From: Priority setting in the provincial health services authority: survey of key decision makers
Systemic | Internal |
---|---|
 | Central decision making creating a feeling of disempowerment among managers |
 | Lack of true accountability to conserve resources |
 | "Do it all" mentality that prevents the organization from identifying disinvestments |
 | Incentive to overspend because efficiency is not rewarded |
 | Lack of structural and cultural integration due to the recent creation of the PHSA |
 | External |
 | Confusion regarding role and authority of the BC Ministry of Health and the PHSA |
 | Limitations in priority setting due to provincial mandate and global priority setting |
Individual | Lack of priority setting skills and tools which support resource re-allocation |
 | Unwillingness to release resources from own budgets to fund investments elsewhere |
 | Fear of being explicit in priority setting |
 | Decision makers jaded to change processes because of too much change in the institution |
 | Lack of management training for physician-leaders |