Results for 'priority setting'

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  1.  34
    Healthy Nails Versus Long Lives: An Analysis of a Dutch Priority Setting Proposal.Alex Voorhoeve - 2020 - In Nir Eyal, Samia A. Hurst, Christopher Murray, S. Andrew Schroeder & Daniel Wikler (eds.), Measuring the Global Burden of Disease: Philosophical Dimensions. New York, NY, USA: pp. 273-292.
    How should governments balance saving people from very large individual disease burdens (such as an early death) against saving them from middling burdens (such as erectile dysfunction) and minor burdens (such as nail fungus)? This chapter considers this question through an analysis of a priority-setting proposal in the Netherlands, on which avoiding a multitude of middling burdens takes priority over saving one person from early death, but no number of very small burdens can take priority over (...)
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  2. Severity as a Priority Setting Criterion: Setting a Challenging Research Agenda.Mathias Barra, Mari Broqvist, Erik Gustavsson, Martin Henriksson, Niklas Juth, Lars Sandman & Carl Tollef Solberg - 2019 - Health Care Analysis 1:1-20.
    Priority setting in health care is ubiquitous and health authorities are increasingly recognising the need for priority setting guidelines to ensure efficient, fair, and equitable resource allocation. While cost-effectiveness concerns seem to dominate many policies, the tension between utilitarian and deontological concerns is salient to many, and various severity criteria appear to fill this gap. Severity, then, must be subjected to rigorous ethical and philosophical analysis. Here we first give a brief history of the path to (...)
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  3.  10
    Priority Setting in Health Care: Trends and Models From Scandinavian Experiences. [REVIEW]Bjørn Hofmann - 2013 - Medicine, Health Care and Philosophy 16 (3):349-356.
    The Scandinavian welfare states have public health care systems which have universal coverage and traditionally low influence of private insurance and private provision. Due to raises in costs, elaborate public control of health care, and a significant technological development in health care, priority setting came on the public agenda comparatively early in the Scandinavian countries. The development of health care priority setting has been partly homogeneous and appears to follow certain phases. This can be of broader (...)
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  4.  50
    Have Reforms Reconciled Health Rights Litigation and Priority Setting in Costa Rica?Alessandro Luciano & Alex Voorhoeve - 2019 - Health and Human Rights 21 (2):283-293.
    The experience of Costa Rica highlights the potential for conflicts between the right to health and fair priority setting. For example, one study found that most favorable rulings by the Costa Rican constitutional court concerning claims for medications under the right to health were either for experimental treatments or for medicines that should have low priority based on health gain per unit of expenditure and severity of disease. In order to better align rulings with priority (...) criteria, in 2014, the court initiated a reform in its assessment of claims for medicine. This paper assesses this reform’s impact on the fairness of resource allocation. It finds three effects. First, a reduction in successful claims for experimental medication, which is beneficial. Second, an increase in the success rate of medication lawsuits, which is detrimental because most claims are for extremely cost-ineffective medications. Third, a decline in the number of claims for medicine, which is beneficial because it forestalls such low-priority spending. This paper estimates that, taking all three effects into account, the reform has had a modest net positive impact on overall resource allocation. However, it also argues that there is a need for further reforms to lower the number of claims to low-priority medicines that are granted. (shrink)
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  5. Universal Health Coverage, Priority Setting and the Human Right to Health.Benedict Rumbold, Octavio Ferraz, Sarah Hawkes, Rachel Baker, Carleigh Crubiner, Peter Littlejohns, Ole Frithjof Norheim, Thomas Pegram, Annette Rid, Sridhar Venkatapuram, Alex Voorhoeve, Albert Weale, James Wilson, Alicia Ely Yamin & Daniel Wang - 2017 - The Lancet 390 (10095):712-14.
    As health policy-makers around the world seek to make progress towards universal health coverage, they must navigate between two important ethical imperatives: to set national spending priorities fairly and efficiently; and to safeguard the right to health. These imperatives can conflict, leading some to conclude that rights-based approaches present a disruptive influence on health policy, hindering states’ efforts to set priorities fairly and efficiently. Here, we challenge this perception. We argue first that these points of tension stem largely from inadequate (...)
