11 found
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  1. An Ethical Framework for Global Vaccine Allocation.Ezekiel J. Emanuel, Govind Persad, Adam Kern, Allen E. Buchanan, Cecile Fabre, Daniel Halliday, Joseph Heath, Lisa M. Herzog, R. J. Leland, Ephrem T. Lemango, Florencia Luna, Matthew McCoy, Ole F. Norheim, Trygve Ottersen, G. Owen Schaefer, Kok-Chor Tan, Christopher Heath Wellman, Jonathan Wolff & Henry S. Richardson - 2020 - Science 1:DOI: 10.1126/science.abe2803.
    In this article, we propose the Fair Priority Model for COVID-19 vaccine distribution, and emphasize three fundamental values we believe should be considered when distributing a COVID-19 vaccine among countries: Benefiting people and limiting harm, prioritizing the disadvantaged, and equal moral concern for all individuals. The Priority Model addresses these values by focusing on mitigating three types of harms caused by COVID-19: death and permanent organ damage, indirect health consequences, such as health care system strain and stress, as well as (...)
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    Lifetime QALY Prioritarianism in Priority Setting.Trygve 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 with the (...)
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  3. Making Fair Choices on the Path to Universal Health Coverage.Ole Frithjof Norheim, Trygve Ottersen, Bona Chitah, Richard Cookson, Norman Daniels, Nir Eyal, Walter Flores, Axel Gosseries, Daniel Hausman, Samia Hurst, Lydia Kapiriri, Toby Ord, Shlomi Segall, Frehiwot Defaye, Alex Voorhoeve & Alicia Yamin - 2014 - World Health Organisation.
    This report by the WHO Consultative Group on Equity and Universal Health Coverage addresses how countries can make fair progress towards the goal of universal coverage. It explains the relevant tradeoffs between different desirable ends and offers guidance on how to make these tradeoffs.
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  4. Making Fair Choices on the Path to Universal Health Coverage: A Precis.Alex Voorhoeve, Trygve Ottersen & Ole Frithjof Norheim - 2016 - Health Economics, Policy and Law 11 (1):71-77.
    We offer a summary of the WHO Report "Making Fair Choices on the Path to Universal Health Coverage".
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    Addressing Antibiotic Resistance Requires Robust International Accountability Mechanisms.Steven J. Hoffman & Trygve Ottersen - 2015 - Journal of Law, Medicine and Ethics 43 (s3):53-64.
    Most proposals for new international agreements aim to address important global challenges. If the goal is to solve problems, then the value of these agreements depends on their ability to influence the world — to shape norms, constrain behavior, facilitate cooperation, and mobilize action. A recent review of empirical studies has suggested that many international agreements fail to achieve their aspirations. The review indicates that the form in which states make commitments to each other — through an international legal agreement (...)
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  6. Response to Our Critics.Alex Voorhoeve, Trygve Ottersen & Ole Frithjof Norheim - 2016 - Health Economics, Policy and Law 11 (1):103-111.
    We reply to critics of the World Health Organisation's Report "Making Fair Choices on the Path to Universal Health Coverage". We clarify and defend the report's key moral commitments. We also explain its role in guiding policy in the face of both financial and political constraints on making fair choices.
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  7. Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage.Alex Voorhoeve, Tessa Edejer, Kapiriri Lydia, Ole Frithjof Norheim, James Snowden, Olivier Basenya, Dorjsuren Bayarsaikhan, Ikram Chentaf, Nir Eyal, Amanda Folsom, Rozita Halina Tun Hussein, Cristian Morales, Florian Ostmann, Trygve Ottersen, Phusit Prakongsai & Carla Saenz - 2016 - Health and Human Rights 18 (2):11-22.
    The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies (...)
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  8. Cómo tomar decisiones justas en el camino hacia la cobertura universal de salud.Ole Frithjof Norheim, Trygve Ottersen, Bona Chitah, Richard Cookson, Norman Daniels, Frehiwot Defaye, Nir Eyal, Walter Flores, Axel Gosseries, Daniel Hausman, Samia Hurst, Lydia Kapiriri, Toby Ord, Shlomi Segall, Gita Sen, Alex Voorhoeve, Tessa T. T. Edejer, Andreas Reis, Ritu Sadana, Carla Saenz, Alicia Yamin & Daniel Wikler - 2015 - Pan-American Health Organization (PAHO).
    La cobertura universal de salud está en el centro de la acción actual para fortalecer los sistemas de salud y mejorar el nivel y la distribución de la salud y los servicios de salud. Este documento es el informe fi nal del Grupo Consultivo de la OMS sobre la Equidad y Cobertura Universal de Salud. Aquí se abordan los temas clave de la justicia (fairness) y la equidad que surgen en el camino hacia la cobertura universal de salud. Por lo (...)
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  9. Faire Des Choix Justes Pour Une Couverture Sanitaire Universelle.Ole Frithjof Norheim, Trygve Ottersen, Bona Chitah, Richard Cookson, Norman Daniels, Frehiwot Defaye, Nir Eyal, Walter Flores, Axel Gosseries, Daniel Hausman, Samia Hurst, Lydia Kapiriri, Toby Ord, Shlomi Segall, Gita Sen, Alex Voorhoeve, Daniel Wikler, Alicia Yamin, Tessa T. T. Edejer, Andreas Reis, Ritu Sadana & Carla Saenz - 2015 - World Health Organization.
    This report from the WHO Consultative Group on Equity and Universal Health Coverage offers advice on how to make progress fairly towards universal health coverage.
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    Precision Medicine and the Principle of Equal Treatment: A Conjoint Analysis.Ole Frithjof Norheim, Trygve Ottersen, Roger Strand & Eirik Joakim Tranvåg - 2021 - BMC Medical Ethics 22 (1):1-9.
    BackgroundIn precision medicine biomarkers stratify patients into groups that are offered different treatments, but this may conflict with the principle of equal treatment. While some patient characteristics are seen as relevant for unequal treatment and others not, it is known that they all may influence treatment decisions. How biomarkers influence these decisions is not known, nor is their ethical relevance well discussed.MethodsWe distributed an email survey designed to elicit treatment preferences from Norwegian doctors working with cancer patients. In a forced-choice (...)
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    Making Fair Choices on the Path to Universal Health Coverage: Applying Principles to Difficult Cases.Alex Voorhoeve, Tessa T.-T. Edejer, Lydia Kapiriri, Ole Frithjof Norheim, James Snowden, Olivier Basenya, Dorjsuren Bayarsaikhan, Ikram Chentaf, Nir Eyal, Amanda Folsom, Rozita Halina Tun Hussein, Cristian Morales, Florian Ostmann, Trygve Ottersen, Phusit Prakongsai & Carla Saenz - 2017 - Health Systems and Reform 3 (4):1-12.
    Progress towards Universal Health Coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the WHO Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These principles include maximizing population health, priority for the worse off, and shielding people from health-related financial risks. But how should one apply these principles in particular cases and how should one adjudicate between them when their demands conflict? This paper by some (...)
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