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There must be a better way that involves setting explicit priorities, decentralising decisions where possible, and ensuring democratic engagement (remarkably, MPs at present play no role in spending choices).
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Factors related to the fire-prone nature of the ecosystem and the characteristics of the invasive stands emerged as pivotal features for setting spatially-explicit priorities for management.
Based on the findings from this survey, PHSA was not ready to engage in an explicit priority setting process that involves re-allocating resources across the organization.
The purpose of the survey was to understand the context within the PHSA as it related to priority setting activity, and to explore the potential for embarking on an explicit priority setting process within this organization.
Second, understanding the context provides insight into whether a move towards an explicit priority setting process is appropriate or desired by a given set of decision makers.
Other barriers identified in moving to an explicit priority setting process were a lack of shared vision in the PHSA, a lack of priority setting skills among the management team, and the lack of decision maker buy-in for such a move.
To assist in moving explicit priority setting forward, it may be that health organizations would find it useful to develop a priority setting team, which could be re-assigned from current tasks, to carry out the type of activity described in this paper.
Explicit priority setting presents Mexico with the opportunity to match the pressure and complexity of an advancing epidemiological transition with evidence-based policies driven by a fundamental concern for how to make the best use of scarce resources to improve population health.
Decision makers further stated a need for developing a culture that supports explicit priority setting.
Another strength identified by decision makers was the openness of the PHSA towards explicit priority setting.
The latter are much more related to implementation as to an informed and explicit priority setting.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com