Who Should Receive Subsidized Psychotherapy?: Analysis of Decision Makers’ Think-Aloud Protocols

Three groups of judges representing clinical, political, and laypersons’ perspectives were given the task of prioritizing patients for subsidized psychotherapy within the Swedish health care system. The authors documented the judges’decision-making processes in think-aloud protocols and analyzed the...

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Bibliographic Details
Published in:Qualitative health research 2002-05, Vol.12 (5), p.640-654
Main Authors: Fredelius, Gunilla, Sandell, Rolf, Lindqvist, Cecilia
Format: Article
Language:English
Subjects:
Acute Disease
Clinical Protocols
Conflict (Psychology)
Decision Making
Health Priorities - classification
Health Priorities - economics
Health technology assessment
Humans
Patient Selection
Patients
Practice Patterns, Physicians
Psychology
Psychotherapy
Psychotherapy - economics
Qualitative research
Referral and Consultation - standards
SAMHÄLLSVETENSKAP
SOCIAL SCIENCES
State Medicine - organization & administration
Subsidies
Sweden
Therapy
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Summary:Three groups of judges representing clinical, political, and laypersons’ perspectives were given the task of prioritizing patients for subsidized psychotherapy within the Swedish health care system. The authors documented the judges’decision-making processes in think-aloud protocols and analyzed them qualitatively, focusing on the conflict between the urgency of a case and its suitability for treatment. In an earlier statistical analysis of the same material, clinicians had seemed to pay more attention to suitability criteria, whereas health care officials and laypersons prioritized based on urgency. The qualitative findings confirmed the centrality of this conflict and contributed to a deeper understanding of decision makers’ways of coping with it. Their conceptions of suitability and urgency were also elucidated by analysis of the think-aloud protocols.
ISSN:1049-7323
1552-7557
1552-7557
DOI:10.1177/104973202129120151