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  6.  77
    Response to Open Peer Commentaries on “Health Research Priority Setting: The Duties of Individual Funders”.Leah Pierson & Joseph Millum - 2019 - American Journal of Bioethics 19 (1):W5-W7.
    We respond to open peer commentaries on our target article, "Health Research Priority Setting: The Duties of Individual Funders".
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  7.  77
    Priority Setting in Health Care: On the Relation Between Reasonable Choices on the Micro-Level and the Macro-Level.Kristine Bærøe - 2008 - Theoretical Medicine and Bioethics 29 (2):87-102.
    There has been much discussion about how to obtain legitimacy at macro-level priority setting in health care by use of fair procedures, but how should we consider priority setting by individual clinicians or health workers at the micro-level? Despite the fact that just health care totally hinges upon their decisions, surprisingly little attention seems being paid to the legitimacy of these decisions. This paper addresses the following question: what are the conditions that have to be met (...)
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  8. Priority-Setting in International Non-Governmental Organizations: It is Not as Easy as ABCD.Lisa Fuller - 2012 - Journal of Global Ethics 8 (1):5-17.
    Recently theorists have demonstrated a growing interest in the ethical aspects of resource allocation in international non-governmental humanitarian, development and human rights organizations (INGOs). This article provides an analysis of Thomas Pogge's proposal for how international human rights organizations ought to choose which projects to fund. Pogge's allocation principle states that an INGO should govern its decision making about candidate projects by such rules and procedures as are expected to maximize its long-run cost-effectiveness, defined as the expected aggregate moral value (...)
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  9. Priority Setting, Cost-Effectiveness, and the Affordable Care Act.Govind Persad - 2015 - American Journal of Law and Medicine 41 (1):119-166.
    The Affordable Care Act (ACA) may be the most important health law statute in American history, yet much of the most prominent legal scholarship examining it has focused on the merits of the court challenges it has faced rather than delving into the details of its priority-setting provisions. In addition to providing an overview of the ACA’s provisions concerning priority setting and their developing interpretations, this Article attempts to defend three substantive propositions. First, I argue that (...)
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  10.  22
    Remote Monitoring or Close Encounters? Ethical Considerations in Priority Setting Regarding Telecare.Anders Nordgren - 2012 - Health Care Analysis 22 (4):325-339.
    The proportion of elderly in society is growing rapidly, leading to increasing health care costs. New remote monitoring technologies are expected to lower these costs by reducing the number of close encounters with health care professionals, for example the number of visits to health care centres. In this paper, I discuss issues of priority setting raised by this expectation. As a starting-point, I analyse the recent debate on principles for priority setting in Sweden. The Swedish debate (...)
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  11.  26
    An Ethical Analysis of International Health Priority-Setting.Nuala Kenny & Christine Joffres - 2008 - Health Care Analysis 16 (2):145-160.
    Health care systems throughout the developed world face ‘crises’ of quality, financing and sustainability. These pressures have led governments to look for more efficient and equitable ways to allocate public resources. Prioritisation of health care services for public funding has been one of the strategies used by decision makers to reconcile growing health care demands with limited resources. Priority setting at the macro level has yet to demonstrate real successes. This paper describes international approaches to explicit prioritisation at (...)
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  12.  25
    A Strategy to Improve Priority Setting in Health Care Institutions.Doug Martin & Peter Singer - 2003 - Health Care Analysis 11 (1):59-68.
    Priority setting (also known as resource allocation or rationing) occurs at every level of every health system and is one of the most significant health care policy questions of the 21st century. Because it is so prevalent and context specific, improving priority setting in a health system entails improving it in the institutions that constitute the system. But, how should this be done? Normative approaches are necessary because they help identify key values that clarify policy choices, (...)
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  13.  33
    Priority Setting and Patient Adaptation to Disability and Illness: Outcomes of a Qualitative Study.John McKie, Rosalind Hurworth, Bradley Shrimpton, Jeff Richardson & Catherine Bell - 2013 - Health Care Analysis 22 (3):255-271.
