Connecting-Africa | Find publications

Advanced search

Find:


Title Bedside Rationing Under Resource Constraints'A National Survey of Ethiopian Physicians' Use of Criteria for Priority Setting
Full text http://hdl.handle.net/1956/22239
Date 2019
Author(s) Defaye, Frehiwot Berhane; Danis, Marion; Wakim, Paul; Berhane, Yemane; Norheim, Ole Frithjof; Miljeteig, Ingrid
Abstract In low-income settings resource constraints force clinicians to make harsh choices. We examine the criteria Ethiopian physicians use in their bedside rationing decisions through a national survey at 49 public hospitals in Ethiopia. Substantial variation in weight given to different criteria were reported by the 587 participating physicians (response rate 91.7%). Young age, primary prevention, or the patient being the family's economic provider increased likelihood of offering treatment to a patient, while small expected benefit or low chance of success diminished likelihood. More than 50% of responding physicians were indifferent to patient's position in society, unhealthy behavior, and residence, while they varied widely in weight they gave to patient's poverty, ability to work, and old age. While the majority of Ethiopian physicians reported allocation of resources that was compatible with national priorities, more contested criteria were also frequently reported. This might affect distributional justice and equity in health care access.
Language eng
Publisher Taylor & Francis
Relation AJOB Empirical Bioethics
Type of publication Journal article; acceptedVersion; Journal article
Source 2329-4515; 2329-4523
Rights Copyright 2019 Taylor & Francis Group
Identifier Defaye FB, Danis M, Wakim, Berhane Y, Norheim OF, Miljeteig I. Bedside Rationing Under Resource Constraints'A National Survey of Ethiopian Physicians' Use of Criteria for Priority Setting. AJOB Empirical Bioethics. 2019;10(2):125-135; 1711819; 10.1080/23294515.2019.1583691
Repository Bergen - University of Bergen
Added to C-A: 2020-05-18;11:37:02