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Patients with multiple needs for healthcare and priority to the worse off
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
2019 (English)In: Bioethics, ISSN 0269-9702, E-ISSN 1467-8519, Vol. 33, no 2, p. 261-266Article in journal (Refereed) Published
Abstract [en]

There is a growing body of literature which suggests that decisions about healthcare priority setting should take into account the extent to which patients are worse off. However, such decisions are often based on how badly off patients are with respect to the condition targeted by the treatment whose priority is under consideration (condition-specific severity). In this paper I argue that giving priority to the worse off in terms of condition-specific severity does not reflect the morally relevant sense of being worse off. I conclude that an account of giving priority to the worse off relevant for healthcare priority setting should take into account how badly off patients are when all of their conditions are considered (holistic severity).

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 33, no 2, p. 261-266
Keywords [en]
comorbidity; healthcare need; multimorbidity; needs; priority to the worse off; severity
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:liu:diva-154574DOI: 10.1111/bioe.12535ISI: 000457454400008PubMedID: 30480809OAI: oai:DiVA.org:liu-154574DiVA, id: diva2:1290493
Available from: 2019-02-20 Created: 2019-02-20 Last updated: 2019-03-19

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