Sustainability in Health care by Allocating Resources Effectively (SHARE) 2: identifying opportunities for disinvestment in a local healthcare setting View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Claire Harris, Kelly Allen, Richard King, Wayne Ramsey, Cate Kelly, Malar Thiagarajan

ABSTRACT

BACKGROUND: This is the second in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. Rising healthcare costs, continuing advances in health technologies and recognition of ineffective practices and systematic waste are driving disinvestment of health technologies and clinical practices that offer little or no benefit in order to maximise outcomes from existing resources. However there is little information to guide regional health services or individual facilities in how they might approach disinvestment locally. This paper outlines the investigation of potential settings and methods for decision-making about disinvestment in the context of an Australian health service. METHODS: Methods include a literature review on the concepts and terminology relating to disinvestment, a survey of national and international researchers, and interviews and workshops with local informants. A conceptual framework was drafted and refined with stakeholder feedback. RESULTS: There is a lack of common terminology regarding definitions and concepts related to disinvestment and no guidance for an organisation-wide systematic approach to disinvestment in a local healthcare service. A summary of issues from the literature and respondents highlight the lack of theoretical knowledge and practical experience and provide a guide to the information required to develop future models or methods for disinvestment in the local context. A conceptual framework was developed. Three mechanisms that provide opportunities to introduce disinvestment decisions into health service systems and processes were identified. Presented in order of complexity, time to achieve outcomes and resources required they include 1) Explicit consideration of potential disinvestment in routine decision-making, 2) Proactive decision-making about disinvestment driven by available evidence from published research and local data, and 3) Specific exercises in priority setting and system redesign. CONCLUSION: This framework identifies potential opportunities to initiate disinvestment activities in a systematic integrated approach that can be applied across a whole organisation using transparent, evidence-based methods. Incorporating considerations for disinvestment into existing decision-making systems and processes might be achieved quickly with minimal cost; however establishment of new systems requires research into appropriate methods and provision of appropriate skills and resources to deliver them. More... »

PAGES

328

References to SciGraph publications

  • 2004-12. Health care priority setting: principles, practice and challenges in COST EFFECTIVENESS AND RESOURCE ALLOCATION
  • 2012-12. From efficacy to equity: Literature review of decision criteria for resource allocation and healthcare decisionmaking in COST EFFECTIVENESS AND RESOURCE ALLOCATION
  • 2017-12. Sustainability in health care by allocating resources effectively (SHARE) 3: examining how resource allocation decisions are made, implemented and evaluated in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2013-12. Knowledge translation strategies to improve the use of evidence in public health decision making in local government: intervention design and implementation plan in IMPLEMENTATION SCIENCE
  • 2011-09. To Fund or Not to Fund in PHARMACOECONOMICS
  • 2012-12. The ASTUTE Health study protocol: Deliberative stakeholder engagements to inform implementation approaches to healthcare disinvestment in IMPLEMENTATION SCIENCE
  • 2006-12. A population-based model for priority setting across the care continuum and across modalities in COST EFFECTIVENESS AND RESOURCE ALLOCATION
  • 2015-06. Development, implementation and evaluation of an evidence-based program for introduction of new health technologies and clinical practices in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2009-12. Identifying research priorities for health care priority setting: a collaborative effort between managers and researchers in BMC HEALTH SERVICES RESEARCH
  • 2014-12. Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services in IMPLEMENTATION SCIENCE
  • 2017-12. Sustainability in Health care by allocating resources effectively (SHARE) 1: introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2017-12. Sustainability in Health care by Allocating Resources Effectively (SHARE) 6: investigating methods to identify, prioritise, implement and evaluate disinvestment projects in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2013-12. How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study in IMPLEMENTATION SCIENCE
  • 2014-04. Managing Healthcare Budgets in Times of Austerity: The Role of Program Budgeting and Marginal Analysis in APPLIED HEALTH ECONOMICS AND HEALTH POLICY
  • 2013-12. Trends in procedures for infertility and caesarean sections: was NICE disinvestment guidance implemented? NICE recommendation reminders in BMC PUBLIC HEALTH
  • 2007-12. Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices in AUSTRALIA AND NEW ZEALAND HEALTH POLICY
  • 2017-12. Sustainability in health care by allocating resources effectively (SHARE) 4: exploring opportunities and methods for consumer engagement in resource allocation in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2017-12. Sustainability in Health care by Allocating Resources Effectively (SHARE) 9: conceptualising disinvestment in the local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2017-12. Sustainability in Health care by Allocating Resources Effectively (SHARE) 5: developing a model for evidence-driven resource allocation in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2011-12. Difficult decisions in times of constraint: Criteria based Resource Allocation in the Vancouver Coastal Health Authority in BMC HEALTH SERVICES RESEARCH
  • 2017-12. Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting in BMC HEALTH SERVICES RESEARCH
  • 2015-12. Towards understanding the de-adoption of low-value clinical practices: a scoping review in BMC MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12913-017-2211-6

    DOI

    http://dx.doi.org/10.1186/s12913-017-2211-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1085195664

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28476159


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Public Health and Health Services", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Biomedical Technology", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Costs and Cost Analysis", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Decision Making, Organizational", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Delivery of Health Care", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Evidence-Based Dentistry", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Health Resources", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Health Services", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Investments", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Resource Allocation", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Victoria", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Monash Health", 
              "id": "https://www.grid.ac/institutes/grid.419789.a", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Victoria, Australia", 
                "Centre for Clinical Effectiveness, Monash Health, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Harris", 
            "givenName": "Claire", 
            "id": "sg:person.07746476473.15", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07746476473.15"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Monash Health", 
              "id": "https://www.grid.ac/institutes/grid.419789.a", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Victoria, Australia", 
                "Centre for Clinical Effectiveness, Monash Health, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Allen", 
            "givenName": "Kelly", 
            "id": "sg:person.012253246473.37", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012253246473.37"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Monash Health", 
              "id": "https://www.grid.ac/institutes/grid.419789.a", 
              "name": [
                "Medicine Program, Monash Health, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "King", 
            "givenName": "Richard", 
            "id": "sg:person.013352357213.18", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013352357213.18"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Monash Health", 
              "id": "https://www.grid.ac/institutes/grid.419789.a", 
