Abstract

The Sustainability in Health care by Allocating Resources Effectively (SHARE) Program was established to investigate a systematic, integrated, organisation-wide, evidence-based approach to disinvestment in a large Australian health service. A series of projects were undertaken to understand concepts and practices related to disinvestment; identify potential settings and methods for decision-making; and implement and evaluate proposed initiatives. The findings include details of organisational decision-making; methods for consumer participation in resource allocation; outcomes of piloting in-house resources to support evidence-based practice; and the practical experience of the journey from identification to implementation, evaluation and explication of disinvestment projects in the local setting.

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