    The study examined the question of who should make decisions for a National Health Scheme about the allocation of health resources when the health states of beneficiaries could change because of adaptation. Eight semi-structured small group discussions were conducted. Following focus group theory, interviews commenced with general questions followed by transition questions and ended with a ‘focus’ or ‘key’ question. Participants were presented with several scenarios in which patients adapted to their health states. They were then asked their views about (...)
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  14.  31
    Priority-Setting, Rationing and Cost-Effectiveness in the German Health Care System.Fuat S. Oduncu - 2013 - Medicine, Health Care and Philosophy 16 (3):327-339.
    Germany has just started a public debate on priority-setting, rationing and cost-effectiveness due to the cost explosion within the German health care system. To date, the costs for German health care run at 11,6 % of its Gross Domestic Product (GDP, 278,3 billion €) that represents a significant increase from the 5,9 % levels present in 1970. In response, the German Parliament has enacted several major and minor legal reforms over the last three decades for the sake of (...)
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  15.  25
    A Strategy to Improve Priority Setting in Developing Countries.Lydia Kapiriri & Douglas K. Martin - 2007 - Health Care Analysis 15 (3):159-167.
    Because the demand for health services outstrips the available resources, priority setting is one of the most difficult issues faced by health policy makers, particularly those in developing countries. Priority setting in developing countries is fraught with uncertainty due to lack of credible information, weak priority setting institutions, and unclear priority setting processes. Efforts to improve priority setting in these contexts have focused on providing information and tools. In this paper (...)
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  16.  15
    Priority Setting and Evidence Based Purchasing.Lucy Frith - 1999 - Health Care Analysis 7 (2):139-151.
    The purpose of this paper is to consider the role that values play in priority setting through the use of EBP. It is important to be clear about the role of values at all levels of the decision making process. At one level, society as a whole has to make decisions about the kind of health provision that it wants. As is generally accepted, these priority setting questions cannot be answered by medical science alone but involve (...)
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  17.  15
    Successful Priority Setting in Low and Middle Income Countries: A Framework for Evaluation. [REVIEW]Lydia Kapiriri & Douglas K. Martin - 2010 - Health Care Analysis 18 (2):129-147.
    Priority setting remains a big challenge for health managers and planners, yet there is paucity of literature on evaluating priority setting. The purpose of this paper is to present a framework for evaluating priority setting in low and middle income countries. We conducted a qualitative study involving a review of literature and Delphi interviews with respondents knowledgeable of priority setting in low and middle income countries. Respondents were asked to identify the measures (...)
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  18.  21
    Global Health Priority-Setting: Beyond Cost-Effectiveness.Ole F. Norheim, Ezekiel J. Emanuel & Joseph Millum (eds.) - 2020 - Oxford University Press.
    Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should (...)
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  19.  87
    Health Research Priority Setting: The Duties of Individual Funders.Leah Pierson & Joseph Millum - 2018 - American Journal of Bioethics 18 (11):6-17.
    The vast majority of health research resources are used to study conditions that affect a small, advantaged portion of the global population. This distribution has been widely criticized as inequitable and threatens to exacerbate health disparities. However, there has been little systematic work on what individual health research funders ought to do in response. In this article, we analyze the general and special duties of research funders to the different populations that might benefit from health research. We assess how these (...)
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  20.  15
    Waiting for Scheduled Services in Canada: Development of PrioritySetting Scoring Systems.T. W. Noseworthy, J. J. McGurran & D. C. Hadorn - 2003 - Journal of Evaluation in Clinical Practice 9 (1):23-31.
  21.  4
    Constructing Citizen Engagement in Health Research PrioritySetting to Attend to Dynamics of Power and Difference.Bridget Pratt - forthcoming - Developing World Bioethics.
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  22.  22
    Lifetime QALY Prioritarianism in Priority Setting.T. Ottersen - 2013 - Journal of Medical Ethics 39 (3):175-180.
