Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians.
نویسندگان
چکیده
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.
منابع مشابه
Lack of support structures in prioritization decision making concerning patients and resources
متن کامل
Ethical Challenges of Care and Treatment for Patients with COVID-19 in a Hospital from the Perspective of Service Providers
The rapid spread of COVID-19, lack of standard treatment, time constraints, and lack of resources are challenges around the world. Considering the importance of ethics in providing care to patients with emerging diseases, this study was conducted to explain the ethical challenges in care and treatment for patients with COVID-19. The present study was conducted by qualitative content analysis du...
متن کاملPrioritization of COVID-19 Patients for Admission in the Intensive Care Unit in the Context of Hospital Bed Shortages: An Integrated Multi-criteria Decision Making Approach
Background: When an epidemic occurs, resources, including hospital beds, are severely limited and not all patients can be treated; so, hospital bed rationing is inevitable. Therefore, the aim of this study is to provide a method for evaluating and prioritizing patients with COVID-19 for admission to the intensive care unit. Methods: This was a descriptive-survey study in terms of data collecti...
متن کاملبررسی عوامل و راه کارهای رعایت حقوق بیمار
Objective: increase of patient's rights observance is one of the important goals of therapeutic group activities which will have useful role in improving health of the patient. Meanwhile, many physicians play important role in providing better services. Most of the physicians imagine themselves in a position that they are authorized to determine destiny of their patients. In some cases, the...
متن کاملبررسی عوامل و راه کارهای رعایت حقوق بیمار
Objective: increase of patient's rights observance is one of the important goals of therapeutic group activities which will have useful role in improving health of the patient. Meanwhile, many physicians play important role in providing better services. Most of the physicians imagine themselves in a position that they are authorized to determine destiny of their patients. In some cases, the...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Scandinavian journal of public health
دوره 39 6 شماره
صفحات -
تاریخ انتشار 2011