International Journal of Health Policy and Management

International Journal of Health Policy and Management

Understanding Contextual Factors in Cost, Quality and Priority Setting Decisions in Health; Comment on “Contextual Factors Influencing Cost and Quality Decisions in Health and Care: A Structured Evidence Review and Narrative Synthesis”

Document Type : Commentary

Authors
Stuart Peacock 1, 2, 3
Colene Bentley 1, 2
1 Canadian Centre for Applied Research in Cancer Control (ARCC), Vancouver, BC, Canada
2 BC Cancer, Vancouver, BC, Canada
3 Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
10.15171/ijhpm.2018.82
Abstract
There is growing recognition in the academic literature that critical decisions concerning resource allocation and resource management in health and care are influenced by a range of contextual factors. In their paper in this journal, Williams et al define these ‘decisions of value’ as being characterized by a significant and demonstrable impact on quality and resources in health and care. ‘Decisions of value’ are key functions of health and care organizations, yet relatively little is known about how contextual factors (such as different sources and types of evidence used, organizational context and decision-making structures, and the wider interests of patients, the public and politicians) influence those decisions. In this commentary we offer some reflections on our international experiences in capacity building, developing and implementing priority setting and resource allocation (PSRA) mechanisms in the health and care sectors in a range of low-, middle-, and high-income countries. We focus on the role of organizational culture, the relationship to government including political and regulatory environments, and the potential for patient and public engagement in PSRA mechanisms.
Keywords
Healthcare Decision-Making
Cost
Quality
Health Management
Priority Setting
Subjects
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International Journal of Health Policy and Management
Volume 7, Issue 12
December 2018
Pages 1145-1147

  • Received Date 01 June 2018
  • Revised Date 21 August 2018
  • Accepted Date 21 August 2018
  • First Published Date 01 December 2018
  • Published Date 01 December 2018