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dc.contributor.authorPinho, Micaela-
dc.contributor.authorBorges, Ana-
dc.identifier.citationPinho, M., & Borges, A. (2015). Bedside healthcare rationing dilemmas: A survey from Portugal. International Journal of Human Rights in Healthcare, 8 (4), 233-246. URI:
dc.description.abstractPurpose – The purpose of this paper is to seek to elicit, in a context of economic crisis, the social preferences for the microallocation of scarce healthcare resources. Design/methodology/approach – Data were collected from an online questionnaire which includes a hypothetical rationing choice scenario with four patients differentiated by their personal characteristics and health states competing for treatments and a set of statements that embodies: distributive criteria for prioritizing patients; the authorship of these types of decisions; and the likelihood of these decisions to be taken. Descriptive statistics, factor analysis and non-parametric test were used for describing and validating the data. Findings – Findings suggest that respondents: support a pluralism of distributive principles in prioritizing patients with an incident in utilitarianism and the reducing of inequalities in health, translated in the fair-inning and in emotional arguments of fragility; trust in the health professional to make prioritization decisions; and are conscious that rationing decisions will be real in the short term. Practical implications – The pursuit of efficiency and the equalizing of a lifetime health seem to be the criteria that should guide any rationing policy at the micro level. Originality/value – This study addresses simultaneously several ethical principles inherent to microallocation healthcare resources in a suitable context in which Portugal is facing an economic crisis and where, consequently, rationing healthcare policies gain prominence on the political agenda.pt_PT
dc.subjectEconomic crisispt_PT
dc.subjectEthical principlespt_PT
dc.subjectPriority settingpt_PT
dc.subjectSelecting patientspt_PT
dc.subjectHealthcare resourcespt_PT
dc.subjectRationing choice scenariopt_PT
dc.titleBedside healthcare rationing dilemmas: A survey from Portugal.pt_PT
degois.publication.firstPagep. 233pt_PT
degois.publication.lastPagep. 246pt_PT
degois.publication.volumevol. 8pt_PT
degois.publication.titleInternational Journal of Human Rights in Healthcarept_PT
Appears in Collections:REMIT – Artigos em Revistas Internacionais / Papers in International Journals

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