The acceptance of personal responsibility as a criterion in assigning health care benefits. An empirical study

The acceptance of personal responsibility as a criterion in assigning health care benefits. An empirical study
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DOI:
10.1007/s00103-010-1113-0
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发表时间:
2010-09-01
影响因子:
1.7
通讯作者:
Schreier, M.
Schreier, M.
中科院分区:
医学4区
文献类型:
--
作者:
Diederich, A.;Schreier, M.

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为了实现医疗保健优先事项设定的广泛接受,公开辩论似乎至关重要,特别是包括公众的偏好。在德国,反对公众参与在某种程度上是基于这样一种看法,即个人具有固有的个人偏见,不能代表除自己以外的利益。以下摘录自一份更全面的研究报告,报告了接受个人责任作为优先考虑的标准。一个混合的方法设计用于结合定性访谈研究和定量调查代表德国公众。访谈研究和调查都表明,对健康有害的行为通常被认为是后验患者的标准,大多数情况下,不管自己的利益。此外,访谈研究显示了接受或拒绝自我伤害行为标准的原因。
In order to accomplish broad acceptance of priority setting in healthcare, a public debate seems essential, in particular, including the preferences of the general public. In Germany, objections to public involvement are to some extent based on the perception that individuals have an inherent personal bias and cannot represent interests other than their own. The following excerpt from a more comprehensive study reports on the acceptance of personal responsibility as a criterion for prioritizing. A mixed-methods design is used for combining a qualitative interview study and a quantitative survey representative of the German public. Both the interview study and the survey demonstrate that behavior that is harmful to one's health is generally accepted as a criterion for posteriorizing patients, mostly regardless of self interest. In addition, the interview study shows reasons for acceptance or refusal of the self-inflicted behavior criterion.