ArticleHealth economics review2021
Practices of decision making in priority setting and resource allocation: a scoping review and narrative synthesis of existing frameworks.
Article in Health economics review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Best-Worst Scaling and the Prioritization of Objects in Health: A Systematic Review.PharmacoEconomics · 2022Pooled it
- Balancing the impact of socio-ethical and economic considerations on clinical-hospital decision-making.BMC medical ethics · 2026Article
- Department managers' perceptions of a priority-setting model in a local healthcare organisation: a mixed-methods study.BMC health services research · 2026Article
- Accelerating the Adoption of Best Practice Research in Resuscitation Through Implementation Science: Identifying Gaps and Pathways.Journal of clinical medicine · 2026Review
- Setting priorities for healthcare interventions in Indonesia: a comprehensive conceptual framework.International journal for equity in health · 2025Review
- Development of novel DALY-based indices for assessing productivity loss and resource allocation for liver cancer in the MENA region.Population health metrics · 2025Article
- Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms.BMC health services research · 2025Article
- Balancing competing rationales in priority-setting in primary healthcare - an interview study on political governance.Journal of health organization and management · 2025Article
- Optimizing Adherence to Oral Anticancer Agents: Results from an Implementation Mapping Study.Current oncology (Toronto, Ont.) · 2025Article
- Radiation oncology nursing: Highlights of the first multi-disciplinary pan-Canadian workforce survey.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025Article
- What are the priority-setting approaches for HIV/AIDS, TB and malaria programmes in Ghana? A qualitative perspective from key informants.BMJ public health · 2024Article
- From political priority to service delivery: complexities to real-life priority of abortion services in Ethiopia.Health policy and planning · 2024Article
- What Interventions are Cost Effective in Reducing Violence Against Women? A Scoping Review.Applied health economics and health policy · 2024Article
- Trends and Hotspots in the Health Economics Evaluation of Chronic Fatigue Syndrome.Journal of multidisciplinary healthcare · 2024Review
- Impact of Active Disinvestment on Decision-Making for Surgery in Patients With Subacromial Pain Syndrome: A Qualitative Semi-structured Interview Study Among Hospital Sales Managers and Orthopedic Surgeons.International journal of health policy and management · 2023Article
- Examining the Priorities of Local Health Departments in California: A Mixed Methods Study.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to growing expenditures, health systems have been pushed to improve decision-making practices on resource allocation. This study aimed to identify which practices of priority setting and resource allocation (PSRA) have been used in healthcare systems of high-income countries.
methodsA scoping literature review (2007-2019) was conducted to map empirical PSRA activities. A two-stage screening process was utilized to identify existing approaches and cluster similar frameworks. That was complemented with a gray literature and horizontal scanning. A narrative synthesis was carried out to make sense of the existing literature and current state of PSRA practices in healthcare.
resultsOne thousand five hundred eighty five references were found in the peer-reviewed literature and 25 papers were selected for full-review. We identified three major types of decision-making framework in PSRA: 1) Program Budgeting and Marginal Analysis (PBMA); 2) Health Technology Assessment (HTA); and 3) Multiple-criteria value assessment. Our narrative synthesis indicates these formal frameworks of priority setting and resource allocation have been mostly implemented in episodic exercises with poor follow-up and evaluation. There seems to be growing interest for explicit robust rationales and ample stakeholder involvement, but that has not been the norm in the process of allocating resources within healthcare systems of high-income countries.
conclusionsNo single dominate framework for PSRA appeared as the preferred approach across jurisdictions, but common elements exist both in terms of process and structure. Decision-makers worldwide can draw on our work in designing and implementing PSRA processes in their contexts.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.