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Principles of justice in health care rationing

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

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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.
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 02 Mar 2011 16:39
URL: http://eprints.lse.ac.uk/33027/

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