SynthesisHealth policy (Amsterdam, Netherlands)2009
Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research.
Synthesis in Health policy (Amsterdam, Netherlands), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- The full spectrum of ethical issues in pediatric genome-wide sequencing: a systematic qualitative review.BMC pediatrics · 2021Pooled it
- The full spectrum of ethical issues in dementia research: findings of a systematic qualitative review.BMC medical ethics · 2021Pooled it
- Ethical issues in public health surveillance: a systematic qualitative review.BMC public health · 2017Pooled it
- Well-functioning depression care collaboration: general practitioners' experiences with specialized mental health services.Scandinavian journal of primary health care · 2026Article
- Australian specialised mental healthcare labour shortages: Potential interventions for consideration and further research.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Article
- Rationing in the Pediatric Intensive Care Unit-ethical or unethical?Translational pediatrics · 2021Review
- Hidden bedside rationing in the Netherlands: a cross-sectional survey among physicians in internal medicine.BMC health services research · 2021Article
- Ethical rationing of healthcare resources during COVID-19 outbreak: Review.Ethics, medicine, and public health · 2021Review
- Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures.PloS one · 2019Article
- Rationing for medicines by health care providers in Indonesia National Health Insurance System at hospital setting: a qualitative study.Journal of pharmaceutical policy and practice · 2019Article
- Rationing of Care: Conceptual Ambiguity and Transparency in Data Collection and Synthesis.Journal of general internal medicine · 2016Article
- A survey of Ethiopian physicians' experiences of bedside rationing: extensive resource scarcity, tough decisions and adverse consequences.BMC health services research · 2015Article
- How can bedside rationing be justified despite coexisting inefficiency? The need for 'benchmarks of efficiency'.Journal of medical ethics · 2014Article
- Is it ethical to prescribe generic immunosuppressive drugs to renal transplant patients?Canadian journal of kidney health and disease · 2014Article
- Health care for irregular migrants: pragmatism across Europe: a qualitative study.BMC research notes · 2012Article
- How to write a systematic review of reasons.Journal of medical ethics · 2012Article
- The ethics and reality of rationing in medicine.Chest · 2011Review
- Discontinuing bevacizumab in patients with glioblastoma: an ethical analysis.The oncologist · 2011Article
- The role of ethics committees and ethics consultation in allocation decisions: a 4-stage process.Medical care · 2010Article
- Leadership and organizational performance: Is it essential in healthcare systems improvement? A review of literature.Saudi journal of anaesthesiaReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundSeveral quantitative surveys have been conducted internationally to gather empirical information about physicians' general attitudes towards health care rationing. Are physicians ready to accept and implement rationing, or are they rather reluctant? Do they prefer implicit bedside rationing that allows the physician-patient relationship broad leeway in individual decisions? Or do physicians prefer strategies that apply explicit criteria and rules?
objectivesTo analyse the range of survey findings on rationing. To discuss differences in response patterns. To provide recommendations for the enhancement of transparency and systematic conduct in reviewing survey literature.
methodsA systematic search was performed for all English and non-English language references using CINAHL, EMBASE, and MEDLINE. Three blinded experts independently evaluated title and abstract of each reference. Survey items were extracted that match with: (i) willingness to ration health care or (ii) preferences for different rationing strategies.
results16 studies were eventually included in the systematic review. Percentages of respondents willing to accept rationing ranged from 94% to 9%.
conclusionsThe conflicting findings among studies illustrate important ambivalence in physicians that has several implications for health policy. Moreover, this review highlights the importance to interpret survey findings in context of the results of all previous relevant studies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.