              "name": [
                "Medical Services and Quality, Monash Health, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Ramsey", 
            "givenName": "Wayne", 
            "id": "sg:person.011757416213.78", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011757416213.78"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Melbourne Health", 
              "id": "https://www.grid.ac/institutes/grid.429299.d", 
              "name": [
                "Medical Services, Melbourne Health, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Kelly", 
            "givenName": "Cate", 
            "id": "sg:person.014443570073.29", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014443570073.29"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Health and Human Services", 
              "id": "https://www.grid.ac/institutes/grid.453680.c", 
              "name": [
                "Ageing and Aged Care Branch, Department of Health and Human Services, Victoria, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Thiagarajan", 
            "givenName": "Malar", 
            "id": "sg:person.01012765261.08", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01012765261.08"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "https://doi.org/10.1017/s0266462312000372", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1000855880"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462310000309", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001459434"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2458-13-112", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1002600559", 
              "https://doi.org/10.1186/1471-2458-13-112"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.socscimed.2012.09.014", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1003694325"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/s0001-2092(06)61343-4", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1005923729"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-8-17", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006262081", 
              "https://doi.org/10.1186/1748-5908-8-17"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462313000068", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1009488338"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462313000573", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1012366472"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6963-9-165", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1014755011", 
              "https://doi.org/10.1186/1472-6963-9-165"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.healthpol.2014.04.010", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1015560122"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1001/jama.2012.476", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1015689223"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-7-101", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1015723086", 
              "https://doi.org/10.1186/1748-5908-7-101"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1478-7547-10-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1016021074", 
              "https://doi.org/10.1186/1478-7547-10-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/1049732305276687", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017418969"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/1049732305276687", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017418969"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/1049732305276687", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017418969"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462307070274", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017684200"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462307070274", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017684200"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1478-7547-4-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1020640367", 
              "https://doi.org/10.1186/1478-7547-4-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462310000334", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1021125568"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.socscimed.2015.01.020", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1027429285"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/acm.0b013e318294fb7e", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1028480267"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/acm.0b013e318294fb7e", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1028480267"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1093/qjmed/hcq086", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1028571889"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1093/qjmed/hcq086", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1028571889"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1258/135581907781542987", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1029727602"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1258/135581907781542987", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1029727602"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/00019514-200401000-00002", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1030737216"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/00019514-200401000-00002", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1030737216"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12916-015-0488-z", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1033095397", 
              "https://doi.org/10.1186/s12916-015-0488-z"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.healthpol.2013.01.007", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1034010999"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s40258-013-0074-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036446921", 
              "https://doi.org/10.1007/s40258-013-0074-5"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s40258-013-0074-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036446921", 
              "https://doi.org/10.1007/s40258-013-0074-5"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1743-8462-4-23", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1038543411", 
              "https://doi.org/10.1186/1743-8462-4-23"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1258/095148403321591410", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041003334"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1258/095148403321591410", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041003334"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-014-0123-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1044341416", 
              "https://doi.org/10.1186/s13012-014-0123-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-014-0123-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1044341416", 
              "https://doi.org/10.1186/s13012-014-0123-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.mayocp.2013.05.012", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045049575"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1136/bmj.d4519", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045225724"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1111/hsc.12046", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045247455"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-8-121", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045788887", 
              "https://doi.org/10.1186/1748-5908-8-121"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.2165/11539840-000000000-00000", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1046139119", 
              "https://doi.org/10.2165/11539840-000000000-00000"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1071/ah11032", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047646003"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.puhe.2013.01.027", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047926011"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6963-11-169", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047935222", 
              "https://doi.org/10.1186/1472-6963-11-169"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-015-1178-4", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1048820296", 
              "https://doi.org/10.1186/s12913-015-1178-4"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462312000748", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1049653856"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1108/jhom-11-2012-0225", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1050757880"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1478-7547-2-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1052280467", 
