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老年人关于医疗保健中与年龄相关的优先排序的推理。

Older people's reasoning about age-related prioritization in health care.

作者信息

Werntoft Elisabet, Hallberg Ingalill R, Edberg Anna-Karin

机构信息

Department of Health Sciences, Lund University, PO Box 157, SE-221 00 Lund, Sweden.

出版信息

Nurs Ethics. 2007 May;14(3):399-412. doi: 10.1177/0969733007075887.

DOI:10.1177/0969733007075887
PMID:17459822
Abstract

The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced eight categories: feeling secure and confident in the health care system; being old means low priority; prioritization causes worries; using underhand means in order to be prioritized; prioritization as a necessity; being averse to anyone having precedence over others; having doubts about the distribution of resources; and buying treatment requires wealth.

摘要

本研究的目的是描述60岁及以上人群在医疗保健优先级方面关于年龄和支付意愿的推理。对年龄在60至101岁之间的健康人群(n = 300)以及接受持续护理和服务的人群(n = 146)进行了访谈,询问他们对医疗保健优先级的看法。使用显性和隐性定性内容分析法对转录的访谈进行了分析。参与者在优先级方面的推理包括八个类别:对医疗保健系统感到安全和自信;年老意味着优先级低;优先级引发担忧;为了获得优先级而使用不正当手段;优先级是必要的;反感任何人比其他人有优先权;对资源分配存在疑虑;购买治疗需要财富。

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