Cost-benefit trade-off and redecision
Participants reported that the priority setting must take demographic factors into account in decision situation. The most mentioned factors were residence and medical insurance related to self-referral.
“Going to hemodialysis centers three times a week is difficult for me to achieve, because I live in remote rural area, at where rural health clinics aren’t equipped with dialysis medicines.” (P25)
“The biggest problem was financial burden…at that moment, What I thought was I chose which dialysis’ health care cost was less. Due to sharp disease in family income, I have been noticing medical insurance reimbursement policy.” (P8)
What’s more, priority setting was possible to trigger redecision about downward referral.
“After long deliberation, I thought peritoneal dialysis was the best choice, but I didn’t ask doctors to operate peritoneal dialysis catheterization immediately until I learn about available follow-up in the near hospitals.” (P12)