Prioritization Preferences among General Practitioners in Hungary
Prioritization Preferences among General Practitioners in Hungary

Summary/Abstract: Cost-utility analyses use the quality-adjusted life-year (QALY) as a measure of health benefit. Normally, they treat every QALY gain equally, that is, attach the same weight (or value) to each QALY gained. However, it appears that this practice does not reflect the distributional preferences of the general public nor of health care professionals. Maximizing the QALY gain from a given budget is not the only aim in priority setting. This article presents a study into such distributional preferences of general practitioners (GPs) for prioritization at the patient level in Hungary. Given the special position GPs have in many health care systems, including the Hungarian, more knowledge of their preferences is important. The authors used a discrete choice experiment to study these preferences, focusing on factors related to the characteristics of the patients, the disease, and treatment effects. Results show that the most important factors influencing the GPs’ decision were the age of the patient, the mortality of the disease, the impact of the disease on patients’ quality of life, and the potential for the full restoration of the previous health status. The treatment of patients without comorbidities was preferred to that of patients with comorbidities. Importantly, these preferences in GPs may steer the actual distribution of health care.

• Details
• Contents