Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The Risk Approach: unassailable logic?

M V Hayes1

  • 1Department of Geography, Simon Fraser University, Burnaby, British Columbia.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
Summary

The Risk Approach (RA) for healthcare selection, promoted by the WHO, faces scrutiny. This paper questions its theoretical claims by examining prediction and measurement assumptions in its application.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Social inequality, population health, and housing: a study of two Vancouver neighborhoods.

Social science & medicine (1982)·2000
Same author

Toward a lexicon of population health.

Canadian journal of public health = Revue canadienne de sante publique·2000
Same author

Population health promotion: responsible sharing of future directions.

Canadian journal of public health = Revue canadienne de sante publique·2000
Same author

Identifying social pathways for health inequalities. The role of housing.

Annals of the New York Academy of Sciences·2000
Same author

One sequence, four folds: transitions between an ensemble of metastable folds for the N-terminal domain of CD2.

Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing·1999
Same author

Engineered assembly of intertwined oligomers of an immunoglobulin chain.

Journal of molecular biology·1999

Area of Science:

  • Health economics
  • Public health policy
  • Decision science

Background:

  • The World Health Organization (WHO) advocates for the Risk Approach (RA) framework for selective healthcare service provision.
  • Despite its promotion, the practical application and empirical testing of RA for resource allocation remain limited.
  • Proponents assert the theoretical soundness of RA, deeming its logic 'theoretically unassailable'.

Purpose of the Study:

  • To critically evaluate the theoretical claims underpinning the Risk Approach (RA) framework.
  • To challenge the assertion that RA's logic is 'theoretically unassailable' by examining its core assumptions and methods.
  • To identify and discuss specific areas of concern within the WHO's RA literature.

Main Methods:

  • Critical examination of assumptions and proposed methods within the WHO literature on the Risk Approach (RA).
  • Analysis focused on two key areas: (i) prediction and the relationship between markers and health outcomes, and (ii) the measurement and scoring of health markers.
  • Theoretical critique of the RA framework's logical and practical underpinnings.

Main Results:

  • The paper identifies significant concerns regarding the predictive capabilities within the RA framework.
  • Issues related to the nature of the relationship between health markers and outcomes are highlighted.
  • Challenges are raised concerning the reliability and validity of marker measurement and scoring methodologies proposed by RA.

Conclusions:

  • The theoretical claims of the Risk Approach (RA) framework, as presented by the WHO, are not 'theoretically unassailable'.
  • The study underscores the need for rigorous empirical validation and methodological refinement before widespread adoption of RA for healthcare resource allocation.
  • Further research is required to address the identified issues in prediction and marker measurement within the RA framework.

Related Experiment Videos