کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
952317 1476083 2013 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Changing expectations concerning life-extending treatment: The relevance of opportunity cost
ترجمه فارسی عنوان
تغییر انتظارات در مورد درمان زندگی در حال گسترش: مرتبط بودن هزینه فرصت
کلمات کلیدی
استرالیا؛ اولویت بندی؛ دیدگاه طول عمر؛ ترجیحات عمومی؛ انتظارات؛ نیازهای رقابتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

Rising public expectations and health care costs along with demographic ageing raise questions about whether individuals should consider the drain on community resources when deciding whether to have expensive, life-extending medical interventions towards the end of their lifespan. All respondents (n = 208) in this novel, policy-capturing study were prepared to nominate an age along their life trajectory where they would likely decline a life-extending medical intervention indicating a “sense of limits” or “reasonableness” associated with the concept of a natural lifespan. The results showed that individuals altered end-of-life decisions in circumstances of higher opportunity cost and competing need but their propensity to do so was affected by their age, gender, and their expectations of medical progress. Other within-person factors (type of scarcity, treatment side effects, and health at diagnosis) affected the age one would decline a medical intervention in the face of a life threatening illness. Between-person predictors of this age included subjective life expectancy and attitude to health spending. The results suggest possibilities for building on this sense of reasonableness in public discussions of the opportunity cost of current health care resource allocation and by having physicians consider appropriate ways of presenting cost of treatment in end-of life contexts.


► We use policy-capturing approach to show people consider opportunity cost when choosing a life sustaining intervention.
► Those with lower expectations of medical progress consider opportunity cost to a greater extent.
► Subjective life expectancy, and the attitude towards health care spending influenced age of declining treatment.
► Mental models applied by public when considering end of life treatment decisions within lifespan.
► Indicates a sense of limits to life saving intervention within a natural lifespan.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 85, May 2013, Pages 66–73
نویسندگان
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