              "https://doi.org/10.1186/1478-7547-2-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462312000438", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1054887885"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1017/s0266462313000494", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1054887907"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1055/s-0032-1322411", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1057270790"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/mja12.11083", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073072837"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/mja12.11083", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073072837"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/mja13.10839", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073073579"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/mja13.10839", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073073579"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.7326/0003-4819-154-3-201102010-00007", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073712054"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.7326/0003-4819-156-2-201201170-00011", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1073712710"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://app.dimensions.ai/details/publication/pub.1077620315", 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/j.1326-5377.2008.tb01667.x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1077620315"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://app.dimensions.ai/details/publication/pub.1077867430", 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5694/j.1326-5377.2009.tb02394.x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1077867430"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.24095/hpcdp.35.3.01", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1079086642"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2210-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085134140", 
              "https://doi.org/10.1186/s12913-017-2210-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2210-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085134140", 
              "https://doi.org/10.1186/s12913-017-2210-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2212-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085187175", 
              "https://doi.org/10.1186/s12913-017-2212-5"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2212-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085187175", 
              "https://doi.org/10.1186/s12913-017-2212-5"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2207-2", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085376744", 
              "https://doi.org/10.1186/s12913-017-2207-2"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2207-2", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085376744", 
              "https://doi.org/10.1186/s12913-017-2207-2"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2208-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085376764", 
              "https://doi.org/10.1186/s12913-017-2208-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2208-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085376764", 
              "https://doi.org/10.1186/s12913-017-2208-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2269-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085590831", 
              "https://doi.org/10.1186/s12913-017-2269-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2269-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085590831", 
              "https://doi.org/10.1186/s12913-017-2269-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2388-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1086102662", 
              "https://doi.org/10.1186/s12913-017-2388-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2388-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1086102662", 
              "https://doi.org/10.1186/s12913-017-2388-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-017-2507-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1091511448", 
              "https://doi.org/10.1186/s12913-017-2507-6"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2017-12", 
        "datePublishedReg": "2017-12-01", 
        "description": "BACKGROUND: This is the second in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. Rising healthcare costs, continuing advances in health technologies and recognition of ineffective practices and systematic waste are driving disinvestment of health technologies and clinical practices that offer little or no benefit in order to maximise outcomes from existing resources. However there is little information to guide regional health services or individual facilities in how they might approach disinvestment locally. This paper outlines the investigation of potential settings and methods for decision-making about disinvestment in the context of an Australian health service.\nMETHODS: Methods include a literature review on the concepts and terminology relating to disinvestment, a survey of national and international researchers, and interviews and workshops with local informants. A conceptual framework was drafted and refined with stakeholder feedback.\nRESULTS: There is a lack of common terminology regarding definitions and concepts related to disinvestment and no guidance for an organisation-wide systematic approach to disinvestment in a local healthcare service. A summary of issues from the literature and respondents highlight the lack of theoretical knowledge and practical experience and provide a guide to the information required to develop future models or methods for disinvestment in the local context. A conceptual framework was developed. Three mechanisms that provide opportunities to introduce disinvestment decisions into health service systems and processes were identified. Presented in order of complexity, time to achieve outcomes and resources required they include 1) Explicit consideration of potential disinvestment in routine decision-making, 2) Proactive decision-making about disinvestment driven by available evidence from published research and local data, and 3) Specific exercises in priority setting and system redesign.\nCONCLUSION: This framework identifies potential opportunities to initiate disinvestment activities in a systematic integrated approach that can be applied across a whole organisation using transparent, evidence-based methods. Incorporating considerations for disinvestment into existing decision-making systems and processes might be achieved quickly with minimal cost; however establishment of new systems requires research into appropriate methods and provision of appropriate skills and resources to deliver them.", 
        "genre": "research_article", 
        "id": "sg:pub.10.1186/s12913-017-2211-6", 
        "inLanguage": [
          "en"
        ], 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1327417", 
            "issn": [
              "1472-6963"
            ], 
            "name": "BMC Health Services Research", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "1", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "17"
          }
        ], 
        "name": "Sustainability in Health care by Allocating Resources Effectively (SHARE) 2: identifying opportunities for disinvestment in a local healthcare setting", 
        "pagination": "328", 
        "productId": [
          {
            "name": "readcube_id", 
            "type": "PropertyValue", 
            "value": [
              "daa2fbec609f7a4f222044df86a8908f188f3ea17822ec9f561833894c6c4a54"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "28476159"
            ]
          }, 
          {
            "name": "nlm_unique_id", 
            "type": "PropertyValue", 
            "value": [
              "101088677"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1186/s12913-017-2211-6"
            ]
          }, 
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1085195664"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1186/s12913-017-2211-6", 
          "https://app.dimensions.ai/details/publication/pub.1085195664"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2019-04-11T10:32", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000349_0000000349/records_113655_00000004.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://link.springer.com/10.1186%2Fs12913-017-2211-6"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12913-017-2211-6'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12913-017-2211-6'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12913-017-2211-6'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12913-017-2211-6'


     

    This table displays all metadata directly associated to this object as RDF triples.

