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首页> 外文期刊>Journal of Health Services Research & Policy >How well do members of the public deal with a distributive justice problem in health care?
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How well do members of the public deal with a distributive justice problem in health care?

机译：公众如何处理医疗保健中的分配正义问题？

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Objectives: There is some debate about the appropriateness of involving the general public in decisions concerningnthe prioritising and rationing of health care resources. Doubt has been expressed about the public’s ability to dealnwith these issues in a fair and rational way without taking refuge in ready-made of. cial ideologies. This studynconsiders the quality of discussion achieved by members of the public on this issue in terms of their ability tonrecognise the validity of con icting arguments, to cope with the shifting positions created by these con icts, and tonavoid opting for simplistic ready-made solutions. It also records the participants’ own perceptions of the quality ofntheir discussion.nMethods: Four focus groups were recruited through community organisations in a suburban area of Derby, andnwere asked to evaluate criteria for the rationing of donor livers for transplantation, relating this to speci. c patientnpro. les. Discussions were recorded, transcribed and analysed using qualitative methods.nResults: Three groups showed an ability to work with shifting and con icting arguments on most issues theyndiscussed, but two of these groups showed a tendency to adopt simplistic solutions on one speci. c issue. The fourthngroup adopted a clear-cut solution to the main issues early on, and adhered to it for the rest of the discussion.nConclusion: The overall performance of the groups suggests that rational and open public discussion can benachieved, but that participants may need support in avoiding premature adoption of simplistic solutions.
机译：目标：关于让公众参与有关卫生保健资源优先顺序和分配的决策的适当性，存在一些争论。人们对公众是否有能力以公正合理的方式处理这些问题而又不愿为之做好准备表示怀疑。社会意识形态。这项研究考虑了公众就该问题进行讨论的质量，即他们有能力认识到有争议的论点的有效性，以应对由这些冲突产生的变化立场，并且避免选择简单的现成的方法。解决方案。方法：通过在德比郊区的社区组织招募了四个焦点小组，并要求他们评估供体肝脏配给的标准，这与具体情况有关。 c Patientnpro。 les。结果：三个小组显示出对所讨论的大多数问题可以转移和争论的能力，但是其中两个小组倾向于在一个特定的问题上采用简单化的解决方案。 c问题。第四小组在早期就对主要问题采取了明确的解决方案，并在其余的讨论中坚持了下来。n结论：各小组的总体表现表明可以进行理性和公开的讨论，但参与者可能需要支持避免过早采用简单的解决方案。

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