TY - JOUR
T1 - Survival vs. quality of life
T2 - A study of the Israeli public priorities in medical care
AU - Shmueli, Amir
PY - 1999/8
Y1 - 1999/8
N2 - Public opinion has become one of the primary inputs in setting priorities, rationing and allocating health resources. The present study focuses on the priorities of the Israeli public aged 45-75 in allocating scarce medical resources between prolonging survival (the 'Rule of Rescue') and preventing a severe and permanent disability (quality of life). The findings indicate that the 'Rule of Rescue' is dominant for more than a quarter of the population even when death is postponed by only one month. More than a tenth of the population are ready to adopt prioritization by lottery. Economic condition, gender and health status have no effect on priority choices. The main determinants of the choices are age and religiosity, with older individuals more likely to choose random prioritization and religious people tending to prefer saving life even when the opportunity costs are high.
AB - Public opinion has become one of the primary inputs in setting priorities, rationing and allocating health resources. The present study focuses on the priorities of the Israeli public aged 45-75 in allocating scarce medical resources between prolonging survival (the 'Rule of Rescue') and preventing a severe and permanent disability (quality of life). The findings indicate that the 'Rule of Rescue' is dominant for more than a quarter of the population even when death is postponed by only one month. More than a tenth of the population are ready to adopt prioritization by lottery. Economic condition, gender and health status have no effect on priority choices. The main determinants of the choices are age and religiosity, with older individuals more likely to choose random prioritization and religious people tending to prefer saving life even when the opportunity costs are high.
KW - Allocation
KW - Equity
KW - Medical care
KW - Priorities
KW - Public opinion
KW - Rationing
UR - http://www.scopus.com/inward/record.url?scp=0033050291&partnerID=8YFLogxK
U2 - 10.1016/S0277-9536(99)00120-3
DO - 10.1016/S0277-9536(99)00120-3
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C2 - 10414815
AN - SCOPUS:0033050291
SN - 0277-9536
VL - 49
SP - 297
EP - 302
JO - Social Science and Medicine
JF - Social Science and Medicine
IS - 3
ER -