    353 TRIPLES      21 PREDICATES      99 URIs      32 LITERALS      20 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1186/s12913-017-2211-6 schema:about N0995a4e6f72643849a5bb91ac8729195
    2 N72b4542253214973aaba0de228000db3
    3 N8a4ba63218e24fb68a33574a9df2eae1
    4 N8a7eaa5db70c4947b5372e0dca7d1275
    5 N8c32e6e568b44ee68f37942a3ec8864f
    6 N9f767f41580144fa91baca687da984e1
    7 Na5f23693c7194c14b842325db16741ad
    8 Nc6e0bf166cc845dfba16f77ff09a5554
    9 Nca2eeb6a8f1c4dcab43168e4be1e5ac4
    10 Ne7b32c78a4e74b5cb4267914af4bfcd6
    11 Neade72fd6ed24ab98115ccf4cc1762e7
    12 anzsrc-for:11
    13 anzsrc-for:1117
    14 schema:author Ne7f0cdbb3f9a4c30811609ee39dc489e
    15 schema:citation sg:pub.10.1007/s40258-013-0074-5
    16 sg:pub.10.1186/1471-2458-13-112
    17 sg:pub.10.1186/1472-6963-11-169
    18 sg:pub.10.1186/1472-6963-9-165
    19 sg:pub.10.1186/1478-7547-10-9
    20 sg:pub.10.1186/1478-7547-2-3
    21 sg:pub.10.1186/1478-7547-4-6
    22 sg:pub.10.1186/1743-8462-4-23
    23 sg:pub.10.1186/1748-5908-7-101
    24 sg:pub.10.1186/1748-5908-8-121
    25 sg:pub.10.1186/1748-5908-8-17
    26 sg:pub.10.1186/s12913-015-1178-4
    27 sg:pub.10.1186/s12913-017-2207-2
    28 sg:pub.10.1186/s12913-017-2208-1
    29 sg:pub.10.1186/s12913-017-2210-7
    30 sg:pub.10.1186/s12913-017-2212-5
    31 sg:pub.10.1186/s12913-017-2269-1
    32 sg:pub.10.1186/s12913-017-2388-8
    33 sg:pub.10.1186/s12913-017-2507-6
    34 sg:pub.10.1186/s12916-015-0488-z
    35 sg:pub.10.1186/s13012-014-0123-y
    36 sg:pub.10.2165/11539840-000000000-00000
    37 https://app.dimensions.ai/details/publication/pub.1077620315
    38 https://app.dimensions.ai/details/publication/pub.1077867430
    39 https://doi.org/10.1001/jama.2012.476
    40 https://doi.org/10.1016/j.healthpol.2013.01.007
    41 https://doi.org/10.1016/j.healthpol.2014.04.010
    42 https://doi.org/10.1016/j.mayocp.2013.05.012
    43 https://doi.org/10.1016/j.puhe.2013.01.027
    44 https://doi.org/10.1016/j.socscimed.2012.09.014
    45 https://doi.org/10.1016/j.socscimed.2015.01.020
    46 https://doi.org/10.1016/s0001-2092(06)61343-4
    47 https://doi.org/10.1017/s0266462307070274
    48 https://doi.org/10.1017/s0266462310000309
    49 https://doi.org/10.1017/s0266462310000334
    50 https://doi.org/10.1017/s0266462312000372
    51 https://doi.org/10.1017/s0266462312000438
    52 https://doi.org/10.1017/s0266462312000748
    53 https://doi.org/10.1017/s0266462313000068
    54 https://doi.org/10.1017/s0266462313000494
    55 https://doi.org/10.1017/s0266462313000573
    56 https://doi.org/10.1055/s-0032-1322411
    57 https://doi.org/10.1071/ah11032
    58 https://doi.org/10.1093/qjmed/hcq086
    59 https://doi.org/10.1097/00019514-200401000-00002
    60 https://doi.org/10.1097/acm.0b013e318294fb7e
    61 https://doi.org/10.1108/jhom-11-2012-0225
    62 https://doi.org/10.1111/hsc.12046
    63 https://doi.org/10.1136/bmj.d4519
    64 https://doi.org/10.1177/1049732305276687
    65 https://doi.org/10.1258/095148403321591410
    66 https://doi.org/10.1258/135581907781542987
    67 https://doi.org/10.24095/hpcdp.35.3.01
    68 https://doi.org/10.5694/j.1326-5377.2008.tb01667.x
    69 https://doi.org/10.5694/j.1326-5377.2009.tb02394.x
    70 https://doi.org/10.5694/mja12.11083
    71 https://doi.org/10.5694/mja13.10839
    72 https://doi.org/10.7326/0003-4819-154-3-201102010-00007
    73 https://doi.org/10.7326/0003-4819-156-2-201201170-00011
    74 schema:datePublished 2017-12
    75 schema:datePublishedReg 2017-12-01
    76 schema:description BACKGROUND: This is the second in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. Rising healthcare costs, continuing advances in health technologies and recognition of ineffective practices and systematic waste are driving disinvestment of health technologies and clinical practices that offer little or no benefit in order to maximise outcomes from existing resources. However there is little information to guide regional health services or individual facilities in how they might approach disinvestment locally. This paper outlines the investigation of potential settings and methods for decision-making about disinvestment in the context of an Australian health service. METHODS: Methods include a literature review on the concepts and terminology relating to disinvestment, a survey of national and international researchers, and interviews and workshops with local informants. A conceptual framework was drafted and refined with stakeholder feedback. RESULTS: There is a lack of common terminology regarding definitions and concepts related to disinvestment and no guidance for an organisation-wide systematic