Ethical principles and the rationing of health care: a qualitative study in general practice (original) (raw)

British Journal of General Practice

Researching sensitive topics, such as the rationing of treatments and denial of care, raises a number of ethical and methodological problems. To describe the methods and findings from a number of focus group discussions that examined how GPs apply ethical principles when allocating scarce resources. A small-scale qualitative study involving purposive sampling, semi-structured interviews and focus groups. Twenty-four GPs from two contrasting areas of London: one relatively affluent and one relatively deprived. Initial interviews asked GPs to identify key resource allocation issues. The interviews were transcribed and themes were identified. A number of case studies, each illustrative of an ethical issue related to rationing, were written up in the form of vignettes. In focus group discussions, GPs were given a number of these vignettes to debate. With respect to the ethical basis for decision making, the findings from this part of the study emphasised the role of social and psycholog...

Sign up for access to the world's latest research.

checkGet notified about relevant papers

checkSave papers to use in your research

checkJoin the discussion with peers

checkTrack your impact