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Design and implementation of a survey of senior Canadian healthcare decision-makers: Organization-wide resource allocation processes
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作者 Neale Smith Craig Mitton +4 位作者 Alan Davidson Jennifer Gibson Stuart Peacock Stirling Bryan cam donaldson 《Health》 2012年第11期1007-1014,共8页
A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve “high performance” in resource allocation. In pursu... A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve “high performance” in resource allocation. In pursuit of this objective, a literature search was conducted and two phases of primary data collection are being undertaken: an online survey of senior healthcare decision-makers, and in-depth case studies of potential “high performing” organizations. This paper addresses the survey phase;our aim is to provide a practical example of the mechanics of survey design, of benefit to those who want to better understand our forthcoming results, but also as an aid to other researchers grappling with the hard choices and trade-offs involved in the survey development process. Survey content is described in light of the existing literature, with discussion of the choices made by the research team to decide what questions and items would be included and excluded. The target population for the survey was senior managers in Canadian regional health authorities (or the closest equivalent organizations) in each of the 10 provinces and 3 territories. The paper dis- cusses how this sample was obtained, and describes the survey implementation process. 展开更多
关键词 Health Policy Resource ALLOCATION RATIONING CANADA
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经济视点:向配给制发展(2)
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作者 cam donaldson Angela Bate +2 位作者 Peter Brambleby Howard Waldner 郑嵘(译) 《英国医学杂志中文版》 2010年第1期47-49,共3页
经济学的角度 经济学家一般都建议由市场来配给商品。但是我们知道市场机制在卫生领域表现不佳。虽然认识到这一点,但建立公立医疗保障制度并不能解决资源稀缺的问题。为了让公立医疗保障制度可持续发展,防止倒退到以市场为基础的制... 经济学的角度 经济学家一般都建议由市场来配给商品。但是我们知道市场机制在卫生领域表现不佳。虽然认识到这一点,但建立公立医疗保障制度并不能解决资源稀缺的问题。为了让公立医疗保障制度可持续发展,防止倒退到以市场为基础的制度,我们需要清醒过来,通过认清资源稀缺的现状并管理好稀缺资源来进行配给。管理稀缺资源需要做两件事。 展开更多
关键词 配给制 医疗保障制度 市场机制 经济学家 可持续发展 卫生领域 资源 公立
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经济视点:向配给制发展
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作者 cam donaldson Angela Bate +2 位作者 Peter Brambleby Howard Waldner 郑嵘(译) 《英国医学杂志中文版》 2009年第6期367-369,共3页
12年前BMJ杂志认为卫生系统应该明确使用配给制,并刊登文章(BMJ 1996;312:1553-4)说明几种可以实现公平配给的方法。现在1名临床医生。
关键词 配给制 卫生系统 临床医生 经济学家 BMJ 伦理学
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