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  1. How stable are people's preferences for giving priority to severely ill patients ?

    Article - En anglais

    Background 

    Previous studies have suggested that people favor allocating resources to severely ill patients even when they benefit less from treatment than do less severely ill patients.

    This study explores the stability of people's preferences for treating severely ill patients.

    Methods 

    This study surveyed prospective jurors in Philadelphia and asked them to decide how they would allocate scarce health care resources between a severely ill group of patients who would improve a little with treatment and moderately ill patients who would improve considerably with treatment.

    Subjects were randomized to receive one of six questionnaire versions, which altered the wording of the scenarios and altered whether subjects were given an explicit option of dividing resources evenly between the two groups of patients.

    Results 

    Four hundred and seventy nine subjects completed surveys.

    The preference subjects placed on allocating resources to severely ill patients depended on relatively minor wording changes in the scenarios.

    In addition, when given the explicit option of dividing resources evenly between the two groups of patients, the majority of subjects chose to do so.

    Conclusion 

    People's preferences for allocating resources to severely ill patients can be significantly decreased by subtle wording changes in scenarios. (...)

    Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Homme, Santé, Surveillance sanitaire, Questionnaire, Stabilité, Préférence, Distribution, Ressource, Analyse coût efficacité, Rationnement, Ethique

    Mots-clés Pascal anglais : United States, North America, America, Epidemiology, Human, Health, Sanitary surveillance, Questionnaire, Stability, Preference, Distribution, Resource, Cost efficiency analysis, Rationing, Ethics

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0404864

    Code Inist : 002B30A01A2. Création : 22/03/2000.