1999
DOI: 10.1002/(sici)1099-1050(199912)8:8<701::aid-hec473>3.0.co;2-m
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Health state after treatment: a reason for discrimination?

Abstract: In this paper the issue of discrimination between patients based on the health improvement that each can achieve is addressed. Previous research in this area by Nord has shown that, in this context, society's preferences may be quite opposite to the principle of health maximization present in cost utility analysis. Using a different experimental design from that used by Nord, some results are achieved which suggest that social preferences may be somewhere in between two opposite extremes, which are that discri… Show more

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Cited by 46 publications
(36 citation statements)
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“…The idea that it is unfair to give a lower priority to those with a limited capacity for improvement-e.g. the disabled and chronically ill-is well known in the philosophical literature [33][34][35], and empirical studies of public preferences provide further support for it, both in the context of life-saving and lifeenhancing treatment [36][37][38][39][40][41]. What the present study shows, on this interpretation, is that the importance of potential is subject to diminishing marginal returns, as severity decreases, conversely, the value of observing others achieve their potential increases disproportionately as the health state of the person deteriorates.…”
Section: Discussionsupporting
confidence: 63%
See 1 more Smart Citation
“…The idea that it is unfair to give a lower priority to those with a limited capacity for improvement-e.g. the disabled and chronically ill-is well known in the philosophical literature [33][34][35], and empirical studies of public preferences provide further support for it, both in the context of life-saving and lifeenhancing treatment [36][37][38][39][40][41]. What the present study shows, on this interpretation, is that the importance of potential is subject to diminishing marginal returns, as severity decreases, conversely, the value of observing others achieve their potential increases disproportionately as the health state of the person deteriorates.…”
Section: Discussionsupporting
confidence: 63%
“…What the present study shows, on this interpretation, is that the importance of potential is subject to diminishing marginal returns, as severity decreases, conversely, the value of observing others achieve their potential increases disproportionately as the health state of the person deteriorates. While this possibility has been raised in other studies [37,41], it has never been clearly demonstrated.…”
Section: Discussionmentioning
confidence: 82%
“…He found that minor changes in the questionnaire (added emphasis in the wording and the removal of an allocation option) led to considerably fewer respondents choosing to give priority to the severely ill. Elsewhere in the literature, Abellan-Perpiñan and PintoPrades [47], replicating another of Nord's questionnaires [48], found that the order in which questions were presented affected the way in which respondents approached the exercise. In another study, Pinto-Prades reported evidence that the validity of the PTO technique depends on the way in which in which the procedure is structured [49].…”
Section: Question Framing and Study Designmentioning
confidence: 89%
“…But interestingly, the same subjects gave lower priority to patients who would experience the onset of paraplegia after having their lives saved. And respondents are not completely insensitive to the size of the health gain: for example, Abellan-Perpi * n nan and Pinto-Prades found that the smaller the size of the benefit to one patient, the more likely people were to maximise health gain [15].…”
Section: Qaly Maximisationmentioning
confidence: 99%