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Etiskt problematiskt att begränsa rollen för kostnadseffektivitet [The ethical problems in limiting the role for cost-effectiveness]: Begränsad roll kan leda till godtycke och strida mot andra principer för prioriteringar i vården
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
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Karolinska institutet - LIME Stockholm, Sweden.
Karolinska institutet - LIME Stockholm, Sweden.
2018 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 115Article in journal, Editorial material (Other academic) Published
Abstract [en]

In relation to the Swedish ethical platform for priority setting in health-care it is debated what role cost-effectiveness should play. In the article an ethical analysis is presented showing that a limited role risks leading to unequal priorities between similar needs in conflict with the human dignity and need-solidarity principles of the platform. It is also argued that resulting problems with effect comparability over different conditions and resulting equality problems with the current praxis can be mitigated through strategies like explicitly considering outcome measure and by adjusting the cost-effectiveness threshold under specific conditions.

Place, publisher, year, edition, pages
Stockholm, Sweden: Läkartidningen Förlag AB , 2018. Vol. 115
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-155878PubMedID: 29893984OAI: oai:DiVA.org:liu-155878DiVA, id: diva2:1300929
Available from: 2019-04-01 Created: 2019-04-01 Last updated: 2019-06-27Bibliographically approved

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