Abstract
A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve “high performance” in resource allocation. In pursuit of this objective, a literature search was conducted and two phases of primary data collection are being undertaken: an online survey of senior healthcare decision-makers, and in-depth case studies of potential “high performing” organizations. This paper addresses the survey phase; our aim is to provide a practical example of the mechanics of survey design, of benefit to those who want to better understand our forthcoming results, but also as an aid to other researchers grappling with the hard choices and trade-offs involved in the survey development process. Survey content is described in light of the existing literature, with discussion of the choices made by the research team to decide what questions and items would be included and excluded. The target population for the survey was senior managers in Canadian regional health authorities (or the closest equivalent organizations) in each of the 10 provinces and 3 territories. The paper dis- cusses how this sample was obtained, and describes the survey implementation process.
Highlights
Making choices about what to fund and not fund is an on-going obligation of healthcare decision-makers; available financial resources are never sufficient to meet all claims
A threeyear research project based in British Columbia, Canada, with healthcare delivery organizations as strong partners, is underway to help address this gap
In addition to a literature review, two phases of primary data collection are being conducted to inform the development of this framework: an on-line survey of senior decision-makers, and in-depth case studies of resource allocation within several Canadian healthcare organizations
Summary
Making choices about what to fund and not fund is an on-going obligation of healthcare decision-makers; available financial resources are never sufficient to meet all claims. Decision-makers would greatly benefit from having tools and other resources that would enable them to assess their resource allocation procedures in context, and so pursue excellence and “high performance” [1]. A threeyear research project based in British Columbia, Canada, with healthcare delivery organizations as strong partners, is underway to help address this gap. The overall objective of this project is to develop a framework that can be used to identify how healthcare organizations can be transformed to achieve excellence in priority setting and resource management. In addition to a literature review, two phases of primary data collection are being conducted to inform the development of this framework: an on-line survey of senior decision-makers, and in-depth case studies of resource allocation within several Canadian healthcare organizations. Our understanding of the concept of high performance will be emergent throughout the course of the project
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