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Attitudes towards p...
Attitudes towards priority-setting and rationing in healthcare - an exploratory survey of Swedish medical students
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- Omar, Faisal (author)
- Linköpings universitet,Hälsa och samhälle,Filosofiska fakulteten,Department of Medical and Health Sciences, Linköping University
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- Tinghög, Gustav (author)
- Linköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet,Department of Medical and Health Sciences, Linköping University
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- Tinghög, Petter (author)
- Linköpings universitet,Hälsa och samhälle,Filosofiska fakulteten,Department of Medical and Health Sciences, Linköping University
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- Carlsson, Per (author)
- Linköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet,Department of Medical and Health Sciences, Linköping University
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(creator_code:org_t)
- 2009-01-13
- 2009
- English.
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In: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 37:2, s. 122-130
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Background: Healthcare priority-setting is inextricably linked to the challenge of providing publicly funded healthcare within a limited budget, which may result in difficult and potentially controversial rationing decisions. Despite priority-settings increasing prominence in policy and academic discussion, it is still unclear what the level of understanding and acceptance of priority-setting is at different levels of health care. Aims: The aim of this study is threefold. First we wish to explore the level of familiarity with different aspects of priority-setting among graduating medical students. Secondly, to gauge their acceptance of both established and proposed Swedish priority-setting principles. Finally to elucidate their attitudes towards healthcare rationing and the role of different actors in decision making, with a particular interest in comparing the attitudes of medical students with data from the literature examining the attitudes among primary care patients in Sweden. Methods: A cross-sectional survey containing 14 multiple choice items about priority-setting in healthcare was distributed to the graduating medical class at Linkoping University. The response rate was 92% (43/47). Results: Less than half of respondents have encountered the notion of open priority-setting, and the majority believed it to be somewhat or very unclear. There is a high degree of awareness and agreement with the established ethical principles for priority-setting in Swedish health care; however respondents are inconsistent in their application of the cost-effectiveness principle. A larger proportion of respondents were more favourable to physicians and other health personnel being responsible for rationing decisions as opposed to politicians. Conclusions: Future discussion about priority-setting in medical education should be contextualized within an explicit and open process. There is a need to adequately clarify the role of the cost-effectiveness principle in priority-setting. Medical students seem to acknowledge the need for rationing in healthcare to a greater extent when compared with previous results from Swedish primary care patients.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Ethical principles
- healthcare
- medical education
- priority-setting
- rationing
- Sweden
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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