Factors affecting health-care allocation decisions: A case of aversive racism?
Factors affecting health-care allocation decisions: A case of aversive racism?
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DOI：
10.1111/j.1559-1816.1998.tb01369.x
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发表时间：
1998-12-16
影响因子：
2.5
通讯作者：
Campbell, E
中科院分区：
文献类型：
--
作者：
Murphy-Berman, VA;Berman, JJ;Campbell, E
一个分配正义的框架是用来检查个人如何判断什么是公平的，当作出不同类型的医疗保健分配的决定。评估了4个患者特征的影响：（a）预后，（B）对疾病的责任程度，（c）就业状况和（d）种族。结果显示，当病人被定义为更多或更少的责任，他的疾病，受访者给了他一个显着较低的优先得分，为获得医疗服务，他们认为，他应该更负责支付或募集资金，以支付他的健康需要的费用。受访者对负责任的病人也有更多的负面情绪，并用更多的负面特质来描述他。虽然病人的种族没有产生主要影响，种族与就业状况的几个关键变量。当病人被描述为失业时，与黑人病人相比，白色病人的医疗优先级得分更高，他的怨恨更少，受访者更愿意捐款支付他的医疗费用;但当病人被描述为就业时，种族之间在这些变量上的差异方向相反。
A distributive justice framework is used to examine how individuals make judgments about what is fair when making different types of health-care allocation decisions. The effects of 4 patient characteristics are assessed: (a) prognosis, (b) degree of responsibility for illness, (c) employment status, and (d) race. Results reveal that when the patient was defined as being more versus less responsible for his illness, respondents gave him a significantly lower priority score for obtaining health-care services, and they felt that he should be more responsible for paying for or soliciting funds to cover the costs of his health needs. Respondents also reacted with more negative emotion to the responsible patient and described him in more negative trait terms. Although patient's race produced no main effects, race did interact with employment status on several key variables. When the patient was described as being unemployed, the White patient compared to the Black patient was given a higher health-care priority score, he was resented less, and respondents were more willing to contribute money to pay for his health-care costs; but when the patient was described as being employed, the direction of differences between the races on these variables was reversed.