It provides an incentive for participatory planning and coordination while keeping final decision-making on resource allocation – and the ultimate responsibility for performance – clearly with the donors.
The legislators and other public officials making this resource allocation decision have a responsibility for the full range of activities and purposes served by public sector activities.
So specific roles and responsibilities and resource allocation is vital.
A telephone survey study by Schomerus et al. conducted with 1012 people in Germany showed that, "perceived personal responsibility exerted significant influence on resource allocation decisions: the less personally responsible sufferers were regarded to be for their alcoholism, the more likely resources for alcoholism were chosen not to be cut [ 71], p.208]".
These quality indicators are equally for service managers, who have responsibility for resource allocation and for protocols avoiding wastage of resources, and who, perhaps, can do something to promote equitable access.
The findings suggest that responsibility for resource allocation divided health service managers from clinicians in an adversarial 'us' and 'them' relationship.
For instance, in the act that switched ownership, it is stated that the cabinet's ambition is to "combine availability, quality and care for the patient with a rational resource allocation and a holistic societal responsibility and leadership" [ 7].
3 5–7 Alongside this is the assumption that clinicians will also be given, and willingly take on, responsibility for resource allocation, service organisation and associated decision-making perhaps in full or in partnership with management.
Beyond this, the balancing of private goods and public interests provides a way into debating many of the central problems of ethics in public health policy and practice such as resource allocation, the location of individual responsibility and foundational rights in the sphere of health and health care.
We allocated investments under two resource allocation scenarios: a climate-adapted allocation and a climate-neutral allocation.
They stressed that making district health departments more resourceful in policy and planning, human resource management, resource allocation, monitoring and evaluation and financial matters, and developing clear guidelines for roles and responsibilities of officials at every level from the centre to the districts may help to improve services.