approach to disinvestment in a local healthcare service. A summary of issues from the literature and respondents highlight the lack of theoretical knowledge and practical experience and provide a guide to the information required to develop future models or methods for disinvestment in the local context. A conceptual framework was developed. Three mechanisms that provide opportunities to introduce disinvestment decisions into health service systems and processes were identified. Presented in order of complexity, time to achieve outcomes and resources required they include 1) Explicit consideration of potential disinvestment in routine decision-making, 2) Proactive decision-making about disinvestment driven by available evidence from published research and local data, and 3) Specific exercises in priority setting and system redesign. CONCLUSION: This framework identifies potential opportunities to initiate disinvestment activities in a systematic integrated approach that can be applied across a whole organisation using transparent, evidence-based methods. Incorporating considerations for disinvestment into existing decision-making systems and processes might be achieved quickly with minimal cost; however establishment of new systems requires research into appropriate methods and provision of appropriate skills and resources to deliver them.
    77 schema:genre research_article
    78 schema:inLanguage en
    79 schema:isAccessibleForFree true
    80 schema:isPartOf Nae5f43bc758a4bdc90e5640584bb8a1f
    81 Nb7e1a32a19034f808e9b6c643824fb83
    82 sg:journal.1327417
    83 schema:name Sustainability in Health care by Allocating Resources Effectively (SHARE) 2: identifying opportunities for disinvestment in a local healthcare setting
    84 schema:pagination 328
    85 schema:productId N1336c446059b419e8323972cca9f73b0
    86 N33a1d10462f746198aea09629f794aa9
    87 N4a91cd50939047e494f2a5a88bd77543
    88 N6a4c4e4c087649ea8b47293860825007
    89 Neb6a375f57e84cb283b9d89b651b572f
    90 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085195664
    91 https://doi.org/10.1186/s12913-017-2211-6
    92 schema:sdDatePublished 2019-04-11T10:32
    93 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    94 schema:sdPublisher N31a3fca57d774638a42341a60d562c7e
    95 schema:url https://link.springer.com/10.1186%2Fs12913-017-2211-6
    96 sgo:license sg:explorer/license/
    97 sgo:sdDataset articles
    98 rdf:type schema:ScholarlyArticle
    99 N0995a4e6f72643849a5bb91ac8729195 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    100 schema:name Evidence-Based Dentistry
    101 rdf:type schema:DefinedTerm
    102 N1336c446059b419e8323972cca9f73b0 schema:name doi
    103 schema:value 10.1186/s12913-017-2211-6
    104 rdf:type schema:PropertyValue
    105 N1d2a7386a27b4e6588233ae8f87eb6fc rdf:first sg:person.012253246473.37
    106 rdf:rest N30611bafb43e452ea2216121516449fc
    107 N30611bafb43e452ea2216121516449fc rdf:first sg:person.013352357213.18
    108 rdf:rest Ne26fc9d1b0f74f0092666736fdad3386
    109 N31a3fca57d774638a42341a60d562c7e schema:name Springer Nature - SN SciGraph project
    110 rdf:type schema:Organization
    111 N33a1d10462f746198aea09629f794aa9 schema:name readcube_id
    112 schema:value daa2fbec609f7a4f222044df86a8908f188f3ea17822ec9f561833894c6c4a54
    113 rdf:type schema:PropertyValue
    114 N4a91cd50939047e494f2a5a88bd77543 schema:name nlm_unique_id
    115 schema:value 101088677
    116 rdf:type schema:PropertyValue
    117 N63e27bc6ab114f4ab65f82fd4ad9db8a rdf:first sg:person.01012765261.08
    118 rdf:rest rdf:nil
    119 N6a4c4e4c087649ea8b47293860825007 schema:name pubmed_id
    120 schema:value 28476159
    121 rdf:type schema:PropertyValue
    122 N72b4542253214973aaba0de228000db3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    123 schema:name Biomedical Technology
    124 rdf:type schema:DefinedTerm
    125 N8a4ba63218e24fb68a33574a9df2eae1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    126 schema:name Health Services
    127 rdf:type schema:DefinedTerm
    128 N8a7eaa5db70c4947b5372e0dca7d1275 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    129 schema:name Costs and Cost Analysis
    130 rdf:type schema:DefinedTerm
    131 N8c32e6e568b44ee68f37942a3ec8864f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    132 schema:name Delivery of Health Care
    133 rdf:type schema:DefinedTerm
    134 N9f767f41580144fa91baca687da984e1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    135 schema:name Humans
    136 rdf:type schema:DefinedTerm
    137 Na5f23693c7194c14b842325db16741ad schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    138 schema:name Health Resources
