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Justification of principles for healthcare priority setting

The relevance and roles of empirical studies exploring public values

Bibliographic Data

ID21515155
AuthorsErik Gustavsson (0000-0001-5448-9209, Linköping University, corresponding author), Lars Lindblom (0000-0002-9240-7400, Linköping University)
Year2025
Volume51
Issue4
Pages285-292
Publication date2025-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jme-2022-108702
PMID36813548
OpenAlexW4321489254
LanguageEN
Citations received9
References cited39

How should scarce healthcare resources be distributed? This is a contentious issue that became especially pressing during the pandemic. It is often emphasised that studies exploring public views about this question provide valuable input to the issue of healthcare priority setting. While there has been a vast number of such studies it is rarely articulated, more specifically, what the results from these studies would mean for the justification of principles for priority setting. On the one hand, it seems unreasonable that public values would straightforwardly decide the ethical question of how resources should be distributed. On the other hand, in a democratic society, it seems equally unreasonable that they would be considered irrelevant for this question. In this paper we draw on the notion of reflective equilibrium and discuss the relevance and roles that empirical studies may plausibly have for justification in priority setting ethics. We develop a framework for analysing how different kinds of empirical results may have different kinds of implications for justification

Democracy · Economics · Empirical research · Epistemology · Health care · Health care rationing · Management science · Political science · Positive economics · Public relations · Sociology · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Healthcare Policy and Management · Law

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  • The political effect of medical dominance in South Korea’s Covid-19 response

    Sang‐yeon Park, Seohwa Park et al.•Cambridge Review of International…•2025

  • Preparing popular views for inclusion in a reflective equilibrium

    Open Access•Borgar Jølstad, Mille Sofie Stenmarck et al.•Social Science & Medicine•2024

  • Justice as Fairness

    John Rawls, Erin Kelly•Justice As Fairness•2001

  • Fair Shares

    James Konow•American Economic Review•2000

  • The Pluralism of Fairness Ideals

    Alexander W Cappelen, Astri Drange Hole et al.•American Economic Review•2007

  • Wide Reflective Equilibrium and Theory Acceptance in Ethics

    Norman Daniels•The Journal of Philosophy•1979

  • Fair Allocation of Scarce Medical Resources in the Time of Covid-19

    Ezekiel J Emanuel, Ezekiel Emanuel et al.•New England Journal of Medicine•2020

  • Rawls on Justification

    Open Access•T M Scanlon, Т М Scanlon•The Cambridge companion to Rawls•2002

  • A Theory of Justice

    John Rawls•Theory of Justice•1971

  • The Independence of Moral Theory

    John Rawls•American Philosophical…•2013

  • Ethical conflicts during the process of deciding about ICU admission

    Open Access•Mia Svantesson, Frances Griffiths et al.•Journal of Medical Ethics•2021

  • Sustainability principle for the ethics of healthcare resource allocation

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    Open Access•Julian Savulescu, Christopher Gyngell et al.•Bioethics•2021

  • Four Unsolved Rationing Problems A Challenge

    Norman Daniels•The Hastings Center Report•1994

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    Open Access•Greg Bognar•Utilitas•2012

  • Another Defence of the Priority View

    Open Access•Derek Parfit•Utilitas•2012

  • From representing views to representativeness of views

    Open Access•Hugh Mason, Helen Mason et al.•Social Science & Medicine•2016

  • Public views on principles for health care priority setting

    Open Access•Job Van Exel, R Baker et al.•Social Science & Medicine•2014

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    Open Access•Michael Otsuka, Alex Voorhoeve•Philosophy & Public Affairs•2009

  • Beyond polling alone

    James S Fishkin, James Fishkin•Critical Review•2006

  • A Theory of Fairness, Competition, and Cooperation

    Ernst Fehr, Kari M Schmidt•The Quarterly Journal of Economics•1999

  • Public values and plurality in health priority setting

    Open Access•R Baker, Hugh Mason et al.•Social Science & Medicine•2021

  • Recent work on reflective equilibrium and method in ethics

    Open Access•Folke Tersman•Philosophy Compass•2018

Unique citing works9
Citations per year4,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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