Attitudes towards priority-setting and rationing in healthcare — an exploratory survey of Swedish medical students

Omar, Faisal; Tinghög, Gustav; Tinghög, Petter; Carlsson, Per

doi:10.1177/1403494808100276

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The younger physicians recalled working with ethical questions during medical studies, but they did not concern dilemmas in relation to prioritisation and they had limited knowledge concerning the guidelines from the Swedish Parliamentary Priority Commission. Omar et al [12] who showed that knowledge about the priority principles is thoroughly disseminated among Swedish medical students although it's contextualisation within an open process is clearly lacking it is however important to remember that study took place among students in the same University where the Swedish Parliamentary Priority Commission is established and the result could perhaps not be generalised to other medical students.…”

Section: Discussionmentioning

confidence: 99%

Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians

Werntoft

Edberg

2011

Scand J Public Health

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Aim: To investigate physicians’ experiences in relation to prioritization and financing in health care in order to gain a deeper understanding of the reasons behind their standpoints. Methods: Eighteen physicians, seven women and eleven men, aged 30 to 69 years were interviewed and the text was analyzed using an inductive approach, also described as conventional qualitative content analysis. Results: Experience of setting healthcare priorities and difficult decision making differed widely among the physicians and seemed to be related to the number of years in professional practice. Their view of how resources should be allocated between disciplines/patients showed that they wanted politicians to make the decisions, with support from medical professions. The overwhelming impression of their reasoning showed that they lacked support structures for their decision making and could be understood under the following categories: Prioritisation, easier in theory than in practice, and Increasing costs threaten the Swedish welfare model. Conclusions: The findings of this study highlight the importance of practical national guidelines concerning vertical prioritization, also as an important measure to make prioritization more distinct and transparent. The physicians further had a need for tools to increase patients’ awareness of their health. The findings of this study also showed that an awareness of the actual costs involved might increase the responsibility among both physicians and patients. The physicians’ lack of support structures implies an urgent need for practical national guidelines, especially concerning vertical prioritization. This will also make prioritization appear clear and transparent for citizens.

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Section: Discussionmentioning

confidence: 99%

Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians

Werntoft

Edberg

2011

Scand J Public Health

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“…e majority of medical students worldwide learn predominantly details of physiology, pathology and disease management. Although public health, global health and health policy are being introduced as part of the mandatory curriculum, the literature reveals that such programs exist only at a fraction of undergraduate medical institutions and/or are in their infancy and need substantive development [5][6][7][8][9][10][11], with fewer initiatives at programs in other health professionals [12,13]. Furthermore, healthcare is evolving towards an interprofessional model of healthcare delivery, a perspective that is not fully integrated in current e orts, but is compulsory in any meaningful e ort to shape equitable health policies.…”

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confidence: 99%

Institute of Social Justice and Medicine: Developing a think tank to promote policy formation

Boozary

Dugani²

2011

CIM

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The World Health Organization (WHO) defines health as a “resource for everyday living, not the objective of living”; however, worldwide, there remains an unmistakable inequity in level of health and access to healthcare. The WHO has published documents on financing health systems towards universal health coverage [1], promoting healthy life [2], improving performance of health systems [3], and enriching humanity [4], highlighting our shared responsibility towards improving both national and global health and access to healthcare. These documents also recognize that, despite our local and regional priorities, there is a global desire to develop international strategies to improve healthcare. [1] WHO Report. Health systems financing and the path to universal coverage. 2010. http://www.who.int/bulletin/health_financing/en/index.html [2] WHO Report. Reducing risks, promoting healthy life. 2002. http://www.who.int/whr/2002/en/index.html [3] WHO Bulletin. Health systems: improving performance. 2000. http://www.who.int/whr/2000/en/index.html [4] WHO Bulletin. Conquering suffering, enriching humanity 1997. http://www.who.int/whr/1997/en/index.html

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Applying an Implementation Framework to the Use of Evidence from Economic Evaluations in Making Healthcare Decisions

Merlo

Page

Zardo

et al. 2019

Appl Health Econ Health Policy

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Attitudes towards priority-setting and rationing in healthcare — an exploratory survey of Swedish medical students

Cited by 3 publications

References 20 publications

Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians

Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians

Institute of Social Justice and Medicine: Developing a think tank to promote policy formation

Applying an Implementation Framework to the Use of Evidence from Economic Evaluations in Making Healthcare Decisions

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