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From representing views to representativeness of views Illustrating a new (Q2S) approach in the context of health care priority setting in nine European countries.pdf

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From representing views to representativeness of views Illustrating a new (Q2S) approach in the context of health care priority setting in nine European countries.pdf

Social Science Medicine 166 (2016) 205e213 Contents lists available at ScienceDirect Social Science Medicine journal homepage: /locate/socscimed From representing views to representativeness of views: Illustrating a new (Q2S) approach in the context of health care priority setting in nine European countries Helen Mason a, *, Job van Exel b, Rachel Baker a, Werner Brouwer b, Cam Donaldson a, EuroVaQ team a Yunus Centre for Social Business and Health, Glasgow Caledonian University, Cowcaddens Road, Glasgow, UK b Institute of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands article info Article history: Received 22 February 2016 Received in revised form 4 August 2016 Accepted 20 August 2016 Available online 22 August 2016 Keywords: Europe Health care Decision making Societal views Q methodology Q survey abstract Governments across Europe are required to make decisions about how best to allocate scarce health care resources. There are legitimate arguments for eliciting societal vales in relation to health care resource allocation given the roles of the general public as payers and potential patients. However, relatively little is known about the views of the general public on general principles which could guide these decisions. In this paper we present ?ve societal viewpoints on principles for health care resources allocation and develop a new approach, Q2S, designed to investigate the extent to which these views are held across a range of European countries. An online survey was developed, based on a previously completed study Q methodology, and delivered between November 2009 and February 2010 across nine countries to 33,515 respondents. The largest proportion of our respondents (44%), were found to most associate themselves with an egalitarian perspective. Differences in views were more strongly associated with countries than with socio-demographic characteristics. These results provide information which