Bedside healthcare rationing dilemmas: A survey from Croatia

Zeitschriftenaufsatz


Autoren/Herausgeber


Forschungsfelder


Details zur Publikation

Autorenliste: Pinho, M., Borges, A., & Petricevic, D.
Verlag: Emerald
Jahr der Veröffentlichung: 2018
Zeitschrift: International Journal of Human Rights in Healthcare (2056-4902)
Bandnummer: 11
Heftnummer: 3
Erste Seite: 153
Letzte Seite: 164
Seitenumfang: 12
ISSN: 2056-4902
Sprachen: Englisch-Vereinigtes Königreich (EN-GB)


Beschreibung

Purpose

The purpose of this paper is to explore Croatian views about issues regarding bedside rationing decisions.

Design/methodology/approach

An
online questionnaire was used to collect data from a sample of 243
Croatian citizens. In a context of hypothetical scenarios involving
priority setting decisions taking by physicians, the present study
elicits Croatian respondents’ views concerning: the ethical principles
that should guide patients prioritization; the parties that should make
prioritization decisions; and the likelihood of healthcare rationing
becoming a reality. Descriptive analysis, factor analysis and parametric
and non-parametric tests were performed.

Findings

Findings
suggest that Croatian respondents: support multiple substantive
rationing criteria, with an incident in favoring the worst-off, reducing
inequalities in health, translated in the fair-innings argument and
efficiency achievement; appoint health professionals as rationing
decision makers; and do not seem to believe in the possibility of
patient selection becoming a reality.

Practical implications

Favoring
the worst-off, equalizing life time health and the pursuit of
efficiency seem to be the criteria most preferred by Croatian
respondents to guide rationing policy at the micro level.

Originality/value

This
study is the first attempt to elicit Croatian opinions concerning
several rationing criteria inherent in healthcare micro allocation
decisions. Healthcare rationing is a serious challenge to Croatian
policy makers and so it would be useful for the public’s perceptions and
beliefs to be considered.


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Zuletzt aktualisiert 2019-13-08 um 00:46