Rationing of health care services to the elderly in the opinion of staff hospital emergency departments

Mateusz Adamczyk, Bernadeta Jędrzejkiewicz, Marlena Anna Ogórek, Beata Dobrowolska

Abstract


Abstract
Introduction. Rationing of medical services is based on several rules, among which stand out the ethical rules. This means equal access to health care for everyone regardless of age, religion, gender or social status. Possible discrimination because of age is called ageism, which consists of resentment, making unjust and unfair judgment or abusive choices in relation to the elderly.
Purpose of the work. The aim of this study was to investigate the views of staff of hospital emergency departments on the ethical aspects of the rationing of health care services to the elderly.
Material and methods. The study was conducted in 2017 in a group of 60 nurses and 60 paramedics working in emergency departments Lublin province. Diagnostic survey method was used. The collected material was subjected to statistical analysis using the software SPSS IBM Statistic.
Results. The age of the patient, in determining order of medical care, was important to 18.4% (n = 22) tested. For nurses, the criterion of age was statistically more significant than for paramedics (p <0.001). 91.7% (n = 110) of the test target considers guiding by the age by the assistance as unethical. For 90% (n = 108) the right of access to the services should be equal. At the same time, only 26.7% (n = 32) of respondents believe that all patients are treated equally. 55% (n = 66) admits that at least once in a lifetime gave first aid to a younger person (guided by the criterion of age). Substantially more often the aid was given by nurses (p <0.001). 51.7% (n = 62) of respondents sees the inferior treatment of the elderly. Statistically more often this state was observed by nurses (p = 0.003).
Conclusions. According to respondents, access to health services should be equal for everyone. At the same time they admit that older patients are not treated on a par with the young person and it happens that the elderly receive help later. More than half of the respondents observed the phenomenon of discrimination against the elderly in the emergency departments. It manifests itself in greater impatience, contempt, and the stereotypical image of an elderly man as a person in need of companionship, conversation, interests and no medical assistance.

Keywords


ageism; rationing of benefits; emergency department; A&E

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References


Zych A. Słownik gerontologii społecznej. Wydawnictwo Akademickie „Żak”, 2001.

Wolański N.: Rozwój biologiczny człowieka. Podstawy auksologii, gerontologii i promocji zdrowia. Wydawnictwo Naukowe PWN, Warszawa 2006

Chodorowski Z.: Geriatria: postępy w diagnostyce i terapii. Grafica, Gdynia 2007;13-15:487-489.

Polak A, Porzych K, Kędziora – Kornatowska K, Motyl J, Porzych M, Słupski M, Lackowska D.: Poznawczy i praktyczny wymiar gerontologii – interdyscyplinarnej nauki o starzeniu się i starości. Gerontologia Polska 2007, tom 14, nr 3, s. 51-53.

Kocemba J, Latkowski J.B, Lukas W.: Medycyna rodzinna. Repetytorium. Warszawa: PZWL; 2007, 497-504.

GUS Sytuacja demograficzna osób starszych i konsekwencje starzenia się ludności Polski w świetle prognozy na lata 2014 – 2050.

Krupa B.: Starość w percepcji młodzieży – perspektywa pedagogiczna. Nowiny Lekarskie 2012, 81, 1, s. 36-43.

Słownik socjologii i nauk społecznych, red. nauk. polskiego wydania M. Tabin, Wy-dawnictwo Naukowe PWN, Warszawa 2005; T.F. Pettigrew, M.C. Taylor.

Winiarska A, Klaus W.: Dyskryminacja i nierówne traktowanie jako zjawisko społeczno kulturowe. Studia BAS nr 2(26) 2011, s. 9-40.

Szukalski P.: Starzenie się ludności Łodzi i województwa łódzkiego. Demografia i Gerontologia Społeczna – Biuletyn Informacyjny Uniwersytetu Łódzkiego 2011, nr 6.

Partycki S., Elementy społeczne w społecznej gospodarce rynkowej, Ośrodek Studiów Polonijnych i Społecznych PZKS, Lublin 1996, s. 88.

Szewczyk K., Bioetyka, pacjent w systemie opieki zdrowotnej, s. 21-22.

Burak A., Reczyńska A. Dyskryminacja pacjentów w starszym wieku przez pracowników ochrony zdrowia. GERIATRIA 2015; 9:218-226




DOI: http://dx.doi.org/10.5281/zenodo.1434033

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