Table 2

Factor arrays per perspective; statements categorised according to underlying ethical principle

StatementsPerspective 1Perspective 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 prioritised0−1
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 prioritised00
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 prioritised01
  • Scores range between −4 and +4.

  • *p<0.05, **p<0.01.