Health care priorities: the community's preferences for using community preferences

医疗保健优先事项：使用社区偏好的社区偏好

• 批准号: nhmrc : 107314
• 负责人: A/Pr Virginia Wiseman
• 金额: $ 3.49万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2000
• 资助国家: 澳大利亚
• 起止时间: 2000-01-01 至 2000-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/health-care-priorities-community-preferences/98723
• 关键词: Health; care; priorities; community; preferences

Determining how health care resources should be allocated - often termed rationing or priority setting - has traditionally been carried out by health care personnel, usually doctors but increasingly managers. More recently there has been a move to involve the general public in this process. Much of the research in this area has focussed on the methods used to elicit community preferences. While this is an important area of investigation, a prior issue of how community members feel about the use of their preferences in informing health care priorities needs to be investigated. Four specific questions will be addressed in this study: (i) do members of the general public feel that, as individuals, they have a legitimate role to play in informing priority decisions in health care? if so why? if not, why not? (ii) does the nature-level-setting of the decisions for which priorities are to be set affect whether individual members of the public would wish to participate in the priority setting process? (e.g. different health services, medical procedures-treatments, diseases) (iii) whose preferences should be used if not the community's? (iv) faced ex post with the preferences of the community and the preferences (possibly different) of health service decision makers (i.e. Oexperts'), does this knowledge affect preferences for having community preferences count? A number of health authorities are currently looking for ways of engaging local communities in health care decision making. This study will indicate the appropriate levels at which community preferences are to be elicited and the type of decisions and settings in which they are most relevant.

决定卫生保健资源应该如何分配-通常被称为配给或确定优先事项-传统上是由卫生保健人员进行的，通常是医生，但越来越多的是管理人员。最近采取了一项行动，让公众参与这一进程。这一领域的大部分研究都集中在用于获取社区偏好的方法上。虽然这是一个重要的调查领域，但社区成员对使用他们的偏好来告知医疗保健优先事项的感受需要进行调查。本研究将解决四个具体问题：（i）公众是否认为，作为个人，他们在为医疗保健优先决策提供信息方面可以发挥合法作用？如果是的话，原因是什么？若否，原因为何？(ii)决定优先次序的性质级别的确定是否影响个别公众成员是否愿意参与确定优先次序的过程？(e.g.不同的健康服务，医疗程序-治疗，疾病）（iii）如果不是社区的偏好，应该使用谁的偏好？(iv)面对社区的偏好和卫生服务决策者（即专家）的偏好（可能不同），这种知识是否会影响社区偏好计数的偏好？一些卫生当局目前正在寻找让当地社区参与卫生保健决策的方法。这项研究将指出应在何种适当层次上征求社区的偏好，以及与这些偏好最相关的决定和环境的类型。