14 Result(s)
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Article
Open AccessCost-effectiveness of a Province-wide Quality Improvement Initiative for Reducing Potentially Inappropriate Use of Antipsychotics in Long-Term Care in British Columbia, Canada
Potentially inappropriate use of antipsychotics (PIUA) raises serious concerns about safety, quality, and cost of care for residents in long-term care (LTC).
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Open AccessPractices of decision making in priority setting and resource allocation: a sco** review and narrative synthesis of existing frameworks
Due 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 allocatio...
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Using a Formal Strategy of Priority Setting to Mitigate Austerity Effects Through Gains in Value: The Role of Program Budgeting and Marginal Analysis (PBMA) in the Brazilian Public Healthcare System
The fiscal regime implemented in Brazil with the constitutional amendment 95 (EC-95) of December 2016 froze primary expenditures for 20 years, including healthcare spending. Previous studies have estimated str...
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Health Technology Assessment as Part of a Broader Process for Priority Setting and Resource Allocation
Over the last two decades, economic evaluation of health technologies has developed enormously, affirming its importance within the pursuit of efficiency in the management of health care systems. One concern t...
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A Qualitative Evaluation of Program Budgeting and Marginal Analysis in a Canadian Pediatric Tertiary Care Institution
Hospitals in Canada are being asked by governments to improve efficiency and do more with fewer resources. Healthcare decision makers are thus driven to find better ways to manage budgets and deliver on their ...
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Challenges in Measuring the Societal Value of Orphan Drugs: Insights from a Canadian Stated Preference Survey
Expensive drugs for rare diseases (i.e. orphan drugs) often do not meet traditional cost-effectiveness criteria and thus put further strain on limited healthcare budgets. Failing to provide medically necessary...
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Open AccessManaging Healthcare Budgets in Times of Austerity: The Role of Program Budgeting and Marginal Analysis
Given limited resources, priority setting or choice making will remain a reality at all levels of publicly funded healthcare across countries for many years to come. The pressures may well be even more acute a...
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Open AccessThe challenge of obtaining information necessary for multi-criteria decision analysis implementation: the case of physiotherapy services in Canada
As fiscal constraints dominate health policy discussions across Canada and globally, priority-setting exercises are becoming more common to guide the difficult choices that must be made. In this context, it be...
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International Comparison of Comparative Effectiveness Research in Five Jurisdictions
Spurred by a desire to improve quality of care and to understand the relative value of medical treatments, there has been a recent surge of interest in publicly funded comparative effectiveness research (CER) ...
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Article
We Know Accurately Only When We Know Little
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Article
Open AccessDecision maker views on priority setting in the Vancouver Island Health Authority
Decisions regarding the allocation of available resources are a source of growing dissatisfaction for healthcare decision-makers. This dissatisfaction has led to increased interest in research on evidence-base...
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Quality and Cost in Healthcare
Debate over healthcare often focuses on two key issues: quality and cost. However, because of the unique characteristics of healthcare, this relationship is not as simple as it might seem. A recent Supreme Cou...
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Centralising Drug Review to Improve Coverage Decisions
Drug coverage decisions require information about clinically relevant benefits and risks, as well as economic information about direct and indirect costs, in comparison with relevant treatment alternatives. A ...
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Open AccessHealth care priority setting: principles, practice and challenges
Health organizations the world over are required to set priorities and allocate resources within the constraint of limited funding. However, decision makers may not be well equipped to make explicit rationing ...
