Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey

Detalhes bibliográficos
Autor(a) principal: Borges, Ana Pinto
Data de Publicação: 2017
Outros Autores: Pinho, Micaela
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/11328/2028
Resumo: Background: We evaluated whether different personal responsibilities should influence the allocation healthcare resources and whether attitudes toward the penalization of risk behaviours vary among individual’s sociodemographic characteristics and health related habits. Study design: A cross-sectional study. Methods: We developed an online survey and made it available on various social networks for six months, during 2015. The sample covered the population aged 18 yr and older living in Portugal and we got 296 valid answers. Respondents faced four lifestyle choices: smoking, consumption of alcoholic beverages, unhealthy diet and illegal drug use, and should decide whether each one is relevant when establishing healthcare priorities. Logistic regressions were used to explore the relation of respondents’ sociodemographic characteristics and health related behaviours in the likelihood of agreeing with the patients engaged in risky behaviour deserve a lower priority. Results: Using illegal drugs was the behaviour most penalized (65.5%) followed by heavy drinkers (61.5%) and smoking (51.0%). The slight penalization was the unhealthy dieting (29.7%). The sociodemographic characteristics had different impact in penalization of the risks’ behaviours. Moreover, the respondents who support the idea that unhealthy lifestyles should have a lower priority, all strongly agreed that the smoking habit (OR=36.05; 95% CI: 8.72, 149.12), the unhealthy diets (OR=12.87; 95% CI: 3.21, 51.53), drink alcohol in excess (OR=20.51; 95% CI: 12.09, 85.46) and illegal drug use (OR=73.21; 95% CI: 9.78, 97.83) must have a lower priority in the access to healthcare. Conclusions: The respondents accept the notion of rationing healthcare based on lifestyles.
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spelling Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese surveyRationing healthcareRisk behavioursHealth responsibilityPriority settingPortugalBackground: We evaluated whether different personal responsibilities should influence the allocation healthcare resources and whether attitudes toward the penalization of risk behaviours vary among individual’s sociodemographic characteristics and health related habits. Study design: A cross-sectional study. Methods: We developed an online survey and made it available on various social networks for six months, during 2015. The sample covered the population aged 18 yr and older living in Portugal and we got 296 valid answers. Respondents faced four lifestyle choices: smoking, consumption of alcoholic beverages, unhealthy diet and illegal drug use, and should decide whether each one is relevant when establishing healthcare priorities. Logistic regressions were used to explore the relation of respondents’ sociodemographic characteristics and health related behaviours in the likelihood of agreeing with the patients engaged in risky behaviour deserve a lower priority. Results: Using illegal drugs was the behaviour most penalized (65.5%) followed by heavy drinkers (61.5%) and smoking (51.0%). The slight penalization was the unhealthy dieting (29.7%). The sociodemographic characteristics had different impact in penalization of the risks’ behaviours. Moreover, the respondents who support the idea that unhealthy lifestyles should have a lower priority, all strongly agreed that the smoking habit (OR=36.05; 95% CI: 8.72, 149.12), the unhealthy diets (OR=12.87; 95% CI: 3.21, 51.53), drink alcohol in excess (OR=20.51; 95% CI: 12.09, 85.46) and illegal drug use (OR=73.21; 95% CI: 9.78, 97.83) must have a lower priority in the access to healthcare. Conclusions: The respondents accept the notion of rationing healthcare based on lifestyles.2017-12-19T16:49:23Z2017-12-192017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfBorges, A. P., & Pinho, M. (2017). Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey. Journal of Research in Health Sciences, 17(4), 1-7. Disponível no Repositório UPT, http://hdl.handle.net/11328/2028http://hdl.handle.net/11328/2028Borges, A. P., & Pinho, M. (2017). Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey. Journal of Research in Health Sciences, 17(4), 1-7. Disponível no Repositório UPT, http://hdl.handle.net/11328/2028http://hdl.handle.net/11328/2028enghttp://journals.umsha.ac.ir/index.php/JRHS/article/view/3554http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessBorges, Ana PintoPinho, Micaelareponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:01:26Zoai:repositorio.upt.pt:11328/2028Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:38:21.988950Repositório 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 Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
title Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
spellingShingle Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
Borges, Ana Pinto
Rationing healthcare
Risk behaviours
Health responsibility
Priority setting
Portugal
title_short Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
title_full Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
title_fullStr Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
title_full_unstemmed Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
title_sort Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey
author Borges, Ana Pinto
author_facet Borges, Ana Pinto
Pinho, Micaela
author_role author
author2 Pinho, Micaela
author2_role author
dc.contributor.author.fl_str_mv Borges, Ana Pinto
Pinho, Micaela
dc.subject.por.fl_str_mv Rationing healthcare
Risk behaviours
Health responsibility
Priority setting
Portugal
topic Rationing healthcare
Risk behaviours
Health responsibility
Priority setting
Portugal
description Background: We evaluated whether different personal responsibilities should influence the allocation healthcare resources and whether attitudes toward the penalization of risk behaviours vary among individual’s sociodemographic characteristics and health related habits. Study design: A cross-sectional study. Methods: We developed an online survey and made it available on various social networks for six months, during 2015. The sample covered the population aged 18 yr and older living in Portugal and we got 296 valid answers. Respondents faced four lifestyle choices: smoking, consumption of alcoholic beverages, unhealthy diet and illegal drug use, and should decide whether each one is relevant when establishing healthcare priorities. Logistic regressions were used to explore the relation of respondents’ sociodemographic characteristics and health related behaviours in the likelihood of agreeing with the patients engaged in risky behaviour deserve a lower priority. Results: Using illegal drugs was the behaviour most penalized (65.5%) followed by heavy drinkers (61.5%) and smoking (51.0%). The slight penalization was the unhealthy dieting (29.7%). The sociodemographic characteristics had different impact in penalization of the risks’ behaviours. Moreover, the respondents who support the idea that unhealthy lifestyles should have a lower priority, all strongly agreed that the smoking habit (OR=36.05; 95% CI: 8.72, 149.12), the unhealthy diets (OR=12.87; 95% CI: 3.21, 51.53), drink alcohol in excess (OR=20.51; 95% CI: 12.09, 85.46) and illegal drug use (OR=73.21; 95% CI: 9.78, 97.83) must have a lower priority in the access to healthcare. Conclusions: The respondents accept the notion of rationing healthcare based on lifestyles.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-19T16:49:23Z
2017-12-19
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 Borges, A. P., & Pinho, M. (2017). Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey. Journal of Research in Health Sciences, 17(4), 1-7. Disponível no Repositório UPT, http://hdl.handle.net/11328/2028
http://hdl.handle.net/11328/2028
Borges, A. P., & Pinho, M. (2017). Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey. Journal of Research in Health Sciences, 17(4), 1-7. Disponível no Repositório UPT, http://hdl.handle.net/11328/2028
http://hdl.handle.net/11328/2028
identifier_str_mv Borges, A. P., & Pinho, M. (2017). Should lifestyles be a criterion for healthcare rationing? evidence from a portuguese survey. Journal of Research in Health Sciences, 17(4), 1-7. Disponível no Repositório UPT, http://hdl.handle.net/11328/2028
url http://hdl.handle.net/11328/2028
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://journals.umsha.ac.ir/index.php/JRHS/article/view/3554
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