Cargando…

Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting

CONTEXT: It remains unclear whether there would be societal support for a lifestyle criterion for the healthcare priority setting. This study examines the viewpoints of experts in healthcare and the public regarding support for a lifestyle‐related decision criterion, relative to support for the curr...

Descripción completa

Detalles Bibliográficos
Autores principales: Dieteren, Charlotte M., Reckers‐Droog, Vivian T., Schrama, Sara, de Boer, Dynothra, van Exel, Job
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8849370/
https://www.ncbi.nlm.nih.gov/pubmed/34845790
http://dx.doi.org/10.1111/hex.13385
_version_ 1784652449596833792
author Dieteren, Charlotte M.
Reckers‐Droog, Vivian T.
Schrama, Sara
de Boer, Dynothra
van Exel, Job
author_facet Dieteren, Charlotte M.
Reckers‐Droog, Vivian T.
Schrama, Sara
de Boer, Dynothra
van Exel, Job
author_sort Dieteren, Charlotte M.
collection PubMed
description CONTEXT: It remains unclear whether there would be societal support for a lifestyle criterion for the healthcare priority setting. This study examines the viewpoints of experts in healthcare and the public regarding support for a lifestyle‐related decision criterion, relative to support for the currently applied criteria, in the healthcare priority setting in the Netherlands. METHODS: We conducted a Q methodology study in samples of experts in healthcare (n = 37) and the public (n = 44). Participants (total sample N = 81) ranked 34 statements that reflected currently applied decision criteria as well as a lifestyle criterion for setting priorities in healthcare. The ranking data were subjected to principal component analysis, followed by oblimin rotation, to identify clusters of participants with similar viewpoints. FINDINGS: We identified four viewpoints. Participants with Viewpoint 1 believe that treatments that have been proven to be effective should be reimbursed. Those with Viewpoint 2 believe that life is precious and every effort should be made to save a life, even when treatment still results in a very poor state of health. Those with Viewpoint 3 accept government intervention in unhealthy lifestyles and believe that individual responsibility should be taken into account in reimbursement decisions. Participants with Viewpoint 4 attribute importance to the cost‐effectiveness of treatments; however, when priorities have to be set, treatment effects are considered most important. All viewpoints were supported by a mix of public and experts, but Viewpoint 1 was mostly supported by experts and the other viewpoints were mostly supported by members of the public. CONCLUSIONS: This study identified four distinct viewpoints on the healthcare priority setting in the Netherlands, each supported by a mix of experts and members of the public. There seems to be some, but limited, support for a lifestyle criterion—in particular, among members of the public. Experts seem to favour the decision criteria that are currently applied. The diversity in views deserves attention when policymakers want to adhere to societal preferences and increase policy acceptance.
format Online
Article
Text
id pubmed-8849370
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-88493702022-02-25 Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting Dieteren, Charlotte M. Reckers‐Droog, Vivian T. Schrama, Sara de Boer, Dynothra van Exel, Job Health Expect Original Articles CONTEXT: It remains unclear whether there would be societal support for a lifestyle criterion for the healthcare priority setting. This study examines the viewpoints of experts in healthcare and the public regarding support for a lifestyle‐related decision criterion, relative to support for the currently applied criteria, in the healthcare priority setting in the Netherlands. METHODS: We conducted a Q methodology study in samples of experts in healthcare (n = 37) and the public (n = 44). Participants (total sample N = 81) ranked 34 statements that reflected currently applied decision criteria as well as a lifestyle criterion for setting priorities in healthcare. The ranking data were subjected to principal component analysis, followed by oblimin rotation, to identify clusters of participants with similar viewpoints. FINDINGS: We identified four viewpoints. Participants with Viewpoint 1 believe that treatments that have been proven to be effective should be reimbursed. Those with Viewpoint 2 believe that life is precious and every effort should be made to save a life, even when treatment still results in a very poor state of health. Those with Viewpoint 3 accept government intervention in unhealthy lifestyles and believe that individual responsibility should be taken into account in reimbursement decisions. Participants with Viewpoint 4 attribute importance to the cost‐effectiveness of treatments; however, when priorities have to be set, treatment effects are considered most important. All viewpoints were supported by a mix of public and experts, but Viewpoint 1 was mostly supported by experts and the other viewpoints were mostly supported by members of the public. CONCLUSIONS: This study identified four distinct viewpoints on the healthcare priority setting in the Netherlands, each supported by a mix of experts and members of the public. There seems to be some, but limited, support for a lifestyle criterion—in particular, among members of the public. Experts seem to favour the decision criteria that are currently applied. The diversity in views deserves attention when policymakers want to adhere to societal preferences and increase policy acceptance. John Wiley and Sons Inc. 2021-11-29 2022-02 /pmc/articles/PMC8849370/ /pubmed/34845790 http://dx.doi.org/10.1111/hex.13385 Text en © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Dieteren, Charlotte M.
Reckers‐Droog, Vivian T.
Schrama, Sara
de Boer, Dynothra
van Exel, Job
Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title_full Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title_fullStr Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title_full_unstemmed Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title_short Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting
title_sort viewpoints among experts and the public in the netherlands on including a lifestyle criterion in the healthcare priority setting
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8849370/
https://www.ncbi.nlm.nih.gov/pubmed/34845790
http://dx.doi.org/10.1111/hex.13385
work_keys_str_mv AT dieterencharlottem viewpointsamongexpertsandthepublicinthenetherlandsonincludingalifestylecriterioninthehealthcareprioritysetting
AT reckersdroogviviant viewpointsamongexpertsandthepublicinthenetherlandsonincludingalifestylecriterioninthehealthcareprioritysetting
AT schramasara viewpointsamongexpertsandthepublicinthenetherlandsonincludingalifestylecriterioninthehealthcareprioritysetting
AT deboerdynothra viewpointsamongexpertsandthepublicinthenetherlandsonincludingalifestylecriterioninthehealthcareprioritysetting
AT vanexeljob viewpointsamongexpertsandthepublicinthenetherlandsonincludingalifestylecriterioninthehealthcareprioritysetting