Changing priority setting practice: The role of implementation in practice change

• Published in: Health policy (Amsterdam) Vol. 117; no. 2; pp. 266 - 274
• Main Authors: Cornelissen, Evelyn, Mitton, Craig, Davidson, Alan, Reid, R. Colin, Hole, Rachelle, Visockas, Anne-Marie, Smith, Neale
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 01.08.2014; Elsevier
• Subjects: Authority; Benefits; Biological and medical sciences; British Columbia; Budgets; Canada; Canadians; Data analysis; Decision making; Decision Making, Organizational; Health administration; Health care; Health care rationing; Health Care Rationing - methods; Health Plan Implementation; Health planning; Health policy; Health Priorities - economics; Health services research; Humans; Internal Medicine; Interviews as Topic; Medical sciences; Miscellaneous; Models, Organizational; Organizational Innovation - economics; Practice; Public health. Hygiene; Public health. Hygiene-occupational medicine; Qualitative Research; Regions; Resource allocation; Resource Allocation - methods; British Columbia; Health plan implementation; Decision making; Health care rationing; Resource allocation; Health services research; Health planning; Health insurance; Priority; Health service; Change; Priority assignment; Implementation; Rationing; Criterion; Financing; Professional practice; Scientific research; Welfare aids; Healthcare; Planning; Public health
• ISSN: 0168-8510; 1872-6054
• DOI: 10.1016/j.healthpol.2014.04.010

Highlights • We examine PBMA implementation over 3-years in a community care context. • Desire for more clarity and for PBMA adaptations emerged as overarching themes. • Participants desired greater clarity of their roles in implementing PBMA. • Organizational readiness and capacity are vital to effective PBMA implementation. • Independently functional PBMA stages may facilitate implementation.