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Principles of justice in health care rationing

Cookson, Richard and Dolan, Paul ORCID: 0009-0007-9351-1510 (2000) Principles of justice in health care rationing. Journal of Medical Ethics, 26 (5). pp. 323-329. ISSN 0306-6800

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Identification Number: 10.1136/jme.26.5.323

Abstract

This paper compares and contrasts three different substantive (as opposed to procedural) principles of justice for making health care priority-setting or “rationing” decisions: need principles, maximising principles and egalitarian principles. The principles are compared by tracing out their implications for a hypothetical rationing decision involving four identified patients. This decision has been the subject of an empirical study of public opinion based on small-group discussions, which found that the public seem to support a pluralistic combination of all three kinds of rationing principle. In conclusion, it is suggested that there is room for further work by philosophers and others on the development of a coherent and pluralistic theory of health care rationing which accords with public opinions.

Item Type: Article
Official URL: http://jme.bmj.com/
Additional Information: © 2000 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.
Divisions: Social Policy
Subjects: R Medicine > RA Public aspects of medicine
Date Deposited: 02 Mar 2011 16:39
Last Modified: 15 Nov 2025 21:36
URI: http://eprints.lse.ac.uk/id/eprint/33027

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