Age as a criterion for setting priorities in health care? A survey of the German public view.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 21904600.
- Also identified by DOI 10.1371/journal.pone.0023930 and PMC identifier PMC5060153.
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Abstract
Although the German health care system has budget constraints similar to many other countries worldwide, a discussion on prioritization has not gained the attention of the public yet. To probe the acceptance of priority setting in medicine, a quantitative survey representative for the German public (n = 2031) was conducted. Here we focus on the results for age, a highly disputed criterion for prioritizing medical services. This criterion was investigated using different types of questionnaire items, from abstract age-related questions to health care scenarios, and discrete choice settings, all performed within the same sample. Several explanatory variables were included to account for differences in preference; in particular, interviewee's own age but also his or her sex, socioeconomic status, and health status. There is little evidence that the German public accepts age as a criterion to prioritize health care services.