    139 rdf:type schema:DefinedTerm
    140 Nae5f43bc758a4bdc90e5640584bb8a1f schema:issueNumber 1
    141 rdf:type schema:PublicationIssue
    142 Nb7e1a32a19034f808e9b6c643824fb83 schema:volumeNumber 17
    143 rdf:type schema:PublicationVolume
    144 Nc1b03b45b58e444a8f7b5a11228130d6 rdf:first sg:person.014443570073.29
    145 rdf:rest N63e27bc6ab114f4ab65f82fd4ad9db8a
    146 Nc6e0bf166cc845dfba16f77ff09a5554 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    147 schema:name Victoria
    148 rdf:type schema:DefinedTerm
    149 Nca2eeb6a8f1c4dcab43168e4be1e5ac4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    150 schema:name Investments
    151 rdf:type schema:DefinedTerm
    152 Ne26fc9d1b0f74f0092666736fdad3386 rdf:first sg:person.011757416213.78
    153 rdf:rest Nc1b03b45b58e444a8f7b5a11228130d6
    154 Ne7b32c78a4e74b5cb4267914af4bfcd6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    155 schema:name Decision Making, Organizational
    156 rdf:type schema:DefinedTerm
    157 Ne7f0cdbb3f9a4c30811609ee39dc489e rdf:first sg:person.07746476473.15
    158 rdf:rest N1d2a7386a27b4e6588233ae8f87eb6fc
    159 Neade72fd6ed24ab98115ccf4cc1762e7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    160 schema:name Resource Allocation
    161 rdf:type schema:DefinedTerm
    162 Neb6a375f57e84cb283b9d89b651b572f schema:name dimensions_id
    163 schema:value pub.1085195664
    164 rdf:type schema:PropertyValue
    165 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    166 schema:name Medical and Health Sciences
    167 rdf:type schema:DefinedTerm
    168 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
    169 schema:name Public Health and Health Services
    170 rdf:type schema:DefinedTerm
    171 sg:journal.1327417 schema:issn 1472-6963
    172 schema:name BMC Health Services Research
    173 rdf:type schema:Periodical
    174 sg:person.01012765261.08 schema:affiliation https://www.grid.ac/institutes/grid.453680.c
    175 schema:familyName Thiagarajan
    176 schema:givenName Malar
    177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01012765261.08
    178 rdf:type schema:Person
    179 sg:person.011757416213.78 schema:affiliation https://www.grid.ac/institutes/grid.419789.a
    180 schema:familyName Ramsey
    181 schema:givenName Wayne
    182 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011757416213.78
    183 rdf:type schema:Person
    184 sg:person.012253246473.37 schema:affiliation https://www.grid.ac/institutes/grid.419789.a
    185 schema:familyName Allen
    186 schema:givenName Kelly
    187 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012253246473.37
    188 rdf:type schema:Person
    189 sg:person.013352357213.18 schema:affiliation https://www.grid.ac/institutes/grid.419789.a
    190 schema:familyName King
    191 schema:givenName Richard
    192 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013352357213.18
    193 rdf:type schema:Person
    194 sg:person.014443570073.29 schema:affiliation https://www.grid.ac/institutes/grid.429299.d
    195 schema:familyName Kelly
    196 schema:givenName Cate
    197 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014443570073.29
    198 rdf:type schema:Person
    199 sg:person.07746476473.15 schema:affiliation https://www.grid.ac/institutes/grid.419789.a
    200 schema:familyName Harris
    201 schema:givenName Claire
    202 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07746476473.15
    203 rdf:type schema:Person
    204 sg:pub.10.1007/s40258-013-0074-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036446921
    205 https://doi.org/10.1007/s40258-013-0074-5
    206 rdf:type schema:CreativeWork
    207 sg:pub.10.1186/1471-2458-13-112 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002600559
    208 https://doi.org/10.1186/1471-2458-13-112
    209 rdf:type schema:CreativeWork
    210 sg:pub.10.1186/1472-6963-11-169 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047935222
    211 https://doi.org/10.1186/1472-6963-11-169
    212 rdf:type schema:CreativeWork
    213 sg:pub.10.1186/1472-6963-9-165 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014755011
    214 https://doi.org/10.1186/1472-6963-9-165
    215 rdf:type schema:CreativeWork
    216 sg:pub.10.1186/1478-7547-10-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016021074
    217 https://doi.org/10.1186/1478-7547-10-9
    218 rdf:type schema:CreativeWork
    219 sg:pub.10.1186/1478-7547-2-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052280467
    220 https://doi.org/10.1186/1478-7547-2-3
    221 rdf:type schema:CreativeWork
