30 Result(s)
within
Craig Mitton
Public Health
-
Article
Map** the experiences of people with advanced cancer across multiple cancer types—a sco** review
Through the introduction of tumor agnostic therapies, people with metastatic cancer and their treating physicians are facing new treatment choices that have differing side effect and efficacy profiles from con...
-
Article
Open AccessDescribing practices of priority setting and resource allocation in publicly funded health care systems of high-income countries
Healthcare spending has grown over the last decades in all developed countries. Making hard choices for investments in a rational, evidence-informed, systematic, transparent and legitimate manner constitutes a...
-
Article
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...
-
Article
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...
-
Article
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...
-
Article
Open AccessAssessing value in health care: using an interpretive classification system to understand existing practices based on a systematic review
Implementing adequate strategies to assess the value of health services plays a central role in the effort to deal with the financial pressures faced by health care systems worldwide. This study aimed to under...
-
Article
Open AccessPublic perspectives on disinvestments in drug funding: results from a Canadian deliberative public engagement event on cancer drugs
Decisions relating to the funding of new drugs are becoming increasingly challenging due to a combination of aging populations, rapidly increasing list prices, and greater numbers of drug-indication pairs bein...
-
Article
Open AccessMoving low value care lists into action: prioritizing candidate health technologies for reassessment using administrative data
Active management of existing health technologies (e.g., devices, diagnostic, and/or medical procedures) to ensure the delivery of high value care is increasingly recognized around the world. A number of initi...
-
Article
Open AccessEngaging the Canadian public on reimbursement decision-making for drugs for rare diseases: a national online survey
Funding of drugs for rare diseases (DRDs) requires decisions that balance fairness for all individuals within the healthcare system with compassion for affected individuals. Our study objective was to conduct ...
-
Article
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 ...
-
Article
Open AccessEconomic evaluation of Community Level Interventions for Pre-eclampsia (CLIP) in South Asian and African countries: a study protocol
Globally, hypertensive disorders of pregnancy, particularly pre-eclampsia and eclampsia, are the leading cause of maternal and neonatal mortality, and impose substantial burdens on the families of pregnant wom...
-
Article
Open Access‘Real-world’ health care priority setting using explicit decision criteria: a systematic review of the literature
Health care decision making requires making resource allocation decisions among programs, services, and technologies that all compete for a finite resource pool. Methods of priority setting that use explicitly...
-
Article
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...
-
Living Reference Work Entry In depth
Comparative Effectiveness Research and Priority Setting
Health-care resources are limited and as such decisions must be made on what services to fund and what not to fund. Health-care priority setting processes can assist decision makers in making difficult choices...
-
Article
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...
-
Article
Open AccessMagnesium sulphate for fetal neuroprotection: a cost-effectiveness analysis
The aim of this study was to assess the cost-effectiveness of administering magnesium sulphate to patients in whom preterm birth at < 32+0 weeks gestation is either imminent or threatened for the purpose of fetal...
-
Article
Open AccessDecision maker perceptions of resource allocation processes in Canadian health care organizations: a national survey
Resource allocation is a key challenge for healthcare decision makers. While several case studies of organizational practice exist, there have been few large-scale cross-organization comparisons.
-
Article
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...
-
Article
Open AccessDifficult decisions in times of constraint: Criteria based Resource Allocation in the Vancouver Coastal Health Authority
The aim of the project was to develop a plan to address a forecasted deficit of approximately $4.65 million for fiscal year 2010/11 in the Vancouver Communities division of the Vancouver Coastal Health Authori...
-
Article
Moral Distress Among Health System Managers: Exploratory Research in Two British Columbia Health Authorities
Moral distress is a concept used to date in clinical literature to describe the experience of staff in circumstances in which they are prevented from delivering the kind of bedside care they believe is expecte...
