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Evaluation of the impact of program budgeting and marginal analysis in Vancouver Island Health Authority
Journal of Health Services Research & Policy, 09/24/09

Mitton C et al. – Faced with claims that typically outstrip available resources, health care decision–makers need a process to guide allocation decisions. PBMA has demonstrated at VIHA an ability to handle some of the key issues associated with this challenge. The authors analysis has produced lessons that should facilitate future implementation but has also shown that resource allocation criteria selection and the extent of executive discretion are likely to be ongoing challenges.

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