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  1. Will elderly patients stand aside for younger patients in the queue for cardiac services.

    Article - En anglais

    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.

    Methods :

    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.

    Interpretation.

    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

    Logo du centre Notice produite par :
    ENSP - Ecole nationale de la santé publique (devenue EHESP)

    Cote : 99/08 V

    Code Inist : 002B30A11. Création : 22/03/2000.