Overcoming barriers to priority setting using interdisciplinary methods

Peacock, Stuart; Mitton, Craig; Bate, Angela; McCoy, Bonnie; Donaldson, Cam

doi:10.1016/j.healthpol.2009.02.006

Cited by 82 publications

(89 citation statements)

References 25 publications

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“…This 'rational disinvestment' requires a means by which benefits can be accurately defined and measured as well as relatively high quality data. One criticism often levied at these approaches is the accessibility of high quality data (Twaddle and Walker 1995;Peacock et al 2009). …”

Section: Tackling Disinvestmentmentioning

confidence: 99%

Tackling disinvestment in health care services

Daniels

Williams

Robinson

et al. 2013

Journal of Health Organization and Management

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Purpose -The aims of this paper are to explore the experiences of budget holders within the English National Health Service (NHS), in their attempts to implement programmes of disinvestment, and to consider factors which influence the success (or otherwise) of this activity. Design/methodology/approach -Between 24 January and 15 March 2011 semi-structured, telephone interviews were conducted with representatives of 12 Primary Care Trusts in England. Interviews focussed on: understanding of the term "disinvestment"; current activities, and perceived determinants of successful disinvestment decision making and implementation. Data were organised into themes according to standard qualitative data coding practices. Findings -Findings indicate that experiences of disinvestment are varied and that organisations are currently adopting a range of approaches. There are a number of apparently influential determinants of disinvestment which relate to both health system features and organisational characteristics. According to the experiences of the interviewees, many of the easier disinvestment options have now been taken and more ambitious plans, which require wider engagement and more thorough project management, will be required in the future. Research limitations/implications -Findings from the research suggest that issues around understanding and usage of disinvestment terminology should be addressed and that a more in-depth and ethnographic research agenda will be of most value in moving forward both the theory and practice of disinvestment. Originality/value -This research suggests that, in the English NHS at least, there is a disjuncture between common usage of the term "disinvestment" and the way that it has previously been understood by the wider research community. In addition to this, the research also highlights a broader range of potential determinants of disinvestment than are considered in the extant literature.

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Section: Tackling Disinvestmentmentioning

confidence: 99%

Tackling disinvestment in health care services

Daniels

Williams

Robinson

et al. 2013

Journal of Health Organization and Management

View full text Add to dashboard Cite

show abstract

“…The priority-setting literature contains many discussions of the best way to organise effective and explicit resource allocation systems. The limitations of a purely technical approach to priority-setting have been recognised and the focus has now shifted to how information, evidence and other inputs can most usefully be deployed (Drummond et al, 2008;Peacock et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Priority-setting and rationing in healthcare: Evidence from the English experience

Robinson

Williams

Dickinson

et al. 2012

Social Science & Medicine

149

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“…Despite all these efforts, some important points are still overlooked and some major shortcomings in current prioritization systems need to be improved [16] , [17], [18], [19], [10]. Among them, special…”

Section: Accepted Manuscriptmentioning

confidence: 99%