backward design to knowledge translation"

Reflecting on backward design for knowledge translation Comment on "A call for a backward design to knowledge translation"

Describing and evaluating healthcare priority setting practices at the county level in Kenya

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

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