    Two principles form the basis for much priority setting in health. According to the greater benefit principle, resources should be directed toward the intervention with the greater health benefit. According to the worse off principle, resources should be directed toward the intervention benefiting those initially worse off. Jointly, these principles accord with so-called prioritarianism. Crucial for its operationalisation is the specification of the worse off. In this paper, we examine how the worse off can be defined as those (...)
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  23.  19
    Public Reasoning and Health-Care Priority Setting: The Case of NICE.Benedict Rumbold, Albert Weale, Annette Rid, James Wilson & Peter Littlejohns - 2017 - Kennedy Institute of Ethics Journal 27 (1):107-134.
    Health systems that provide for universal patient access through a scheme of prepayments—whether through taxes, social insurance, or a combination of the two—need to make decisions on the scope of coverage that they secure. Such decisions are inherently controversial, implying, as they do, that some patients will receive less than comprehensive health care, or less than complete protection from the financial consequences of ill-heath, even when there is a clinically effective therapy to which they might have access.Controversial decisions of this (...)
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  24.  20
    Priority Setting in Health Care: Lessons From the Experiences of Eight Countries.Lindsay M. Sabik & Reidar K. Lie - unknown
    All health care systems face problems of justice and efficiency related to setting priorities for allocating a limited pool of resources to a population. Because many of the central issues are the same in all systems, the United States and other countries can learn from the successes and failures of countries that have explicitly addressed the question of health care priorities. We review explicit priority setting efforts in Norway, Sweden, Israel, the Netherlands, Denmark, New Zealand, the United (...)
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  25.  8
    Health-Care Needs and Shared Decision-Making in Priority-Setting.Erik Gustavsson & Lars Sandman - 2015 - Medicine, Health Care and Philosophy 18 (1):13-22.
    In this paper we explore the relation between health-care needs and patients’ desires within shared decision-making in a context of priority setting in health care. We begin by outlining some general characteristics of the concept of health-care need as well as the notions of SDM and desire. Secondly we will discuss how to distinguish between needs and desires for health care. Thirdly we present three cases which all aim to bring out and discuss a number of queries which (...)
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  26.  54
    Justice and Solidarity in Priority Setting in Health Care.Rogeer Hoedemaekers & Wim Dekkers - 2003 - Health Care Analysis 11 (4):325-343.
    During the last decade a “technical” approach has become increasingly influential in health care priority setting. The various country reports illustrate, however, that non-technical considerations cannot be avoided. As they often remain implicit in health care package decisions, this paper aims to make these normative judgements an explicit part of the procedure. More specifically, it aims to integrate different models of distributive justice as well as the principle of solidarity in four different phases of a decision-making procedure, and (...)
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  27.  10
    Why We Don’T Need “Unmet Needs”! On the Concepts of Unmet Need and Severity in Health-Care Priority Setting.Lars Sandman & Bjorn Hofmann - 2019 - Health Care Analysis 27 (1):26-44.
    In health care priority setting different criteria are used to reflect the relevant values that should guide decision-making. During recent years there has been a development of value frameworks implying the use of multiple criteria, a development that has not been accompanied by a structured conceptual and normative analysis of how different criteria relate to each other and to underlying normative considerations. Examples of such criteria are unmet need and severity. In this article these crucial criteria are conceptually (...)
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  28.  32
    Key Concepts in Health Care Priority Setting.Rogeer Hoedemaekers & Wim Dekkers - 2003 - Health Care Analysis 11 (4):309-323.
    In decisions about inclusion (or exclusion) of health care services in the benefit package, different interpretations of notions like health, health risk, disease, quality of life or necessary care often remain implicit. Yet they can lead to different benefit package decisions. After a brief discussion of these concepts in definitions of the goals of medicine, the various value-judgements implicit in interpretations of key notions in health care are analysed and conclusions are drawn with regard to the composition of decision making (...)
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  29.  10
    Roles and Responsibilities of Clinical Ethics Committees in Priority Setting.Morten Magelssen, Ingrid Miljeteig, Reidar Pedersen & Reidun Førde - 2017 - BMC Medical Ethics 18 (1):1-8.
