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Centre for Policy on Ageing | |
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Priority setting in a Canadian long-term care setting
— a case study using program budgeting and marginal analysis | | Author(s) | Craig Mitton, Cam Donaldson, Pat Manderville |
| Journal title | Canadian Journal on Aging, vol 22, no 3, Fall 2003 |
| Pages | pp 311-322 |
| Source | http://www.utpjournals.com |
| Keywords | Nursing homes ; Hospital services ; Long term ; Grant allocation ; Cost effectiveness ; Case studies ; Canada. |
| Annotation | Canadian health regions are required to set priorities and to allocate resources within a funding limit. Programme budgeting and marginal analysis (PBMA) was piloted in continuing care in Claresholm, Alberta, with the aim of improving overall benefit from available resources. A marginal analysis expert panel assessed options for continuing care delivery. Inputs into the decision-making process included evidence from the literature, regional and provincial reports, programme budgeting information, and local knowledge. Recommendations included implementing adult, day-and-night support programmes and converting long-term beds to convalescent beds. Changes were funded through allocating provincial Broda funding, and altering nursing assistant and physiotherapy activity. PMBA was demonstrated to be an effective framework for aiding decision-makers with redesigning services in Claresholm. This case study is one of several indicating PMBA to be a valuable aid to priority setting in health care service provision. (RH). |
| Accession Number | CPA-051010207 A |
| Classmark | LHB: LD: 4Q: QCG: WEC: 69P: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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