Methods to Determine Health Care Priorities Questioned

Debate over whether to base resource allocation on measures of patient or public attitudes
By Jeff Muise
HealthDay Reporter

FRIDAY, July 23 (HealthDay News) -- Evaluating health care priorities based on the attitudes of patients (direct method) or the attitudes of the general public (indirect method) can produce different results, complicating decisions on the allocation of health care resources, according to two papers published July 22 in BMJ.

In one study, David Arnold, of Cardiff University Medical School in the United Kingdom, and colleagues reviewed 32 studies on resource allocation and compared the direct and indirect methods for determining health care priorities. The indirect method, using attitudes of the general public, tended to favor the allocation of health care resources away from death-delaying interventions to the alleviation of non-fatal conditions.

In the second paper, Paul Dolan, Ph.D., of Imperial College Business School in London, and colleagues question the usefulness of the European quality of life five dimensions survey (EQ-5D) recommended by the National Institute for Health and Clinical Excellence to determine health care priorities. The researchers argue that the survey is hypothetical and too narrowly focused on the dimensions, and they advocate a tool that measures "subjective well-being."

"We suggest that subjective well-being offers a more direct and accurate way of assessing how health states impact on the lives of those most affected by different health conditions. The move would mean that we are not constrained to using simple descriptive systems like the EQ-5D," Dolan and colleagues write. "It makes sense to focus on the (sometimes different) dimensions of health that have the greatest effect on the lives of all those affected by different conditions."

Abstract - Arnold
Full Text
Abstract - Dolan
Full Text (subscription or payment may be required)

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events