Exact(3)
Consumers who were unwilling to be personally involved nominated doctors (39.7%) or other health professionals (17.9%), politicians or government representatives (30.6%), or consumer groups (16.6%) as having a role in making rationing decisions on their behalf.
The authors of this study concluded that the current economic incentives and increased patient autonomy do not combine well with making rationing decisions in primary care [ 39].
Two central dilemmas are: It is often experienced as difficult to make rationing decisions within the context of patient centred medicine The current economic incentives do not combine well with making rationing decisions.
Similar(57)
From the top, a body of experts can be empowered to make rationing decisions.
But patients are nowadays less inclined to trust the wisdom of governments, or even doctors, to make rationing decisions.
Others have suggested that this "administrative gatekeeping" [38] may be the most ethical response to rationing for doctors, allowing them to implement fair cost-reducing guidelines passed at higher levels within the health care system, while at the same time avoiding having to make rationing decisions in individual cases.
Two key issues combine to produce this increasing impost on micro level clinicians to make rationing decisions.
We asked specifically of how the relationship with patients and economic incentives affect how they make rationing decisions.
Requiring doctors to make rationing decisions at the point of care has the potential to seriously undermine the doctor-patient relationship and patient trust [ 7].
It is important that current and future rural physiotherapists are appropriately informed and prepared to prioritise service provision and make rationing decisions to meet service requirements within organisational constraints.
We had anticipated that the referral rate would be higher when GPs initiated the issue of referral, and we therefore think our result indicates a stronger responsiveness to the patient's requests on the part of the GP, resulting in difficulties or reluctance to make rationing decisions.
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