Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey

Detalhes bibliográficos
Autor(a) principal: Pinho, Micaela
Data de Publicação: 2018
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/11328/2667
https://doi.org/10.15446/rsap.v20n5.69558
Resumo: Objective To analyze the attitudes of Spanish citizens towards the criteria that should be used as a guide to make decisions regarding the prioritization of patients, namely, medical, economic and person-based criteria. Methods An online self-administered questionnaire was used to collect data from a sample of 546 Spanish respondents. The questionnaire was made up of three questions. In the first two questions respondents faced a hypothetical rationing dilemma involving four patients (differentiated by personal characteristics and health conditions) where they were asked to: (i) choose only one patient to be treated and (ii) rank the patients’ assistance priority order. As for the third question, respondents were asked to state their level of agreement with 14 healthcare rationing criteria through a five-point Likert scale. Descriptive statistics, factor analysis and multinomial regressions were used. Results Findings suggest that Spanish respondents support a plurality of views on the rationing principles on which healthcare microallocation decisions should be based. Despite the fact respondents support the idea that all patients should receive healthcare assistance equally, they also consider the age of the patient, as well as economic factors when establishing assistance priories among patients. Conclusions If it is not possible to provide health care assistance and treatments to all people, then age and economic factors should guide healthcare priority setting.
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spelling Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish surveyDecisiones económicas respecto a quién tratar cuando los recursos no son suficientes para todos: evidencia de una encuesta españolaHealthcare rationingEconomicsEthicsSocial valuesPublic opinionPrestación de atención de saludAsignación de recursos para la atención de saludEconomíaÉticaValores socialesOpinión públicaObjective To analyze the attitudes of Spanish citizens towards the criteria that should be used as a guide to make decisions regarding the prioritization of patients, namely, medical, economic and person-based criteria. Methods An online self-administered questionnaire was used to collect data from a sample of 546 Spanish respondents. The questionnaire was made up of three questions. In the first two questions respondents faced a hypothetical rationing dilemma involving four patients (differentiated by personal characteristics and health conditions) where they were asked to: (i) choose only one patient to be treated and (ii) rank the patients’ assistance priority order. As for the third question, respondents were asked to state their level of agreement with 14 healthcare rationing criteria through a five-point Likert scale. Descriptive statistics, factor analysis and multinomial regressions were used. Results Findings suggest that Spanish respondents support a plurality of views on the rationing principles on which healthcare microallocation decisions should be based. Despite the fact respondents support the idea that all patients should receive healthcare assistance equally, they also consider the age of the patient, as well as economic factors when establishing assistance priories among patients. Conclusions If it is not possible to provide health care assistance and treatments to all people, then age and economic factors should guide healthcare priority setting.Objetivo Explorar las actitudes de los ciudadanos españoles hacia los principios que deben guiar las decisiones relativas a la priorización de pacientes. Métodos Se utilizó un cuestionario auto administrado en línea para recopilar datos de una muestra de 546 encuestados españoles. El cuestionario consta de tres preguntas. En las dos primeras preguntas, los encuestados se enfrentaron a un hipotético dilema de racionamiento con cuatro pacientes (diferenciados por características personales y condiciones de salud) donde tuvieron que: (i) seleccionar un solo paciente para tratar y (ii) clasificar a los pacientes por orden de asistencia. En la tercera pregunta, los encuestados tuvieron que indicar su nivel de acuerdo con 14 criterios de racionamiento a través de una escala de Likert de cinco puntos. Se usaron estadísticas descriptivas, análisis de factores y regresiones multinomiales. Resultados Los resultados sugieren que los encuestados españoles soportan una pluralidad de puntos de vista sobre los principios de racionamiento que sostengan las decisiones de microasignación de los cuidados de salud. A pesar de que los encuestados apoyan el valor ético de tratar a las personas por igual, también valoran la edad de los pacientes y los factores económicos al establecer las prioridades entre pacientes.Conclusiones Si las personas no pueden ser tratadas por igual, entonces la edad del paciente y las consideraciones económicas deben apoyar el establecimiento de prioridades de atención médica.Universidad Nacional de