Older people’s views of prioritization in health care

Werntoft, Elisabet; Hallberg, Ingalill Rahm; Elmståhl, Sölve; Edberg, Anna‐Karin

doi:10.1007/bf03324630

Cited by 10 publications

(18 citation statements)

References 27 publications

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“…This is also in line with earlier quantitative research concerning older people's views about prioritisation, showing that a majority, 81 %, did not want prioritisation in health care to be based on age, neither in terms of youth nor old age. Instead, factors such as quality of life, pain and health had higher impact on how they wanted people to be prioritised for treatment (5). This is also in line with Dicker and Armstrong (27) who showed in interview study from UK (n=16, aged 20-73) that the single most important attribution that interviewees identified as a determinant of their opinions concerning prioritisation was visible unmet need.…”

Section: Discussion Of the Findingssupporting

confidence: 70%

“…The quantitative results of that study have been presented previously (5,6). The first 500 interviews were tape-recorded and 300 were selected for this study.…”

Section: Sample and Proceduresmentioning

confidence: 99%

“…This is in line with the results from earlier studies involving people aged 60 and over, based on a structured questionnaire concerning prioritisation and resource allocation. The participants did not want age to be a criterion in prioritisation, and if they could afford it, they were willing to pay to get treatment at once instead of being on a waiting list (5,6). In order to increase the understanding of their standpoints it seems important to investigate how older people reason about prioritisation in health care.…”

Section: Introductionmentioning

confidence: 99%

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Older People's Reasoning About Age-Related Prioritization in Health Care

2007

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The number of older people has increased and so also the use of expensive treatments and medicine. Some sectors and patients have been prioritised while others have been set aside, deliberately or not. Knowing that there are different views on the subject it is important to find out how older people reason about age-related prioritisation in health care. The aim of this study was to describe the reasoning of people, 60 years and over, about prioritisation in health care with regard to age and willingness to pay. Healthy people (n=300) and people receiving continuous care and service (n=146)

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Section: Discussion Of the Findingssupporting

confidence: 70%

“…The quantitative results of that study have been presented previously (5,6). The first 500 interviews were tape-recorded and 300 were selected for this study.…”

Section: Sample and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Older People's Reasoning About Age-Related Prioritization in Health Care

2007

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“…Stories about murders and suicides committed by people who have tried unsuccessfully to get help from psychiatric clinics have received a great deal of attention in the media over the last few years. This might explain why politicians and physicians, as well as (in an earlier study [19]) older people (60-100 years), ranked psychiatric care highest on the list of disciplines needing more resources. The view of the physicians that elder care needs more resources might be explained by the large group of older patients who remain in hospitals, even though treatment has been completed, because of lack of beds in special accommodation.…”

Section: Discussionmentioning

confidence: 94%

Decision makers’ experiences of prioritisation and views about how to finance healthcare costs

Werntoft

Edberg

2009

Health Policy

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Access to the published version may require journal subscription. Published with permission from: Elsevier costs. An additional aim was to compare the views of politicians and physicians. Methods:The study was a cross-sectional study based on a questionnaire administered to 700Swedish politicians and physicians. This was analysed using both quantitative and qualitative methods. Results: A majority of the decision makers (55%) suggested that increasing costs should be financed through higher taxation but more physicians than politicians thought that higher patient fees, private health insurance and a reduction in social expenditure were better alternatives. Prioritisation aroused anxiety; politicians were afraid of displeasing voters while physicians were afraid of making medically incorrect decisions. Conclusions: This study don't answer the question about how to make prioritisation in health care but the result highlights the different ways that the decision makers view the subject and thereby elicit that publicly elected politicians and physicians perhaps not always work with the same goal ahead.There are needs for more research but also more media focus on the subject so the citizens will be aware and take part in the debate.

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“…This research team also found that physicians were less willing than the other groups to refer older patients for elective surgery (Ryynanen et al, 1997). Even so, it has been shown in several studies that the general public has confidence in physicians as decision makers in priority settings but not in politicians (Werntoft et al, 2005a, Werntoft et al, 2007. The views of physicians and politicians on age-related prioritisation in healthcare are, however, not well known.…”

Section: Introductionmentioning

confidence: 91%

The views of physicians and politicians concerning age‐related prioritisation in healthcare

Werntoft

Edberg

2009

Journal of Health Organization and Management

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2 ABSTRACT Purpose of this paperThe aim of this study was to describe the view of age-related prioritisation in health care among physicians and healthcare politicians and to compare their views regarding gender and age. MethodologySwedish physicians (n=390) and politicians (n=310), mean age 52 years, answered an electronic questionnaire concerning age-related priority setting in healthcare. The questionnaire had fixed response alternatives with possibility of adding comments. FindingsA majority of the participants thought that age should not influence prioritisation, although more physicians than politicians thought that younger patients should be prioritised. There were also significant differences concerning their views on lifestyle-related diseases and on who should make decisions concerning both vertical and horizontal prioritisation. The comments indicated that the politicians referred to ethical principles as a basis for their standpoints while the physicians often referred to the importance of biological rather than chronological age. Research limitationsWeb-based surveys as a method has its limitations as biased samples and biased returns could cause major problems, such as limited control over the drop-outs. The sample in this study was, however, judged to be representative. 3 Practical implicationsThe results indicate that supplementary guiding principles concerning prioritisation in healthcare are needed in order to facilitate decision-making concerning resource allocation on a local level. The value of the paperThis paper adds important knowledge about decision makers' views on age-related priorities in healthcare, thus contributing to scientific base for prioritisation in healthcare and the ongoing debate in society.

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Older people’s views of prioritization in health care

Cited by 10 publications

References 27 publications

Older People's Reasoning About Age-Related Prioritization in Health Care

Older People's Reasoning About Age-Related Prioritization in Health Care

Decision makers’ experiences of prioritisation and views about how to finance healthcare costs

The views of physicians and politicians concerning age‐related prioritisation in healthcare

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