J Cranston | PubMed Health

PubMed1999

Program budgeting and marginal analysis: a case study in chronic airflow limitation.

Program budgeting and marginal analysis is a method of priority-setting in health care. This article describes how this method was applied to the management of a disease-specific group, chronic airflow limitation. A sub-program flow chart clarified the major cost drivers. After assessment of the technical efficiency of the sub-programs and careful and detailed analysis, incremental and decremental wish lists of activities were established. Program budgeting and marginal analysis provides a framework for rational resource allocation. The nurturing of a vigorous program management group, with members representing all participants in the process (including patients/consumers), is the key to a successful outcome.

Budgets↗

PubMed1993

Effects of cocaine on human aggression.

Thirty male undergraduates received either a placebo, low dose (1 mg/kg), or high dose (2 mg/kg) of orally administered cocaine. Subjects were then given the opportunity to administer electric shocks to an increasingly aggressive fictitious opponent during a competitive reaction-time task. Aggression was defined as the intensity of shock the subject was willing to set for his adversary. The results of this study indicate that subjects in the high-dose cocaine condition reacted more aggressively than placebo subjects irrespective of level of provocation.

Adolescent↗