Factor arrays per perspective; statements categorised according to underlying ethical principle
Statements | Perspective 1 | Perspective 2 |
Egalitarian | ||
Surgery places should be allocated by lottery, so everyone has an equal chance of getting surgery | −1** | −3 |
Surgery places should be allocated based on a first-come-first-served system | −1** | −4 |
Individual prioritisation | ||
Patients with the greatest need for treatment should be prioritised | +4** | 0 |
Patients with the worst health status should be prioritised | 0 | −1 |
Patients with the lowest quality of life should be prioritised | +1** | −2 |
Patients that are clinically deteriorating should be prioritised | +2** | 0 |
Young patients should be prioritised (over older patients) | 0 | +1 |
Patients with a healthy lifestyle should be prioritised | −3** | 0 |
Utilitarian | ||
Priority should be given to treatments that generate the best overall health for the most people | +3** | +4 |
Priority should be based on how many lives can be saved | +3** | +2 |
Priority should be based on how many life-years can be saved | +2** | +1 |
Priority should be based on the best prognosis for the patient after treatment | +1** | +3 |
Social usefulness | ||
Patients who are healthcare professionals should be prioritised | 0 | 0 |
Patients who have an important societal function should be prioritised | −3** | −1 |
Patients who depend heavily on others for care should be prioritised | −2** | −1 |
Informal carers should be prioritised | -1 | −2 |
It is important when prioritising that people can fulfil their role in society | −2** | +3 |
Patients who have contributed significantly to society should be prioritised | −4** | −3 |
Patient perspective | ||
Doctors should be the ones to judge which patients are prioritised based on their medical expertise | +1* | +2 |
Patients should have a voice in who gets prioritised | 0 | 1 |
Scores range between −4 and +4.
*p<0.05, **p<0.01.