Will elderly patients stand aside for younger patients in the queue for cardiac services.
Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public attitudes towards non-clinical factors such as age or work status as determinants of priority.
We asked elderly residents of Padova, Italy whether, if they were awaiting cardiac surgery or an out patient cardiology consultant, they would give up their place in line for a younger or self-employed individual.
We also elicited responses from a convenience sample of younger health workers asked to imagine themselves as elderly persons facing the same choices.
The eligible response rate was 72% (443/616) About half deemed it right to give up their place in line for cardiac surgery to a 45-year-old. (...) In significant contrast (...) the overwhelming majority of non-elderly respondents refused to give up their places in line.
The majority of elderly citizens were hypothetically willing to cede priority in accessing cardiac care to younger or self-employed persons, but this willingness was attenuated among the « young » elderly and more privileged respondents.
Non-elderly respondents were much less self-sacrificing, suggesting that ageing baby-boomers may be more assertive about their continuing rights to health care.
Mots-clés Pascal : Hôpital, Italie, Enquête
Mots-clés Pascal anglais : Hospital, Italy, Survey
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 99/08 V
Code Inist : 002B30A11. Création : 22/03/2000.