| Titre : | Physicians' views on resource availability and equity in four European health care systems. |
| Titre original: | Opinions des médecins sur la disponibilité des ressources et l'équité dans quatre systèmes de santé européen. |
| Auteurs : | S.A. HURST ; R. FORDE ; S. REITER-TEIL ; A.M. SLOWTHER ; A. PERRIER ; E. PEGORARO ; M. DANIS |
| Type de document : | Article |
| Dans : | BMC HEALTH SERVICES RESEARCH (7 Num 137, 01/01/2007) |
| Article en page(s) : | 2-27, tabl. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Organisation > Planification > Choix priorité [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Processus > Régulation [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Statistique > Technique mesure > Enquête [BDSP5] Géographie politique > Monde > Europe > Iles Britanniques > Royaume Uni [BDSP5] Géographie politique > Monde > Europe > Italie [BDSP5] Géographie politique > Monde > Europe > Pays scandinaves > Norvège [BDSP5] Géographie politique > Monde > Europe > Suisse [BDSP5] Information & communication [NI] > Information > Nature information [NI] > Etude > Etude comparée [BDSP5] Protection sociale > Système santé [BDSP5] Sociologie > Société > Structure sociale > Egalité sociale [BDSP5] Sociologie > Société > Vie sociale > Opinion publique [BDSP5] Système soins > Accès soins [BDSP5] Système soins > Accès soins > Couverture sociale [BDSP5] Système soins > Offre soins |
| Résumé : | In response to limited resources, health care systems have adopted diverse cost-containment strategies and give priority to differing types of interventions. The perception of physicians, who witness the effects of these strategies, may provide useful insights regarding the impact of system-wide priority setting on access to care.We conducted a cross-sectional survey to ascertain generalist physicians' perspectives on resources allocation and its consequences in Norway, Switzerland, Italy and the UK. Survey respondents (N=656, response rate 43%) ranged in age from 28-82, and averaged 25 years in practice. Most respondents (87.7%) perceived some resources as scarce, with the most restrictive being: access to nursing home, mental health services, referral to a specialist, and rehabilitation for stroke. Respondents attributed adverse outcomes to scarcity, and some respondents had encountered severe adverse events such as death or permanent disability . Despite universal coverage, 45.6% of respondents reported instances of underinsurance. Most respondents (78.7%) also reported some patient groups as more likely than others to be denied beneficial care on the basis of cost. Almost all respondents (97.3%) found at least one cost-containment policy acceptable. The types of policies preferred suggest that respondents are willing to participate in cost-containment, and do not want to be guided by administrative rules (11.2%) or restrictions on hospital beds (10.7%). Physician reports can provide an indication of how organizational factors may affect availability and equity of health care services. Physicians are willing to participate in cost-containment decisions, rather than be guided by administrative rules. Tools should be developed to enable physicians, who are in a unique position to observe unequal access or discrimination in their health care environment, to address these issues in a more targeted way. |
| En ligne : | http://www.biomedcentral.com/content/pdf/1472-6963-7-137.pdf |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 0053851 | B6214 | Article | Documentation IRDES | B : ouvrage/rapport grand format | Disponible |