{"id":6393,"date":"1999-08-07T00:00:00","date_gmt":"1999-08-07T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/"},"modified":"2023-06-14T19:38:46","modified_gmt":"2023-06-14T23:38:46","slug":"will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/","title":{"rendered":"Will elderly patients stand aside for younger patients in the queue for cardiac services?"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public attitudes towards non-clinical factors such as age or work status as determinants of priority.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We asked elderly residents of Padova, Italy, whether, if they were awaiting cardiac surgery or an outpatient cardiology consultant, they would give up their place in line for a younger or self-employed individual. We also elicited responses from a convenience sample of younger health workers asked to imagine themselves as elderly persons facing the same choices.<\/p>\n<p><strong>Findings<\/strong> &#x2014; The eligible response rate was 72% (443\/616). About half deemed it right to give up their place in line for cardiac surgery to a 45-year-old (51%, 95% CI 46&#x2013;56) or self-employed person (47%, 95% CI 42&#x2013;51) Proportions were significantly higher for an outpatient consultation (68%, 95% CI 63&#x2013;72). In multivariate analyses, married respondents, those closer to age 65, university graduates, and those who were formerly self-employed were significantly less likely to respond affirmatively. In significant contrast for all four scenarios (p&lt;0&#xb7;0001), the overwhelming majority of non-elderly respondents refused to give up their places in line.<\/p>\n<p><strong>Interpretation<\/strong> &#x2014; The majority of elderly citizens were hypothetically willing to cede priority in accessing cardiac care to younger or self-employed persons, but this willingness was attenuated among the &#x201c;young&#x201d; elderly and more privileged respondents. Non-elderly respondents were much less self-sacrificing, suggesting that ageing babyboomers may be more assertive about their continuing rights to healthcare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public attitudes towards non-clinical factors such as age or work status as determinants of priority. Methods &#x2014; We asked elderly residents of Padova, Italy, whether, if they were awaiting cardiac surgery or an outpatient cardiology [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[40,20,19],"migration-helper-qa-sample-set":[],"class_list":["post-6393","journal_article","type-journal_article","status-publish","hentry","topic-cardiovascular-disease","topic-health-and-health-care-inequality","topic-marginalized-populations"],"acf":{"citation":"Mariotto A, De Leo D, Buono MD, Favaretti C, Austin P, Naylor CD. <em>Lancet<\/em>. 1999; 354(9177):467-70.","source_url":"","ices_scientist":[1385,1304],"site":[6733],"research_program":[6742],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"7FEFDF94-3832-4C1F-AB89-5EF052EEAC2D","sitecore_item_name":"Will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services","sitecore_field_values":"{\n  \"Title\": \"Will elderly patients stand aside for younger patients in the queue for cardiac services?\",\n  \"Short title\": \"Will elderly patients stand aside for\",\n  \"Citation\": \"<p>Mariotto A, De Leo D, Buono MD, Favaretti C, Austin P, Naylor CD. <em>Lancet<\/em>. 1999; 354(9177):467-70.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public attitudes towards non-clinical factors such as age or work status as determinants of priority.<\/p>n<p><strong>Methods<\/strong> &mdash; We asked elderly residents of Padova, Italy, whether, if they were awaiting cardiac surgery or an outpatient cardiology consultant, they would give up their place in line for a younger or self-employed individual. We also elicited responses from a convenience sample of younger health workers asked to imagine themselves as elderly persons facing the same choices.<\/p>n<p><strong>Findings<\/strong> &mdash; The eligible response rate was 72% (443\/616). About half deemed it right to give up their place in line for cardiac surgery to a 45-year-old (51%, 95% CI 46&ndash;56) or self-employed person (47%, 95% CI 42&ndash;51) Proportions were significantly higher for an outpatient consultation (68%, 95% CI 63&ndash;72). In multivariate analyses, married respondents, those closer to age 65, university graduates, and those who were formerly self-employed were significantly less likely to respond affirmatively. In significant contrast for all four scenarios (p&lt;0&middot;0001), the overwhelming majority of non-elderly respondents refused to give up their places in line.<\/p>n<p><strong>Interpretation<\/strong> &mdash; The majority of elderly citizens were hypothetically willing to cede priority in accessing cardiac care to younger or self-employed persons, but this willingness was attenuated among the &ldquo;young&rdquo; elderly and more privileged respondents. Non-elderly respondents were much less self-sacrificing, suggesting that ageing babyboomers may be more assertive about their continuing rights to healthcare.<\/p>\",\n  \"Keywords\": \"{404E8236-468F-4DA1-8BA1-F405AC36275E}|{C854EE01-6CCA-41CE-9A24-52AA5AFA4C3F}|{92E2791D-5DAB-4244-8A85-434D524D9A12}\",\n  \"Research Programs\": \"{BEC72DE0-BA8C-42B8-ACE5-EE29FFB2CB3B}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{7D498E8B-5801-4F9E-AC41-11ED50F3C34E}|{545C70EB-0A3F-4646-A0F5-509EB7E15CF6}\",\n  \"Posted Date\": \"19990807T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/1999\/January\/Will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:38:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\\\/\",\"name\":\"ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"1999-08-07T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:38:46+00:00\",\"description\":\"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Will elderly patients stand aside for younger patients in the queue for cardiac services?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?","description":"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?","og_description":"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:38:46+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/","name":"ICES | Will elderly patients stand aside for younger patients in the queue for cardiac services?","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"1999-08-07T04:00:00+00:00","dateModified":"2023-06-14T23:38:46+00:00","description":"Background &#x2014; Fair management of queues for hospital-based services requires consideration of clinical need, but there is no information on public","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/will-elderly-patients-stand-aside-for-younger-patients-in-the-queue-for-cardiac-services\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Will elderly patients stand aside for younger patients in the queue for cardiac services?"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/6393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6742"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1304"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1385"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=6393"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=6393"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=6393"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=6393"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=6393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}