BMJ  2005;330 (25 June), doi:10.1136/bmj.330.7506.0-e

Doctors and managers working together on costs

Programme budgeting and marginal analysis has the potential to align the goals of both doctors and managers, argue Ruta and colleagues (p 1501), offering this economic approach to priority setting as one of the possible ways to tackle the recent NHS reform that gave doctors more responsibility for use of resources. The strengths of this economic approach to priority setting include explicit presentation, evaluation, and the recording of contextual information, evidence, and subjective judgments. The approach fosters the need to balance clinical autonomy with financial responsibility, say the authors.

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Relevant Article

Programme budgeting and marginal analysis: bridging the divide between doctors and managers

Danny Ruta, Craig Mitton, Angela Bate, and Cam Donaldson
BMJ 2005 330: 1501-1503. [Extract] [Full Text] [PDF]