Diederich A, Schreier M
School of Humanities and Social Sciences, Integrated Social and Cognitive Psychology, Jacobs University Bremen, Campus Ring 1, 28759 Bremen.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Sep;53(9):896-902. doi: 10.1007/s00103-010-1113-0.
In order to accomplish broad acceptance of priority setting in healthcare, a public debate seems essential, in particular, including the preferences of the general public. In Germany, objections to public involvement are to some extent based on the perception that individuals have an inherent personal bias and cannot represent interests other than their own. The following excerpt from a more comprehensive study reports on the acceptance of personal responsibility as a criterion for prioritizing. A mixed-methods design is used for combining a qualitative interview study and a quantitative survey representative of the German public. Both the interview study and the survey demonstrate that behavior that is harmful to one's health is generally accepted as a criterion for posteriorizing patients, mostly regardless of self interest. In addition, the interview study shows reasons for acceptance or refusal of the self-inflicted behavior criterion.
为了实现医疗保健中优先排序的广泛接受，公开辩论似乎至关重要，特别是要纳入公众的偏好。在德国，对公众参与的反对在一定程度上基于这样一种观念，即个人存在固有的个人偏见，无法代表自身利益以外的利益。以下摘自一项更全面研究的内容报告了将个人责任作为优先排序标准的接受情况。采用混合方法设计，将定性访谈研究与具有德国公众代表性的定量调查相结合。访谈研究和调查均表明，对健康有害的行为通常被视为降低患者优先级的标准，大多与自身利益无关。此外，访谈研究还揭示了接受或拒绝自我伤害行为标准的原因。
