M. Haas et al., Using programme budgeting and marginal analysis to assist population basedstrategic planning for coronary heart disease, HEALTH POLI, 55(3), 2001, pp. 173-186
Citations number
16
Categorie Soggetti
Public Health & Health Care Science","Health Care Sciences & Services
Objectives: the objective of this project was to use programme budgeting an
d marginal analysis (PBMA), to inform the planning process of the South Wes
tern Sydney Area Health Service (SWSAHS) in respect of coronary heart disea
se (CHD). Methods: a working party was established to carry out the project
. The group; set the parameters of the project and identified the programme
, and associated the activity and resource use. Three sub-groups were estab
lished to undertake the marginal analysis. Results: each sub-group (represe
nting prevention, treatment, and rehabilitation for CHD) developed a list o
f potential strategies and provided estimates of resource use and consequen
ces. These were prioritised and presented as recommendations to the SWSAHS.
Some recommendations required enhancement funding for the SWSAHS. Conclusi
ons: while the use of PBMA presented some challenges, there were also some
important outcomes. A comprehensive and detailed picture of resource use en
abled the participants to form a view on how additional or reduced resource
s for CHD should be dealt with at the area level. The ultimate recommendati
ons represent involvement by key stakeholders in the SWSAHS planning proces
s, not just in identifying the 'vision' of CHD services, but also, how serv
ice delivery would be organised to achieve the overall objectives of reduci
ng CHD morbidity and mortality. (C) 2001 Elsevier Science Ireland Ltd. All
rights reserved.