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)