Priority setting in health care using multi-attribute utility theory and programme budgeting and marginal analysis (PBMA)

Stuart J Peacock, Jeffrey Ralph James Richardson, Robert Carter, Diana Edwards

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52 Citations (Scopus)


Programme budgeting and marginal analysis (PBMA) is becoming an increasingly Popular tool in setting health service priorities. This paper presents a novel multi-attribute utility (MAU) approach to setting health service priorities using PBMA. This approach includes identifying the attributes of the MAU function; describing and scaling attributes; quantifying trade-offs between attributes; and combining single conditional utility functions into the MAU function. We illustrate the MAU approach using a PBMA case study in mental health services from the Community Health Sector in metropolitan South Australia. (c) 2006 Elsevier Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)897 - 910
Number of pages14
JournalSocial Science & Medicine
Issue number4
Publication statusPublished - 2007

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