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To accept, or not to accept, that is the question: citizen reactions to rationing
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences. (The National Centre for Priority Setting in Health Care)
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences. (The National Centre for Priority Setting in Health Care)
2014 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 17, no 1, 82-92 p.Article in journal (Refereed) Published
Abstract [en]

Background  The publicly financed health service in Sweden has come under increasing pressure, forcing policy makers to consider restrictions. Objective  To describe different perceptions of rationing, in particular, what citizens themselves believe influences their acceptance of having to stand aside for others in a public health service. Design  Qualitative interviews, analysed by phenomenography, describing perceptions by different categories. Setting and participants  Purposeful sample of 14 Swedish citizens, based on demographic criteria and attitudes towards allocation in health care. Results  Participants expressed high awareness of limitations in public resources and the necessity of rationing. Acceptance of rationing could increase or decrease, depending on one's (i) awareness that healthcare resources are limited, (ii) endorsement of universal health care, (iii) knowledge and acceptance of the principles guiding rationing and (iv) knowledge about alternatives to public health services. Conclusions  This study suggests that decision makers should be more explicit in describing the dilemma of resource limitations in a publicly funded healthcare system. Openness enables citizens to gain the insight to make informed decisions, i.e. to use public services or to 'opt out' of the public sector solution if they consider rationing decisions unacceptable.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 17, no 1, 82-92 p.
Keyword [en]
citizen perspective, phenomenography, priority setting, rationing, Sweden
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-104308DOI: 10.1111/j.1369-7625.2011.00734.xISI: 000330647300010PubMedID: 22032636OAI: oai:DiVA.org:liu-104308DiVA: diva2:696571
Available from: 2014-02-14 Created: 2014-02-14 Last updated: 2017-12-06

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Broqvist, MariGarpenby, Peter

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