Please use this identifier to cite or link to this item: http://hdl.handle.net/11328/2011
Title: Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
Authors: Pinho, Micaela
Borges, Ana Pinto
Keywords: Bulgaria
Efficiency
Equity
Portugal
Prioritization
Social values
Issue Date: 2017
Citation: Pinho, M., & Borges, A. P. (2017). Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey. The Health Care Manager, 36(4), 334–341. Disponível no Repositório UPT, http://hdl.handle.net/11328/2011
Abstract: Activity was undertaken to develop a Prioritization Scoring Index for Portugal and Bulgaria that weights the importance given to ethical rationing principles that should guide decisions at the bedside. Data from two random samples of 355 Portuguese and 298 Bulgarian members of the public were collected from an online questionnaire. Questions asked about the level of importance given to specific issues related to patient's prioritization criteria. Responses were analyzed quantitatively with the SPSS. In the process of selecting the patient to treat, Portuguese and Bulgarian respondents seem unanimous in giving greater importance to (i) the treatment outcomes, (ii) the severity of illness, (iii) children, and (iv) patients' fragility. In general, Portuguese and Bulgarian respondents allocate more than 50% of the prioritization weight to equity considerations, approximately 35% to efficiency considerations, and 5% to lottery selection. Even so, Bulgarian respondents rate highly the equity and less the efficiency consideration than Portuguese respondents. Although the pursuit of efficiency seems to be valued by respondents, their major concern seems to be with the reduction of inequalities in health.
URI: http://hdl.handle.net/11328/2011
Appears in Collections:REMIT – Artigos em Revistas Internacionais / Papers in International Journals



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