Colombia2019-04-30T15:13:44Z2019-04-302018-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfPinho, M., & Borges, A. P. (2018). Economic decisions on who to treat when resources are not enough for everyone: Evidence from a Spanish survey. Revista de Salud Pública, 20(5), 584-590. Disponível no Repositório UPT, http://hdl.handle.net/11328/2667http://hdl.handle.net/11328/2667Pinho, M., & Borges, A. P. (2018). Economic decisions on who to treat when resources are not enough for everyone: Evidence from a Spanish survey. Revista de Salud Pública, 20(5), 584-590. Disponível no Repositório UPT, http://hdl.handle.net/11328/2667http://hdl.handle.net/11328/2667https://doi.org/10.15446/rsap.v20n5.69558eng2539-3596https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/69558http://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:RCAAP2023-11-16T02:01:55Zoai:repositorio.upt.pt:11328/2667Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:38:27.736382Repositório 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 Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
Decisiones económicas respecto a quién tratar cuando los recursos no son suficientes para todos: evidencia de una encuesta española
title Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
spellingShingle Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
Pinho, Micaela
Healthcare rationing
Economics
Ethics
Social values
Public opinion
Prestación de atención de salud
Asignación de recursos para la atención de salud
Economía
Ética
Valores sociales
Opinión pública
title_short Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
title_full Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
title_fullStr Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
title_full_unstemmed Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish survey
title_sort Economic decisions on who to treat when resources are not enough for everyone: evidence from a Spanish 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 Healthcare rationing
Economics
Ethics
Social values
Public opinion
Prestación de atención de salud
Asignación de recursos para la atención de salud
Economía
Ética
Valores sociales
Opinión pública
topic Healthcare rationing
Economics
Ethics
Social values
Public opinion
Prestación de atención de salud
Asignación de recursos para la atención de salud
Economía
Ética
Valores sociales
Opinión pública
description Objective To analyze the attitudes of Spanish citizens towards the criteria that should be used as a guide to make decisions regarding the prioritization of patients, namely, medical, economic and person-based criteria. Methods An online self-administered questionnaire was used to collect data from a sample of 546 Spanish respondents. The questionnaire was made up of three questions. In the first two questions respondents faced a hypothetical rationing dilemma involving four patients (differentiated by personal characteristics and health conditions) where they were asked to: (i) choose only one patient to be treated and (ii) rank the patients’ assistance priority order. As for the third question, respondents were asked to state their level of agreement with 14 healthcare rationing criteria through a five-point Likert scale. Descriptive statistics, factor analysis and multinomial regressions were used. Results Findings suggest that Spanish respondents support a plurality of views on the rationing principles on which healthcare microallocation decisions should be based. Despite the fact respondents support the idea that all patients should receive healthcare assistance equally, they also consider the age of the patient, as well as economic factors when establishing assistance priories among patients. Conclusions If it is not possible to provide health care assistance and treatments to all people, then age and economic factors should guide healthcare priority setting.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-01T00:00:00Z
2019-04-30T15:13:44Z
2019-04-30
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. (2018). Economic decisions on who to treat when resources are not enough for everyone: Evidence from a Spanish survey. Revista de Salud Pública, 20(5), 584-590. Disponível no Repositório UPT, http://hdl.handle.net/11328/2667
http://hdl.handle.net/11328/2667
Pinho, M., & Borges, A. P. (2018). Economic decisions on who to treat when resources are not enough for everyone: Evidence from a Spanish survey. Revista de Salud Pública, 20(5), 584-590. Disponível no Repositório UPT, http://hdl.handle.net/11328/2667
http://hdl.handle.net/11328/2667
https://doi.org/10.15446/rsap.v20n5.69558
identifier_str_mv Pinho, M., & Borges, A. P. (2018). Economic decisions on who to treat when resources are not enough for everyone: Evidence from a Spanish survey. Revista de Salud Pública, 20(5), 584-590. Disponível no Repositório UPT, http://hdl.handle.net/11328/2667
url http://hdl.handle.net/11328/2667
https://doi.org/10.15446/rsap.v20n5.69558
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2539-3596
https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/69558
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dc.publisher.none.fl_str_mv Universidad Nacional de Colombia
publisher.none.fl_str_mv Universidad Nacional de Colombia
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