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Title: Bedsides healthcare rationing dilemmas: A survey from Bulgaria and comparison with Portugal
Authors: Pinho, Micaela
Borges, Ana Pinto
Zahariev, Boyan
Keywords: Healthcare rationing
Patient selection
Ethical values
Issue Date: 2017
Publisher: Springer
Citation: Pinho, M., Borges, A.P. & Zahariev, B. (2017). Bedsides healthcare rationing dilemmas: A survey from Bulgaria and comparison with Portugal. Soc Theory Health, (online 06 March 2017). doi:10.1057/s41285-017-0029-2
Abstract: We investigate the views of Bulgarian citizens on the principles that should guide microallocation healthcare resources and compare them directly with those of Portuguese citizens. A self-administered online questionnaire was used to collect data from a sample of 298 Bulgarian citizens, using methods from a matching previous study in Portugal. Respondents faced a hypothetical rationing exercise where they had to choose and order four patients (differentiated by personal and health characteristics) and a set of statements that embodied: (i) distributive criteria for prioritizing patients, (ii) who should prioritize patients, and (iii) the likelihood of these prioritization decisions being real. Descriptive statistics, factor analysis, and non-parametric test were used. Findings suggest that Bulgarian respondents: (i) support a plurality of distributive principles to underpin healthcare priority setting with an incident on the severity of health conditions, on utilitarianism and on reducing health inequalities; (ii) trust in the health professional to make prioritization decisions and (iii) do not seem to believe that patients' prioritization will ever become real. While Bulgarian and Portuguese respondents support a number of shared ethical principles they place a different level of importance to each. Bulgarians value mainly the age criterion in prioritizing patients, whereas Portuguese revealed a greater concern about efficiency.
ISSN: 1477-822X
Appears in Collections:REMIT – Artigos em Revistas Internacionais / Papers in International Journals

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