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Knowledge Translation Curriculum. Module 3: Priority Setting. Lesson 1 - Priority Setting: The Basics. Priority Setting at the overlap of the Research and Policy Processes. Policy Process. Priority Setting. Research Process. Two major types of Priority Setting. for Research. for
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Knowledge Translation Curriculum Module 3: Priority Setting Lesson 1 - Priority Setting: The Basics
Priority Setting at the overlap of the Research and Policy Processes Policy Process Priority Setting Research Process
Two major types of Priority Setting for Research for Service Delivery Priority Setting
Technical vs Interpretive PS • technical PS: is centred on quantifiable, typically epidemilogical, data. E.g. PBMA, MCDA • interpretive PS: rotates on stakeholder dialogue. Does involve technical elements, a blend of quantitative and qualitative approaches
Accountability for Reasonableness • Four necessary conditions for any PS process: • it must be relevant to the local context as determined by accepted criteria • its eventual decisions must be publicized • it must include appeal mechanisms for challenging, revising and reversing decisinos • its leaders must be able to enforce the above three conditions
Programme Budgeting and Marginal Analysis (PBMA) Marginal analysis advisory panel who are the stakeholders and how to include them? Program budget what are the current activities and expenditures? Context-specific decision-making criteria Aim/scope of PS what changes in service provision will the process examine? how to balance priorities with national, local, institutional etc. objectives? How to balance priorities wtih input from Board of Directors and/or the public? Resources reallocated how can the organization’s resources be best reallocated according to cost-benefit ratios? How can stakeholders validate/appeal these decisions? Options identified where can services grow? How can efficiency be improved? What should be scaled back? Eliminated? What should be invested in? How to balance program budget with organizational objectives and/or evidence? Options evaluated what are the costs and benefits for each option? Are there any recommendations for change?
Multi-Criteria Decision Analysis • organizing group defines and structures the problem and how PS might respond • determines criteria (e.g. efficiency, equity) • develops different packages of interventions based on various combination of criteria. Often using Discrete Choice Experiments • final options determined based on the scores each intervention (or package of interventions) receives
Other technical PS tools • Lives Saved Tool (LiST) • WHO-CHOICE (CHOosing Interventions that are Cost-Effective) • Marginal Budgeting for Bottlenecks