Does the perception of fairness and standard of care in the health system depend on the field of study? Results of an empirical analysis

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Damm, Kathrin; Prenzler, Anne; Zuchandke, Andy: Does the perception of fairness and standard of care in the health system depend on the field of study? Results of an empirical analysis. In: BMC Health Services Research 14 (2014). DOI:

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Sum total of downloads: 199

Background: The main challenge in the context of health care reforms and priority setting is the establishment and/or maintenance of fairness and standard of care. For the political process and interdisciplinary discussion, the subjective perception of the health care system might even be as important as potential objective criteria. Of special interest are the perceptions of academic disciplines, whose representatives act as decision makers in the health care sector. The aim of this study is to explore and compare the subjective perception of fairness and standard of care in the German health care system among students of medicine, law, economics, philosophy, and religion. Methods: Between October 2011 and January 2012, we asked freshmen and advanced students of the fields mentioned above to participate in a paper and pencil survey. Prior to this, we formulated hypotheses. The data were analysed by micro econometric regression techniques. Results: Data from 1,088 students were included in the study. Medical students, freshmen, and advanced students perceive the standard of care significantly as being better than non-medical students. Differences in the perception of fairness are not significant between the freshmen of the academic disciplines; however, they increase with the number of study terms. Besides the field of study, further variables such as gender and health status have a significant impact on perceptions. Conclusions: Our results show that there are differences in the perception of fairness and standard of care between academic disciplines, which might influence the interdisciplinary discussion on health care reforms and priority setting.
License of this version: CC BY 2.0
Document Type: article
Publishing status: publishedVersion
Issue Date: 2014-04-12
Appears in Collections:Wirtschaftswissenschaftliche Fakultät

distribution of downloads over the selected time period:

downloads by country:

pos. country downloads
total perc.
1 image of flag of Germany Germany 171 85.93%
2 image of flag of Russian Federation Russian Federation 8 4.02%
3 image of flag of United States United States 7 3.52%
4 image of flag of No geo information available No geo information available 4 2.01%
5 image of flag of Indonesia Indonesia 2 1.01%
6 image of flag of Ukraine Ukraine 1 0.50%
7 image of flag of Philippines Philippines 1 0.50%
8 image of flag of Italy Italy 1 0.50%
9 image of flag of France France 1 0.50%
10 image of flag of Brazil Brazil 1 0.50%
    other countries 2 1.01%

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