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KMID : 1170320220280010025
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Korean Journal of Health Economics and Policy
2022 Volume.28 No. 1 p.25 ~ p.42
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A focus group study to identify the factors influencing priority setting in healthcare: Focusing on age, severity, and social solidarity
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Bae Green
Lee Bo-Ram
Lim Min-Kyung
Bae Eun-Young
Bae Eun-Young
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Abstract
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This study aimed to elucidate the social preference and the reasons for applying the priority setting for the allocation of limited health care resources to the general population.
Focus group interviews were held from February 14 to 18, 2019. Participants were ordinary people living in the Seoul metropolitan area. A total of 62 people were recruited according to the region and income from the panels of the research company. A brief scenario including disease description, and the price and effectiveness of some selectable treatments was presented to improve participants' understanding. In this study, a professional moderator conducted the focus group interview (FGI), and the researchers provided a guideline for FGI proceeding in advance.
One common opinion among all groups of participants, except for the group of men in their twenties, is that they should consider all ages fairly. Some of the participants mentioned the practical reason that since they have contributed to the insurance premiums during working age, they have to be covered as elderly people. In addition, there were overwhelming opinions that health care financing should be prioritized for diseases with severity. They reasoned that the higher the severity, the higher the cost of treatment and the greater the likelihood that the individual will not afford to pay for the treatment. Furthermore, people with severe diseases might have lost their financial ability.
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KEYWORD
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decision making, priority setting, resource allocation, age, severity, social solidarity
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