David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Health Care Analysis 9 (2):187-211 (2001)
The use of aggregated quality of life estimatesin the formation of public policy and practiceguidelines raises concerns about the moralrelevance of variability in values inpreferences for health care. This variabilitymay reflect unique and deeply held beliefs thatmay be lost when averaged with the preferencesof other individuals. Feminist moral theorieswhich argue for attention to context andparticularity underline the importance ofascertaining the extent to which differences inpreferences for health states revealinformation which is morally relevant toclinicians and policymakers. To facilitatethese considerations, we present an empiricalstudy of preferences for the timing andoccurrence of health states associated withhormone replacement therapy (HRT). Sixteenwomen between the ages of 45 and 55 wereenrolled in this pilot study. Theirpreferences regarding five health statesassociated with HRT (menopausal symptoms, sideeffects of HRT, breast cancer, myocardialinfarction, and osteoporosis) were assessed inquantitative terms known as utilities. Twostandard methods, the visual analog scale (VAS) and the standard gamble (SG), were used toassess utility and time preference (calculatedas a discount rate). The wide variability ofresponses underlines the importance oftailoring health care to individual women'spreferences. Policy guidelines whichincorporate utility analysis must recognize thenormative limitations of aggregatedpreferences, and the moral relevance ofindividual conceptions of health
|Keywords||cost-effective analysis decision analysis distributive justice feminist theory hormone replacement therapy menopause patient preferences time preference utility women|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Mary B. Mahowald (2005). Book Review: Christine Overall. Aging, Death, and Human Longevity: A Philosophical Inquiry. Berkeley and Los Angeles: University of California Press, 2003. [REVIEW] Hypatia 20 (3):226-229.
Mary B. Mahowald (2005). Book Review: Christine Overall. Aging, Death, and Human Longevity: A phiLosophical Inquiry. Berkeley and Los Angeles: University of California Press, 2003. [REVIEW] Hypatia: A Journal of Feminist Philosophy 20 (3):226-229.
Similar books and articles
Madison Powers & Ruth Faden (2008). Social Justice: The Moral Foundations of Public Health and Health Policy. OUP Usa.
D. Cox (1996). Should a Doctor Prescribe Hormone Replacement Therapy Which has Been Manufactured From Mare's Urine? Journal of Medical Ethics 22 (4):199-203.
Stephen Wilmot (2000). Corporate Moral Responsibility in Health Care. Medicine, Health Care and Philosophy 3 (2):139-146.
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
Lorian E. Hardcastle, Katherine L. Record, Peter D. Jacobson & Lawrence O. Gostin (2011). Improving the Population's Health: The Affordable Care Act and the Importance of Integration. Journal of Law, Medicine & Ethics 39 (3):317-327.
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
L. Schwartz, M. Hunt, C. Sinding, L. Elit, L. Redwood-Campbell, N. Adelson & S. de Laat (2012). Models for Humanitarian Health Care Ethics. Public Health Ethics 5 (1):81-90.
Carlos Sonnenschein (2008). Book Review of "The Estrogen Elixir: A History of Hormone Replacement Therapy in America" by Elizabeth Siegel Watkins. [REVIEW] Philosophy, Ethics, and Humanities in Medicine 3 (1):1-.
Madison Powers & Ruth R. Faden (2000). Inequalities in Health, Inequalities in Health Care: Four Generations of Discussion About Justice and Cost-Effectiveness Analysis. Kennedy Institute of Ethics Journal 10 (2):109-127.
Stephen John (2009). Why 'Health' is Not a Central Category for Public Health Policy. Journal of Applied Philosophy 26 (2):129-143.
Julia Tao Lai Po-wah (1999). Does It Really Care? The Harvard Report on Health Care Reform for Hong Kong. Journal of Medicine and Philosophy 24 (6):571 – 590.
Gwendolyn Roberts Majette (2011). PPACA and Public Health: Creating a Framework to Focus on Prevention and Wellness and Improve the Public's Health. Journal of Law, Medicine & Ethics 39 (3):366-379.
Gene Outka (1974). Social Justice and Equal Access to Health Care. Journal of Religious Ethics 2 (1):11 - 32.
Alan Cribb (2005). Health and the Good Society: Setting Healthcare Ethics in Social Context. Oxford University Press.
Added to index2010-09-02
Total downloads16 ( #220,694 of 1,793,156 )
Recent downloads (6 months)9 ( #89,602 of 1,793,156 )
How can I increase my downloads?