    222 sg:pub.10.1186/1478-7547-4-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020640367
    223 https://doi.org/10.1186/1478-7547-4-6
    224 rdf:type schema:CreativeWork
    225 sg:pub.10.1186/1743-8462-4-23 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038543411
    226 https://doi.org/10.1186/1743-8462-4-23
    227 rdf:type schema:CreativeWork
    228 sg:pub.10.1186/1748-5908-7-101 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015723086
    229 https://doi.org/10.1186/1748-5908-7-101
    230 rdf:type schema:CreativeWork
    231 sg:pub.10.1186/1748-5908-8-121 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045788887
    232 https://doi.org/10.1186/1748-5908-8-121
    233 rdf:type schema:CreativeWork
    234 sg:pub.10.1186/1748-5908-8-17 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006262081
    235 https://doi.org/10.1186/1748-5908-8-17
    236 rdf:type schema:CreativeWork
    237 sg:pub.10.1186/s12913-015-1178-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048820296
    238 https://doi.org/10.1186/s12913-015-1178-4
    239 rdf:type schema:CreativeWork
    240 sg:pub.10.1186/s12913-017-2207-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085376744
    241 https://doi.org/10.1186/s12913-017-2207-2
    242 rdf:type schema:CreativeWork
    243 sg:pub.10.1186/s12913-017-2208-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085376764
    244 https://doi.org/10.1186/s12913-017-2208-1
    245 rdf:type schema:CreativeWork
    246 sg:pub.10.1186/s12913-017-2210-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085134140
    247 https://doi.org/10.1186/s12913-017-2210-7
    248 rdf:type schema:CreativeWork
    249 sg:pub.10.1186/s12913-017-2212-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085187175
    250 https://doi.org/10.1186/s12913-017-2212-5
    251 rdf:type schema:CreativeWork
    252 sg:pub.10.1186/s12913-017-2269-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085590831
    253 https://doi.org/10.1186/s12913-017-2269-1
    254 rdf:type schema:CreativeWork
    255 sg:pub.10.1186/s12913-017-2388-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1086102662
    256 https://doi.org/10.1186/s12913-017-2388-8
    257 rdf:type schema:CreativeWork
    258 sg:pub.10.1186/s12913-017-2507-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091511448
    259 https://doi.org/10.1186/s12913-017-2507-6
    260 rdf:type schema:CreativeWork
    261 sg:pub.10.1186/s12916-015-0488-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1033095397
    262 https://doi.org/10.1186/s12916-015-0488-z
    263 rdf:type schema:CreativeWork
    264 sg:pub.10.1186/s13012-014-0123-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1044341416
    265 https://doi.org/10.1186/s13012-014-0123-y
    266 rdf:type schema:CreativeWork
    267 sg:pub.10.2165/11539840-000000000-00000 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046139119
    268 https://doi.org/10.2165/11539840-000000000-00000
    269 rdf:type schema:CreativeWork
    270 https://app.dimensions.ai/details/publication/pub.1077620315 schema:CreativeWork
    271 https://app.dimensions.ai/details/publication/pub.1077867430 schema:CreativeWork
    272 https://doi.org/10.1001/jama.2012.476 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015689223
    273 rdf:type schema:CreativeWork
    274 https://doi.org/10.1016/j.healthpol.2013.01.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034010999
    275 rdf:type schema:CreativeWork
    276 https://doi.org/10.1016/j.healthpol.2014.04.010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015560122
    277 rdf:type schema:CreativeWork
    278 https://doi.org/10.1016/j.mayocp.2013.05.012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045049575
    279 rdf:type schema:CreativeWork
    280 https://doi.org/10.1016/j.puhe.2013.01.027 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047926011
    281 rdf:type schema:CreativeWork
    282 https://doi.org/10.1016/j.socscimed.2012.09.014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003694325
    283 rdf:type schema:CreativeWork
    284 https://doi.org/10.1016/j.socscimed.2015.01.020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027429285
    285 rdf:type schema:CreativeWork
    286 https://doi.org/10.1016/s0001-2092(06)61343-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005923729
    287 rdf:type schema:CreativeWork
    288 https://doi.org/10.1017/s0266462307070274 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017684200
    289 rdf:type schema:CreativeWork
    290 https://doi.org/10.1017/s0266462310000309 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001459434
    291 rdf:type schema:CreativeWork
