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利益相关者参与确定优先事项——对定量和定性方法规范性地位的思考

[Stakeholder participation in priority setting - a consideration of the normative status of quantitative and qualitative methods].

作者信息

Friedrich Daniel R, Stumpf Sabine, Alber Kathrin

机构信息

Institut für Ethik, Geschichte und Theorie der Medizin, Westfälische Wilhelms-Universität Münster.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2012;106(6):412-7. doi: 10.1016/j.zefq.2012.06.005. Epub 2012 Jun 28.

Abstract

Priority setting in medicine is generally regarded as an appropriate means for preparing just allocation of medical resources. By involving the general public or affected stakeholders in priority setting, advocates hope to legitimise this process and increase the acceptability of future decisions on resource allocation. Here, we differentiate between two ideal-typical methods of stakeholder involvement: 1) qualitative and 2) quantitative ones. We argue that the level of information of participants is important to the quality of the outcome of participatory events. Qualitative methods aim at fostering deliberative discussions among well-informed stakeholders. By contrast, quantitative methods usually do not have the capacity to ensure or, at least, control the level of information that participants use to guide their decisions. Hence, we conclude that in the context of priority setting qualitative and especially deliberative methods are preferable to quantitative approaches.

摘要

医学中的优先级设定通常被视为实现医疗资源公平分配的一种恰当手段。倡导者希望通过让公众或受影响的利益相关者参与优先级设定,使这一过程合法化,并提高未来资源分配决策的可接受性。在此,我们区分了利益相关者参与的两种理想类型的方法:1)定性方法和2)定量方法。我们认为,参与者的信息水平对参与式活动结果的质量很重要。定性方法旨在促进信息充分的利益相关者之间的审议性讨论。相比之下,定量方法通常没有能力确保或至少控制参与者用于指导决策的信息水平。因此,我们得出结论,在优先级设定的背景下,定性方法尤其是审议性方法比定量方法更可取。

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