Rogge Jana, Kittel Bernhard
Department of Special Education and Rehabilitation, University Oldenburg, Oldenburg, Germany.
Department of Economic Sociology, University of Vienna, Vienna, Austria.
PLoS One. 2016 Jun 9;11(6):e0157018. doi: 10.1371/journal.pone.0157018. eCollection 2016.
The principle of distributing health care according to medical need is being challenged by increasing costs. As a result, many countries have initiated a debate on the introduction of explicit priority regulations based on medical, economic and person-based criteria, or have already established such regulations. Previous research on individual attitudes towards setting health care priorities based on medical and economic criteria has revealed consistent results, whereas studies on the use of person-based criteria have generated controversial findings. This paper examines citizens' attitudes towards three person-based priority criteria, patients' smoking habits, age and being the parent of a young child. Using data from the ISSP Health Module (2011) in 28 countries, logistic regression analysis demonstrates that self-interest as well as socio-demographic predictors significantly influence respondents' attitudes towards the use of person-based criteria for health care prioritization. This study contributes to resolving the controversial findings on person-based criteria by using a larger country sample and by controlling for country-level differences with fixed effects models.
根据医疗需求分配医疗保健的原则正受到成本上升的挑战。因此，许多国家已开始就引入基于医学、经济和个人标准的明确优先法规展开辩论，或者已经制定了此类法规。此前关于个人对基于医学和经济标准设定医疗保健优先次序的态度的研究得出了一致的结果，而关于使用基于个人标准的研究则产生了有争议的发现。本文考察了公民对基于个人的三个优先标准的态度，即患者的吸烟习惯、年龄以及是否有年幼子女。利用来自28个国家的国际社会调查项目健康模块（2011年）的数据，逻辑回归分析表明，自身利益以及社会人口统计学预测因素显著影响受访者对使用基于个人标准进行医疗保健优先排序的态度。本研究通过使用更大的国家样本并通过固定效应模型控制国家层面的差异，有助于解决关于基于个人标准的有争议的发现。
