The public's priorities in health services

Giora Kaplan; Orna Baron‐Epel

doi:10.1111/hex.12064

journal article Apr 03, 2013

The public's priorities in health services

Giora Kaplan Orna Baron‐Epel

Health Expectations Vol. 18 No. 5 pp. 904-917 · Wiley

View at Publisher Save 10.1111/hex.12064

Abstract

AbstractBackgroundRationing in health services cannot be solved only by cost‐effective analysis because social values play a central role in the difficult trade‐off dilemma of prioritizing some service over others.ObjectiveTo examine the relative importance ascribed by the public to selected components of health services, in the national allocation of resources as well as in their personal insurance.MethodsA telephone survey of a representative sample of the Israeli adult population (N = 1225). Two versions of the questionnaire were used. At the national level, interviewees were asked to assume they were the Minister of Health. At the personal level, interviewees were asked to choose items to be included in their personal complementary health insurance.ResultsCheck‐ups for early disease detection and nursing care for the frail elderly got the highest support for extra budget as well as to be included in personal insurance. Other items presented were fertility treatments, cardiac rehabilitation, mental health, dental health, programmes for preventive medicine and health promotion, subsidizing supplemental insurance for the poor, additional staff for primary clinics and building a new hospital. The lowest support was for alternative medicine and for cosmetic surgery. No subgroup in the Israeli society presented a different first priority.ConclusionThe Israeli public does not give high priority to ‘nice to have’ services but their selections are ‘mature’ and responsible. Rationing in health care requires listening to the public even if there are still many methodological limitations on how to reflect the public's opinion.

Topics

No keywords indexed for this article. Browse by subject →

References

35

[1]

Banta HD (1998)

[2]

Ham C (2003)

[3]

10.1046/j.1369-6513.1999.00061.x

[4]

10.1377/hlthaff.11.2.125

[5]

10.1377/hlthaff.20.6.222

[6]

Soroka SN (2007)

[7]

10.1016/s0168-8510(99)00044-5

[8]

10.1016/s0277-9536(99)00222-1

[9]

10.1046/j.1369-6513.2002.00157.x

[10]

Kapiri L "Criteria for priority‐setting in health care in Uganda: exploration of stakeholders' values" Bulletin of the World Health Organization (2004)

[11]

Center for Healthcare Decisions (2009)

[12]

10.1353/ken.1999.0021

[13]

10.1002/(sici)1099-1050(200003)9:2<127::aid-hec500>3.0.co;2-y

[14]

10.1093/pubmed/fdr102

[15]

WhittyP.What are Colchester People's Priorities for Health Care?Final Report to North Essex Health Authority 1992.

[16]

MacDonaldLD.Determining Community Priorities in Health Care. Report to East Survey Health Authority 1992.

[17]

Gallup Survey.The Daily Telegraph 12 April 1992.

[18]

10.1136/bmj.304.6828.680

[19]

Groves T "Public disagrees with professionals over NHS rationing" British Medical Journal (1993)

[20]

10.1136/bmj.312.7032.670

[21]

Kneeshaw J (1997)

[22]

10.1046/j.1525-1497.2002.10609.x

[23]

10.1093/geront/44.1.58

[24]

10.1371/journal.pmed.0040094

[25]

10.1016/0277-9536(93)90138-t

[26]

10.1016/j.healthpol.2010.08.015

[27]

10.1046/j.1369-6513.1999.00062.x

[28]

10.1177/1525822x10387573

[29]

Raghunathan TE "A split questionnaire survey design" Journal of the American Statistical Association (1995) 10.1080/01621459.1995.10476488

[30]

10.1002/sim.2265

[31]

10.1111/j.1468-2397.1998.tb00252.x

[32]

National Insurance Institute web site (Israel). Available at:http://www.btl.gov.il/English%20Homepage/Benefits/LongTerm%20Care/Pages/default.aspx accessed 14 February 2012.

[33]

Luschen G (1995) 10.1515/9783486828986

[34]

10.1097/00005650-199406000-00007

[35]

10.1016/j.healthpol.2008.08.010

Metrics

19

Citations

35

References

Details

Published: Apr 03, 2013
Vol/Issue: 18(5)
Pages: 904-917
License: View

Authors

G

Giora Kaplan

Gertner Institute for Epidemiology & Health Policy Research Tel Hashomer Israel

O

Orna Baron‐Epel

School of Public Health, Faculty of Social Work and Health Studies, Haifa University Haifa Israel

Cite This Article

Giora Kaplan, Orna Baron‐Epel (2013). The public's priorities in health services. Health Expectations, 18(5), 904-917. https://doi.org/10.1111/hex.12064

The public's priorities in health services

You May Also Like