Resource scarcity and priority-setting: from management to leadership in the rationing of health care?

Dickinson, Helen, Freeman, Tim ORCID: https://orcid.org/0000-0002-9317-811X, Robinson, Suzanne and Williams, Iestyn (2011) Resource scarcity and priority-setting: from management to leadership in the rationing of health care? Public Money and Management, 31 (5) . pp. 363-370. ISSN 0954-0962 [Article] (doi:10.1080/09540962.2011.598352)

Abstract

While continued interest in the application of priority-setting technologies is perhaps unsurprising in a time of austerity, they require sensitive implementation for their full potential benefits to be realized. This article looks at the role and value of leadership in addressing problems of a lack of perceived legitimacy and governance that have been raised in connection with the rationing enterprise. The potential and limitations of key leadership concepts such as ‘sense-making’ and ‘framing’ are explored, and notions of relational leadership and the importance of leading with political astuteness are discussed.

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