Citizen's Preferences Regarding Principles to Guide Health-Care Allocation Decisions in Thailand

Dec 1, 2008, 00:00
10.1111/j.1524-4733.2008.00321.x
https://www.valueinhealthjournal.com/article/S1098-3015(10)60603-1/fulltext
Title : Citizen's Preferences Regarding Principles to Guide Health-Care Allocation Decisions in Thailand
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(10)60603-1&doi=10.1111/j.1524-4733.2008.00321.x
First page :
Section Title :
Open access? : No
Section Order : 22

Objectives

The objective of this study was to investigate the extent to which five principles of rationing (lottery, rule of rescue, health maximization, fair innings, and choicism) were preferred by a sample of Thai citizens for selecting patients to receive high-cost therapies.

Methods

A self-administered survey was used for collecting data from a sample of 1000 individuals living in Thailand. Descriptive statistics, factor analysis, and multinomial logistic regression analysis were used for describing and validating the data. Out of the 1000 sample members, 780 (78%) provided usable responses.

Results

The results showed that within specific situations under budget constraints, Thai people used each of the criteria we studied to ration health care including: 1) lottery principle; 2) rule of rescue; 3) health maximization; 4) fair innings; and 5) choicism.

Conclusions

The extent to which the criteria were applied depended on the specific situation placed before the decision-maker. “Choicism” (equalizing opportunity for health) was the most preferred method for rationing when compared to each of the other four principles.

Categories :
  • Decision Modeling & Simulation
  • Health Policy & Regulatory
  • Patient-Centered Research
  • Public Spending & National Health Expenditures
  • Retrospective Databases: Electronic Medical and Health Records, Admin Claims
  • Stated Preference & Patient Satisfaction
  • Study Approaches
Tags :
  • decision-making
  • health economics
  • health-care decision-makers
  • preferences
  • resource use
Regions :
  • Eastern and Central Europe
  • Western Europe
ViH Article Tags :