Bedside healthcare rationing dilemmas

Journal article


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Publication Details

Subtitle: a survey from Portugal
Author list: Pinho M, Borges, A
Publisher: Emerald
Publication year: 2015
Journal: International Journal of Human Rights in Healthcare (2056-4902)
Volume number: 8
Issue number: 4
Start page: 233
End page: 246
Number of pages: 14
ISSN: 2056-4902
Languages: English-Great Britain (EN-GB)


Abstract

Purpose
– 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.


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Last updated on 2019-13-08 at 00:15