Sustainable healthcare resource allocation, grounding theories and operational principles

Response to our commentators

Dados Bibliográficos

ID21515212
AutoresChristian Munthe (0000-0003-0761-960X, University of Gothenburg, autor correspondente), Davide Fumagalli (0000-0001-7910-1653, University of Gothenburg), Eve Malmqvist (0000-0003-3071-9609, University of Gothenburg)
Ano2022
Volume48
Fascículo1
Páginas38-38
Data de publicação2022-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Medical Ethics (JOURNAL)
Identificadores do periódicoISSN: 0306-6800 • E-ISSN: 1473-4257
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2021-107299
PMID33608446
OpenAlexW3132847888
IdiomaEN
Citações recebidas1
Referências citadas6

We proposed adding a sustainability principle to the operational ethical principles guiding public healthcare resources allocation decisions.1 All our commentators2–6 acknowledge our core message: healthcare needs to pay (much better) attention to the future. They also strengthen our proposal by offering support by luck egalitarian2 and Rawlsian3 arguments, and helpfully point out ambiguities and gaps requiring attention in the further development of the proposal, and its practical implementation. We here consider some more substantial objections. Vong6 claims that healthcare resource allocation decisions already take dynamic effects into account. We agree that they sometimes do, and illustrated this in our article, but also demonstrated that they do so arbitrarily, systematically ignoring important negative dynamics. Several commentaries highlight the importance of distinguishing philosophical theories which justify the

Data science · Economics · Health care · Management science · Operations research · Political science · Resource allocation · Computer Science · Engineering · Ethics in medical practice · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Law