    Background Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees be of help? The aim of the study was to explore whether and how CECs handle priority setting dilemmas and contribute to raising awareness of fairness concerns. Method Descriptions of activities involving priority setting in annual reports from Norwegian CECs were studied and categorized through qualitative content analysis. Results Three hundred (...)
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  30.  7
    Conceptualizations of Fairness and Legitimacy in the Context of Ethiopian Health Priority Setting: Reflections on the Applicability of Accountability for Reasonableness.Kadia Petricca & Asfaw Bekele - 2018 - Developing World Bioethics 18 (4):357-364.
    A critical element in building stronger health systems involves strengthening good governance to build capacity for transparent and fair health planning and priority setting. Over the past 20 years, the ethical framework Accountability for Reasonableness has been a prominent conceptual guide in strengthening fair and legitimate processes of health decision-making. While many of the principles embedded within the framework are congruent with Western conceptualizations of what constitutes procedural fairness, there is a paucity in the literature that captures the (...)
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  31.  8
    Paper: On the Relevance of Personal Responsibility in Priority Setting: A Cross-Sectional Survey Among Norwegian Medical Doctors.Berit Bringedal & Eli Feiring - 2011 - Journal of Medical Ethics 37 (6):357-361.
    The debate on responsibility for health takes place within political philosophy and in policy setting. It is increasingly relevant in the context of rationing scarce resources as a substantial, and growing, proportion of diseases in high-income countries is attributable to lifestyle. Until now, empirical studies of medical professionals' attitudes towards personal responsibility for health as a component of prioritisation have been lacking. This paper explores to what extent Norwegian physicians find personal responsibility for health relevant in prioritisation and what (...)
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  32.  6
    Roles and responsibilities of clinical ethics committees in priority setting.Morten Magelssen, Ingrid Miljeteig, Reidar Pedersen & Reidun Førde - 2017 - BMC Medical Ethics 18 (1):68.
    Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees be of help? The aim of the study was to explore whether and how CECs handle priority setting dilemmas and contribute to raising awareness of fairness concerns. Descriptions of activities involving priority setting in annual reports from Norwegian CECs were studied and categorized through qualitative content analysis. Three hundred thirty-nine reports from (...)
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  33.  18
    Exploring the Ethics of Global Health Research Priority-Setting.Bridget Pratt, Mark Sheehan, Nicola Barsdorf & Adnan A. Hyder - 2018 - BMC Medical Ethics 19 (1):94.
    Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively disease-driven, meaning they rely heavily on burden of disease considerations. They, therefore, tend to undervalue non-biomedical research topics, which have been identified as essential to helping reduce health disparities. In recognition of these ethical concerns and the limited scholarship and (...)
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  34.  25
    Can Medical Criteria Settle Priority-Setting Debates? The Need for Ethical Analysis.Donna L. Dickenson - 1999 - Health Care Analysis 7 (2):131-137.
    Medical criteria rooted in evidence-based medicine are often seen as a value-neutral ‘trump card’ which puts paid to any further debate about setting priorities for treatment. On this argument, doctors should stop providing treatment at the point when it becomes medically futile, and that is also the threshold at which the health purchaser should stop purchasing. This paper offers three kinds of ethical criteria as a counterweight to analysis based solely on medical criteria. The first set of arguments concerns (...)
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  35.  86
    Priority Setting in Low Income Countries: The Roles and Legitimacy of Development Assistance Partners.L. Kapiriri - 2012 - Public Health Ethics 5 (1):67-80.
    Priority setting presents one of the biggest challenges policy makers in low-income countries have to deal with on a daily basis. Extreme lack of resources in these contexts introduces non-state stakeholders whose priorities may not necessarily reflect the national priorities. This raises concerns about the legitimacy of the non-state stakeholders' involvement in priority setting. To date, the meagre literature on priority setting in low-income countries has not focused on the question of the legitimacy of (...)
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  36.  48
    Ethical Theories and Values in Priority Setting: A Case Study of the Iranian Health System.A. Khayatzadeh-Mahani, M. Fotaki & G. Harvey - 2013 - Public Health Ethics 6 (1):60-72.
