Document Detail

The relevance of personal characteristics in allocating health care resources-controversial preferences of laypersons with different educational backgrounds.
MedLine Citation:
PMID:  22470289     Owner:  NLM     Status:  MEDLINE    
In all industrial countries publicly funded health care systems are confronted with budget constraints. Therefore, priority setting in resource allocation seems inevitable. This paper examines whether personal characteristics could be taken into consideration when allocating health services in Germany, and whether attitudes towards prioritizing health care vary among individuals with different levels of education. Using a conjoint analysis approach, hypothetical patients described in terms of 'lifestyle', 'age', 'severity of illness', 'type of illness', 'improvement in health', and 'treatment costs' were constructed, and the importance weights for these personal characteristics were elicited from 120 members of the general public. Participants were selected according to a sampling guide including educational background, age, chronic illness and gender. Results are reported for groups with different levels of education (low, middle, high) only. The findings show that the patients' age is the most important criterion for the allocation of health care resources, followed by 'severity of illness' and 'improvement in health'. Preferences vary among participants with different educational backgrounds, which refer to different attitudes towards distributive justice and might represent different socialization experiences.
Jeannette Winkelhage; Adele Diederich
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-01-16
Journal Detail:
Title:  International journal of environmental research and public health     Volume:  9     ISSN:  1660-4601     ISO Abbreviation:  Int J Environ Res Public Health     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-04-03     Completed Date:  2012-06-19     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101238455     Medline TA:  Int J Environ Res Public Health     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  223-43     Citation Subset:  IM    
School of Humanities and Social Sciences, Jacobs University Bremen, Campus Ring 1, 28759 Bremen, Germany.
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MeSH Terms
Attitude to Health
Educational Status*
Health Behavior
Health Care Rationing*
Health Priorities
Life Style

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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