Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal.
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/11328/1682 |
Resumo: | This qualitative/quantitative study examines the ethical dilemma of microallocation of health resources. It seeks to identify and compare the opinion of two groups in Portuguese society – students and health professionals – on the importance of personal characteristics of patients at the moment of prioritizing them and if the choices can be explained by bioethical references of a utilitarian or deontological nature. Data were collected by means of a questionnaire administered to a sample of 180 students and 60 health professionals. Faced with hypothetical emergency scenarios, the respondents had to choose between two patients (distinguished by: age, gender, social responsibility, economic and employment situation, harmful health behaviors and criminal record), duly selecting who to treat and then justifying their choice. The results suggest the existence of differences in choices between the two groups, with health professionals revealing they are less prepared to accept the use of social criteria in a context of scarce resources and co-existence of utilitarian and deontological criteria, with a predominance of efficiency on the part of health professionals and equity on the part of students. |
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Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal.Critérios sociais e éticos de priorização de pacientes: Uma pesquisa a estudantes e profissionais de saúde em Portugal.Patient selectionUtilitarianismEquityEthical criteriaSeleção de pacientesUtilitarismoEquidadeCritérios éticosThis qualitative/quantitative study examines the ethical dilemma of microallocation of health resources. It seeks to identify and compare the opinion of two groups in Portuguese society – students and health professionals – on the importance of personal characteristics of patients at the moment of prioritizing them and if the choices can be explained by bioethical references of a utilitarian or deontological nature. Data were collected by means of a questionnaire administered to a sample of 180 students and 60 health professionals. Faced with hypothetical emergency scenarios, the respondents had to choose between two patients (distinguished by: age, gender, social responsibility, economic and employment situation, harmful health behaviors and criminal record), duly selecting who to treat and then justifying their choice. The results suggest the existence of differences in choices between the two groups, with health professionals revealing they are less prepared to accept the use of social criteria in a context of scarce resources and co-existence of utilitarian and deontological criteria, with a predominance of efficiency on the part of health professionals and equity on the part of students.O estudo quali-quantitativo explora o dilema ético da microalocação dos recursos da saúde. Objetiva identificar e comparar a opinião de dois grupos da sociedade portuguesa - estudantes e profissionais de saúde sobre a importância das características pessoais dos pacientes no momento de os priorizar e se as escolhas se explicam por referenciais bioéticos de caráter utilitaristas ou deontológicos. Os dados foram recolhidos através de um questionário aplicado a uma amostra de 180 estudantes universitários e 60 profissionais de saúde. Os respondentes perante hipotéticos cená- rios de emergência clínica tiveram de escolher de entre dois pacientes (distinguidos por idade, sexo, responsabilidade social, situação económica e laboral, comportamentos lesivos da saúde e registo criminal) quem tratar e justificar a escolha. Foram usados testes estatísticos de associação para comparar as respostas dos dois grupos e análise de conteúdo para categorizar as justificações. Os resultados sugerem a existência de diferenças nas escolhas dos dois grupos, com os profissionais de saúde a revelarem aceitar menos a utilização de critérios sociais em contexto de escassez e coexistência de critérios utilitaristas e deontológicos, com predomínio da eficiência por parte dos profissionais de saúde e da equidade por parte dos estudantes.2017-01-02T14:29:46Z2017-01-022016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfPinho, M.M. (2016). Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Ciência & Saúde Coletiva, 21(12), 3917-3926. URI: http://hdl.handle.net/11328/1682.http://hdl.handle.net/11328/1682Pinho, M.M. (2016). Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Ciência & Saúde Coletiva, 21(12), 3917-3926. URI: http://hdl.handle.net/11328/1682.http://hdl.handle.net/11328/1682eng1678-4561DOI: 10.1590/1413-812320152112.17072015http://www.scielo.br/pdf/csc/v21n12/1413-8123-csc-21-12-3917.pdfhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessPinho, Micaelareponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:08:16Zoai:repositorio.upt.pt:11328/1682Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:40:04.590252Repositório 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 |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Critérios sociais e éticos de priorização de pacientes: Uma pesquisa a estudantes e profissionais de saúde em Portugal. |
title |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
spellingShingle |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Pinho, Micaela Patient selection Utilitarianism Equity Ethical criteria Seleção de pacientes Utilitarismo Equidade Critérios éticos |
title_short |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
title_full |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
title_fullStr |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
title_full_unstemmed |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
title_sort |
Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. |
author |
Pinho, Micaela |
author_facet |
Pinho, Micaela |
author_role |
author |
dc.contributor.author.fl_str_mv |
Pinho, Micaela |
dc.subject.por.fl_str_mv |
Patient selection Utilitarianism Equity Ethical criteria Seleção de pacientes Utilitarismo Equidade Critérios éticos |
topic |
Patient selection Utilitarianism Equity Ethical criteria Seleção de pacientes Utilitarismo Equidade Critérios éticos |
description |
This qualitative/quantitative study examines the ethical dilemma of microallocation of health resources. It seeks to identify and compare the opinion of two groups in Portuguese society – students and health professionals – on the importance of personal characteristics of patients at the moment of prioritizing them and if the choices can be explained by bioethical references of a utilitarian or deontological nature. Data were collected by means of a questionnaire administered to a sample of 180 students and 60 health professionals. Faced with hypothetical emergency scenarios, the respondents had to choose between two patients (distinguished by: age, gender, social responsibility, economic and employment situation, harmful health behaviors and criminal record), duly selecting who to treat and then justifying their choice. The results suggest the existence of differences in choices between the two groups, with health professionals revealing they are less prepared to accept the use of social criteria in a context of scarce resources and co-existence of utilitarian and deontological criteria, with a predominance of efficiency on the part of health professionals and equity on the part of students. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01T00:00:00Z 2017-01-02T14:29:46Z 2017-01-02 |
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.M. (2016). Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Ciência & Saúde Coletiva, 21(12), 3917-3926. URI: http://hdl.handle.net/11328/1682. http://hdl.handle.net/11328/1682 Pinho, M.M. (2016). Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Ciência & Saúde Coletiva, 21(12), 3917-3926. URI: http://hdl.handle.net/11328/1682. http://hdl.handle.net/11328/1682 |
identifier_str_mv |
Pinho, M.M. (2016). Social and ethical criteria for prioritizing patients: A survey of students and health professionals in Portugal. Ciência & Saúde Coletiva, 21(12), 3917-3926. URI: http://hdl.handle.net/11328/1682. |
url |
http://hdl.handle.net/11328/1682 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1678-4561 DOI: 10.1590/1413-812320152112.17072015 http://www.scielo.br/pdf/csc/v21n12/1413-8123-csc-21-12-3917.pdf |
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http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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