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Will elderly patients stand aside for younger patients in the queue for cardiac services?
Author(s)Aldo Mariotto, Diego De Leo, Marirosa Dello Buono
Journal titleThe Lancet, vol 354, no 9177, 7 August 1999
Pagespp 467-470
KeywordsAdmission ; Heart disease ; Hospital services ; Consultation ; Surgery ; Economic status [elderly] ; Attitude ; Attitudes to the old of general public ; Italy.
AnnotationFair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public attitudes towards non-clinical factors such as age or work status as determinants of priority. The authors asked older residents of Padova, Italy, whether, if they were awaiting cardiac surgery or an outpatient cardiology consultant, they would give up their place in the line to younger or self-employed person. Younger health workers were also asked to imagine themselves as older people making the same choice. About half (51%) deemed it right to give up their place in the queue for cardiac surgery. Proportions were significantly higher (68%) for an outpatient consultation. In multivariate analysis, married respondents, those closer to age 65, university graduates and those who were formerly self-employed were significantly less likely to respond affirmatively. The younger group of respondents were much less self-sacrificing, suggesting that ageing baby-boomers may be more assertive about their continuing rights to health care. (RH).
Accession NumberCPA-980823203 A
ClassmarkQKH: CQH: LD: LK6: LKA: F:W: DP: TOB: 76V *

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