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Making Choices in Hospital Resources Allocation: The Use of an Assessment Tool to Decide Which New Projects Are Financed

Published online by Cambridge University Press:  10 March 2009

Isabelle Durand-Zaleski
Affiliation:
Hospital Henri Mondor
Roland Leclerq
Affiliation:
Hospital Henri Mondor
Martine Bagot
Affiliation:
Hospital Henri Mondor
François Lemaire
Affiliation:
Hospital Henri Mondor
Jean Revuz
Affiliation:
Hospital Henri Mondor
Yvon Spetebroodt
Affiliation:
Hospital Henri Mondor
Elie-Serge Zafrani
Affiliation:
Hospital Henri Mondor
Henri Rochant
Affiliation:
Hospital Henri Mondor

Abstract

We designed a scoring system to rank acute care hospital projects and allocate resources between them. The evaluation tool assessed projects on an ordinal scale; the criteria scored were medical interest, feasibility, interest for teaching and research, and compatibility with the hospital's strategy. Clinical and technical projects were ranked separately. In 1994, 25 new projects, representing a total cost of $1.4 million, were reviewed by two independent reviewers. The scores ranged from 30 to 18 over 36. Projects presented by clinical departments scored higher than projects presented by medicotechnical departments.

Type
Research Notes
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

1.Banta, D., & Behney, C.Policy formuation and technology. Health and Society, 1981, 59, 445–79.Google Scholar
2.Durand-Zaleski, I., & Jolly, D.High technology in health care. Quality Assurance in Health Care, 1990, 2, 321–27.Google Scholar
3.Eddy, D.Selecting technologies for assessment. International Journal of Technology Assessment in Health Care, 1989, 5, 485501.CrossRefGoogle ScholarPubMed
4.Gafni, A., & Birch, S.Guidelines for the adoption of new technologies: A prescription for uncontrolled growth and how to avoid the problem. Canadian Medical Association Journal, 1993, 148, 913–17.Google Scholar
5.Griner, P.The relationship between managerial and clinical decision making in the hospital. Medical Decision Making, 1988, 8, 151–54.Google Scholar
6.Jacoby, I., & Pauker, S.Technology assessment in health care: Group process and decision theory. Israel Journal of Medical Sciences, 1986, 22, 183–90.Google ScholarPubMed
7.Phelps, C., & Mushlin, A.Focusing technology assessment using medical decision theory. Medical Decision Making, 1988, 8, 279–89.CrossRefGoogle ScholarPubMed
8.Roy, B.Methodologie multicritère d'aide à la décision. Paris: Economica, 1985, 347–47.Google Scholar
9.Steinberg, E., & Graziano, S.Integrating technology assessment and medical practice evaluation into hospital operation. Quality Review Bulletin, 1990, 16, 218–22.Google Scholar
10.Steiner, D., & Norman, G.Health measurement scales. Oxford: Oxford University Press, 1993, 4445, 106–25.Google Scholar
11.Torrance, G., & Feeny, D.Utilities and quality-adjusted life years. International Journal of Technology Assessment in Health Care, 1989, 5, 559–75.CrossRefGoogle ScholarPubMed
12.Veluchamy, S., & Saver, C.Clinical technology assessment, cost-effective adoption and quality management by hospitals in the 1990s. Quality Review Bulletin, 1990, 16, 223–28.Google Scholar
13.Weingart, S.Acquiring advanced technology. International Journal of Technology Assessment in Health Care, 1993, 4, 530–38.Google Scholar
14.Zionts, S.Decision making with multiple objectives: Some analytical approaches. In Ijiry, J. & Whinston, A. (eds.), Quantitative planning and control. New York: Academic Press, 1979, 5968.Google Scholar