Acceptability of Program Budgeting and Marginal Analysis as a tool for routine priority-setting in Indigenous health

Journal article


Otim, Michael E., Asante, Augustine D., Kelaher, Margaret, Anderson, Ian P. and Jan, Stephen. (2015) Acceptability of Program Budgeting and Marginal Analysis as a tool for routine priority-setting in Indigenous health. International Journal of Health Planning and Management. https://doi.org/10.1002/hpm.2287
AuthorsOtim, Michael E., Asante, Augustine D., Kelaher, Margaret, Anderson, Ian P. and Jan, Stephen
Abstract

Objective This study aimed to examine the acceptability of programme budgeting and marginal analysis (PBMA) as a tool for priority setting in the Indigenous health sector. Methods The study uses a mix of quantitative and qualitative methods. A survey of key decision makers in Indigenous health in Victoria was conducted to assess the acceptability of PBMA as a potential tool for priority setting. Respondents comprised 24 bureaucrats from the Victorian Department of Human Services (DHS) and 26 senior executives from the aboriginal community controlled health sector (ACCHS) in Victoria. The survey instrument included both closed-ended and open-ended questions and was administered face-to-face by a trained researcher in 2007–2008. Closed-ended questions were analysed using descriptive statistics, and content analysis was used for the open-ended ones. Results The PBMA was well received as having the potential to improve priority setting processes in Indigenous health. Sixty-nine percent of the DHS respondents felt that PBMA was acceptable as a routine decision-making tool, and nearly 80% of ACCHS respondents thought that PBMA was intuitively appealing and would most probably be an acceptable priority setting approach in their organisations. The challenges of using PBMA were related to resource constraints and data intensity. Conclusion Programme budgeting and marginal analysis is potentially acceptable within the ACCHS and was perceived as useful in terms of assisting the decision maker to maximise health outcomes, but data systems need to be re-oriented to address its significant data needs. Implication Proper guidelines need to be developed to facilitate PBMA application within the Indigenous-controlled community health sector.

Year2015
JournalInternational Journal of Health Planning and Management
ISSN1099-1751
Digital Object Identifier (DOI)https://doi.org/10.1002/hpm.2287
Research GroupSchool of Allied Health
Publisher's version
File Access Level
Controlled
Permalink -

https://acuresearchbank.acu.edu.au/item/89720/acceptability-of-program-budgeting-and-marginal-analysis-as-a-tool-for-routine-priority-setting-in-indigenous-health

Restricted files

Publisher's version

  • 3
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Towards best practice in acute stroke care in Ghana: A survey of hospital services
Baatiema, Leonard, Otim, Michael, Mnatzaganian, George, de-Graft Aikins, Ama, Coombes, Judith and Somerset, Shawn. (2017) Towards best practice in acute stroke care in Ghana: A survey of hospital services. BMC Health Services Research. 17(1), pp. 1 - 11. https://doi.org/10.1186/s12913-017-2061-2
Health professionals' views on the barriers and enablers to evidence-based practice for acute stroke care: A systematic review
Baatiema, Leonard, Otim, Michael E., Mnatzaganian, George, de-Graft Aikins, Ama, Coombes, Judith and Somerset, Shawn. (2017) Health professionals' views on the barriers and enablers to evidence-based practice for acute stroke care: A systematic review. Implementation Science. 12(1), pp. 1 - 15. https://doi.org/10.1186/s13012-017-0599-3
Effectiveness of a cough management algorithm at the transitional phase from acute to chronic cough in Australian children aged <15 years: Protocol for a randomised controlled trial
O'Grady, Kerry-Ann F., Grimwood, Keith, Toombs, Maree, Sloots, Theo, Otim, Michael, Whiley, David, Anderson, Jennie, Rablin, Sheree, Torzillo, Paul J., Buntain, Helen, Connor, Anne, Adsett, Don, Kar, Oon Meng and Chang, Anne. (2017) Effectiveness of a cough management algorithm at the transitional phase from acute to chronic cough in Australian children aged <15 years: Protocol for a randomised controlled trial. BMJ Open. https://doi.org/10.1136/bmjopen-2016-013796
The effect of payment and incentives on motivation and focus of community health workers: five case studies from low- and middle-income countries
Singh, Debra, Negin, Joel, Otim, Michael, Orach, Christopher Garimoi and Cumming, Robert. (2015) The effect of payment and incentives on motivation and focus of community health workers: five case studies from low- and middle-income countries. Human Resources for Health. 13(1), pp. 1 - 12. https://doi.org/10.1186/s12960-015-0051-1
What constitutes benefit from health care interventions for Indigenous Australians?
Otim, Michael E., Asante, Augustine D., Kelaher, Margaret, Doran, Chris M. and Anderson, Ian P.. (2015) What constitutes benefit from health care interventions for Indigenous Australians? Australian Aboriginal Studies.
Building evidence for peer led interventions: Assessing the cost of Adolescent Asthma Action program in Australia
Otim, Michael E., Jayasinha, Ranmalie, Forbes, Hayley and Shah, Smita. (2015) Building evidence for peer led interventions: Assessing the cost of Adolescent Asthma Action program in Australia. Australian Journal of Primary Health: the issues influencing community health services and primary health care (online version). 21(4), pp. 1 - 6. https://doi.org/10.1071/PY14066
The respiratory health of urban Indigenous children aged less than 5 years: study protocol for a prospective cohort study
Hall, Kerry K., Chang, Anne B., Sloots, Theo P., Anderson, Jennie, Kemp, Anita, Hammil, Jan, Otim, Michael and O'Grady, Kerry-Ann F.. (2015) The respiratory health of urban Indigenous children aged less than 5 years: study protocol for a prospective cohort study. BMC Pediatrics. 15(56), pp. 1 - 8. https://doi.org/10.1186/s12887-015-0375-y
Retaining doctors in rural Timor-Leste: A critical appraisal of opportunities and challenges
Asante, Augustine D., Martins, Nelson, Otim, Michael Ekubu and Dewdney, John. (2014) Retaining doctors in rural Timor-Leste: A critical appraisal of opportunities and challenges. Bulletin of World Health Organisation. 92(4), pp. 277 - 282. https://doi.org/10.2471/BLT.13.123141
Priority setting in Indigenous health : Assessing priority setting process and criteria that should guide the health system to improve Indigenous Australian health
Otim, Michael, Kelaher, Margaret, Anderson, Ian and Doran, Chris. (2014) Priority setting in Indigenous health : Assessing priority setting process and criteria that should guide the health system to improve Indigenous Australian health. International Journal for Equity in Health. 13(45), pp. 1 - 12. https://doi.org/10.1186/1475-9276-13-45
How much does intellectual disability really cost? First estimates for Australia
Doran, Christopher M., Einfeld, Stewart L., Madden, Rosamond H., Otim, Michael Ekubu, Horstead, Sian K., Ellis, Louise A. and Emerson, Eric. (2012) How much does intellectual disability really cost? First estimates for Australia. Journal of Intellectual and Developmental Disability. 37(1), pp. 42 - 49. https://doi.org/10.3109/13668250.2011.648609
Linking acute care to a strategy for improving Aboriginal health
Anderson, Ian P., Clarke, Angela, Reinhard, Russell, Otim, Michael and Andrews, Shawana. (2002) Linking acute care to a strategy for improving Aboriginal health. Australian Health Review. 25(5), pp. 118 - 129. https://doi.org/10.1071/AH020118