Program budgeting and marginal analysis: a case study in chronic airflow limitation.
Program budgeting and marginal analysis is a method of priority-setting in health care. This article describes how this method was applied to the management of a disease-specific group, chronic airflow limitation. A sub-program flow chart clarified the major cost drivers. After assessment of the technical efficiency of the sub-programs and careful and detailed analysis, incremental and decremental wish lists of activities were established. Program budgeting and marginal analysis provides a framework for rational resource allocation. The nurturing of a vigorous program management group, with members representing all participants in the process (including patients/consumers), is the key to a successful outcome.
Crockett
A
A
Respiratory Unit, Flinders Medical Centre, Adelaide, South Australia.
Cranston
J
J
Moss
J
J
Scown
P
P
Mooney
G
G
Alpers
J
J
D002017:Budgets / Q000458:organization & administration*; D003628:Database Management Systems; D015276:Health Care Rationing / Q000379:methods* / Q000458:organization & administration; D006292:Health Priorities / Q000145:classification* / Q000191:economics; D017721:Hospital Costs / Q000706:statistics & numerical data; D006784:Hospitals, Teaching; D006786:Hospitals, Urban; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000145:classification / Q000191:economics* / Q000534:rehabilitation; D010865:Pilot Projects; D011367:Professional Staff Committees; D012139:Respiratory Therapy Department, Hospital / Q000191:economics*; D013021:South Australia