Resource scarcity and priority- setting: from management to leadership in the rationing of health care?
نویسندگان
چکیده
© 2011 THE AUTHORS JOURNAL COMPILATION © 2011 CIPFA A combination of economic pressures and increasing demands on health care budgets has resulted in a resurgence of the rationing debate (Donaldson et al., 2010; Moore, 2010). Despite a burgeoning generic literature on health care leadership, prescriptions for explicit rationing (‘priority-setting’) have almost completely ignored the leadership dimension, focusing instead on decision-making algorithms and/or processes (Williams, 1998; Daniels and Sabin, 2008). Thus while ‘better leadership is seen as central to improving the quality of health care and the improvement of organizational processes’ (Hartley and Benington, 2010), a literature review on leadership of priority-setting concluded that:
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