Toward a Hybrid Theory of How to Allocate Health-related Resources.

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2023-06-20 DOI:10.1093/jmp/jhad022
Anders Herlitz
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引用次数: 2

Abstract

How should scarce health-related resources be allocated? This paper argues that values that apply to these decisions fail to always fully determine what we should do. Health maximization and allocation-according-to-need are suggested as two values that should be part of a general theory of how to allocate health-related resources. The "small improvement argument" is used to argue that it is implausible that one alternative is always better, worse, or equal to another alternative with respect to these values. Approaches that rely on these values are thus incomplete. To deal with this, it is suggested that we ought to use incomplete theories in a two-step process. Such a process first discards ineligible alternatives, and, second, uses reasons grounded in collective commitments to identify a unique, best alternative in the remaining set.

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健康相关资源配置的混合理论研究
稀缺的卫生资源应如何分配?本文认为,应用于这些决策的价值观并不能完全决定我们应该做什么。建议将健康最大化和按需分配作为如何分配与健康有关的资源的一般理论的两个价值的一部分。“小改进论证”用于论证在这些值方面,一种选择总是比另一种选择更好、更差或等于另一种选择是不可信的。因此,依赖这些值的方法是不完整的。为了解决这个问题,有人建议我们应该在两步过程中使用不完全理论。这样的过程首先抛弃不合格的替代方案,其次,根据集体承诺的理由,在剩下的一组中确定一个唯一的、最佳的替代方案。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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