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Why We Dont Need "Unmet Needs"! On the Concepts of Unmet Need and Severity in Health-Care Priority Setting
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0987-7653
Norwegian Univ Sci and Technol NTNU Gjovik, Norway; Univ Oslo, Norway.
2019 (English)In: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394, Vol. 27, no 1, p. 26-44Article in journal (Refereed) Published
Abstract [en]

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 clarified and analyzed in relation to each other. We argue that disease-severity and condition-severity should be distinguished and we find the latter concept better reflects underlying normative values. We further argue that unmet need does not fulfil an independent and relevant role in relation to condition-severity except for in some limited situations when having to distinguish between conditions of equal severity (and where other features also equals each other).

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 27, no 1, p. 26-44
Keywords [en]
Priority setting; Rationing; Severity; Unmet need
National Category
Philosophy
Identifiers
URN: urn:nbn:se:liu:diva-155545DOI: 10.1007/s10728-018-0361-2ISI: 000460238400004PubMedID: 30178073OAI: oai:DiVA.org:liu-155545DiVA, id: diva2:1299395
Available from: 2019-03-26 Created: 2019-03-26 Last updated: 2019-06-27

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