Knowing about health care rationing
Lead Research Organisation:
University of Bristol
Department Name: Social Medicine
Abstract
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People |
ORCID iD |
| Amanda Owen-Smith (Principal Investigator / Fellow) |
Publications
Owen-Smith A
(2009)
"I can see where they're coming from, but when you're on the end of it ... you just want to get the money and the drug.": explaining reactions to explicit healthcare rationing.
in Social science & medicine (1982)
Owen-Smith A
(2010)
The usefulness of NICE guidance in practice: different perspectives of managers, clinicians, and patients.
in International journal of technology assessment in health care
Owen-Smith A
(2010)
The desirability of being open about health care rationing decisions: findings from a qualitative study of patients and clinical professionals.
in Journal of health services research & policy
Owen-Smith A
(2010)
Are patients receiving enough information about healthcare rationing? A qualitative study.
in Journal of medical ethics
| Description | This was a 1 year post doctoral bridging fellowship principally aimed at writing publications from my PhD. The publications reported on the following key findings from my PhD: - Although clinicians want to be open about healthcare rationing, they meet a number of barriers to achieving this in practice - Patients largely support a more open approach to be taken to rationing, although this is not universal and participants identified a number of downsides to explicitness - When faced with a rationing decision, patients have a choice whether to accept it, contest it, or pay for private care. There are a number of internal and external factors that impact on this choice. |
| Exploitation Route | The publications contribute substantially to our understanding of the healthcare rationing debate, particularly when it comes to the desirability of explicitness in decision-making. The papers report on what to our knowledge is the first study of patients' views on the desirability of being open about healthcare rationing. |
| Sectors | Healthcare |
| Description | To provide a bridge into my NIHR three year postdoctoral fellowship which further investigates healthcare rationing at the consultation level through the integration of observational techniques |
| First Year Of Impact | 2011 |
| Sector | Healthcare |
| Impact Types | Societal,Policy & public services |