Sustainability in Health care by Allocating Resources Effectively (SHARE). An investigation of disinvestment in the local healthcare setting

The Sustainability in Health care by Allocating Resources Effectively (SHARE) Program was established to investigate a systematic, integrated, organisation-wide, evidence-based approach to disinvestment in a large Australian health service. A series of projects were undertaken to understand concepts and practices related to disinvestment; identify potential settings and methods for decision-making; and implement and evaluate proposed initiatives. The findings include details of organisational decision-making; methods for consumer participation in resource allocation; outcomes of piloting in-house resources to support evidence-based practice; and the practical experience of the journey from identification to implementation, evaluation and explication of disinvestment projects in the local setting.