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Priority setting meets multiple streams: A match to be further examined?: Comment on “Introducing new priority setting and resource allocation processes in a Canadian healthcare organization: A case study analysis informed by multiple streams theory”
journal contributionposted on 23.03.2021, 03:04 by Jacqueline Cumming
© 2016 by Kerman University of Medical Sciences. With demand for health services continuing to grow as populations age and new technologies emerge to meet health needs, healthcare policy-makers are under constant pressure to set priorities, ie, to make choices about the health services that can and cannot be funded within available resources. In a recent paper, Smith et al apply an influential policy studies framework - Kingdon’s multiple streams approach (MSA) - to explore the factors that explain why one health service delivery organization adopted a formal priority setting framework (in the form of programme budgeting and marginal analysis [PBMA]) to assist it in making priority setting decisions. MSA is a theory of agenda-setting, ie, how it is that different issues do or do not reach a decision-making point. In this paper, I reflect on the use of the MSA framework to explore priority setting processes and how the framework might be applied to similar cases in future.
Preferred citationCumming, J. M. (2016). Priority setting meets multiple streams: A match to be further examined?: Comment on “Introducing new priority setting and resource allocation processes in a Canadian healthcare organization: A case study analysis informed by multiple streams theory”. International Journal of Health Policy and Management, 5(8), 497-499. https://doi.org/10.15171/ijhpm.2016.58
Journal titleInternational Journal of Health Policy and Management
PublisherMaad Rayan Publishing Company
Online publication date16/05/2016
Read the peer-reviewed publication
Health services & systemsHealth Services ResearchClinical ResearchHealth ServicesGeneric Health Relevance8.3 Policy, ethics and research governanceCanadaPriority SettingProgramme Budgeting and Marginal Analysis (PBMA)Resource AllocationBudgetsCost-Benefit AnalysisDecision Making, OrganizationalDelivery of Health CareHealth Care RationingHealth PrioritiesHumansInterviews as TopicScience & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesHealth Policy & ServicesMARGINAL ANALYSISAUTHORITYApplied EconomicsPublic Health and Health Services