    292 https://doi.org/10.1017/s0266462310000334 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021125568
    293 rdf:type schema:CreativeWork
    294 https://doi.org/10.1017/s0266462312000372 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000855880
    295 rdf:type schema:CreativeWork
    296 https://doi.org/10.1017/s0266462312000438 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054887885
    297 rdf:type schema:CreativeWork
    298 https://doi.org/10.1017/s0266462312000748 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049653856
    299 rdf:type schema:CreativeWork
    300 https://doi.org/10.1017/s0266462313000068 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009488338
    301 rdf:type schema:CreativeWork
    302 https://doi.org/10.1017/s0266462313000494 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054887907
    303 rdf:type schema:CreativeWork
    304 https://doi.org/10.1017/s0266462313000573 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012366472
    305 rdf:type schema:CreativeWork
    306 https://doi.org/10.1055/s-0032-1322411 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057270790
    307 rdf:type schema:CreativeWork
    308 https://doi.org/10.1071/ah11032 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047646003
    309 rdf:type schema:CreativeWork
    310 https://doi.org/10.1093/qjmed/hcq086 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028571889
    311 rdf:type schema:CreativeWork
    312 https://doi.org/10.1097/00019514-200401000-00002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030737216
    313 rdf:type schema:CreativeWork
    314 https://doi.org/10.1097/acm.0b013e318294fb7e schema:sameAs https://app.dimensions.ai/details/publication/pub.1028480267
    315 rdf:type schema:CreativeWork
    316 https://doi.org/10.1108/jhom-11-2012-0225 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050757880
    317 rdf:type schema:CreativeWork
    318 https://doi.org/10.1111/hsc.12046 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045247455
    319 rdf:type schema:CreativeWork
    320 https://doi.org/10.1136/bmj.d4519 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045225724
    321 rdf:type schema:CreativeWork
    322 https://doi.org/10.1177/1049732305276687 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017418969
    323 rdf:type schema:CreativeWork
    324 https://doi.org/10.1258/095148403321591410 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041003334
    325 rdf:type schema:CreativeWork
    326 https://doi.org/10.1258/135581907781542987 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029727602
    327 rdf:type schema:CreativeWork
    328 https://doi.org/10.24095/hpcdp.35.3.01 schema:sameAs https://app.dimensions.ai/details/publication/pub.1079086642
    329 rdf:type schema:CreativeWork
    330 https://doi.org/10.5694/j.1326-5377.2008.tb01667.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1077620315
    331 rdf:type schema:CreativeWork
    332 https://doi.org/10.5694/j.1326-5377.2009.tb02394.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1077867430
    333 rdf:type schema:CreativeWork
    334 https://doi.org/10.5694/mja12.11083 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073072837
    335 rdf:type schema:CreativeWork
    336 https://doi.org/10.5694/mja13.10839 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073073579
    337 rdf:type schema:CreativeWork
    338 https://doi.org/10.7326/0003-4819-154-3-201102010-00007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073712054
    339 rdf:type schema:CreativeWork
    340 https://doi.org/10.7326/0003-4819-156-2-201201170-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073712710
    341 rdf:type schema:CreativeWork
    342 https://www.grid.ac/institutes/grid.419789.a schema:alternateName Monash Health
    343 schema:name Centre for Clinical Effectiveness, Monash Health, Victoria, Australia
    344 Medical Services and Quality, Monash Health, Victoria, Australia
    345 Medicine Program, Monash Health, Victoria, Australia
    346 School of Public Health and Preventive Medicine, Monash University, Victoria, Australia
    347 rdf:type schema:Organization
    348 https://www.grid.ac/institutes/grid.429299.d schema:alternateName Melbourne Health
    349 schema:name Medical Services, Melbourne Health, Victoria, Australia
    350 rdf:type schema:Organization
    351 https://www.grid.ac/institutes/grid.453680.c schema:alternateName Department of Health and Human Services
    352 schema:name Ageing and Aged Care Branch, Department of Health and Human Services, Victoria, Australia
    353 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...