    Priority setting in health care means making distributional decisions, which inherently involves limiting access to some health services. Public health ethics involves many ethical principles like efficiency, equity and individual choice, which are frequently appealed to but rarely analysed. How these concepts are understood and applied impacts on healthcare planning and delivery policies. This article discusses findings of a research study undertaken in the context of the Iranian health system in which two main ethical values appear to be (...)
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  37.  4
    Eliciting Reasons: Empirical Methods in Priority Setting.Andreas Hasman - 2003 - Health Care Analysis 11 (1):41-58.
    In this paper I review empirical methods applied in recent analysis of decision-making on priorities in health care. I outline a number of discrete methods and discuss their applicability and efficacy in the field of bioethics. Three key methodological issues seem to be important: choice of subject group; choice of approach and the extent of background information given to respondents. I conclude that a combination method is needed to give a comprehensive representation of values in priority setting and (...)
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  38.  5
    Incorporating Ethics in Priority Setting: A Case Study of a Regional Health Board in Canada.Michael Yeo, John R. Williams & Wayne Hooper - 1999 - Health Care Analysis 7 (2):177-194.
    The authors were involved in developing an ethical framework to assist the Queens Region Board set priorities in health and health care. Two and one half years after the adoption of this framework, the authors undertook an evaluation of the framework. This paper will discuss: a) the historical background of regionalization in Canada, and in particular the circumstances leading up to the institution of regional boards in Prince Edward Island; b) the sorts of ethical issues facing the Queens Regional Board; (...)
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  39.  10
    Against Proportional Shortfall as a Priority-Setting Principle.Samuel Altmann - 2018 - Journal of Medical Ethics 44 (5):305-309.
    As the demand for healthcare rises, so does the need for priority setting in healthcare. In this paper, I consider a prominent priority-setting principle: proportional shortfall. My purpose is to argue that proportional shortfall, as a principle, should not be adopted. My key criticism is that proportional shortfall fails to consider past health. Proportional shortfall is justified as it supposedly balances concern for prospective health while still accounting for lifetime health, even though past health is deemed (...)
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  40.  13
    Doing ‘Upstream’ Priority-Setting for Global Health with Justice: Moving From Vision to Practice?Keith Syrett - 2018 - Public Health Ethics 11 (3):265-274.
    The vision of global health with justice which Larry Gostin articulates in his book Global Health Law envisages a switch to ‘upstream’ priority-setting for expenditure on health, with a focus upon social determinants and a goal of redressing health inequalities. This article explores what is meant by this proposal and offers a critical evaluation of it. It is argued that difficulties arise in respect of the ethical and evidential bases for such an approach to the setting of (...)
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  41.  10
    Crisis Management and Public Health: Ethical Principles for Priority Setting at a Regional Level in Sweden.Anders Nordgren - 2015 - Public Health Ethics 8 (1):72-84.
    In this article I analyse and discuss guidelines for priority setting in crisis management at a regional level in Sweden. The guidelines concern three types of crises: pandemics, large losses of electric power and interruptions in water supply. Pandemics are typical public health issues. Large losses of electric power and interruptions in water supply are in themselves not, but may have serious public health consequences. These guidelines are compared with guidelines for priority setting in health care. (...)
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  42.  18
    Priority Setting in Cardiac Surgery: A Survey of Decision Making and Ethical Issues.L. Ridderstolpe - 2003 - Journal of Medical Ethics 29 (6):353-358.
    Objectives: The aim of this study was to examine priority setting for coronary artery bypass surgery, and to provide an overview of decisions and rationales used in clinical practice.Method: Questionnaires were sent to all permanently employed cardiologists, cardiothoracic surgeons, and anaesthesiologists at nine Swedish hospitals performing adult cardiothoracic surgery.Results: A total of 208 physicians responded . There was considerable agreement concerning the criteria that should be used to set priorities for coronary artery bypass interventions . However, there was (...)
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  43. Severity as a Priority Setting Criterion: Setting a Challenging Research Agenda.Mathias Barra, Mari Broqvist, Erik Gustavsson, Martin Henriksson, Niklas Juth, Lars Sandman & Carl Tollef Solberg - 2020 - Health Care Analysis 28 (1):25-44.
