Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.

Health systems worldwide are grappling with the need to control costs to maintain system viability. With the combination of worsening economic conditions, an aging population and reductions in tax revenues, the pressures to make structural changes are expected to continue growing. Common cost contro...

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Autores principales:	Adele Diederich, Joffre Swait, Norman Wirsik
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bc99d9402cb5458a920e9c568f72f4fd
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spelling	oai:doaj.org-article:bc99d9402cb5458a920e9c568f72f4fd2021-11-18T07:19:14ZCitizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.1932-620310.1371/journal.pone.0036824https://doaj.org/article/bc99d9402cb5458a920e9c568f72f4fd2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22590619/?tool=EBIhttps://doaj.org/toc/1932-6203Health systems worldwide are grappling with the need to control costs to maintain system viability. With the combination of worsening economic conditions, an aging population and reductions in tax revenues, the pressures to make structural changes are expected to continue growing. Common cost control mechanisms, e.g. curtailment of patient access and treatment prioritization, are likely to be adversely viewed by citizens. It seems therefore wise to include them in the decision making processes that lead up to policy changes. In the context of a multilevel iterative mixed-method design a quantitative survey representative of the German population (N = 2031) was conducted to probe the acceptance of priority setting in medicine and to explore the practicability of direct public involvement. Here we focus on preferences for patients' characteristics (medical aspects, lifestyle and socio-economic status) as possible criteria for prioritizing medical services. A questionnaire with closed response options was fielded to gain insight into attitudes toward broad prioritization criteria of patient groups. Furthermore, a discrete choice experiment was used as a rigorous approach to investigate citizens' preferences toward specific criteria level in context of other criteria. Both the questionnaire and the discrete choice experiment were performed with the same sample. The citizens' own health and social situation are included as explanatory variables. Data were evaluated using corresponding analysis, contingency analysis, logistic regression and a multinomial exploded logit model. The results show that some medical criteria are highly accepted for prioritizing patients whereas socio-economic criteria are rejected.Adele DiederichJoffre SwaitNorman WirsikPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 5, p e36824 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adele Diederich Joffre Swait Norman Wirsik Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
description	Health systems worldwide are grappling with the need to control costs to maintain system viability. With the combination of worsening economic conditions, an aging population and reductions in tax revenues, the pressures to make structural changes are expected to continue growing. Common cost control mechanisms, e.g. curtailment of patient access and treatment prioritization, are likely to be adversely viewed by citizens. It seems therefore wise to include them in the decision making processes that lead up to policy changes. In the context of a multilevel iterative mixed-method design a quantitative survey representative of the German population (N = 2031) was conducted to probe the acceptance of priority setting in medicine and to explore the practicability of direct public involvement. Here we focus on preferences for patients' characteristics (medical aspects, lifestyle and socio-economic status) as possible criteria for prioritizing medical services. A questionnaire with closed response options was fielded to gain insight into attitudes toward broad prioritization criteria of patient groups. Furthermore, a discrete choice experiment was used as a rigorous approach to investigate citizens' preferences toward specific criteria level in context of other criteria. Both the questionnaire and the discrete choice experiment were performed with the same sample. The citizens' own health and social situation are included as explanatory variables. Data were evaluated using corresponding analysis, contingency analysis, logistic regression and a multinomial exploded logit model. The results show that some medical criteria are highly accepted for prioritizing patients whereas socio-economic criteria are rejected.
format	article
author	Adele Diederich Joffre Swait Norman Wirsik
author_facet	Adele Diederich Joffre Swait Norman Wirsik
author_sort	Adele Diederich
title	Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
title_short	Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
title_full	Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
title_fullStr	Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
title_full_unstemmed	Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
title_sort	citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/bc99d9402cb5458a920e9c568f72f4fd
work_keys_str_mv	AT adelediederich citizenparticipationinpatientprioritizationpolicydecisionsanempiricalandexperimentalstudyonpatientscharacteristics AT joffreswait citizenparticipationinpatientprioritizationpolicydecisionsanempiricalandexperimentalstudyonpatientscharacteristics AT normanwirsik citizenparticipationinpatientprioritizationpolicydecisionsanempiricalandexperimentalstudyonpatientscharacteristics
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Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.

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