Kinnunen J, Lammintakanen J, Myllykangas M, Ryynänen O P, Takala J
University of Kuopio, Department of Health Policy and Management, Finland.
Int J Health Plann Manage. 1998 Jul-Sep;13(3):216-29. doi: 10.1002/(SICI)1099-1751(1998070)13:3<216::AID-HPM517>3.0.CO;2-I.
The aim of this study was to examine attitudes to prioritization in health care among the general public, politicians, doctors and nurses. The focus in this paper is on the types of services from a perspective that is 'policy analytical'. This study forms part of the wider 'Prioritization in Health Care Project' carried out at the University of Kuopio exploring patient treatment level prioritizations. Data were collected by a postal questionnaire in 1995. Four groups were established for the study: (1) a general public sample of 2000 subjects, (2) a random sample of 1000 nurses, (3) a random sample of 1500 medical doctors and (4) a sample of 2200 politicians involved in social and health care administration. Respondents were asked to make value choices between specialized and primary health care services in a real budget situation. One of the most salient findings in this study was that attitudes towards priorities are context-dependent. Certain differences were observed between the groups studied. The attitudes of the general public and nurses were quite similar, while similar views were shared by politicians and doctors. The attitudes of the respondents reflect well what has actually happened in Finnish health care, with the exception of psychiatric services which have undergone drastic cuts.
本研究旨在调查普通公众、政治家、医生和护士对医疗保健资源优先分配的态度。本文从“政策分析”的角度关注服务类型。本研究是于库奥皮奥大学开展的更广泛的“医疗保健资源优先分配项目”的一部分，该项目探索患者治疗层面的优先排序。1995年通过邮政问卷收集数据。研究设立了四组：（1）2000名受试者的普通公众样本；（2）1000名护士的随机样本；（3）1500名医生的随机样本；（4）2200名参与社会和医疗保健管理的政治家样本。要求受访者在实际预算情况下，在专科医疗保健服务和初级医疗保健服务之间做出价值选择。本研究最显著的发现之一是，对优先事项的态度取决于具体情境。在所研究的组之间观察到了某些差异。普通公众和护士的态度相当相似，而政治家和医生则持有相似观点。受访者的态度很好地反映了芬兰医疗保健实际发生的情况，但精神病服务除外，其经历了大幅削减。
