Publication: Citizen's preferences regarding principles to guide health-care allocation decisions in Thailand
Issued Date
2008-01-01
Resource Type
ISSN
15244733
10983015
10983015
Other identifier(s)
2-s2.0-53749107799
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Value in Health. Vol.11, No.7 (2008), 1194-1202
Suggested Citation
Vijj Kasemsup, Jon C. Schommer, Richard R. Cline, Ronald S. Hadsall Citizen's preferences regarding principles to guide health-care allocation decisions in Thailand. Value in Health. Vol.11, No.7 (2008), 1194-1202. doi:10.1111/j.1524-4733.2008.00321.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/19814
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Title
Citizen's preferences regarding principles to guide health-care allocation decisions in Thailand
Other Contributor(s)
Abstract
Objectives: The objective of this study was to investigate the extent to which five principles of rationing (lottery, rule of rescue, health maximization, fair innings, and choicism) were preferred by a sample of Thai citizens for selecting patients to receive high-cost therapies. Methods: A self-administered survey was used for collecting data from a sample of 1000 individuals living in Thailand. Descriptive statistics, factor analysis, and multinomial logistic regression analysis were used for describing and validating the data. Out of the 1000 sample members, 780 (78%) provided usable responses. Results: The results showed that within specific situations under budget constraints, Thai people used each of the criteria we studied to ration health care including: 1) lottery principle; 2) rule of rescue; 3) health maximization; 4) fair innings; and 5) choicism. Conclusions: The extent to which the criteria were applied depended on the specific situation placed before the decision-maker. "Choicism" (equalizing opportunity for health) was the most preferred method for rationing when compared to each of the other four principles. © 2008, International Society for Pharmacoeconomics and Outcomes Research (ISPOR).