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RAPIT- A tool for Improving and Evaluating Priority Setting and Resource Allocation Internationally: A Swedish Health Authority Case Study
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences. (Swedish National Centre for Priority Setting in Health Care)ORCID iD: 0000-0003-0204-4536
University of British Columbia, Canada.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. (Swedish National Centre for Priority Setting in Health Care)
2016 (English)In: New frontiers of priority setting: The 11th meeting of the International Society for Priorities in Health (ISPH), to be held in Birmingham, 7th – 9th September 2016., 2016Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

IntroductionIn order to meet the challenges presented by increasing demand and scarcity of resources, healthcare organizations are faced with difficult decisions related to priority setting and resource allocation (PSRA). Tools to facilitate evaluation and improvement of these processes could enable greater transparency and more optimal distribution of resources. Resource Allocation Performance Identification Tool (RAPIT) is a tool for identifying the performance of PSRA. RAPIT was first developed in Canada (RAPAT - Resours Allocation Performance Assessment Tool) and then further developed in Sweden where items from the original tool were edited, likert scales were added, aiming to also identify areas of improvement. RAPIT was applied in the Regional Health Authority of Dalarna – ”Landstinget Dalarna”, Sweden, and administered to both middle and senior managers in the regional health authority Dalarna at baseline. In addition to answering the questions themselves, respondents were also asked to rate the value of each question with respect to PSRA performance relevance. Results were then presented to the senior managers. In this step, the senior mangers were asked to assess the value of information that they received from both the middle and senior managers responses. The senior managers also assessed the value of using RAPIT itself as an input for improving their PSRA process.ResultRAPIT revealed variations in the understanding of PSRA across management levels and individuals. 94% of the questions was given a very high value by the middle manager, 65% by senior manager. Some of the low ranked questions generated high valued information. In several cases, after seeing the result of RAPIT, senior managers changed their assessed value of ech question. Concerning incentives to participation for example, the senior mangers valued the question low but after seeing the result they valued the information very high.ConclusionsRAPIT is useful for identifying areas of improvement in a PSRA process: • Useful for education and promoting discussion – what does our PSRA process really look like? • Useful for motivating a more explicit PSRA process • Useful for mutual discussion when PSRA is perceived differently by involved actor. • Useful for a longitudinal perspective on the improvement on targeted areas • Useful as a collection of questions that can be adjusted to a specific context • Useful as an evaluation tool • Useful for comparative studies, not least for international comparisons. RAPIT is applicable in multiple contexts, and enables decision makers at different level to identify opportunities to improve their own PSRA processes.

Place, publisher, year, edition, pages
2016.
National Category
Health Sciences Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-191803OAI: oai:DiVA.org:liu-191803DiVA, id: diva2:1737185
Conference
The 11th meeting of the International Society for Priorities in Health (ISPH), to be held in Birmingham, 7th – 9th September 2016. 
Available from: 2023-02-15 Created: 2023-02-15 Last updated: 2023-02-23Bibliographically approved

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Nedlund, Hall & Broqvist 2016 RAPIT(2108 kB)52 downloads
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Nedlund, Ann-CharlotteBroqvist, Mari

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CiteExportLink to record
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