Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey

Detalhes bibliográficos
Autor(a) principal: Pinho, Micaela
Data de Publicação: 2017
Outros Autores: Borges, Ana Pinto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/11328/2011
Resumo: 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.
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spelling Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian SurveyBulgariaEfficiencyEquityPortugalPrioritizationSocial valuesActivity 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.2017-12-13T16:24:25Z2017-12-132017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfPinho, 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/11328/2011http://hdl.handle.net/11328/2011Pinho, 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/11328/2011http://hdl.handle.net/11328/2011enghttp://journals.lww.com/healthcaremanagerjournal/Abstract/2017/10000/Relative_Importance_Assigned_to_Health_Care.5.aspxhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessPinho, MicaelaBorges, Ana Pintoreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:13:14Zoai:repositorio.upt.pt:11328/2011Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:41:37.341038Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
title Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
spellingShingle Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
Pinho, Micaela
Bulgaria
Efficiency
Equity
Portugal
Prioritization
Social values
title_short Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
title_full Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
title_fullStr Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
title_full_unstemmed Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
title_sort Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence from a Portuguese and Bulgarian Survey
author Pinho, Micaela
author_facet Pinho, Micaela
Borges, Ana Pinto
author_role author
author2 Borges, Ana Pinto
author2_role author
dc.contributor.author.fl_str_mv Pinho, Micaela
Borges, Ana Pinto
dc.subject.por.fl_str_mv Bulgaria
Efficiency
Equity
Portugal
Prioritization
Social values
topic Bulgaria
Efficiency
Equity
Portugal
Prioritization
Social values
description 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.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-13T16:24:25Z
2017-12-13
2017-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv 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
http://hdl.handle.net/11328/2011
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
http://hdl.handle.net/11328/2011
identifier_str_mv 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
url http://hdl.handle.net/11328/2011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://journals.lww.com/healthcaremanagerjournal/Abstract/2017/10000/Relative_Importance_Assigned_to_Health_Care.5.aspx
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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