Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians.
(2011) In Scandinavian Journal of Public Health 39(6). p.627-633- Abstract
- 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 womenand 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... (More)
- 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 womenand 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 theSwedishwelfare 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2058999
- author
- Werntoft, Elisabet LU and Edberg, Anna-Karin LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Public Health
- volume
- 39
- issue
- 6
- pages
- 627 - 633
- publisher
- SAGE Publications
- external identifiers
-
- wos:000293249400009
- pmid:21727147
- scopus:79961058200
- pmid:21727147
- ISSN
- 1651-1905
- DOI
- 10.1177/1403494811414250
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)
- id
- 6a6eb4f6-2605-4ec7-bebd-a54c2186f93a (old id 2058999)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21727147?dopt=Abstract
- date added to LUP
- 2016-04-01 14:38:30
- date last changed
- 2022-01-28 01:46:58
@article{6a6eb4f6-2605-4ec7-bebd-a54c2186f93a,
abstract = {{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 womenand 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 theSwedishwelfare 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.}},
author = {{Werntoft, Elisabet and Edberg, Anna-Karin}},
issn = {{1651-1905}},
language = {{eng}},
number = {{6}},
pages = {{627--633}},
publisher = {{SAGE Publications}},
series = {{Scandinavian Journal of Public Health}},
title = {{Lack of support structures in prioritization decision making concerning patients and resources. Interviews with Swedish physicians.}},
url = {{https://lup.lub.lu.se/search/files/4081271/2223560.pdf}},
doi = {{10.1177/1403494811414250}},
volume = {{39}},
year = {{2011}},
}