On the other hand, if some application is not elastic enough to handle resource variation, e.g. nodes being de-allocated because the price is too high, a higher budget may need to be allocated to make sure the application runs at some minimal level of allocation.
He then said that "you cannot say absolutely now what you think the right level of allocation for a particular service in 2011 is going to be".
For example, an Atkinson index value of 0.20 suggests that we achieve the level of allocation with only 1 0.20=80% of health resource.
The arguments here are partly specialisation — governments may not be best equipped to provide the services — and partly on incentives — with the proper incentives the private sector could be made to generate more capacity for the same level of allocation.
For assessing the equity of health resource allocation, an intuitive interpretation of this index is possible: Atkinson values can be used to calculate the proportion of total health resource that would be required to achieve an equal level of allocation as at present if health resources were perfectly distributed.
38 For clustered designs (such as cluster randomised trials) the reported results in included studies will often be on another level than the level of allocation.
Studies were classified according to the level of allocation concealment: low risk of bias (adequate allocation concealment); moderate risk of bias (unclear allocation concealment) or high risk of bias (inadequate allocation concealment) [ 23].
The level of allocation concealment within each trial will be assessed according to the criteria outlined in the Cochrane Handbook [ 42], and only those trials with adequate allocation concealment will be eligible.
To be eligible for inclusion in this IPD PMA, each trial had to be randomised with an adequate level of allocation concealment, as outlined in the Cochrane Handbook for Systematic Reviews of Interventions [ 41].
The level of allocation concealment within each trial will be assessed according to the criteria outlined in the Cochrane Handbook [ 37], and classified as either adequate, unclear or clearly inadequate.
