PRIORITY SETTING IN THE HEALTH CARE

Author(s)

Sinanović A1, Nammouz B2, Dedić H2, Jusufović R2, Čatić T2
1Sarajevo School of Science and Technology, Zavidovići, Bosnia, 2Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

OBJECTIVES: Health care budgets in many countries, including Bosnia-Herzegovina are limited and do not allow universal access to health services and products. The goal of this survey was to evaluate how much is the public informed about the functioning of the health care systems and priority setting. METHODS: Nineteen item questionnaires have been distributed in printed form to the students of the SSST University from different faculties in May 2018. Only fully completed have been analyzed using Excel. RESULTS: In total we had 50 respondents of which 40% medicine, 28% economy, 18% politics and 14% computer science students. 88% have health insurance. Most respondents agree (77%) doctors should be given priority on choosing the treatment. 90% want the opportunity to choose between drugs, according to effectiveness (42%) or efficacy (35%). For 9% prioritization should be based on price. This attitude could be explained by the fact that majority of survey participants (63%) are insured by public health insurance and don't have any co-payment for medicines and services meaning they are lacking information about costs of those. 84% want to be informed about health system functioning and they would like these information provided via live presentations and web pages (73%). Risk of dying (75%) makes number one priority for deciding about treatment. Half of respondents think it would be unethical to decide about treatment based on the predicted survival or etiology of the disease. If this happens most votes go against smokers, or those whose 5-year survival is below 25%. CONCLUSIONS: Most people would want to be more informed about health services and drugs, but still they trust doctors with their decisions. They would also give treatment for those who need it regardless of money they have, etiology of the disease or the outcome.

Conference/Value in Health Info

2018-11, ISPOR Europe 2018, Barcelona, Spain

Value in Health, Vol. 21, S3 (October 2018)

Code

PHP55

Topic

Economic Evaluation, Health Policy & Regulatory, Health Service Delivery & Process of Care, Real World Data & Information Systems

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies, Health & Insurance Records Systems, Health Care Research, Health Disparities & Equity, Hospital and Clinical Practices, Pricing Policy & Schemes, Reimbursement & Access Policy

Disease

Multiple Diseases

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