    Priority setting in health care is ubiquitous and health authorities are increasingly recognising the need for priority setting guidelines to ensure efficient, fair, and equitable resource allocation. While cost-effectiveness concerns seem to dominate many policies, the tension between utilitarian and deontological concerns is salient to many, and various severity criteria appear to fill this gap. Severity, then, must be subjected to rigorous ethical and philosophical analysis. Here we first give a brief history of the path to (...)
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  44. Developing a Toolkit for Engagement Practice: Sharing Power with Communities in Priority-Setting for Global Health Research Projects.Bridget Pratt - 2020 - BMC Medical Ethics 21 (1).
    BackgroundCommunities’ engagement in priority-setting is a key means for setting research topics and questions of relevance and benefit to them. However, without attention to dynamics of power and diversity, their engagement can be tokenistic. So far, there remains limited ethical guidance on how to share power with communities, particularly those considered disadvantaged and marginalised, in global health research priority-setting. This paper generates a comprehensive, empirically-based “ethical toolkit” to provide such guidance, further strengthening a previously proposed (...)
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  45.  24
    Priority Setting in Health Care: A Complementary Approach. [REVIEW]Rui Nunes & Guilhermina Rego - 2014 - Health Care Analysis 22 (3):292-303.
    Explicit forms of rationing have already been implemented in some countries, and many of these prioritization systems resort to Norman Daniels’ “accountability for reasonableness” methodology. However, a question still remains: is “accountability for reasonableness” not only legitimate but also fair? The objective of this paper is to try to adjust “accountability for reasonableness” to the World Health Organization’s holistic view of health and propose an evolutionary perspective in relation to the “normal” functioning standard proposed by Norman Daniels. To accomplish this (...)
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  46.  94
    Transparency Trade-Offs: Priority Setting, Scarcity, and Health Fairness.Govind Persad - 2019 - In I. Glenn Cohen, Barbara Evans, Holly Lynch & Carmel Shachar (eds.), Transparency in Health and Health Care. New York: Cambridge UP.
    This chapter argues that rather than viewing transparency as a right, we should regard it as a finite resource whose allocation involves tradeoffs. It then argues that those tradeoffs should be resolved by using a multi-principle approach to distributive justice. The relevant principles include maximizing welfare, maximizing autonomy, and giving priority to the worst off. Finally, it examines some of the implications for law of recognizing the tradeoffs presented by transparency proposals.
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  47.  24
    Procedural Justice and Democratic Institutional Design in Health-Care Priority-Setting.Claudia Landwehr - 2013 - Contemporary Political Theory 12 (4):296-317.
    Health-care goods are goods with peculiar properties, and where they are scarce, societies face potentially explosive distributional conflicts. Animated public and academic debates on the necessity and possible justice of limit-setting in health care have taken place in the last decades and have recently taken a turn toward procedural rather than substantial criteria for justice. This article argues that the most influential account of procedural justice in health-care rationing, presented by Daniels and Sabin, is indeterminate where concrete properties of (...)
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  48. Measuring Needs for Priority Setting in Healthcare Planning and Policy.Anders Herlitz & David Horan - 2016 - Social Science and Medicine 157:96-102.
    Much research aimed at developing measures for normative criteria to guide the assessment of healthcare resource allocation decisions has focused on health maximization, equity concerns and more recently approaches based on health capabilities. However, a widely embraced idea is that health resources should be allocated to meet health needs. Little attention has been given to the principle of need which is often mentioned as an alternative independent criteria that could be used to guide healthcare evaluations. This paper develops a model (...)
     
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  49.  8
    Health Research Priority Setting: State Obligations and the Human Right to Science.Sebastian Porsdam Mann & Maximillian M. Schmid - 2018 - American Journal of Bioethics 18 (11):33-35.
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  50.  15
    Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting.Frehiwot Berhane Defaye, Marion Danis, Paul Wakim, Yemane Berhane, Ole Frithjof Norheim & Ingrid Miljeteig - 2019 - Ajob Empirical Bioethics 10 (2):125-135.
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