Centre for Clinical Epidemiology & Evaluation, Vancouver Coastal Health Research Institute, 7th floor, 828 W 10 Avenue, V5Z1M9, Vancouver, BC, Canada.
BMC Health Serv Res. 2013 Jul 2;13:247. doi: 10.1186/1472-6963-13-247.
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.
Between January and April 2011, we conducted an on-line survey of senior decision makers within regional health authorities (and closely equivalent organizations) across all Canadian provinces and territories. We received returns from 92 individual managers, from 60 out of 89 organizations in total. The survey inquired about structures, process features, and behaviours related to organization-wide resource allocation decisions. We focus here on three main aspects: type of process, perceived fairness, and overall rating.
About one-half of respondents indicated that their organization used a formal process for resource allocation, while the others reported that political or historical factors were predominant. Seventy percent (70%) of respondents self-reported that their resource allocation process was fair and just over one-half assessed their process as 'good' or 'very good'. This paper explores these findings in greater detail and assesses them in context of the larger literature.
Data from this large-scale cross-jurisdictional survey helps to illustrate common challenges and areas of positive performance among Canada's health system leadership teams.
资源分配是医疗保健决策者面临的关键挑战。虽然有一些关于组织实践的案例研究，但很少有大规模的跨组织比较。
2011 年 1 月至 4 月期间，我们对加拿大所有省份和地区的地区卫生当局（以及与之相当的组织）的高级决策者进行了在线调查。我们收到了来自 92 位个别经理的回复，总共来自 60 个组织中的 89 个。调查询问了与全组织资源分配决策相关的结构、流程特征和行为。我们在这里重点关注三个主要方面：流程类型、感知公平性和总体评价。
约一半的受访者表示他们的组织使用正式的资源分配流程，而其他人则表示政治或历史因素占主导地位。70%（70%）的受访者自我报告说他们的资源分配流程是公平和公正的，超过一半的受访者将他们的流程评为“良好”或“非常好”。本文更详细地探讨了这些发现，并在更广泛的文献背景下对其进行了评估。
这项大规模跨司法管辖区调查的数据有助于说明加拿大卫生系统领导团队面临的共同挑战和积极表现领域。
